What is insurance and how does this component influence access to health care?

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Discussion
Using the provided Reading material, answer the following questions in a complete 300 words.
Reading material: https://drive.google.com/drive/folders/1A0JjTqYX-wpsTjdDC0R-0JO3WQLh59tL
1. What are the four major components of the quad-function model and how are they defined by our authors?
2. What are definitions of price, charge, cost, claim, value, and price transparency?
3. What is the primary public program for covering elderly individuals (> 65 Years) in America?
4. What are the authors’ guiding principles for reform and the 5 payment strategies for reform?
5. What is insurance and how does this component influence access to health care?

*Due In 8-10 Hours!
Assignment!
Compose and post an opposite-the-editorial (“Op-Ed”) like piece that responds to the issues raised by the articles cited in the OP-ED exercise below. In general, student OP-ED responses can be completed up to 300 words minimum using US standard business English. Each OP-ED must be supported by one (‘1’) reference citation from a scholarly Internet source, such as Health Affairs Blog (Health Economics and Policy), Modern Healthcare Blog (Health Admin.), Becker’s Hospital Review, Bill of Health (Harvard), or O’Neil Institute Blog (Georgetown Law). Students are required to use any official reference style, which is APA.
Op-Ed Exercise: please read the opinion piece Are Alternative Payment Models Here to Stay? A Strategic Perspective posted by Dr. Paul Keckley on 11 Dec. 2017 in Hospitals and Health Network Magazine at https://www.hhnmag.com/articles/8732-are-alternative-payment-models-here-to-stay-a-strategic-perspective. His article discusses alternative payment models, and whether they will continue in their existence or evolve. He focuses on the pay-for-performance model, since it is a model favored by Medicare. It also a model in the Medicare Shared Savings Program (ACOs). He believes this model will remain in play, but evolve or morph overtime. Do you agree or disagree and why? As a future hospital administrator or practice administrator would you prefer this model or an alternative strategy such as bundling or capitation? My take is this model is likely to remain, because “big data” and data analytics will enable payers to be more analytic. An open question for me is identifying the best and most accurate quality measures.
 
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Identify cultural influences that could affect your son’s or daughter’s motivation and drive. In your letter, incorporate research from the textbook to explain how you have sought to positively influence your son or daughter’s

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Unit VII Scholarly Activity
Dear Son/Daughter Within Unit VII, you have learned that various elements contribute to development over the lifespan. Furthermore, you are now aware that numerous factors that shape one’s personality are present. How can you use this newly acquired knowledge to positively shape future generations? For this assignment, you are going to write a letter to your son or daughter that you will present to him or her on the child’s 21st birthday. If your child is already over 21, imagine back to when he or she was born. If you do not plan to have children, you may write the letter to a child who is important in your life: a niece, nephew, or friend’s child, for example. Within your letter, you must discuss the following items: When and why did you decide to have the child? If writing to a child that is not your own, describe why the child is important to you. What are the most important qualities for a parent to have, and why? What personal characteristics do you hope your young adult son or daughter will possess, and why? How did you attempt to influence the child’s physical, motor, cognitive, moral, social, personality, and sex-role development? Give specific examples in each area while detailing how each one will influence your young adult’s future actions and decision-making abilities.
PSY 1010, General Psychology 4
Identify cultural influences that could affect your son’s or daughter’s motivation and drive. In your letter, incorporate research from the textbook to explain how you have sought to positively influence your son or daughter’s development. You may also use the CSU Online Library for additional reference material. Your letter should be at least one page in length but can be longer if necessary to address all aspects of the assignment. You must use at least the textbook as a reference for this assignment. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations. This paper does not have to be formatted in APA style. It should be set up like a letter; however, you should use APA-formatted citations and references, and you should include a reference page after the conclusion of the letter.

 
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Identify the purpose of the forensic assessment and report.

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You will select one of the three case vignettes to use for your final course project. The project will be a mock forensic assessment report incorporating the major topics from each module.
For this assignment, analyze the information provided in any of the provided case vignettes and begin to formulate hypotheses based on the referral questions.
Click here to download the case vignettes.
You can identify the referral question from the case vignette you choose. You might also consider the following referral questions in formulating your hypothesis:

  • As a forensic mental health professional, what factors do you need to consider in your psychological testing for the forensic assessment report?
  • What behavioral observations do you make about the client after reading the case vignette?
  • What are your assessment options in working with the client?
  • What standard and accepted psychological tests might you apply to your client in forensic settings?
  • How will you recognize and evaluate your client’s offender behaviors associated with malingering and deception?

