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This Mid Term examination comprises three questions including one on short topics. Your answers should make generous use of references and articles related to each topic in order to support your discussions. Please start each of the three answer sections on a new page. Please note your name and course number on your answers document. Insert Page Numbers in the document. List references you may have used at the end of each answer. If submitting electronically, please submit all your answers in one combined document. Please submit hard copies on Tuesday November 1 or Wednesday November 2, 2016 during your class. Points: Question1- 20, Question 2 – 30 and Question 3 – 10 SCENARIO ONE: You have been appointed as Director Quality Improvement in a large Skilled Nursing Facility. Recent data has shown an increase incidence of bed sores or pressure ulcers in patients admitted to your facility for long term care. The rate is now 12% of your Nursing Home Residents developing Bedsores. Bed sores are injuries to the skin and underlying tissue resulting from prolonged pressure on the skin. Most often occurs on skin covering bony areas of the body such as heels, ankles hips and tail bones. Approximately 11% of Nursing home residents have pressure ulcers in the U.S. It is now your responsibility to proceed with improving the Quality within your organization. How will you proceed with reducing the pressure ulcer (bed sore) rates? Please use examples and references in support of the steps you would take. Your focus must be on using CQI strategies. You may also include pertinent information from the lectures, text book and your discussion papers. Discuss and focus on the tools and strategies you may use. Please do not spend time in discussing pressure ulcers and its pathology at any great length. You may mention the importance of improving pressure ulcer rates very briefly. Please focus more on the Quality Improvement strategies. This scenario may be written in two double…
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