Healthy People 2020 The Affordable Care Act was signed into law in the spring of 2010 and was followed later in the year by the launch of a 10-year agenda for improving the Nation’s health: Healthy People 2020.

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Healthy People 2020

The  Affordable Care Act was signed into law in the spring of 2010 and was  followed later in the year by the launch of a 10-year agenda for  improving the Nation’s health: Healthy People 2020.  According to the Office of Disease Prevention and Health Promotion, a  department of the U.S. Department of Health and Human Services, the  initiative is intended, in part, to help identify national health  improvement priorities, strengthen policies and improve practices,  achieve health equity and improve the health of all groups  (https://www.healthypeople.gov/2020/About-Healthy-People).
 
Information available at the following links will be used in the preparation of this assignment:  

2020 Leading Health Indicator Topics https://www.healthypeople.gov/2020/leading-health-indicators/2020-LHI-Topics 
Who’s Leading the Leading Health Indicators? https://www.healthypeople.gov/2020/LHI/whosleading.aspx 
Public Health 3.0 https://www.healthypeople.gov/2020/tools-resources/public-health-3 
County Health Rankings & Roadmaps website located at http://www.countyhealthrankings.org/ 

Select your state on the County Health Rankings & Roadmaps website:  

Review the most recent state Summary Report (Downloads tab)   
Review the Health Gaps Report for your state, paying close attention to the Highlighted Health Gaps section that are considered to be meaningful gaps that policymakers and leaders may want to examine more closely.

Prepare a report discussing the meaningful health gaps in your state  and how health policies supporting community and national health can  help close those gaps. Your report should also include a discussion of  differences in health outcomes and health factors between the county  ranked #1 in your state and the one ranked the lowest, suggesting county  health policies that could help improve the ranking of the latter.  Finally, your report should conclude with a summary of how public  policies support community and national health.
 
The body of the  report should be 3-4 pages, excluding the title page and references  page. The County Health Rankings and the Health Gaps Report must be  listed on the references page along with any other references you use in  preparing the report. Use the following format for these required  references:  

Robert Wood Johnson Foundation & University of Wisconsin  Population Health Institute (insert copyright year). (insert state name)  Health Gaps Report. Retrieved (insert date) from http://www.countyhealthrankings.org/ 
Robert Wood Johnson Foundation & University of Wisconsin  Population Health Institute (insert copyright year). (insert state name)  Summary Report. Retrieved (insert date) from http://www.countyhealthrankings.org

Please submit your assignment. 
Your assignment will be graded in accordance with the following criteria. Click here to view the grading rubric.

Does information flow in an efficient and effective consumer-centric way?

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Think about health information for yourself and your extended network of family and friends. Discuss consumer health informatics touching on the following:

1) Does information flow in an efficient and effective consumer-centric way?  For example, do you have easy access to your own lab results, reports, appointments, immunizations, significant health history, prescriptions/refills online?  
2) Can and do you email your doctor?  
3) If you don’t already access to your electronic health record, try setting up your own electronic personal health record or family health history https://familyhistory.hhs.gov or http://www.microsoft.com/healthvault   
4) Share your perspectives on persona health records based on relevant readings from the textbook, videos, or other research in addition to personal experience with your own personal health record such as MyHealtheVet, Kaiser’s My Health Manager, or Microsoft HealthVault. 
5) A new initiative is focusing on the health care consumer.  http://www.healthit.gov/patients-families  Take a look at this web site.  

Overall, Share your thoughts on the value of consumer engagement in health information.

Q2

How does the epidemiologic triad apply to health issues we see in the hospital?

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1- How does the epidemiologic triad apply to health issues we see in the hospital? What are some common diagnoses in the acute care setting? What about in the community setting? How does the epidemiologic triad differ when a nurse is providing care to someone in the community or in his home? Does the nurse have more or less control in either arena? 

2- Discuss the data presented regarding obesity in America in the Ethical Connection feature on page 118.  Please review the data and discuss your feelings about the role of community health nurses in community nutrition. 

3- What are some of the causes for increases in healthcare costs in recent years, as outlined in the chapter?  Brainstorm some examples that you have actually witnessed in the clinical setting. Can any of these factors be modified? What could nurses do to help cut down on costs related to the different factors? 

