A Process Improvement Toolkit to Guide the Attainment of Meaningful Use Stage 2 Requirements

Healthcare is evolving. Reimbursement is transitioning to a model based on quality and patient outcomes. To remain relevant and survive this transition, providers of care must adapt and implement new models of care delivery that account for these changes. This toolkit was created as a deliverable of a Doctor of Nursing Practice dissertation that explored a successful primary care delivery model of a Patient-Centered Medical Home that utilized an interdisciplinary team approach that included nurses. Through this model high quality care was delivered to achieve desired outcomes, specifically, successful attestation for Stage 2 of the Meaningful Use Incentive Program during the first quarter of 2014. This toolkit was created as a result of the exploration of this model in order to inform others regarding structures and processes that can be integrated to meet the requirements of Stage 2 Meaningful Use. To do so, this toolkit describes the structure utilized by practice of interest, including the roles of vital staff members. Processes that result in meeting Meaningful Use objectives are also described, many in the form of decision trees. The toolkit also includes an example of what an investment in this model would entail along with guidelines for model replication. This toolkit provides a framework for success in meeting Meaningful Use Stage 2 requirements

An Interdisciplinary Team Approach to the Patient-Centered Medical Home as a Means of Meeting Meaningful Use Stage 2 Requirements

In an attempt to address the shortcomings of the current U.S. healthcare system, reimbursement structure is changing from fee-for-service to a value-based model. This requires drastic change in how care is delivered. Therefore, care delivery models and reimbursement incentive programs are evolving to promote advancements in care delivery. This project examined an interdisciplinary team model utilized at a rural, privately owned practice that is a Patient Centered Medical Home (PCMH). This practice has incorporated unique structures and processes to attain Stage 2 Meaningful Use requirements in the first year attesting for this stage became available as a means of addressing shortcomings within the current healthcare system. An understanding of this model was obtained through informal interviews, observation, shadowing staff members, and a comparison of Stage 2 attainment between the Clinic and national data. This project found high quality care is delivered through the structures and processes in place at this Clinic resulting in a greater proportion of Stage 2 attainment within the Clinic compared to national data regarding similar providers. In doing so, this model has not only obtained enhanced reimbursement but has also experienced improved patient outcomes. Nurses were found to be an integral part of this team, necessary for the success of Stage 2 attainment and optimizing patient outcomes. As reimbursement continues to evolve to promote improved quality and outcomes, to remain viable, U.S. care delivery must adapt. As this model has seen success, a toolkit was developed containing documents that can be used in replicating this interdisciplinary team model in other primary care sites. This toolkit can be used to assist other primary care practices progress to meet the demands of reimbursement reform

Computer program developed for flowsheet calculations and process data reduction

Computer program PACER-65, is used for flowsheet calculations and easily adapted to process data reduction. Each unit, vessel, meter, and processing operation in the overall flowsheet is represented by a separate subroutine, which the program calls in the order required to complete an overall flowsheet calculation

Season 01 Episode 03 Mike and Jim

Jim Ervin continues his journey with the contributors of one of Lansing\u27s most prosperous blues bands, Root Doctor. In this episode of Time Signatures, Jim invites two former keyboard players into the WLNZ studio to chat about their experiences with Root Doctor. Mike Skory was one of the original members when they began as the Downtown Blues Band and Jim Alfredson became a member of the band in \u2799 and is a featured recording artist on Root Doctor albums

Season 01 Episode 04 Mike and Jim

Jim Ervin continues his journey with the contributors of one of Lansing\u27s most prosperous blues bands, Root Doctor. In this episode of Time Signatures, Jim delves further into his conversation with two former keyboard players into the WLNZ studio to chat about their experiences with Root Doctor. Mike Skory was one of the original members when they began as the Downtown Blues Band and Jim Alfredson became a member of the band in \u2799 and is a featured recording artist on Root Doctor albums

Season 01 Episode 05 Mike and Jim

Part three concludes Jim Ervin\u27s conversation with Mike Skory and Jim Alfredson, two former members of one of Lansing\u27s most prosperous blues bands, Root Doctor. Mike Skory was one of the original members when they began as the Downtown Blues Band and Jim Alfredson became a member of the band in \u2799 and is a featured recording artist on Root Doctor albums

Senior Recital: Jordan Alfredson, bassoon

This recital is presented in partial fulfillment of requirements for the degree Bachelor of Music in Performance. Mr. Alfredson studies bassoon with Laura Najarian.https://digitalcommons.kennesaw.edu/musicprograms/1502/thumbnail.jp

Seeking asylum from sex persecution: Challenging refugee policy and policy-making of Canada in the late twentieth century.

Canada's 1993 refugee policy Guidelines for Women Refugees Fearing Gender-Related Persecution reinterpret the 1951 UN Convention Relating to the Status of Refugees to radically expand state-responsibilities for women's human rights. The evolution of this novel inter-state responsibility departed from established models of policy-making in some important respects. This study explores how asylum seekers challenged Canada to align domestic policies on violence against women with humanitarian responsibilities in refugee policy, shaping their own eligibility criteria and rights to state protection. These stateless persons and foreign nationals drew upon both human rights and Canadian citizenship rights in order to make claims upon the state and influence policy. Their influence has implications not only for women's rights to inter-state protection, but for non-citizen participation in policy-making. The participation of non-citizens in policy-making has been neglected in academic social policy. Here their role in policy-advocacy networks is explored through an analytic framework that draws on migration system theory and collective action theories. This illuminates the inter-state structural context, interactions between grassroots actors and government, and the interplay of national and supranational identity and rights issues. The study then identifies the structural context and key political opportunities that opened up for women seeking asylum and challenging refugee policy. Case studies are analysed to describe how emerging opportunities were used by the particular asylum seekers and their core network of supporters between 1991 and 1997, and to what effect. Insight is provided into: how refugee policy-making involves asylum seekers whose roles are expanding in complicated and dynamic relationships with receiving-states; why a new international migration flow based on age-old structural persecution emerged in the late twentieth century and who these asylum seekers really are; the ways they influenced policy; and the extent and implications of their influence, for policy and policy-making. The thesis suggests that academic social policy may need to rethink nationally bound policy and policy-change frameworks and their traditional basis in citizenship, which globalisation is calling into question. It suggests that citizenship and human rights discourses and state-responsibilities are merging through the influence of stateless persons and foreign- nationals who make expressly political use of new policy advocacy opportunities, both institutional and extra-institutional, and through transnational identity and rights issues of which feminism is a strong example. It indicates that Canada's policy guidelines are not the end of the road - refugee policy needs to move in a direction that recognises both 'gender- related' and 'sex' persecution at the heart of asylum seekers' claims

Symphony Orchestra, Student Concerto and Compostition Winners Concert

Kennesaw State University School of Music presents the Student Concerto and Composition Winners Concert with the Symphony Orchestra.https://digitalcommons.kennesaw.edu/musicprograms/1360/thumbnail.jp