This is a Masters level nursing paper. Read the paper guidelines on the attached document.The articles can be found using the GCU Library or any of the sources recommended in the readings.
Address the following:

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Assignment Due Date: Monday, Feb 16, 2015
Write a paper of 2,000-2,500 words. You will develop the paper in Five parts.

This assignment is in 5 parts:
Prepare this assignment according to the APA guidelines. The accepted plagiarism level is 20% or less

Part 1 (Quantitative and Qualitative Research Review)
Choose two scholarly, peer-reviewed articles about research studies.
The articles can be found using the GCU Library or any of the sources recommended in the readings.
Address the following:
One article must be an example of a qualitative research study; the other must be a quantitative example.
These articles will be utilized for in part 2, 3, 4 and 5.
Write a 350-500-word statement which includes:
A description of why each research study is categorized as quantitative or qualitative.
A justification for your selections.
The journal page reference for the research study selected and the reasons why it was selected.
A link to the selected articles or an attached copy of each article.

Part 2 (Summarize Research Articles)
Write a summary of each of the articles that you identified in part 1.
Address the following:
Write one research summary that uses a quantitative research design.
Write one research summary that uses a qualitative research design.
Each summary should be 250-500 words and should follow the template, Summarize Research Articles.
Use APA Level Heading 2 to separate the distinct parts of the study.
These article summaries will form the basis of the Critique of Research Studies parts in modules 3, 4, and 5.
Part 3 (Critique of Research Studies )
Complete a critique of the quantitative and qualitative articles that were submitted in part 2.
Follow the guidelines for the quantitative and qualitative article critiques in Chapter 5, Box 5.2, pages 112-114 and Box 5.3, pages 115-117 of the textbook.

Utilize a central heading to indicate that what follows is the critique of the articles.
The side headings of the critique for…

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Analyze some of the key social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years.

You are the manager of a new primary care clinic located about twenty five (25) miles outside of a small city (population of 50,000). With five (5) family physicians, two (2) nurse practitioners, two (2) physicians’ assistants (PAs), and twenty (20) clinical support staff consisting of RNs, LPNs, and CMAs, the clinic provides primary care services to a diverse community of people living and working outside the city limits. Originally a rural area, the community has been growing and now includes promising opportunities in employment, education, and comfortable living spaces for young families. However, there are still many residents who struggle to make ends meet with older farms that have belonged to families for generations.

The central city includes two (2) large acute care facilities, and one (1) tertiary care facility that is known for its excellent pulmonary care. Both acute care hospitals provide the usual services such as labor and delivery, outpatient surgery, chronic diseases care, etc. and have fully equipped ancillary departments, such as lab and radiology. Up until this point, the residents have used the facilities’ emergency departments for routine illnesses and conditions when their private physicians were not readily available.

Write a five to seven (5-7) page paper in which you:

Analyze some of the key social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years.
Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services.
Analyze and discuss one (1) or more directions the clinic might take to grow its business. Determine what factors you would consider when deciding what services to provide in-house and which ones to affiliate with other institutions.
Decide how you will determine if the clinic is meeting its goals. Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services. Begin by naming a goal, and then identify a quantifiable measurement you could use for each to determine if you are coming close or falling short of the goal.
Determine how you would then address whatever opportunities for improvement seem to exist and what processes you would put in place.
Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
Format your assignment according to the following formatting requirements:
Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.
Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.
The specific course learning outcomes associated with this assignment are:

Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations.
Examine the political, economic, and social forces that have influenced the organizational foundations of the United States healthcare system.
Explain how public policy has shaped the development of the U.S. healthcare system.
Use technology and information resources to research issues in health services organization management.
Write clearly and concisely about health services organization management using proper writing mechanics.

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Examine the impact of motivation on quality, safety, and legal risks associated with health care organizations.

Imagine that you have been appointed the Director of Health at the Kaluyu Memorial Hospital in Nairobi, Kenya – a for-profit hospital. The facility is also a referral hospital and receives severe cases of accidents, chronicle / communicable diseases and houses an HIV / AIDS ward. As you settle into your position, you realize that the employees always act scared as they approach their superiors. Some of the employees even deliver files and leave your office in a hurry.

