Describe the historical development, current structure, cost, impact of technology, and ways of conceptualizing the U.S. health care system.

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DESCRIBE THE HISTORICAL DEVELOPMENT, CURRENT STRUCTURE, COST, IMPACT OF TECHNOLOGY, AND WAYS OF CONCEPTUALIZING THE U.S. HEALTH CARE SYSTEM

Assignment 1: Historical Transitioning and Growth of the U.S. Health Care System Due Week 3 and worth 150 points

As a health administrator, your hospital has tasked you with reporting the general nature of health care administration to visiting stakeholders / shareholders. These stakeholders / shareholders are investors, but are not too versed in the significance of the U.S. health care system and its present position in social, financial, technological, and medical pioneering advances.

Write a three to five (3-5) page paper in which you:

Summarize key milestones involved in the past and present shaping and transitional dynamics behind changes in the present health care industry. Evaluate the importance of financing and technology in health care. Provide examples to support your response. Analyze the primary complexities and integrated social dynamics associated with changing demographics and emergent diseases (e.g., the complexities seen in the growing Latin and Asian populations, etc.). Examine the major fluctuating and daunting challenges in health care management that mortality trends and an aging Baby Boom generation predicate. Use at least four (4) recent (i.e., five [5] years), quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as 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:

Describe the historical development, current structure, cost, impact of technology, and ways of conceptualizing the U.S. health care system. Explain how changes in population, disease patterns, and trends affect the health care system. Use technology and information resources to research issues in health services organization. Write clearly and concisely about health services organization using proper writing mechanics. Click here to view the grading rubric for this assignment.

 
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Which research methodology would be the most appropriate for your project and how does it align with your clinical question, data collection, and data analysis?

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Module 2 DQ 1 and DQ 2
Tutor MUST have a good command of the English language
These are two discussion questions
Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please
Tutor MUST have a good command of the English language
Sources need to be less than five years old and journal/Scholarly articles. 
No textbook or direct quotes 
Topic 1 DQ 1
Which research methodology would be the most appropriate for your project and how does it align with your clinical question, data collection, and data analysis? Demonstrate an example of when you might use the opposite methodology in your EBP projects and why.
Topic 2 DQ 2
Within nursing, the patient’s perception is recognized as the patient’s reality. How does this way of knowing in nursing fit within an objective or subjective paradigm of the world? Explain your reasoning.

 
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APPLIES THE THEORIES AND PRINCIPLES OF NURSING AND RELATED DISCIPLINES TO INDIVIDUALS, FAMILIES, AGGREGATES, AND COMMUNITIES

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APPLIES THE THEORIES AND PRINCIPLES OF NURSING AND RELATED DISCIPLINES TO INDIVIDUALS, FAMILIES, AGGREGATES, AND COMMUNITIES.
 NO COMMENTS

Capstone Project Milestone 2:
Design for Change Proposal Guidelines
Purpose
You are
to create a Design for Change proposal inclusive of your Practice Issue and
Evidence Summary worksheet from your Capstone Project Milestone 1. Your plan is
to convince your management team of a nursing problem you have uncovered and
you feel is significant enough to change the way something is currently
practiced. In the event you are not currently working as a nurse, please use a
hypothetical clinical situation you experienced in nursing school, or nursing
education issue you identified in your nursing program.
Course
Outcomes
This assignment
enables the student to meet the following course outcomes.

CO1:
Applies the theories and principles of nursing and related disciplines to
individuals, families, aggregates, and communities from entry to the healthcare
system through long-term planning. (PO #1)

CO2:
Proposes leadership and collaboration strategies for use with consumers and
other healthcare providers in managing care and/or delegating responsibilities
for health promotion, illness prevention, health restoration and maintenance,
and rehabilitative activities. (PO #2)
Due
Date
Milestone
2 consists of the proposal for your Design for Change Capstone Project. Submit
this assignment to the Dropbox by the end of Week 4.
Points
Milestone
2 is worth 225 points.
Directions
1.
Create a proposal for your Design for Change
Capstone Project. Open the NR451_Milestone2_Design_Proposal_ template in Course
Resources to create your paper. You will include the information from Milestone
1, your practice issue and evidence summary worksheets, as you compose this
proposal. Your plan is to convince your management team of a practice problem
you have uncovered that is significant enough to change current practice.

