List and describe briefly five reasons why, in your view, the U.S. health care system is good.

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List and describe briefly five reasons why, in your view, the U.S. health care system is good.

Health Delivery Services Questions

Imagine you are sharing Sunday dinner with your extended family. Over dinner, the discussion turns to health care….

Managed Care and Integrated Organizations

1. Grandpa has heard about this new-fangled expression, managed care. Explain managed care to him in terms that he can understand.
2. Grandpa also wants to know if the military is a managed care system. Give him two reasons why it could be, and two reasons it may not be.
3. Grandma, overhearing the conversation, says that managed care is too complicated for her. She simply wants to know two key differences between her traditional health insurance and managed care.
4. Grandma is intrigued. Now, she wants to know why she should opt for managed care over her current insurance. Give her two reasons why this may be so.
5. During your conversation, the concepts of utilization monitoring and control come up. Explain two methods used to monitor and control the utilization of services under managed care.

Long-Term Care

6. Aunt Jeanne has been listening quietly and recognizes you’re an expert in health care administration. She wants to know the difference between Medicare and Medicaid. Define each.
7. Aunt Jeanne wants to know how many of her older seemingly (financially) comfortable friends ended up using Medicaid for nursing home care. Give her two potential explanations of circumstances under which they may have decided to use Medicaid.
8. Aunt Jeanne then says, “There’s no way in heck I’m going to a nursing home!” Rather, she’d prefer some alternatives to staying in a nursing home. List two alternatives for her (from the text) and describe briefly.

 

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How did various stakeholder groups influence the final outcome of Medicare Part D legislation? What were the specific strategies and tools that were used most effectively?

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How did various stakeholder groups influence the final outcome of Medicare Part D legislation?
What were the specific strategies and tools that were used most effectively?

Write a 7-9 page paper with bibliography. Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Pocket Guide to APA Style to ensure in-text citations and reference list are correct.

You will synthesize your understanding of why Medicare Part D passed, as well as the influence of the various interest groups and governmental entities during this process. Make sure to discuss both the policy process and the policy environment—that is, the key players involved and other circumstances that shaped this policy-making effort. For this assignment, address the following questions, doing further research as needed:

How did various stakeholder groups influence the final outcome of Medicare Part D legislation?

What were the specific strategies and tools that were used most effectively?

Does the fact that Medicare Part D passed corresponds with your understanding of policy and politics, or did this surprise you? Explain your response.

 

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Create a UML Activity Diagram for the Wilderness Weather Station that tracks the flow of weather data from the Satellite box into the archival database. 1.Using the patient information system case study:

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Create a UML Activity Diagram for the Wilderness Weather Station that tracks the flow of weather data from the Satellite box into the archival database.
1.Using the patient information system case study:

Create a comprehensive and detailed ActivityUML diagram with ten or more elements or nodes.
Create a Use CaseUML diagram that illustrates the interactions between a doctor and the Mentcare Identify use cases with at least 4 other user groups, such as receptionists, medical records staff, the Human Resources Department, Legal Department, Pharmacy, Safety, Finance Department, potentially the patient population, etc. Create a comprehensive and detailed use case diagram containing at least five such actors.
Compare and contrast the two different diagramming approaches and how the goals of each vary. This short essay should be between 100 and 150 words.

2.Create a UML Activity Diagram for the Wilderness Weather Station that tracks the flow of weather data from the Satellite box into the archival database.
This diagram does not need to account for error handling or human intervention.

I expect this will contain a minimum of 20 elements and will span all three sub components of the Wilderness weather station. Label each sub component in some way – such as a color, a number, a different shape, or something. Whatever you do, do so in such a way that it is easy for me to see “this is part of the satellite box” and “this is part of the control panel”.

 

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Suki has worked for various long-term care homes throughout Ontario over the past 20 years. She began as a personal support worker and advanced over time to her most recent position as Director of Nursing at the Kenora Long-Term Care Home in northwestern Ontario where she had primary responsibility for the day-to-day medical care of the residents in the home.

