How, in the American system of politics, can health care get more objective support on behalf of consumers?

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  1. The insurance industry plays a major role in the American health care system and absorbs a significant portion of the health care dollar. A single payer system, whether it is a private company or the US government, would eliminate the complex insurance paperwork burden and free substantial funds that could be diverted to support care for the under-served.  In ACA debates, a “public option” was defeated by lobbyists. Identify some reasons why resistance to a single-payer concept, used in every other developed country, has continued in the U.S.
  2. Almost every medical or technological advance seems to be accompanied by new and vexing ethical dilemmas. Yet, the United States has no structure in place to resolve such issues. Should the federal or state governments take responsibility for ethical decision-making and for protecting the public?  If neither, what might be other options for providing ethical guidelines and oversight?
  3. As strongly evidenced by the ACA and prior legislative attempts to address the problems of the health care system, these attempts are always met by shifting alliances among well financed and, often, self-serving lobbying groups. How, in the American system of politics, can health care get more objective support on behalf of consumers?
  4. Every 10 years, the public health sector creates an elaborate set of targets for health status improvements in the United States.  Healthy People 2010 failed to meet 85 percent of Healthy People 2000’s goals. Is there merit for establishing several hundred more objectives for Healthy People 2020, or are these simply academic exercises? What are your opinions about how to energize the “Healthy People” goals among providers and the American public?

Does federal government play any role in the policy development process and its relationship in terms of funding?

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Healthcare Programs

Research a local health policy issue that is a hot topic in your state. You can also contact a local county commissioner or state Congressional member in your state to gain insight on the issue or (you may also research local or state government websites or refer to the local news media).

On the basis of your research, answer the following:

· Discuss the implications of the selected issue on the community as a whole.

· Who all are affected by the policy?

· Who are the key stakeholders in the development of the policy? Discuss their individual roles in policy development?

· Explain the roles of those responsible for implementing the policy.

· Does federal government play any role in the policy development process and its relationship in terms of funding? If yes, explain.

· If the federal government is not involved in the policy development process and its relationship in terms of funding, should it be involved? Why or why not?

Research the policy demographics of CHIP in your state. Also examine the adequacy of the CHIP program in your state.

· In your opinion, if Medicaid was meant to cover families living below the poverty line, then what is the purpose of CHIP?

· Illustrate the differences and similarities between the two programs?

· Every state has its own variation of CHIP. What does your state call the program?

· Who all are covered in CHIP and what are the eligibility requirements?

· In your state, if CHIP is meant to cover uninsured children, why are there so many uninsured families with children?

In many national healthcare systems, the providers of care are either subsidized or work directly for government-owned facilities. In the United States, the government-operated programs, such as Medicare and Medicaid, contract with providers. The VA, on the other hand operates its own system of hospitals, clinics, and long-term care facilities. Medicare and Medicaid set the rules regarding which services are offered and the amount to be paid for those services.

· Compare and contrast the VA Health System with Medicare and Medicaid. Describe in detail the similarities and differences.

· What lessons can the programs learn from each other when looking at administration of services and programs offered by recipients? Discuss the implications in terms of access to care, controlling costs, and ensuring quality care.

How is Compelemntary alternative medicine (CAM) used in your facility?

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Answer to the following topics in a Word document of one or two pages top. Use APA format.

 

Topic 1

As a nurse it is important to be aware of your own spiritual beliefs and practices. List 3 spiritual practices that you do to improve your own health. Discuss how these practices improve your health. Cite at least 2 sources using APA format to support your answers.

 

Topic 2

How is Compelemntary alternative medicine (CAM) used in your facility? What are the outcomes of unsing CAM according to at least 2 authors? What are the outcomes you have seen in your facility? What improvements can you make? Cite sources using APA format to support your answer.

Do you have sea change?

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“A Sea-Change for Health Care?”

 

·                     Sea Change Program is dedicated to transforming the culture of stigma around abortion and other stigmatized reproductive experiences. We conduct social science research and partner with organizations to identify, test, and share practices for reducing reproductive stigmas.  We seek a world that upholds the dignity and humanity of people as they move through their reproductive lives. We work to increase the visibility of marginalized reproductive experiences, strengthen connections between people, reproductive health care providers, and their communities, and support the integration of abortion and other reproductive health services into mainstream health care.

1         We engage in projects that highlight innovation by trying new ideas, taking risks, and measuring success.

2         We bring a spirit of collaboration, recognizing that working with individuals, communities, and organizations helps us to communicate a shared vision, learn from each other, and garner the resources and influence we need to change the world.

3         We believe in transparency, seeking to make our work understandable, accessible and useful.

4         We emphasize learning through our research, continuing education, and communication with our colleagues and partners.

5         Finally, we value intersectionality as an approach to viewing the complex matrix of oppression and privilege in people’s lives, and use this analysis to inform our research questions, interventions, and organizational partnerships (“Sea Change Program”, 2016).

 

Do you have sea change?

 

Sea Change Program. (2016). Retrieved from http://seachangeprogram.org/about-us/mission/

 

 

What are some red flags that signal incompatibility between the culture and organization?

