Practitioner Data Bank



State of Florida


According to Joel’s textbook, APRNs including CNSs, NAs, CNMs. And NPs in Florida between the years of 1990-2014 had 571 reports of suits. And settlements filed as per the National Practitioner Data Bank by state and year (Joel, 2018). In comparison, physicians, including MDs. And DOs in Florida, recorded 23,291 reports of suits and settlements. More so, there were several adverse actions taken against the Adverse Practitioner Registered Nurses. And Physicians, including loss of clinical privileges, DEA actions, or exclusion from medical or professional societal groups’ participation. The APRNs recorded 77 reports of adverse cases. As compared to 5,769 reported cases in Florida between the same time frame (1990 – 2014) (Joel, 2018).

There is a vast difference between the number of reports of suits. And settlement and reports of adverse cases between the APRNs and the physicians; MDs and DOs with the MDs recording the highest number of cases in both cases. So, what factors contributes to these differences. First, the dramatic differences are brought by the less population of NP’s in the 90s as compared to today. However, the discrepancies in lawsuits. And adverse actions between the APRNs. And MDs in terms of medical malpractice might have been attributed by the roles of medical doctors in the hospital settings.

The medical malpractice

Most of the differences occur because physicians, especially MDs and DOs, attend various patients, and they are more vulnerable to mistakes. The medical malpractice involves misdiagnosis or delayed diagnosis, negligent lapse in a patient’s care, or failure to treat. More so, medical doctors are more involved in prescribing medications for the patients than the APRNS, thus this could result in medication errors. Medication errors may result from the wrong prescription of medications, dosage, or prescribing inappropriate interactions. Consequently, medical doctors are more involved in surgeries than the APRNs leading to surgical errors that lead lawsuits (Dos Santos Martins, 2020).

The smaller number of lawsuits reports among APRNs is also due to they spend more time face to face with their patients. Having a close relationship with the patients enables the APRNs to be open, respectful, honest, and improving the communication with the patient’s family members. It is conceived that the patient would less likely sue the APRNs when they feel that that they are more caring and professional. Also, the APRNs have improved their interactions with the patients, and they have avoided offering their opinions about the patient’s conditions since they are aware, they might be sued for making a medical diagnosis. More so, the APRNs can also be sued if they only act beyond their defined scope of practice or when their MD’s inadequately supervise them.

Malpractice lawsuits

Malpractice lawsuits have a substantial effect on the patient’s access. First, the patient would be reluctant to seek medical services from the hospital or the clinic since the rumors or news about the malpractice might turn them off despite being potential patients. Also, if the patient has a concern about the medical negligence of a particular setting, they would tend to be nervous; hence, impeding their trustworthy and open interaction, which would be a cornerstone for provider-patient relationships (Hansen et al., 2020). Consequently, medical negligence has a direct effect on healthcare’s cost.

Since malpractice lawsuits have inclined generally with the claimants’ receiving settlements for millions of dollars, the provider’s fees and insurance premium costs have risen to help in meeting the cost of lawsuits settlement. These actions would have a significant impact on the patient’s access to healthcare services. Patients would also be positively affected by the malpractice insurance premium from the providers. Additionally, the providers would be forced to move from their states due to rising insurance cost to other states where they can manage the cost, thereby limiting the patient’s access to the best medical providers.


Joel, L. A. (2018). Advanced practice nursing: Essentials for role development (4th ed). F. A. Davis Company

Hansen, E., Zech, N., & Benson, S. (2020). Nocebo, informed consent and doctor-patient communication. Der Nervenarzt.

Dos Santos MartinsI, T. G. (2020). Comment on: Classification of plastic surgery malpractice complaints brought before the São Paulo Medical Board. That were treated as professional- misconduct cases: a cross-sectional study.

Health Budgeting

For this assessment, you will develop a 4-6 page analysis of St. Anthony Medical Center’s finances over three fiscal years. This analysis will include considerations such as assets, liabilities, revenues, and changes in financial position.