4- Why are the causes of morbidity and mortality in other countries different than in the United States? In what ways are they the same? Why do those differences exist? What types of services & interventions are needed in less developed countries to help with their health issues? 

APA format word document, 
Arial 12 font 
minimum of 2 references no more than 5 years old are required 
A minimum of 500 words without counting the first and reference page 

A home healthcare and dialysis nurse visited one of her home health patients and found him in a weakened state. Concerned, she took the patient to a hospital emergency room, and after several hours, the patient was admitted to the hospital.

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Actions for Discussion 3.4: Home Healthcare Locked after Monday,
April 24, 2017 12:00 AM MDT. Must post first. Chapter 9. Scenario
(based on a real Florida case): A home healthcare and dialysis
nurse visited one of her home health patients and found him in a
weakened state. Concerned, she took the patient to a hospital
emergency room, and after several hours, the patient was admitted
to the hospital. In an effort to help and show concern for the
patient, the nurse followed the emergency room technician to assist
in transferring the patient. The technician’s duties included
transferring patients from gurneys to beds. The first step in a
transfer is to lock the two beds together. If there is no one
aiding in the patient transfer, the bed railing on the opposite
side must be in the upright position to prevent the patient from
rolling off the bed during the transfer. In this case, the
technician positioned the gurney next to the hospital bed to
facilitate a rolling transfer, but did not place the bed railing on
the opposite side in the upright position. The nurse stood at the
foot of the gurney while the patient was asked to roll from the
gurney onto the hospital bed. The nurse thought the patient was
about to roll off the far side of the bed, and she jumped across
the bed to grab him. When the nurse grabbed the patient, she felt a
sharp pain across her lower back, and severe pain radiating into
her left leg. Due to this injury, the nurse filed suit against the
hospital alleging negligence and medical negligence. Given these
facts, does the nurse have a legitimate basis for a negligence or
medical negligence claim? Why or why not? What duty did the
hospital owe to the nurse? Did the technician do anything wrong
given that the nurse was present? Did the nurse contribute to her
own injury? How? If you were the jury, how would you rule and
why?

Adhering to the principal of autonomy requires that health care providers: distribute the social benefits and burdens appropriately act in ways that promote patient welfare do not interface with a patient’s self-direction don’t act in ways that may harm or injure a patient

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Adhering to the principal of autonomy requires that health care providers: distribute the social benefits and burdens appropriately act in ways that promote patient welfare do not interface with a patient’s self-direction don’t act in ways that may harm or injure a patient Adhering to the principal of non-maleficence requires that health care providers: distribute the social benefits and burdens appropriately act in interface with a patient’s self-direction don’t act in ways that may harm or harm or injure a patient Adhering to the principle of beneficence requires that health care providers: distribute the social benefits and burdens appropriately act in ways that promote patient welfare don’t interface with a patient with a patient’s self-direction don’t act in ways that may harm or injure a patient What are the necessary conditions for autonomy?

Q2

Administrative costs eat up 15 to 30 percent of all healthcare spending in the United States. That’s twice the rate of most other advanced nations. Where does this money go? Mainly into collecting money: Doctors collect from hospitals and insurers, hospitals collect from insurers, insurers collect from companies or from policy holders. One solution that has been discussed by many is to allow anyone at any age to join Medicare. Medicare’s administrative costs are in the range of 3 percent. That’s well below the 5 to 10 percent costs borne by large companies that self-insure. It’s even further below the administrative costs of companies in the percent of premiums). And it is much lower than the administrative costs of individual insurance (40 percent). What are your thoughts?

A Multi-National Analysis of Healthcare Strategies

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 A Multi-National Analysis of Healthcare Strategies    

Access to quality healthcare is a major social issue in the United  States and around the world.  In fact, healthcare reform and access to  affordable health insurance is a hotly debated political issue.  Many  advocates of healthcare reform point to the high level of spending on  healthcare in the United Sates and the relatively poor health outcomes  in the U.S. as compared to other countries.  In 2010, the Patient  Protection and Affordable Care Act (PPACA) passed, and was later upheld  by the Supreme Court. While this controversial policy greatly decreased  the number of U.S. citizens without health insurance, the United States  still stands more or less alone among wealthy industrialized democracies  in this approach to healthcare.  For this discussion, you will take an  in-depth look at access to healthcare as a social problem by comparing  the U.S. healthcare system to another country of your choice.  