Tasks:

In a 1- to 2-page Microsoft Word document, address the following:

  • Describe the case scenario you have selected.
  • Identify the reason for a referral.
  • Identify the purpose of the forensic assessment and report.
  • Present your impressions of the client.
  • Describe your professional role and relationship with the court and the third party requesting the assessment or evaluation.
  • Explain the hypotheses you have formulated.
 
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Diagnosis or diagnostic test

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P: Population/disease ( i.e. age, gender, ethnicity, with a certain disorder)
I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor)
C: Comparison: (could be a placebo or “business as usual” as in no disease, absence of risk factor, Prognostic factor B )
O: Outcome: (risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome)
Time: The time it takes to demonstrate an outcome (e.g. the time it takes for the intervention to achieve an outcome or how long participants are observed).
Note: Not every question will have an intervention (as in a meaning question) or time (when it is implied in another part of the question) component.
For an intervention/therapy:
In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?
For etiology:
Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?
Diagnosis or diagnostic test:
Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)?
Prevention:
For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?
Prognosis/Predictions
Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)?
Meaning
How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?
Based on Melnyk B., & Fineout-Overholt E. (2010). Evidence-based practice in nursing & healthcare. New York: Lippincott Williams & Wilkins.
Examples of Evidence-Based PICOT Questions
1. Population: Bariatric adolescents considering or undergoing gastric bypass surgery.
Intervention: The nurse’s role as a primary member of the multidisciplinary team regarding perioperative care of the bariatric adolescent patient.
Comparison: The nurse’s role as a secondary member of the multidisciplinary team without any specialized training and is only involved in perioperative care of the bariatric adolescent patient.
Outcome: When the nurse is involved as one of the primary members in the multidisciplinary team approach, the bariatric adolescent patient has better continuity of care.
Time: perioperative including the 6 weeks post recovery.
PICOT Question: Does the bariatric adolescent patient undergoing gastric bypass have better continuity of care perioperatively and postoperatively when the nurse is a primary member of the multidisciplinary team versus when the nurse is a secondary member whose only role is in providing perioperative care and has no specialized training?
2. Intervention PICOT Question: An Intervention example: In adult patients with total hip replacements (Patient population) how effective is PCA pain medication (Intervention of interest) compared to prn IM pain medication (Comparison intervention) in controlling post operative pain (Outcome) during the perioperative and recovery time? Note: The IM pain medication would be called the control group. It would be unethical to have a control group that received NO pain medication. Many times the control group means they get “business as usual!” or the current standard of care.

3. Therapy PICOT Question: A non-intervention example: What is the duration of recovery (O) for patients with total hip replacement (P) who developed a post-operative infection (I) as opposed to those who did not (C) within the first six weeks of recovery (T)?
4.  Etiology PICOT Question: Are kids (P) who have obese adoptive parents (I) at Increased risk for obesity (O) compared with kids (P) without obese adoptive parents (C) during the ages of five and 18 (T)?
5. Diagnostic PICOT Question: Is a PKU test (I) done on two week old infants (P) more accurate in diagnosis inborn errors in metabolism (O) compared with PKU tests done at 24 hours of age (C)? Time is implied in two weeks and 24 hours old.
6. Prevention PICOT Question: In OR nurses doing a five minute scrub (P) what are the differences in the presence and types of microbes (O) found on natural polished nails and nail beds (I) and artificial nails (C) at the time of surgery (T)?
7. Prognosis/Prediction PICOT question: Does telelmonitoring blood pressure (I) in urban African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)?
8. Meaning PICOT Question: How do pregnant women (P) newly diagnosed with diabetes (I) perceive reporting their blood sugar levels (O) to their healthcare providers during their pregnancy and six weeks postpartum (T)?

 
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Describe an experience in your nursing practice that you consider to be an ethical issue.

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The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.
For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course and text readings and also use outside sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Complete your participation for this assignment by the end of the week.
Describe an experience in your nursing practice that you consider to be an ethical issue. Provide the solution as well as the outcome.