Note: This assessment uses  Vila Health: Financial Statement Analysis  as the context for developing your analysis. Please make sure you have reviewed this multimedia before you complete your assessment submission.

Costs are evaluated very closely by all levels of health care administrators. Costs are broken down into different categories, such as direct costs versus indirect costs, and fixed costs versus variable costs (Finkler, Smith, & Calabrese, 2020). You will examine these types of costs and learn analytical methods such as break-even analyses and cost allocation methodologies. These methodologies explore the relationship between volume and cost and demonstrate why volume plays an important role in the planning process.

For this assessment, you will research how costs are allocated from overhead departments to revenue-generating departments. You will conduct independent research on cost allocation methodologies in addition to using the materials provided in the text. You will also consider the steps involved in preparing a cost-benefit analysis (CBA) when deciding to purchase a capital item such as an MRI machine.

The balance sheet

The balance sheet, activity statement (also known as an income statement), and statement of cash flows are three of the most common types of financial statements that organizations prepare. You can think of balance sheets as a picture of the financial position of an organization at a given period in time—for example, as of December 31, 20xx. On the other hand, an activity statement or income statement will show the financial position of an organization over a longer period of time—for example, an entire month, quarter, or year (Finkler, Smith, & Calabrese, 2020).

You will;

types of statements

explore these types of statements and apply your new knowledge to the health care administration field.

analyze specific financial statements and think about the financial health of an organization based on the statements provided.

have several opportunities to practice your analytical skills within this assessment by exploring the concept of ratio analysis. Ratio analysis is one more way that both internal and external stakeholders can increase understanding of the financial position of an organization. Ratio analysis compares financial statement data to provide another view that may then be benchmarked or compared to other organizations. Some common ratio types include common size ratios, liquidity ratios, asset turnover ratios, and leverage or coverage ratios (Finkler, Smith, & Calabrese, 2020).

Additionally, it is important to support your analysis with reference to relevant literature. While it is appropriate to use your textbook as part of that support, your paper should reference at least three outside articles in addition to your textbook.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Explain the importance of reporting in health care.

. Explain the financial position of St. Anthony Medical Center by comparing assets and liabilities.

. Explain the financial position of St. Anthony Medical Center compared to previous years.

. Explain how accounts receivable changed from previous years.

· Competency 2: Develop a departmental budget.

. Analyze the financial obligations of St. Anthony Medical Center and their implications for the upcoming year.

. Analyze patient revenue compared to previous years and the implications for the financial health of St. Anthony Medical Center.

· Competency 3: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and consistent with the expectations for health care professionals.

. Adhere to the rules of grammar, usage, and mechanics.

. Apply APA formatting to in-text citations and references.


Finkler, S. A., Smith, D. L., & Calabrese, T. D. (2020). Financial management for public, health, and not-for-profit organizations (6th ed.). CQ Press.


This assessment has two main parts.

Analysis of the Balance Sheet

This part of the assessment will focus on analyzing the balance sheet for St. Anthony Medical Center. Relevant scoring guide criteria:

· Explain the financial position of St. Anthony Medical Center by comparing assets and liabilities shown in the  Financial Statement [XLSX] .

St. Anthony Medical Center

. “Explain” means to make something (an idea, situation, or problem) clear to someone by describing it in more detail or revealing relevant facts or ideas.

· Explain the financial position of St. Anthony Medical Center compared to previous years.

· Explain how accounts receivable changed from previous years.

· Analyze the financial obligations of St. Anthony Medical Center and their implications for the upcoming year.

. “Analyze” means to examine methodically and in detail the constitution or structure of something (especially information), typically for purposes of explanation and interpretation.

· Adhere to the rules of grammar, usage, and mechanics.

. “Grammar” refers to the basic rules for how sentences are constructed and how words combine to make sentences (for example, word order, case, and tense).

. “Usage” refers to correct word choice and phrasing, particularly with regard to the meanings of words and phrases.