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Suki has worked for various long-term care homes throughout Ontario over the past 20 years. She began as a personal support worker and advanced over time to her most recent position as Director of Nursing at the Kenora Long-Term Care Home in northwestern Ontario where she had primary responsibility for the day-to-day medical care of the residents in the home.

Sukihas a16-year-old daughter Laurel and recently separated from herhusband Eric. The problems in their marriage included Sukisalcohol dependency. She struggled with depression over the years and increasingly looked to alcohol as an escape. Suki disclosed the problem to her employer and with their support spent time in rehabilitation. She believes that her alcohol problem has now been defeated and she could resume drinking responsibly if she wished.
Babitais the Vice President of Human Resources forthe Kaiser Villages Retirement and Long- Term Care Homes. The Kaiser family owns and operates a number of these homes throughout southern Ontario including their newest retirement home in Kitchener. Babita previously worked as the Director of HumanResources at the Kenora Long Term Care Home.She isa good friend of Suki and is aware of her recent separation from Eric. She also knows about her previous problem with alcohol and was instrumental in making the arrangements for Sukis time away from work in rehabilitation.
Kaiser Villages needs an experienced person for the Assistant Manager position atits new retirement home in Kitchener and Babita is responsible for finding that person. Shetelephoned Sukiabout the positionbelievingher to be anideal candidate. She said that the job would be formally advertised within the next couple of weeks and urged Suki to apply. Babita emphasized that it would not only be a promotion from her current position but would undoubtedly lead in the near future to a more senior management position at Kaiser Villages.
Suki was hesitant to apply. It would mean moving to southern Ontarioand living apart from Laurel who wanted to stay in Kenora until she completed high school. However she was attracted by the position the prospect for further advancementand the opportunity to start a new life after the breakup of her marriage. Suki discussed the opportunity with Laurel and it was agreed that Laurel would spend the summer months with Sukiand they would speak to eachothereveryweekend via Skype.
Suki applied for the position. She completed the standard employment application form and was interviewed by Cory Kaiser President of Kaiser Villages. Babita had informed Cory of her past association with Suki and it was agreed that she wouldnot participate in the hiring process.
Suki was offered the job and accepted it. One aspect of the interview that surprised and bothered her later was Corys final question. He asked if Suki had any history of problems with drugs or alcohol. The question caught her off-guard and she wondered if Babita had disclosed her previous alcohol problem to Cory. However since she considered it to no longer be a problemshe said no.
Suki moved to Kitchener and started the new job. She found the position and life more challenging and stressful than she had expected. The hours were long and the stress constant with a continuing set of challenges to meet. The stress was compounded by being away from Laurelwho she greatly missed. Also the chance for further promotion that Babita had mentioned did not materialize. When Sukilater mentioned it to Cory he was completely surprised. He said that she was hired for the job she was doing and nothing more.
To relieve the constant stress Suki began drinking again. Her alcohol consumption increased and she was frequently late to work and hung over.
This situation came to a climax at a reception for senior management of Kaiser Villages and government dignitaries to celebrate the official opening of the new Kitchener Long-Term Care Home. Sukibegan drinking earlier in the day and arrived at the reception late and in a drunken state. During conversations with the invited guests she slurred her words and had to lean on a chair or a wall to remain standing. Cory noticed her behaviour and told Babita to do something about it. Babita spoke to Sukiand then called a cab to take her home. Later in discussing the incident with Cory Babita disclosed Sukis history of drinking as well as her current marital and family situation. Cory met with Suki the next day. He said that her conduct was a major embarrassment to Kaiser Villages andhe terminated her employment.
Suki took legal action against Kaiser Villages claiming among other things discrimination contrary to the Ontario Human Rights Code as well as failure by Kaiser Villages to promote her. Kaiser Villages responded by denying these allegations and claiming among other things that the termination of her employment was legally justified because Suki had failed to disclose heralcohol problem in the employment interview. Question 1
a) Identify the prohibited ground of discrimination claimed by Suki.
[Two-three sentences] b) Briefly describe the legal arguments infavour ofSukis claim of discrimination.
[2-3 paragraphs] c) Briefly describe the legal arguments against Sukis claim of discrimination.
[2-3 paragraphs
Question 2
a) Identify the legal natureor name of the claim by Suki that Kaiser Villages wrongfully failed to promote her.
[Two-three sentences] b) Briefly describe the legal arguments in favourofSukis claim that Kaiser Villageswrongfully failed to promote her. [2-3 paragraphs] c) Briefly describe the legal arguments against Sukis claim that Kaiser Villages wrongfully failed to promote her.
[2-3 paragraphs] Question 3
a) Identify the legal natureor name of the claim by Kaiser Villages concerning the failure by Suki when asked to divulge her problem with alcohol.
[Two-three sentences] b) Briefly describe the legal arguments in favour ofKaiser Villages position that Sukis failure to divulge her problem with alcohol when asked was justifiable grounds for terminating her employment. [2-3 paragraphs] c) Briefly describe the legal arguments againstKaiser Villages position that Sukis failure to divulge her problem with alcohol when asked was justifiable grounds for terminating her employment.
[2-3 paragraphs]