2.
The format for this proposal
will be a paper following the Publication
manual of APA 6th edition.
3.
The paper is to be FIVE to
six-pages excluding the Title page and Reference page.
4.
As you organize your information
and evidence, include the following topics.
a.
Introduction:
Write
an introduction but do not use Introduction as a heading in accordance with
the rules put forth in the Publication manual of the American Psychological
Association(2010, p. 63). Introduce the reader to the
plan with evidence-based problem identification and solution.
b.
Change
Model Overview:Overview of the ACE Star model (the model we have been
discussing this session); define the scope of the EBP; identify the
stakeholders, and determine the responsibility of the team members.
c.
Evidence:
Conduct internal and external searches of evidence; integrate
and summarize the evidence summary worksheet from Milestone 1; develop a
recommendation for change.
d.
Translation:
develop a hypothetical action plan; include measurable
outcomes, reporting to stakeholders; identify next steps and disseminate the
findings.
e.
Conclusion:
Provide
a clear and concise summary, inclusive of the problem issue,the five
points of the ACE Star change model; and ways to maintain
the change plan.

5. Citations
and References
must be included to support the
information within each topic area. Refer to the APA manual, Chapter 7, for
examples of proper reference format. In-text citations are to be noted for all
information contained in your paper that is not your original idea or thought.
Ask yourself, How do I know this? and then cite the source. Scholarly sources
are expected, which means using peer-reviewed journals and credible websites.
6. Tables
and Figures may be added
as appropriate to the project. They should be embedded within the body of the
paper (see your APA manual for how to format and cite). Creating tables and
figures offers visual aids to the reader and enhances understanding of your
literature review and design for change.
Grading
Criteria: Design for Change Capstone Project

Category

Points

%

Description

Introduction

25

11%

Introduction to the plan is nursing focused, with evidence-based
problem identification and potential solutions clearly identified.

Change Model Overview

50

22%

Practice issue is identified and is nursing focused. An overview of
the ACE Star model is given. The need for change is evident. Stakeholders are
identified.Practice area, team members and their role are identified
and discussed. Scope of the problem is identified.State
how nurses should use this model as a guide to facilitate change.

Evidence

50

22%

Evidence is provided thru basic information that indicates a change is
needed. For example, there have been 6 urinary tract infections over the last
two months and there were none present the last two years at the same time
period. What are some of the evidence-based interventions you discovered in
your Evidence Summary that do you plan to use?

Translation

50

22%

Activities to achieve the final steps of change are fully described.
What is needed to achieve. How do you translate what information you have
gathered into practice? How do you inform staff? What is your plan of action
to pilot the plan? What is the timeline?

Conclusion

25

11%

Clear, solid summary summarizing the key points and steps of the
change plan is included; ways to sustain the change plan are described.

APA Format

25

11%

Minimal errors.

Total

225 points

100%

Grading Rubric: Capstone Project
Milestone 2

Assignment
Criteria

A (100%)
Exceptional

Outstanding or
highest level of performance

B (88%)
Exceeds

Very good or
high level of performance

C (80%)
Meets

Competent or
satisfactory level of performance

NI (38%)
Needs
Improvement
Poor or failing
level of performance

F (0%)
Developing

Unsatisfactory
level of performance

Introduction
25
points

Introduction to the plan is nursing focused, and evidence-based. Potential
interventions clearly identified.
25
points ?

Introduction to the plan is nursing focused, and evidence-based
solutions identified but not clear.
22
points ?

Introduction to the plan is provided; however, the plan is not nursing
focused and evidence-based solutions are not convincing.
20
points ?

Introduction lacks evidence to support need for change and/or
potential solution is not evidenced-based.
10
points ?

Introduction is missing.
0
points ?

Change Model
Overview
50
points

Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is
present.
Stakeholders are identified.Practice area, team
members and role are discussed.
Scope
of problem is identified.
50
points ?

Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not
present.
Stakeholders are identified.Practice area, team
members and role are discussed.
Scope
of problem is identified.
44
points ?

Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not
present.
Stakeholders are not identified.Practice
area, team members and role are discussed but without detail.
Scope
of problem is identified.
40
points ?

Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not
present.
Stakeholders are not identified.Practice
area, team members and role are not discussed.
Scope
of problem is identified.
19
points ?

Change Model Overview is missing
0
points ?

Evidence
50
points

Evidence is thoroughly provided thru basic information of the current
problem in the work setting indicating a change is needed.
Interventions discovered in Evidence Summary are used in planning for
change.
50
points ?

Evidence is briefly provided thru basic information of the current
problem in the work setting indicating a change is needed.
Some of the interventions discovered in Evidence Summary are used in
planning for change.
44
points ?

Evidence is vaguely provided thru basic information of the current
problem in the work setting indicating a change is needed.
Some of the interventions discovered in Evidence Summary are used in
planning for change.
40
points ?

Evidence is provided thru basic nformation of the current problem but
is not convincing.
Interventions discovered in Evidence Summary are not used in planning
for change.
19
points ?

Evidence is not provided thru basic information of the current
problem; there is no indication of change; there no interventions listed from
the Evidence Summary.
0
points ?

Translation
50
points

Activities to achieve final steps of change are fully described.
Ways to translate evidence into practice is discussed.
Methods to inform staff, activities planned for plan of action and
timeline are discussed.
50
points ?

Activities to achieve final steps of change are fully described.
How to translate evidence into practice is discussed but is not clear.

Methods to inform staff, activities planned for plan of action and
timeline are discussed.
44
points ?

Activities to achieve final steps of change are fully described.
How to translate evidence into practice is not discussed.
Methods to inform staff, activities planned for plan of action but
timeline is not mentioned.
40
points ?

Activities to achieve final steps of change are described but not in
detail.
How to translate evidence into practice is not discussed.
Methods to inform staff, activities planned for plan of action but
timeline is not mentioned.
19
points ?

Activities for final change plan is missing.
Translation of evidence into practice is missing.
0
points ?

Conclusion
25
points

Detailed summary of main points.
Ways to sustain plan are thoroughly described.
25 points
?

Summary of main points is brief.
Ways to sustain plan are briefly described.
22
points ?

Summary of main points is vague.
Ways to sustain plan are vaguely described.
20
points ?

Summary of main points is vague.
Ways to sustain change are not described.
10
points ?

Summary is missing.
There is no plan to sustain change.
0
points ?

APA formatting,
scholarly writing
25
points

APA format sixth edition.
Grammar, sentence structure, punctuation, and spelling correct.
References, citations correct.
Paper formatted in APA format.
No errors to one error.
25
points ?

Two to three errors.
22
points ?

Four to five errors.
20
points ?

Six to seven errors.
10
points ?

More than seven errors.
0
points ?

Total Points

 
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Why do you think that some adults become bitter as they face death while others remain positive and active?

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Your active participation in Discussion Boards is critical to the development of your understanding of the main concepts studied in this unit. Further, posting detailed responses allows your professor to guide your thinking and your classmates to respond to your ideas. Please participate as early in the week as possible, and be sure to share your thoughts and ideas as often as you can throughout the unit.
Respond to the Discussion topics below. Your original response should be at least 350 words and should reflect the fact that you have completed the assigned Readings for the week. Remember, this is your chance to illustrate not only your understanding, but also your mastery of the materials for the unit. Use your words wisely so the posting has substance and includes examples and explanations. Limit the use of direct quotes, and do your best to critically evaluate and synthesize the literature in your own words wherever possible. Make sure to include in-text citations and a reference list as appropriate.

Discussion Topic

Adults in the last stage of their lives often prefer to spend time doing favorite activities and socializing with those who are close to them. By this stage, most adults are retired and living a life that can become complicated by new choices such as type of living arrangements or loss of freedoms (e.g., driving). Use the information from your Reading to respond to the following questions.

  1. Using one of the theories in your Reading, why do you think an older adult might choose to live in the same house that she has occupied for most of her adult life, rather than moving into a smaller apartment? Explain.
  2. Why do you think that some adults become bitter as they face death while others remain positive and active?
  3. Propose a plan for addressing some aspect of bereavement for a group therapy session (e.g., stage of grief).