. “Mechanics” refers to correct use of capitalization, punctuation, and spelling.

· Apply APA formatting to in-text citations and references.

. Be sure to include a separate references page.

Some questions to consider that may help you organize your analysis are:

· Do assets exceed liabilities?

· What does this tell you about the financial position of St. Anthony Medical Center?

· How has the financial position of St. Anthony Medical Center changed since last year?

. How has it changed since the year prior?

· How have the accounts receivable changed from previous years, and what does this tell you?

· Using the balance sheet, what financial obligations does St. Anthony Medical Center need to consider in the upcoming year?

The goal of this analysis is to create an accurate picture of the financial trends for St. Anthony Medical Center, its current financial obligations, and how the upcoming fiscal year projects in light of this information.

Patient Compliance And Patient Education

Topic 1 DQ1

Following an invasive operation, patients may suffer worry and anxiety. Alma’s reaction to the health-care worker mispronouncing her surname may have been affected by her past experiences with the health-care system. (Long wait times) and patient views of disease (Rothenberg,2003) The health care professional must apologize to Alma. And inquire about how to pronounce her name correctly and how she wishes to be called. Alma’s learning needs, abilities, and limitations must then be evaluated properly. If a patient has a learning handicap, the health care provider must create. Or adjust a method that is most beneficial to the patient (e.g printable material or videos). Following the creation of a workable plan. The dissemination of information in manageable portions, and the assessment of its effectiveness (e.g return demonstration).

Discuss Alma’s worries about post-operative treatment adherence, mechanical challenges (such as swallowing pills), limited mobility, cost (such as prescriptions and dressing supplies), fear, pride, religious views, and other considerations. Collaborate with the patient’s family and other essential persons on educational activities. Alma’s rehabilitation may depend on having a clear plan in place for introducing new medication as well as seeking the aid of family members or caretakers.

Rothenberg, G. M. (2003). How To Facilitate Better Patient Compliancehmpgloballearningnetwork.com

pharmacist-led patient education

Topic 1DQ 2

Interventions such as team-based or coordinated care have been demonstrated to improve compliance rates. Patients say it’s simpler to ask questions, settle concerns about their prescription regimen, and participate on treatment plans when they receive team-based care (CDC, 2017). To stick to her drug regimens, Alma will need pharmacist-led medication reconciliation and customization, pharmacist-led patient education, and coordinated care between the pharmacist and primary care practitioner (CDC, 2017). Collaboration;

with others could also help figure out why the patient is offended by the care provider’s mispronunciation of her name.

, especially with someone close to Alma, such as a family member, would reveal information about the patient’s background, including cultural background, jeopardizing the nurse’s capacity to develop a therapeutic relationship.

with other experts can also help identify care providers’ biases and views, which can block communication and the development of a strong working relationship with the client.


Centers for Disease Control and Prevention. (2017). CDC Grand Rounds: Improving Medication Adherence for Chronic Disease Management – Innovations and Opportunities. Centers for Disease Control and Prevention.


nursing career

Hello everyone, my name is Pascal Uzobuife and I live in Fort Worth, Texas. I have been a nurse for over 11 years. I started off my nursing career as a certified nursing aide while taking pre-requisites from different colleges for entrance for the nursing program. A few years later I got accepted into the vocational nursing school in Tyler, TX where I graduated and became an LVN.

My first nursing job was in an oncology unit at a hospital. Since then, I have had various nursing experiences in Alzheimer and dementia units ,long term care and skilled nursing facilities, hospice healthcare, and home healthcare. After ten years, I finally decided to do the LVN to ADN bridge program. I am currently an RN at a hospice inpatient unit as a charge registered nurse. After searching and reviewing lots of schools for the BSN program on the internet, GCU stood out as the best option for me. I believed that I have made the right choice to enhance my education. My desire is to becoming a nurse practitioner in mental health in the future



Neurodevelopmental disorders

Neurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood. They may range from the very specific to a general or global impairment, and often co-occur (APA, 2013). They include specific learning and language disorders, attention deficit hyperactivity disorder (ADHD), autism spectrum disorders, and intellectual disabilities. Neurocognitive disorders, on the other hand, represent a decline in one or more areas of prior mental function that is significant enough to impact independent functioning. They may occur at any time in life and be caused by factors such brain injury; diseases such as Alzheimer’s, Parkinson’s, or Huntington’s; infection; or stroke, among others.