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  Believe it or not! Quality does not happen by accident. We must make an intentional effort to measure, assess, and improve performance. Not only must an organization’s board of trustees and senior management be committed to quality but they also must create a framework for accomplishing quality activities and an environment that supports continuous improvement. Lead by example! Active and personal board involvement in quality and patient safety oversight contributes to building a high-performing healthcare organization. In our organization we are striving to become a Highly Reliable Organization. How are you becoming a HRO?

 

 

  • While there is no “correct” culture. A culture that works in one organization may not work in another. A culture’s suitability depends on how well it supports the organization’s quality management goals. Is the culture at your facility undermining quality improvement efforts? What are some red flags that signal incompatibility between the culture and organization?

address disruptive behavior of people working at all levels of the organization.

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In 2009, The Joint Commission revised its leadership standards to reflect the need for a culture that supports quality performance. Leaders in accredited organizations are expected to “create and maintain a culture of safety and quality throughout the organization” (Schyve 2009, 20). Compliance with these standards requires leaders to

?        demonstrate their commitment to quality,

?        set quality expectations for those who work in the organization,

?        evaluate the culture on a regular basis,

?        encourage teamwork and create opportunities for this collaboration to flourish, and

?        address disruptive behavior of people working at all levels of the organization.

 

Is your organization meeting TJC standard? If so address the bullets above and tell us how your facility is meeting the standards one by one. If not; what would you implement to address the bullets above?

How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?

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Part One: 

Neuman Systems Models is a flexible and adaptive model which can be applied to various aspects of nursing disciplines. Today, the model is used globally as a nursing conceptual model to guide curriculum development, research studies, and clinical practice in the full array of health-care disciplines.

Define a nursing practice area where you could apply Neuman Systems Model. What patient population would you target? How would you use this model to guide best practices? How would nursing outcomes be determined? Use at least one current research article related to your practice example.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Part Two: 

Create a Power Point Presentation to discuss the following

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

  • How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
  • Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
  • From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
  • Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

PLEASE DO NOT FORGET TO CITE WORK ON EACH SLIDE OR OUTSIDE SOURCE. Your PowerPoint should include at least 1 outside reference and your book. The presentation should be 10 to 15 slides in length.

What measures did you take to ensure that the care you provided was culturally competent care?

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Hello,

Please use this videos for this assignment and a few other sources. Please respond to all the questions. it should be approximately 1 and a half page.

thanks

 

View these videos from the US Department of Health and Human Services, and then answer the question below:

http://www.thinkculturalhealth.hhs.gov/FlashPlayer/play508.asp?Video=QHpart1

http://www.thinkculturalhealth.hhs.gov/FlashPlayer/play508.asp?Video=QHpart2

1. How do you define culture?

2. Discuss some of your experiences in caring for a patient from a different culture than your own. What measures did you take to ensure that the care you provided was culturally competent care?

3. When caring for a patient that does not speak the same language as should you ensure that the patient understood the information that you provide them?

Use the videos and other sources to support your post.

examine the impact of a social, economic, technological, ethical, or legal issue on health care delivery.

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PLEASE SEE THE ATTACHED DOCUMENT WHICH IS AN EXAMPLE OF HOW THE HOMEWORK NEEDS TO BE DONE

 

The Role of Government in the U.S. Health Care System

 

As stated in the course text, Health Care Delivery in the United States, “the health care enterprise is one of the most important parts of the U.S. social system and of our economic system as well” (Kovner and Knickman, 2011, p. 4); however, with millions of citizens uninsured, rising costs, massive health disparities, and the need to improve quality and access, many view health care as a broken system. As such, it continues to be a significant political issue in the United States. Most agree that something needs to be done to fix the health care system, but the methods and solutions for addressing problems vary greatly, particularly with respect to the role government should play. Proponents of varying approaches often have strong, emotional opinions, making compromise difficult.

In this Discussion, you will consider the role of government in health care, and you will examine the impact of a social, economic, technological, ethical, or legal issue on health care delivery.

To prepare:

  • With this week’s Learning Resources in mind, consider this question: Is health care a right or a privilege?
  • Review the media presentation for this week, focusing on the role of the government in health care including Affordable Care Act.
  • Pinpoint a social, economic, technological, ethical, or legal issue that could, or has, affected health care delivery in the United States.
  • Locate a current article from the popular press (within the past 6 months) related to the health care issue you identified. How does this article inform your understanding of the influence of your selected issue in the health care debate?

By Day 3

Post your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance.

 

Reference:
 Kovner, A. R., & Knickman, J. R. (Eds.). (2011). Health care delivery in the United States (10th ed.). New York, NY: Springer Publishing.

Explain the different herbs and spices that are body benefits from and how.

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Project title:   The health benefits from eating herbs and spices

Category:  Health and Fitness

Keyword:  Healthy herbs, Healthy spices, spices, herbs, fresh herbs, fresh spices, health benefits, health

Word count: 500

Time: 1hr 20mins

Project

instructions:

Writing style: Friendly tone

Article purpose: Explain the different herbs and spices that are body benefits from and how.

Special instructions: Nice article about different herbs and different spices that our body greatly benefits from.