 
For this discussion review each of the following resources:
 

Poor and Uninsured  (Links to an external site.)Links to an external site.
Key Facts about the Uninsured  (Links to an external site.)Links to an external site.
Mirror, Mirror on the Wall: How the Performance of the U.S. Health Care System Compares Internationally  (Links to an external site.)Links to an external site.
Here’s a Map of the Countries that Provide Universal Health Care  (Links to an external site.)Links to an external site.
Recommended: U.S. Health Care from a Global Perspective: Spending, Use of Services, Prices, and Health in 13 Countries  (Links to an external site.)Links to an external site.

Based on these resources, please address each of the following:
 

In general, who comprises the uninsured population in the United  States?  Since the passage of the 2010 Affordable Care Act, what are the  most common reasons that people still lack health insurance?  
Describe how healthcare spending in the U.S. compares to other  countries.  Describe how healthcare outcomes in the U.S. compare to  other countries.  Based on the resources you reviewed, are healthcare  spending and health outcomes related to one another?  In other words,  does spending more on health care lead to better health outcomes (i.e. a  healthier population) and vice versa?
What is universal health care?  Describe the healthcare system in at  least one country that guarantees universal health coverage to all of  its citizens (you can find a list of such countries in the resources  provided). 
How does a universal health care system compare to the system  currently in place in the U.S.?  In your informed opinion, why is the  U.S. one of the only wealthy industrialized democracies that does not  have university healthcare coverage?
According to the Commonwealth Fund reports, how is the performance  of the United States’ healthcare system related to equity?  Which social  groups have the least access to quality healthcare?  Why?

For  this discussion you will continue to explore the issues related to  health care by looking at how various aspects of health care in the U.S.  compare to those in other countries.  Access to quality health care is a  major social issue that can have huge implications for the quality of  life for individuals and entire communities.

Can inequality make us sick?  This video is a trailer for a PBS special that explains the many ways in which this can happen.

Support your claims with examples from required material(s) and/or other  scholarly resources, and properly cite any references. 

A family practice that serves over 4,500 patients is owned by three brothers, all general practitioner medical doctors who have been closely watching how the new Patient Protection and Affordable Care Act (ACA or “Obamacare”)

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Read the “Primary Care Scenario” located in the Allied Health  Community. Be sure to review the Instructions and Legend information.
In a total of 250-500 words, respond to the questions located in the Primary Care Scenario. 
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

Scenario 
A family practice that serves over 4,500 patients is owned by three brothers, all general practitioner medical doctors who have been closely watching how the new Patient Protection and Affordable  Care Act (ACA or “Obamacare”) is developing, especially with the ongoing changes to the eligibilities  of coverage for patients and reimbursements that now require their facility to change its systems and processes for compliance.As a health care consultant, you have been retained by the family practice to perform a thorough audit and analysis of the facility, including its systems, processes, and procedures, with an emphasis on record 
keeping and coding/billing practices. You have also spent some time with the owners of the family practice discussing what the future holds  regarding the types of treatments, demographics of patients, and the effect of technology on the 
methodologies of patient treatment. Within this context, the client asks you to provide the following:
Questions
:
1.When comparing the overall health care system in America, how does it compare to just 40 years ago?
2.Provide some examples of what specifically is critical for the health care organization to consider regarding how treatments are performed on patients.
3. What technological advancements do you predict in health care in the next 15 years, especially those  that can be opportunities for a family medical clinic scenario?
4. What are the regulatory agency changes coming in the near future?
5. What are your predictions for the success of the ACA, especially in the next 5 years?

How do (or will) you use critical thinking in decision-making and problem-solving as a professional in a healthcare environment?

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As a professional in healthcare, capitalizing on your strengths will increase the quality of your work and interactions in the workplace. Reflect on your strengths and respond to the following questions in a well-written, concise paper using specific examples to support your statements.

How do (or will) you use critical thinking in decision-making and problem-solving as a professional in a healthcare environment?
What are the three most important elements of personal and professional etiquette that should be employed in your career in healthcare?
What are your communication strengths and weaknesses? How can you capitalize on your communication strengths in the workplace?
What strategies do you employ to stay on-task and on-time in your professional life? How do you manage your professional goals?