In academic, research and clinical settings, colleagues often openly review each other’s work. Your professors co-create documents frequently; it is common practice. So, please use part of this Discussion to your advantage. Your professor will monitor the Discussion and offer suggestions.

 
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Evaluate the use of evidence-based practice in clinical settings Formulate strategies for overcoming barriers to evidence-based practice Formulate background questions and a PICOT question

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Week 1: Overview of Evidence-Based Practice

Many people have ways of doing things that they follow for no other reason than “this is how it has always been done.” Have you ever encountered this in your experiences as a nurse? Do you follow certain processes because they have been shown to contribute to better health outcomes? Or, is the reasoning behind many of your practices simply based on how you were trained or how you have observed others in your practice setting? Consider, for example, the taking of post-operative vital signs in the general surgical setting. According to Zeitz and McCutcheon (2003), specific regimens of collecting vitals at certain set intervals are based on tradition only, with no evidence that they are relevant or even useful. But diligent nurses worldwide still faithfully monitor these vital signs at specific time-intervals within in the post-operative setting.

This week, you examine the role that evidence-based practice (EBP) plays in nursing. You consider how EBP is demonstrated within clinical settings and healthcare organizations, and why it is important to base health care practices on evidence. You will formulate background questions and a PICOT question. Finally, you explore barriers that may prevent EBP from being used more consistently.

Zeitz, K., & McCutcheon, H. (2003). Evidence-based practice: To be or not to be, this is the question! International Journal of Nursing Practice, 9(5), 272–279.

Learning Objectives

Students ill:

Evaluate the use of evidence-based practice in clinical settings

Formulate strategies for overcoming barriers to evidence-based practice

Formulate background questions and a PICOT question

Photo Credit: [monkeybusinessimages]/[iStock / Getty Images Plus]/Getty Images

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 1, “Introduction to Nursing Research in an Evidence-Based Practice Environment”

This chapter provides an introduction to nursing research, its history, and the evolution of evidence-based practice. It includes an overview of credible sources of evidences and a description of the different paradigms used in nursing research.

Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into Practice”

The focus of this chapter includes an overview of the key aspects of evidence-based practice, a review of how to identify credible research and appraise its value, and, finally, a discussion on how to take the identified evidence and convert it into a practice.

Chapter 3, “Key Concepts and Steps in Qualitative and Quantitative Research”

In this chapter, quantitative and qualitative research models are compared and the major steps in each approach are described. Information is also presented on the different sections of a research journal article and how you can identify the research model that was utilized.

Adams, J. S. (2010). Utilizing evidence-based research and practice to support the infusion alliance. Journal of Infusion Nursing, 33(5), 273–277.

Retrieved from the Walden Library databases.

 

This article examines how evidence-based research and practice supports infusion alliances. The text also specifies the increasing challenges that infusion nurses face.

Mallory, G. A. (2010). Professional nursing societies and evidence-based practice: Strategies to cross the quality chasm. Nursing Outlook, 58(6), 279–286.

Retrieved from the Walden Library databases.

 

 
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Why is understanding and effectively managing change and innovation an essential leadership competency?

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Question descriptionOverview
assigned reading
Textbooks:
Leadership and Nursing Care Management, Elsevier-Saunders, 2013, 5th edition

  • Read Chapters 1,2,4,5,6.

For this discussion, you will use information from your assigned readings and the literature to answer the following:

  • Why is understanding and effectively managing change and innovation an essential leadership competency? Provide rationale.
  • Provide 2 examples, with rationale, of how change has been successfully or unsuccessfully managed in your organization, including change theory elements used. If the change was unsuccessful, what could the organization have done differently (include change theory elements)?

Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.
References:

  • Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.

Words Limits

  • Initial Post: Minimum 200 words excluding references (approximately one (1) page)
 
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sk factors in Treatment Placemenri

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sk factors in Treatment Placement

What is a dual diagnosis? Why is an integrated approach necessary for effective treatment with this population of individuals? Provide examples of an individual with a dual diagnosis. Provide a 400 word response to the questions. In responding to your peers, discuss your opinion on which diagnosis would be most challenging. Why do you think so? As appropriate, cite the online course, the textbook, and other credible, scholarly sources to substantiate the points you are making

Review the two cases. Based on the information you learned from your assigned weekly readings from your textbook, respond to the following:Review the two cases. Based on the information you learned from your assigned weekly readings from your textbook, respond to the following:
 
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Does The Use Of Electronic Devices Enhance The Communication Between Patient And Provider?

