Instructions

Name two different cellular structures or components that increase the virulence of bacteria and explain why they increase virulence. For each, give an example of a bacterium that uses the virulence factor you have chosen to describe, to cause disease in human hosts.

Discuss the waste management practised on Covid -19 4. Database used for Disaster Research Response (DR2) collection tool Tips : – RADx Common Data Elements , – Coronavirus Victimization Distress Scale (CVDS) etc 5. Discuss the smart disaster management that could be practised using information and communication technology

Compare the General Hospital readmission rates to the national averages cited in the Healthcare Cost and Utilization Project (HCUP) flier 30-Day Readmission Rates to U.S. Hospitals. (Healthcare Cost and Utilization Project (HCUP), 2010). This resource is included under 1: Overview & Resources along with this activity document.

  1. For which diagnosis(es) does the General Hospital have a lower readmission rate than the national average?
  2. For which diagnosis(es) does the General Hospital have a higher readmission rate than the national average?

Critical Thinking Questions

  1. The General Hospital’s Quality Improvement committee wants to know how their hospital’s readmission rates compare to national averages based on your review of the readmission data. What will you tell them? Select the correct answer.
    1. The General Hospital’s readmission rates are below the national rates.
    2. The General Hospital’s readmission rates are above the national rates.
    3. The General Hospital’s readmission rates are below the national rates for all diagnoses, except for congestive heart failure.
    4. The General Hospital’s readmission rates are above the national rates for congestive heart failure and renal failure.

Based on your report, the General Hospital’s Quality Improvement committee has implemented a pilot test called heart failure (HF) re-admission CQI. Review the Clinical Reminder found on the Alerts Tab of the William Petrov EHR and answer the following questions.

  1. What is the subject of the Clinical Reminder in William Petrov’s EHR?
  2. What is the description/rationale for this Clinical Reminder?
  3. What action will be taken for this Clinical Reminder?
  4. What is the frequency for the Clinical Reminder action?

The General Hospital’s Quality Improvement committee has used the Plan, Do, Study/Check, Act method for developing the CQI intervention. Review this method in the activity resource document Continuous Quality Improvement (CQI) Strategies to Optimize your Practice Primer (The National Learning Consortium (NLC), 2013) and answer the following questions. This resource is included under 1: Overview & Resources along with this activity document.

  1. Based on the PDSA process described for the The Institute for Healthcare Improvement (IHI) Model for Improvement on page 6 of the resource, what should happen following the small-scale implementation of the heart failure (HF) re-admission CQI Clinical Reminder?
  2. Three months after the implementation of the heart failure (HF) re-admission CQI Clinical Reminder, a new re-admission report is run for evaluation of the pilot. The patients who were part of the heart failure (HF) re-admission CQI Clinical Reminder pilot were now found to have a re-admission rate of 24%. What does this data mean?

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