 
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injury or illness essay

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injury or illness essay

Choose a topic on an injury or illness from one of these websites:

  • www.webmd.com
  • www.mayoclinic.com

Write a one page expository essay in MLA format. Include the link to the article you are using for your paper or a bibliographical reference. Your summary should be in MS WORD  and must be at least one page/double spaced (350 WDS. MINIMUM)
Go to Purdue Online Writing Lab for informaton on expository essays, and click here for information on MLA formatting.
Prepare a presentation to accompany the teaching plan and present the information to your community. Select one of the following options for delivery of the presentation:

  1. PowerPoint presentation – no more than 30 minutes – Slides should have speaker notes – A minimum of 3 refrences –  intext citation should be used inslides and speaker notes if necessary – 12 to 15 slide presentation

Appropriate community settings include:

  • Long-term care facility

APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 
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he introduction and literature review

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Assignment 2: Final Project: Introduction, Literature Review, and Methods Section

In this assignment you will update the methods section for your research paper and add your introduction and literature review.
The introduction and literature review should address your research question: why it is important, and how prior research does or does not support your hypothesis, as well as providing a background on what we know about this topic.
Please refer to the material on the components of a research paper provided in Module 1 as you work on this document.
Your methods section, in addition to covering the subheadings of participants, instruments, and procedure, must include a fourth subheading called ethical issues and note any ethical issues that need to be considered, as well as how they would be handled.
Be sure to include a title/cover page and a reference page formatted in APA style.
Submit your response to the Submissions Area by the due date assigned. Your response should be at least four pages, double spaced, long. All written assignments and responses should follow APA rules for attributing sources. Confirm the latest edition number with your instructor.

 
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Identify and describe the role and purpose of the report. Comment on whether the evaluation was or was not necessary

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Assignment 2: LASA: Evaluation of a Forensic Psychological Report

This course has provided you with a foundational knowledge of forensic psychological assessment. Successful integration of your skills is a significant aspect of this course. Throughout this course, you have learned about the variety of forensic psychological assessments.
In this assignment, apply what you have learned in this course to analyze a report of a recently paroled offender.
Scenario:
You are working as a forensic mental health professional in a parole outpatient clinic, which has received a forensic psychological and risk assessment report on a paroled offender. You have been asked evaluate the report and present it to the Board of Parole.
Click here to download the forensic psychology and risk assessment report.
Tasks:
Evaluate the forensic psychology and risk assessment report and create an 8- to 10-page essay in a Microsoft Word document addressing the following:

  • Identify and describe the role and purpose of the report. Comment on whether the evaluation was or was not necessary. State the reasons for your opinion.
  • Apply considerations of any information or sections that you found missing in the report as well as information that you found to be not relevant, i.e., elements that should have been omitted. In other words, what could have been added to or excluded from the report?
  • Discuss the ways in which cultural sensitivity and aspects of diversity were addressed in the report, including any ways in which the report could be made more culturally sensitive and include greater considerations of elements of diversity.
  • Identify and describe at least two additional psychological assessments or measures that you would have administered to obtain additional relevant information for the report. Feel free to list more than two as appropriate. Be sure to also consider cultural implications of the tests which you select.
  • Explain how you would use the recommendations in the report to assist in the development of a treatment plan.
  • Discuss in what capacity the report may be used in alternative venues. For example, can this report be utilized by other professionals in the future? If so, in what capacity?
  • Discuss the overall quality and readability of this report, including a scholarly critique of the writing.