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Does The Use Of Electronic Devices Enhance The Communication Between Patient And Provider?

Question descriptionDoes The Use Of Electronic Devices Enhance The Communication Between Patient And Provider? A Systematic Review Of The Literature.

A Systematic Review Of The Literature.

this project is a systematic review of literature, i have also enclosed the previous project you worked on as a reference and the grading rubric

Write the following sections that are still left to complete in the template for your paper and submit them for review. TYour submission should be at least 4 pages in length and should be written in APA (6th ed.) format.

Actual Outcomes/Evaluation: Discuss your measurable evaluation methods (indicators/metrics). Include any of the following that are applicable to your project: cost savings, improved efficiencies, access to care (visits/procedures/admissions), patient/family satisfaction, associate satisfaction, associate engagement, retention, clinical outcomes, injury prevention, and risk reduction.

Summary and Conclusions: Include a summary of your change project, the main points and findings, the significance of the project to the nursing profession, and any recommendations for future research. You should also focus on the lessons learned implementing your change project, including successes, challenges, obstacles, and future recommendations for similar clinical situations.

Include in text citations

 
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What influenced your reaction to the situation? Would you handle it differently if the situation occurred again today In this assignment, you will put into

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Annotated Bibliography, which includes a cover page, a thesis statement, and an APA formatted listing of 8-12 articles to be used in the Case Study Analysis.  Each article entry should have included a brief summary of the article and some critical analysis about its findings (to be written in your own words—copying or paraphrasing the article abstract is not permitted).
Each article must be evidence-based – meaning each is a report of findings arising from experimental research conducted by the article author[s] and not opinion articles or publications summarizing multiple research studies – peer-reviewed.

  • When you hear the word ethics, what comes to mind? When have you encountered a situation that challenged your ethical principles? What influenced your reaction to the situation? Would you handle it differently if the situation occurred again today
    In this assignment, you will put into effect the lessons you have learned in writing a graduate-level research paper.
    Resources: “Writing Process” video and Research Topic List
    Using your chosen topic from the Research Topic List and the outline created in Week 3, conduct research via the University Library by locating 2 to 4 scholarly articles on your chosen topic.
    Follow the steps in the “Writing Process” video.
    Write a 700- to 1,050-word research paper on your chosen topic by including evidence from the 2 to 4 scholarly articles located in the University Library. Refer to the outline created in Week 3 for main points and subpoints to include in the paper.
    Format your paper according to appropriate course-level APA guidelines located on the APA Templates page in the Center for Writing Excellence.
 
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Evaluate the positive benefits and negative aspects, respectively, of HMO managed care from the provider’s point of view

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Write a 6-8 page paper in which you:

  1. Analyze the current health care delivery structure in your state. Compare and contrast the major determinants of healthcare market power.
  2. Analyze the main competitive forces in the your healthcare delivery system in your state, and compare the major factors that influence the fundamental manner in which these competitive forces determine prices, supply and demand, quality of care, consumerism, and providers’ compensation.
  3. Evaluate the positive benefits and negative aspects, respectively, of HMO managed care from the provider’s point of view—i.e., a physician and a healthcare facility—and from a patient’s point of view. Provide a rationale for your response.
  4. Assess the efficiency of the types of economic incentives available to providers in the delivery of healthcare services in your own state.
  5. Propose who bears the financial risk of a capitation payment system: the provider, the patient, or the consumer-driven health plan itself.
  6. Use at least five (5) current references. Three of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives.

 

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:

  • Explain how selected economic principles apply to the health care market and the provision of health care services.
  • Analyze the factors that are influencing the demand and supply of health care services in the U.S.
  • Assess current economic trends that influence the cost, quality, and access to care.
  • Use technology and information resources to research issues in health economics.
  • Write clearly and concisely about health economics using proper writing mechanics.
 
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