 

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Write a summary of the strategic analysis of a hospital or healthcare setting including an analysis of management, mission, vision, marketing strategies and operational considerations. Analysis Discussion—Financial Crisis

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Write a summary of the strategic analysis of a hospital or healthcare setting including an analysis of management, mission, vision, marketing strategies and operational considerations.
Analysis Discussion—Financial Crisis

Organizations can experience crises due to changes in economic conditions. In an economic downturn where individuals lose their jobs, many also lose their medical insurance coverage. With fewer employees on the payroll, states receive less revenue from taxes and thus have less money to pay for Medicaid and other services. This compounds the problem of healthcare funding. Hospitals lose out on high-margin procedures and, at the same time, see an increase in charity care in less profitable areas of the hospital.

Pick a hospital or healthcare setting
Write a summary of the strategic analysis of a hospital or healthcare setting including an analysis of management, mission, vision, marketing strategies, and operational considerations
Write a financial analysis including a discussion of current and projected earnings, cash flow, and financing needs.
Write a series of recommendations to management regarding the necessary next steps to be successful n the event of a financial crisis. For your paper, you will consider the following two scenarios:
Scenario 1: The nursing union has begun bargaining and has demanded a 10 percent increase in salaries, a guarantee of no lay-offs, and an increase in pension benefits. The increase in pension benefits has a $1 million annual impact.
Scenario 2: Your community is suffering a significant decrease in employment. Employees are losing their health insurance. You anticipate a 10 percent decrease in patient revenue. However, your costs will not decrease to the same extent. You anticipate many of these individuals will continue to visit your emergency room (ER) and consume resources. The net impact is a significant increase in bad debt.
In your plan, include the operating and capital requirements the organization would need in order to navigate the crisis. Write a 3- to 5-page report in Word format. Apply current APA standards for writing style to your work. Comments on these questions :
How often should a hospital management review the budget?
Can a hospital develop an austerity program with deep budget cost cuts without affecting patient care?
You manage an operating budget of approximately $500,000. You have been instructed to cut your budget by 10 percent two months after you had agreed to a barebones budget for the upcoming year. What do you do if you know that the cuts will affect patient care? Demonstrate the importance of cost management.

 

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How does health information technology affect patient outcomes in the perinatal setting? How does health information technology affect patient outcomes in the perinatal setting?

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How does health information technology affect patient outcomes in the perinatal setting?
How does health information technology affect patient outcomes in the perinatal setting?

Identify two (2) advantages and two (2) disadvantages of health information technology as they apply to the perinatal setting. Explain your answer.

Discuss strategies the Registered Nurse can employ to reverse the two identified health information technology disadvantages.