Medical History


You are working with Dr. Stephanie Lee at her family medicine clinic. Dr. Lee tells you, “The next patient, Mrs. Payne, is a 45-year-old cisgender female who is here for a health maintenance exam. It looks like she hasn’t had a visit for over five years. When you’re talking with Mrs. Payne, I’d like you to find out if she has any current concerns, update her past medical history, and do a brief review of systems. Then, come on out and tell me what you’ve discovered and we’ll both go in to do the physical exam together.”

You introduce yourself to Mrs. Payne and begin obtaining her history:

Medical History:

“Do you mind if I ask you a few questions to find out how you are doing?”

Mrs. Payne says, “That sounds fine.”

“What brought you in today?”

“I feel fine, but I know I should get checked out since it’s been a while and I need to have a Pap test and mammogram.”

“I would like to update your medical history. Do you have any chronic medical problems?”

“Well, I don’t really have any medical problems.”

“Have you had any operations?”

“I had my tubes tied shortly after the birth of my last child.”

“Are you on any medications, or are you allergic to any medications?”

“I take an occasional Tylenol or ibuprofen for pain or headache and a multivitamin. I’m not allergic to any medicine as far as I know.”


Social History:

“Have you ever smoked?”

“Yes, I’m afraid I do smoke a pack of cigarettes a week. I keep trying to quit, but I just never seem to be able to do it.”

“Do you drink alcohol?”

“No, I don’t drink any alcohol at all.”

“Have you ever used any recreational drugs?”

“I never tried any illegal drugs. My friends have smoked marijuana but I was always too afraid to try.”

“How much do you exercise?”

“I used to try to walk at lunchtime, but I don’t do that anymore. It just seems like I’ve been too busy to have time to exercise.”

“Have you been hit, kicked, punched, or otherwise hurt by someone in the past year? If so, by whom?”

“No, I feel safe.”

Family History:

“How is the health of your family members?”

“My father has high blood pressure and my mother has mild arthritis, but both are in good health. My two sisters are healthy.”

“What about your extended family?”

“I don’t know how my grandparents died, but I think one of them had diabetes. My mom’s sister has breast cancer but is doing well after surgery and chemotherapy.”

Mrs. Payne asks you, “Does having an aunt with breast cancer increase my risk of developing breast cancer? My aunt was diagnosed with breast cancer when she was about 70 years old.”

You were able to reassure Mrs. Payne that the risk is increased only if there is a history in a first-degree relative, such as a parent or sibling.



“How old were you when your periods began?”




Descartes was a rationalist.  This means that he believed some knowledge ultimately comes from reason, pure thought.  Recall that he believed all knowledge was based on the basic idea that God is not a deceiver, and thus whatever he believes “clearly and distinctly” must be true.


On the other side of this issue, stands the empiricists.  They believed that all knowledge ultimately comes from experience.  The main proponents of this theory were Locke and Hume (note that Berkeley was an empiricist).  They believed that everything in our minds came from the senses and that if something was not derived from the senses, it could not be a real idea.  This is what lead Hume to conclude that things like “causation,” “liberty,” and “self” were not really ideas, but meaningless words we throw around.


Believing empiricism was true, many of the early psychologists argued that the only way to conduct a science of the mind was through observable behavior (since other people’s thoughts and beliefs are not observable).  The most famous psychological behaviorist was B.F. Skinner, who felt that if there were “mental states,” they had no effect on behavior.  Thus, the focus should be on behavior, not mental states.


