Managed Care Organization Assignment

Managed Care Organization Assignment

The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 250‐500-word response that addresses the following:

  1. What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?
  2. What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.
  3. What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

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In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Managed Care Organization Assignment

The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 250‐500-word response that addresses the following:

  1. What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?
  2. What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.
  3. What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Managed Care Organization Assignment

Therapeutic Drug Monitoring Discussion Assignment

Therapeutic Drug Monitoring Discussion Assignment

Therapeutic Drug Monitoring Is A Frequent Practice In Health Care. How Does Age Affect Drug Absorption, Metabolization And Excretion?

Therapeutic Drug Monitoring

After studying Module 4: Lecture Materials & Resources, discuss the following:

  • Therapeutic drug monitoring is a frequent practice in health care. How does age affect drug absorption, metabolization and excretion?
  • The use of salt substitutes can cause hyperkalemia in older adults when use in conjunction with what types of drugs?
  • Describe how you would prevent and evaluate risk factors for medication nonadherence in older adults?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

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Gerontology & Diagnostic Studies & Pharmacologic Management

Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).

Read

Watch

  • Health Care in Danger: Why medical ethics matters (Part 2/3) (2:13)
    International Committee of the Red Cross (ICRC). (2014, May 8). Health Care in Danger: Why medical ethics matters (Part 2/3) [Video]. YouTube.Health Care in Danger: Why medical ethics matters (Part 2/3) (Links to an external site.)Therapeutic Drug Monitoring

    After studying Module 4: Lecture Materials & Resources, discuss the following:

    • Therapeutic drug monitoring is a frequent practice in health care. How does age affect drug absorption, metabolization and excretion? Therapeutic Drug Monitoring Discussion Assignment
    • The use of salt substitutes can cause hyperkalemia in older adults when use in conjunction with what types of drugs?
    • Describe how you would prevent and evaluate risk factors for medication nonadherence in older adults?

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

     

    Gerontology & Diagnostic Studies & Pharmacologic Management

    Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).

    Read

    Watch

Therapeutic Drug Monitoring Discussion Assignment

Role Development Discussion Assignment

Role Development Discussion Assignment

Watch the brief video on identifying beliefs, incorporating self-awareness, and employing empathy by clicking on the link below.    After reviewing the video, think about how you are going to create presence.

LinkedIn Learning Module:  Identify beliefs to enhance self-awareness (Links to an external site.)

  1. Use the video to create a resume objective or a summary of qualifications that describe your interests, intentions. Your objective statement in your resume should convey your vision and goal for graduation and beyond. (Word Document). 
  2. Post your written objective statement and/or an objective summary of qualificationsWatch the brief video on identifying beliefs, incorporating self-awareness, and employing empathy by clicking on the link below.    After reviewing the video, think about how you are going to create presence.

     

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    LinkedIn Learning Module:  Identify beliefs to enhance self-awareness (Links to an external site.)

    1. Use the video to create a resume objective or a summary of qualifications that describe your interests, intentions. Your objective statement in your resume should convey your vision and goal for graduation and beyond. (Word Document). 
    2. Post your written objective statement and/or an objective summary of qualifications

Watch the brief video on identifying beliefs, incorporating self-awareness, and employing empathy by clicking on the link below.    After reviewing the video, think about how you are going to create presence.  Role Development Discussion Assignment

LinkedIn Learning Module:  Identify beliefs to enhance self-awareness (Links to an external site.)

  1. Use the video to create a resume objective or a summary of qualifications that describe your interests, intentions. Your objective statement in your resume should convey your vision and goal for graduation and beyond. (Word Document). 
  2. Post your written objective statement and/or an objective summary of qualifications

Watch the brief video on identifying beliefs, incorporating self-awareness, and employing empathy by clicking on the link below.    After reviewing the video, think about how you are going to create presence.

LinkedIn Learning Module:  Identify beliefs to enhance self-awareness (Links to an external site.)

  1. Use the video to create a resume objective or a summary of qualifications that describe your interests, intentions. Your objective statement in your resume should convey your vision and goal for graduation and beyond. (Word Document). 
  2. Post your written objective statement and/or an objective summary of qualifications Role Development Discussion Assignment

Group Communication in Team Building Assignment

Group Communication in Team Building Assignment

Chapter 19—Organizational, Interpersonal, and Group Communication in Team Building

  1. Define communication and discuss its importance in healthcare
  2. Name three variables that can affect organizational communication—assign their impact on outcomes
  3. What are some channels of communication in an organization? Why is this important to know?
  4. What are the various communication methods? Is one better than another?
  5. What are the elements of non-verbal communication? Which of these are you aware of and use in your relationships?
  6. Name 4 types of communication—strengths and weaknesses of each?
  7. SBAR—What does this mnemonic stand for?
  8. What are the main points of importance about the ANA/NCSBN Principles for Social Media/Social Networking use?
  9. Name one way you will adapt your current usage of social media as you become a professional nurse
  • What does HIPAA stand for? What is its importance in healthcare?
  • Name 5 ways a nurse can violate HIPAA
  • What is the EHR—and what are risks nurses must be aware of?
  • What are the 4/5 phases of group formation?
  • Name and define 3 group building and maintenance roles in groups
  • Define the generational diversity that is present in the nursing profession.

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Chapter X —Saint Elsewhere

  1. Define Case Management Nursing
  2. What are critical pathways and multi-disciplinary action plan (MAP)—how do they support patient care?
  3. What are the main principles governing the work of case managers?
  4. What are some of the main principles guiding a Magnet-designated facility?
  5. How do you relate the 14 forces of magnetism to excellence in nursing practice?
  6. Define shared governance and its relationship to nursing practice. Group Communication in Team Building Assignment
  7. Define the term organizational culture—what might it contain that would contribute to excellent patient care?

 Chapter 19—Organizational, Interpersonal, and Group Communication in Team Building

  1. Define communication and discuss its importance in healthcare
  2. Name three variables that can affect organizational communication—assign their impact on outcomes
  3. What are some channels of communication in an organization? Why is this important to know?
  4. What are the various communication methods? Is one better than another?
  5. What are the elements of non-verbal communication? Which of these are you aware of and use in your relationships?
  6. Name 4 types of communication—strengths and weaknesses of each?
  7. SBAR—What does this mnemonic stand for?
  8. What are the main points of importance about the ANA/NCSBN Principles for Social Media/Social Networking use?
  9. Name one way you will adapt your current usage of social media as you become a professional nurse
  • What does HIPAA stand for? What is its importance in healthcare?
  • Name 5 ways a nurse can violate HIPAA
  • What is the EHR—and what are risks nurses must be aware of?
  • What are the 4/5 phases of group formation?
  • Name and define 3 group building and maintenance roles in groups
  • Define the generational diversity that is present in the nursing profession.

Chapter X —Saint Elsewhere

  1. Define Case Management Nursing
  2. What are critical pathways and multi-disciplinary action plan (MAP)—how do they support patient care?
  3. What are the main principles governing the work of case managers?
  4. What are some of the main principles guiding a Magnet-designated facility?
  5. How do you relate the 14 forces of magnetism to excellence in nursing practice?
  6. Define shared governance and its relationship to nursing practice
  7. Define the term organizational culture—what might it contain that would contribute to excellent patient care?

Group Communication in Team Building Assignment