Provide a rationale for each strategy indicating how it results in the provision of safe, quality care in the perinatal setting. Include a reference from the literature to support the information provided.
CATEGORIESQUESTIONS

 

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Analyze a health care policy issue describing the health care policy issue you selected; provide and explain the statistics depicting the issue; and explain how this issue relates to health care costs, quality, and access.

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Analyze a health care policy issue describing the health care policy issue you selected; provide and explain the statistics depicting the issue; and explain how this issue relates to health care costs, quality, and access.

Discussion 1: What Drives Health Care Costs?
Note: Before completing this Discussion, please familiarize yourself with the Week 6 Discussion 1 Rubric located in the Course Information area of the course navigation menu.

In this week’s Discussion, you will focus on practical solutions to reducing health care costs while improving quality and access. Because health care in the United States is a business, it is imperative that health care administrators understand that providing safe, quality health care services under budget is one of the single most important performance metrics that they can benchmark for success.

To prepare for this Discussion, choose a health care policy issue in your workplace or community related to cost, quality, or access. You may wish to explore the literature and health care policy websites to ascertain what is working and what might work in your workplace or community.

Note: Take a look at the CMS innovation website, linked in this week’s Optional Resources, if you are interested in looking at some innovative models currently being tested.

Post by Day 3 an analysis of the health care policy issue you chose, making sure to address these specific points: describe the health care policy issue you selected; provide and explain the statistics depicting the issue; and explain how this issue relates to health care costs, quality, and access.

When possible, provide examples from your professional experiences to demonstrate cost concerns in your particular field, or use personal anecdotes/stories to illustrate some of the problems that exist.

General Guidance on Discussion Posts: Your original post, due by Day 3, will typically be 3–4 paragraphs in length as a general expectation/estimate.

Centers for Medicare and Medicaid Services. (n.d.). Retrieved from
http://innovation.cms.gov

Blavin, F., Shartzer, A., Long, S. K., & Holahan, J. (2015). An early look at changes in employer-sponsored insurance under the Affordable Care Act. Health Affairs, 34(1), 170–177.
An Early Look At Changes In Employer-Sponsored Insurance Under The Affordable Care Act by Blavin, F.; Shartzer, A.; Long, S. K.; Holahan, J., in Health Affairs, Vol. 34/Issue 1. Copyright 2015 by Project Hope/Health Affairs Journal. Reprinted by permission of Project Hope/Health Affairs Journal via the Copyright Clearance Center.

Gould, E. (2013). Employer-sponsored health insurance coverage continues to decline in a new decade. International Journal of Health Services, 43(4), 603–638.
Employer-sponsored Health Insurance Coverage Continues to Decline in a New Decade by Gould, E., in International Journal of Health and Human Services, Vol. 43/Issue 4. Copyright 2013 by Sage Publications, Inc. – Journals. Reprinted by permission of Sage Publications, Inc. – Journals via the Copyright Clearance Center.

 

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What are the main differences between the State and Federal Civil and Criminal court systems? Give an example of each in relation to your current work field.

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What are the main differences between the State and Federal Civil and Criminal court systems? Give an example of each in relation to your current work field.

Ethical and legal aspects of nursing practice
Order Description
1. What are the main differences between the State and Federal Civil and Criminal court systems? Give an example of each in relation to your current work field.
2.What is the nurse practice act?
Give an example of how the nurse could refer to the nurse practice act on a daily basis?
The nurse practice act would be considered or fall under what kind of law?
3.Provide an example of a scenario inclusive of an event a nurse can become in with relation to the following:
Criminal action
Administrative law action
Disciplinary action
Civil action
textbook: Essentials of Nursing Law and Ethics.
Westrick S.J. & Dempski K (2019)
Jones & Bartlett Publishers; 1 edition (November 20 2008)

 

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Why did you choose the nursing field? What qualities do you believe you posses that will enable you to preform effectively as a student and later as a practicing nurse?