Many philosophers saw what Skinner was doing, and believing in empiricism, developed that idea that mental states were nothing but our physical behavior.  This was their reasoning:


  1. Something is not a real idea unless it is derived from sense experience
  2. Thus, a sentence is meaningful only if it contains ideas which were derived from sense experience. (this is known as logical empiricism).  So, if we cannot tell whether a         sentence is true by looking to the sensible world, then it is meaningless.


  1. Because of this, these theorists believed that the meaning of a sentence just is its method of verification.  For example, to understand what the sentence, “The cat is on the           mat” means just is to understand how to verify it.  (this is the verifiability theory of           meaning)


  1. So, now consider how one determines whether another person is thirsty, or in pain, or in love.  What you do is to look at their behavior.  Since the method of verification is an    examination of external behavior, it follows that all we mean by “thirsty,” “pain,” or       “love,” is the external behavior, period.


Logical behaviorism is a better theory than Cartesian Dualism in the sense that it is simpler, it postulates fewer entities in the world.  It has also been more fruitful and more conservative than Cartesian dualism (e.g., it solves the problem of other minds, allows predictions and fits with existing scientific theories).



  1. This theory is false if it is possible for a person to “be in pain,” and not exhibit external behaviors consistent with “being in pain.” Also, the theory is false if it is possible for a person to exhibit the behavior of “being in pain” without “being in pain.” (Consider thought experiments p.68)…..since mental states are “feelings”–qualia–then these counterexamples seem possible.


  1. The verifiability theory of meaning is flawed (step 3 above). The easiest way to see this is to ask, “how can we verify if the verifiability theory of meaning is true?” There is no way, hence by the theory itself, it is meaningless.


Identity Theory


The example of Phineas Gage (1848) was one of the first recorded cases where a change in the physiology of the brain lead to a marked change in one’s personality (mind).  Because of this case, and many others like it, people started to believe that there was a very close link between the physiology of the brain and the mind, or our mental states.  The doctrine that our mental states just are brain states is known as the identity theory.  Like logical behaviorism, identity theory does not assume the existence of any “mental stuff” (so it is a materialist theory).  And like logical behaviorism, it seems to fit well with existing scientific theory and to be able to explain many things which the Cartesian dualists cannot (like how the “mind” and the brain interacts).



  1. If true, then whatever is true of mental states is true of brain states. As the book points out, each will not necessarily share the same subjective properties (what someone thinks about it), but they must share all objective properties.

For example, you may not believe that Samuel Clemens wrote Huckleberry Finn, but              you do believe that Mark Twain wrote Huckleberry Finn.  The fact that Samuel Clemens            and Mark Twain do not share these subjective properties does not mean they are not       identical (they are).  To be identical they must share all objective properties (size,                 location, color).

And since there is some objective property of brain states that mental states do not have,  namely that of “being known through empirical investigation,” the identity theory has a problem.  Thomas Nagel argues that we can never know what it is like to be some other conscious thing (he uses a bat).


  1. If the identity theory were true, then it would be impossible for creatures without a brain to have mental states. However, this does seem logically possible, maybe even physically possible (consider the thought experiment; J. Searle’s “Brain Replacement”).

Performance Management Plan Proposal

Performance management is, ideally, an ongoing quality-assurance-based process. The process provides an organization, its employees, regulatory agencies, accreditors, and other stakeholders with a structured means to support and accomplish mutually identified strategic goals and objectives.

Assume the role of a newly-hired risk management officer for a hypothetical new allied health organization in your chosen career field. You and your team will need to develop the organization’s policies.