As you make your routine departmental visits, you realize that there are tensions between nurses and doctors, and there is a sentiment that the nurses tend to do the majority of the work within patient care but the doctors get all the credit. You realize that the employees are always looking forward to the end of their shifts to go home. Some employees even come back to work wearing the same unwashed clothes as the previous day. Too many employees are calling in sick, and many of them give weak reasons for their tardiness.

There is also a sense that employees and nurses dominate other employees in similar positions. In meetings and conference calls some employees are always quiet and never participate. You notice that people with families tend to gather and talk quietly on breaks. The new mothers working for the hospital have to use bathrooms to pump breast milk for their infants and the refrigerators do not work well. Looking at the financial statements of the hospital, you realize that the hospital expenses are higher than the industry standard, and it makes losses year after year.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a four to six (4-6) page paper in which you:

Investigate the major demotivational factors at Kaluyu Memorial Hospital. Assess the level of impact that the identified factors could have on specific areas of service and business if the administration does not address the situation. Support your response with at least two (2) examples of the potential negative impact of the identified demotivational factors on the hospital.
Choose Maslow’s, Herzberg’s, or McClelland’s model of motivation, and argue the primary reasons why it is applicable to the Kaluyu Memorial Hospital scenario.
Formulate a communication system that will have the greatest impact on improving the situation, and specify the major reasons why your system will influence the employee behaviors for the better. Justify your response.
Use four (4) recent (within the last five [5] years) quality academic resources in this assignment.
Note: Wikipedia and other websites do not qualify as quality academic resources.

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:

Propose methodologies that have been proven to increase value in health care delivery systems.
Examine the impact of motivation on quality, safety, and legal risks associated with health care organizations.
Assess how politics in a health care organization motivates and demotivates employees and recommend strategies to mitigate the challenges presented with each aspect.
Create a communication strategy to address an ethical dilemma within a health care organization regarding the quality of service and cost.
Use technology and information resources to research issues in health care management.
Write clearly and concisely about health care management using proper writing mechanic

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In this assignment, you will develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic.

Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. The responsibilities of a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. CMAAs may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but cannot exercise independent medical judgments. CMAAs also help to optimize patient flow, enabling the practice physicians to see more patients with efficiency, all while following the State’s scope of practice and working under the supervision of a licensed physician.

Note: Content from Weeks 1–3 IPs and DBs can be wholly or partially used as necessary to address the specific Key Assignment tasks shown below. You should take into account any instructor feedback from those IPs and DBs.

The project deliverables are as follows:

Training Manual

Title page
Course number and name
Project name (“Training Manual”)
Your name
Date 
The training manual should include the following topics: 
Introduction to the health care facility
Explain the mission and services provided by the facility 
Explain the type of healthcare delivery model that this facility represents and the difference between this model and that of other facilities in the same region
The organization’s structure
Office procedures 
The Practice Management System and other Software Systems
Description of the practice management system
The administrative role of the practice management system 
The role of the practice management system in billing and coding
The process of checking patients in and out
Recording patient demographic and insurance information
HIPAA forms to be reviewed with first time patients
HIPAA rules and regulations to protect patient privacy
Interacting and communicating with patients professionally
Scheduling patients
Other Office Procedures related to Patient Care
Various community and patient resources
Receive, triage, and route phone calls
Advance Directives
Medical Record Responsibilities
Office procedures and guidelines for various forms of documentation (Release of Information and use of the electronic health record)
Financial Procedures
Financial procedures related to the policies of the organization
Accounting and bookkeeping procedures and processes Financial procedures related to the organization’s cash flow
Description of 2 or more reimbursement models used in the facility, e.g., fee-for-service.
Billing policy and procedures
Claims for reimbursement – submission processes and procedures
Review records for medical necessity
Clean claims submission and use of the Clearinghouse

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