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Why did you choose the nursing field? What qualities do you believe you posses that will enable you to preform effectively as a student and later as a practicing nurse?

Need advice on a personal statement for admissions to the nursing program. The questions are require Show more Need advice on a personal statement for admissions to the nursing program. The questions are required to be answered in this essay: Why did you choose the nursing field? What qualities do you believe you posses that will enable you to preform effectively as a student and later as a practicing nurse? Any feedback suggestions? Please be honest it wont hurt my feelings I just want to have a good personal statement! Thanks! Currently I am in my third semester here at ####. I am applying to the nursing program in hopes that I will be accepted for the fall semester. My dream of becoming a nurse came about a few years ago. I have had the privilege of being an at home mom to my four beautiful daughters for the past fourteen years. It is a job that I love and has provided me with many daily challenges as I am sure you can imagine. I worked at a large corporation when my oldest daughter was born. When she was four months old we received at the time devastating news she was blind. I knew that I would not be able to find adequate child care for my baby so I became an at home mom. Three more children came along so my at home mom adventure continued. They are all now in school and I felt it was time to do something for myself. I did not go to college after high school I got married. I have always felt a personal disappointment in myself for not becoming a college graduate. I promised myself that I would one day show my girls that education is extremely important as is to find something you are passionate about in a career. I wanted them to see how if I make my dreams come true they can too. My family has been so very supportive during this process I have missed cheer practices school events and many other things. They all seem to understand at the end of a day when I had a tough exam they always ask how I did I am so proud of them all for the sacrifices they make for me to achieve my dream. I grew up with two parents that are alcoholics proudly I can say both currently recovering alcoholics. I spent many days in my childhood and even adulthood caring for them from snatching bottles to going to hospitals and watching as they got administered the goody bag. The thing is these experience have guided me to the passion of helping others in the field of addiction. I always felt that I was good at that caring for people during the difficult times. I believe my years of experience can help others and their families. I need to obtain the knowledge. I have thoroughly enjoyed every new piece of information I have learned through my courses at JTCC and every day has brought a constant addition to my base knowledge. I feel studies in the nursing field will be indispensable to acquiring a deeper insight and better understanding of the world of addiction. I am one of the older students but that doesnt hold me back! Nursing also offers flexibility in the career field. The diverse field where nurses are needed seems to be endless this will help me as I get older. The technology in the medical field is ever changing and that intrigues me I am ready to learn and change with it. Show less

 

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What is the relationship between the shortage of registered nurses and quality of care? National Health Expenditure Analysis

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What is the relationship between the shortage of registered nurses and quality of care?
National Health Expenditure Analysis

Details:

This is the problem: The shortage of registered nurses and other medical personnel is not something that has begun recently. In light of this, the Bureau of Labor Statistics Employment projected a shortage of 250,000 RNs for 1.05 million RN jobs by 2022 (Richards & Terkanian, 2013). Many hospitals and health care facilities are known to be struggling with the issue of nurse shortage. The purpose of this assignment is to begin the discussion to answer this question: What is the relationship between the shortage of registered nurses and quality of care?

In a 750-1,000-word paper, complete the protocol and write the plan to pilot the change in practice.

The clinical guidelines should include the

1- Problem statement,

2- EBP question,

3- literature review,

4- research synthesis, the

5- clinical protocol, and

6- Implementation plan.

7- Identify specific, realistic patient outcomes that will be used for evaluating the clinical guidelines.

8- The implementation plan for the protocol should include with criteria a timeline for evaluating the outcomes.

9- Barriers/Obstacles or drivers for change should be identified and addressed.

The clinical guidelines should include the problem statement, EBP question, literature review, research synthesis, the clinical protocol, and the implementation plan. Identify specific, realistic patient outcomes that will be used for evaluating the clinical guidelines

The implementation plan for the protocol should include a timeline with criteria for evaluating the outcomes. Barriers/Obstacles or drivers for change should be identified and addressed.

 

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