Conclude with an evaluation of how your identified strengths and strategies will positively increase the quality of your work and interactions in the workplace as well as impact the quality of patient care.
Your paper should meet the following requirements:

Be 2-3 pages in length
Be formatted according to APA Requirements.
Be sure to cite and reference any resources you use.

legalities of health information

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This  week we are going even further into the legalities of health  information and  the focus is eDiscovery. eDiscovery refers to  electronic data that is sought  for the use of evidence in a legal  proceeding. As you all know, technology is  heavily used in the  provision and documentation of healthcare. This means that  electronic  data is being utilized as evidence more often now then it was when   healthcare facilities were keeping mostly paper health records. An HIM   professional works with these related challenges:

How  do we ensure that our organization is adequately preserving data?
How  do we properly identify data sources that may contain information that is  pertinent to eDiscovery?
How  do we ensure that there is appropriate access and security of data that is  being sought as evidence in eDiscovery? 

In this  assignment, please create Guidelines for eDiscovery for a  current day  healthcare facility. Use your text, supplemental resources  available on this  topic at AHIMA.org and resources available in the  Rasmussen College Library to  guide your research.
Your  submission must contain a list of numbered guidelines that are  supported by  professional resources evidenced in citations. Do not copy  from your resources  but rather create original guidelines and support  them with resource material  via citations. The average submission will  be no more than 2 pages plus a  resource page.

Health Information Systems–Recommendation for the Acquisition, Implementation, and Support of a Health Information System

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He 
Health Information Systems–Recommendation for the Acquisition, Implementation, and Support of a Health Information System
PowerPoint Presentation: Health Information Technology to Address the Continuum of Care

Scenario:

Long-Term Care

Bethany Place is a 40-bed independent long-term care facility in the Pacific Northwest. They have existed for over 50 years having come from a faith-based background. With good investments and sound financial management, Bethany place has grown and is executing a capital strategic plan. They are expanding their 40-bed facility to purchase a nearby resident facility and expand into rehabilitative care, adding another 30 beds. They are approximately six months away from receiving the appropriate certificates and regulatory approvals as a rehabilitative care facility for both chronic care patients and recovery of acute head injury. The rehabilitation facility and renovations to the independent long-term care facility are scheduled to begin in the next six months and be executed over an 18-month period. Currently Bethany place has no electronic medical record. There is a third-party service that is used to scan and send automated claims to Medicare and private insurers. A local desktop IT services company was recently contracted to provide managed services to Bethany place and provides the website email and local desktop applications for staff. As part of this initiative a robust new IT network design was implemented for both Bethany place and the anticipated rehabilitation facility. The lack of an electronic health record at Bethany place has created quality issues and risk management issues particularly related to medication reconciliation with patient transfers. The board and senior leadership have asked the Bethany place management to evaluate information technology options in the form of an electronic medical record, and patient management application(s) for both Bethany place and the rehabilitation extension facility as part of executing the strategic plan. 

Read the scenario from the Learning Resources you will develop a PowerPoint presentation to provide an overview of how information technology will address issues in that organization(s)/setting. You understand that for such an expensive and complex recommendation, in-depth research must be conducted along with a high level leadership plan as to how you would recommend approaching the initiative along the Systems Development Lifecycle steps: 1) Acquire; 2) Plan for; 3) Implement; and 4) Support the technology solution.
In a 15- to 20-slide PowerPoint presentation, including extensive speaker notes and 5–6 peer reviewed references applied using APA Format:

Analyze the problems and opportunities that the technology is aimed to address in this organization(s)/setting
Critique any legal and/or regulatory concerns related to using technology in this organizations(s)/setting
Acquisition: Explain your recommended steps in the systematic evaluation and acquisition of the technology

SWOT summary
Vendor partner recommendations
Process to evaluate vendors

Planning: Develop a Project Charter for how you would plan for implementing this technology.

Scope of the project/program
Key stakeholders
Risks and mitigation plans
Financial justification

Implementation:

Change Management Strategy
Security and Privacy Plan
Data sharing, systems integration needs
Use of cost reducing emerging technology platforms

Support and sustainability:

Financial sustainment plan
End user technical support plan
Potential fit with emerging industry technologies

Briefly address any competitive advantage that this technology might provide for the selected organization(s)