As you evaluate the report be sure to avoid using the word “I” in formal writing. Remember, the reader of your assignment will know it is your voice since you are the author of your paper. Also, consider the difference between the following two statements, “I think the report needed to have included . . .” and “The report needed to have included . . .” The first statement has some redundancy by the writer’s use of the word “I,” whereas the second statement displays greater confidence.
Your essay should rely upon at least seven scholarly resources from the professional literature that are cited in APA format. The literature may include the Argosy University online library resources; relevant textbooks; peer-reviewed journal articles; and websites created by professional organizations, agencies, or institutions (.edu or .gov).
Submission Details:
The LASA is worth 300 points and will be graded according to the following rubric:
Assignment Component Proficient  Maximum Points    Identify and describe the role and purpose of the report. Comment on whether the evaluation was or was not necessary. State the reasons for your viewpoint. The role and purpose as well as the necessity of the report were stated and considered ethical considerations. The reasons for their viewpoints were fully articulated.  44    Apply considerations of any information or sections that should be added to or removed from the report Considerations of any information or sections that should be added to or removed from the report are complete, detailed and accurate.  40    Discuss the ways in which cultural sensitivity and aspects of diversity were addressed in the report, including any ways in which the report could be made more culturally sensitive and include greater considerations of elements of diversity. Analysis of the ways in which cultural sensitivity and aspects of diversity were addressed in the report and improvements for cultural sensitivity were complete, detailed and accurate.
Several outside resources were utilized.  44    Identify and describe at least two additional psychological assessments or measures that you would have administered to obtain additional relevant information for the report. Feel free to list more than two as appropriate. Be sure to also consider cultural applications of the tests which you select. Two psychological assessment instruments were identified and discussed. Cultural implications of the selected measures were considered.  44    Explain how you would use the recommendations in the report to assist in the development of a treatment plan. An explanation of how the recommendations in the report could be used to assist in the development of a treatment plan was complete and accurate.  44    Discuss in what capacity the report may be used in alternative venues by other professionals in the future and in what capacity A discussion of how the report can be used in alternative venues by other professionals in the future and in what capacity was complete and accurate.  28    Discuss the quality and readability of this report; include a scholarly critique of the writing. A discussion of the quality and readability of the report and a scholarly critique of the writing were complete and detailed.  28    Academic Writing   Writing is generally clear and in an organized manner. It demonstrates ethical scholarship in accurate representation and attribution of sources; and generally displays accurate spelling, grammar, punctuation. Errors are few, isolated, and do not interfere with reader’s comprehension.
Citations in text and at the end of the document are in correct APA format. Writing is generally clear and in an organized manner. It demonstrates ethical scholarship in accurate representation and attribution of sources; and generally displays accurate spelling, grammar, punctuation. Errors are few, isolated, and do not interfere with reader’s comprehension.
Citations in text and at the end of the document are in correct APA format.  28    Total:  300

 
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IDENTIFY A PLAN THAT ADDRESSES LEGAL AND ETHICAL ISSUES IN A HEALTH CARE POLICY.

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IDENTIFY A PLAN THAT ADDRESSES LEGAL AND ETHICAL ISSUES IN A HEALTH CARE POLICY.

7 pages

apa

sources:9

Your duties at 21st Century Solutions Health Care Hospital require you to interface with many different professionals, including physicians, nurses, and allied professionals in various areas of health care. The facility also has a new information technology management center, which handles all professional staffing solutions within the hospital. As part of the management protocols, the hospital has tasked you with tracking professional certifications, tracking legal issues within the hospital, and providing detailed monthly reports on the general functionality of the health administration department.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a six to eight (6-8) page paper in which you:

Provide a detailed summary of your hospital’s organizational structure. Include a tabulated description of the levels of professionals within the organization. Describe the duties of each major head within the organization.
Provide a detailed hypothetical mission and value statement for the hospital. Provide a rationale for the development of your particular mission and value statement.
Outline a detailed feasibility plan for the hiring of nurses, physicians, and allied professionals. Provide a rationale for the chosen plan, and explain the main reasons why the plan in question would be suitable for use with different health care professionals.

Justify the use of information technology to increase patient services. Provide a summative table of some pros and cons of using information technology in an era of networking and security breaches.
Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality 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:

Identify managerial issues related to the health care industry.
Identify a plan that addresses legal and ethical issues in a health care policy.
Use technology and information resources to research issues in health care policy, law, and ethics.
Write clearly and concisely about health care policy, law, and ethics using proper writing mechanics

 
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How do these concepts/ processes assist in maintaining standards?

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How do these concepts/ processes assist in maintaining standards?

Choose a topic and discuss the standard of care in detail using references from the literature and web links to resources.

Please post a comment and state which topic you plan to discuss as soon as possible this week.

Review the forums posts prior to selecting your topic so each topic is covered. If all of the topics have been selected upon review, then you may select the topic of your choice.

How do these concepts/ processes assist in maintaining standards?

TJC Accreditation
Benchmarking Tools and Organizations
Institute for Healthcare, Quality Improvement
Disease Management
Agency for Healthcare, Quality and Research
Credentialing for Nurses
Standards of Nursing Practice
Certification for Nursing
Standards of Patient Care
Patient Care Pathways
Practice Guidelines
Utilization Management
Sentinel Event Management
Quality Management
Risk Management
Structure Standards
Outcomes Management

 

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