The first item you will create will be a performance management plan. The HIM Briefings (2019) article, which includes Lean, Six Sigma, or PDSA, is located in the Topic Materials. Using the resources in HIM Briefings or another qualified framework, craft a proposal (1,250-1,500 words) for a performance management plan for the new organization that includes the following:

Organizational Goals

  • Organizational Goals: Provide a statement of the organization’s goals regarding workplace safety, risk management, or quality improvement; select one area, and develop five goals for that specific area.
  • Outline of Organizational Objectives: Outline and provide a brief evaluation of specific objectives that support the organizational goals you previously identified, to include the use of an interdisciplinary approach to patient care.
  • Rationale: Evaluate the use of the interdisciplinary approach to patient care in the performance management plan. What provisions were planned in order to include this approach effectively?
  • Quality and Process Outcomes: Describe the importance of quality and process outcomes within one’s scope of practice.
  • Summary of Relevant Performance Measures: Summarize the steps and measures the new organization will adopt to measure performance. Consider (a) how well measures will align with the stated goals, (b) how these measures demonstrate the importance of quality and the relationship to positive health outcomes, (c) how the measures are able to be controlled by the organization (i.e., how the organization can affect change in this area), and (d) how the measures meet criteria related to reliability and validity, and are standardized.
  • performance baseline

  • Performance Baseline: Determine a performance baseline for the measures selected. This will enable the organization to conduct comparisons of desired goals versus actual results over time.
  • Performance Evaluation: Select one of three commonly accepted methods to measure provider quality. Summarize the features and why it applies best to the organization. Refer to the assigned reading, “The Measurement of Health Care Performance: A Primer from the Council of Medical Specialty Societies.”
  • Definition of Success: Define what success means to the organization. Now that you have chosen measures to assess organizational performance, identify what success means to the organization; otherwise, you are chasing a moving target. Be explicit in the level of performance you see as acceptable. This will change as an organization grows, but you need to start somewhere in order to get anywhere.

Computer Forensics

Computer Forensics

  1. Computer Forensics is a fast growing and ever changing field of study. Describe the qualities and skill-set to be looked for in an Incident Response Team.
  2. Discuss the future trends and directions that you see computer forensics headed.
  3. Using the Online Library, find an article, case study, or publication about your favorite topic covered in this computer forensics course – then summarize the article in a paragraph and submit your summary along with a copy of the article or the link of the article to this discussion for sharing.

Acute Healthcare Systems in the United States

Acute Healthcare Systems in the United States

This project will help explain how health care particularly acute setting is delivered in the United States, what costs are involved, and how the concepts of value and quality influence health care delivery. This project also focuses on the health system delivery issues and how one can help alleviate such perceived problems facing our health care system.

-Discuss the Health System Program History and the regulatory agency that governs the system. Eligibility/Insured Benefit

-Identify a Health Systems Delivery issue on your selected Program. Present a clear and concise problem statement including why systems change is needed

-After analyzing the issues in health systems delivery, discuss what role the government plays in correcting the issues

-Write/propose a strategic plan integrating rigorous knowledge development processes. Include supporting arguments proving your proposed plan.

-Five (5) reputable and current sources (within 5 years) were cited within visual presentation. All references were in correct APA Format 7-9 pages including references.


Six Keys to Leading Positive Change by Rosabeth Moss Kanter

Discussion 2: Leading Positive Change


In this Discussion, you will reflect on the video Six Keys to Leading Positive Change by Rosabeth Moss Kanter. Consider the impact of the changes you are attempting to implement and how the video may help you achieve success. Of the six keys Kanter discusses, which do you believe will influence your ability to implement change effectively? Are there additional keys to success you believe are critical to change management that Kanter does not discuss?


To prepare for this Discussion:

Review this week’s Learning Resources, especially:




Respond to at least two (2) of your peers’ postings listed below in one or more of the following ways:


  • Compare your analysis of Kanter’s Six Keys to your peer’s analysis. Are there any elements of your peer’s analysis you hadn’t thought of? What additional thoughts can you add to their analysis for consideration?


  • Looking at your peer’s list of characteristics, what characteristics most resonated with you? Do you agree with the list they have outlined? Do you think they are missing any key characteristics from their list?
  • 3 – 4 paragraphs
  • No plagiarism
  • APA citing