Final Paper

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Final Paper

The Final Paper must have depth of scholarship, originality, theoretical and conceptual framework, clarity and logic in its presentation and adhere to grammar guidelines. You select either one of the emerging managed healthcare delivery models, Accountable Care Organizations or Patient-Centered Medical Homes, for your Final Paper. The 10-15 page paper (excluding title and reference pages) must follow APA style  and contain at least 10 scholarly, peer-reviewed, and/or other credible sources in addition to the course text.

Your paper must address the following bolded topics, which should be titled appropriately in your paper:

  • Include an Abstract which is a synopsis of the overall paper.
  • Managed Health Care Quality – Address what the selected emerging managed healthcare delivery model has done to improve quality of care.
  • Cost Containment – Describe how the selected model has striven to contain the costs.
  • Provider Contracting and Payments – Identify healthcare providers’ contracts and payment methods in the selected model.
  • Effects on Medicare and Medicaid – Summarize the impacts of the selected model on both Medicare and Medicaid.
  • The Emerging Role of Government Regulations – Examine the Patient Protection and Affordable Care Act (PPACA) policies in relation to the selected model.
  • Recommendations – Include three suggestions for improvement in relation to quality and cost.

The final assignment for this course is a Final Paper. The purpose of the Final Paper is for you to culminate the learning achieved in the course by developing a research paper to address the selected emerging managed healthcare delivery model.

2 Page Paper Public Health (Community Stakeholders: Who Minds The Gate?) HIV/AIDS IN LOW INCOME COMMUNITIES

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Due 7/22/18 8 p.m EST

2 pages not including min 4 references APA

PLEASE READ

TOPIC:Community Stakeholders: Who Minds the Gate?) HIV/AIDS IN LOW INCOME COMMUNITIES

 

In any successful research endeavor, one of the first and most important steps is to define the study population. To survey or collect data on this population, researchers first must have access to individuals within it. However, access is not always guaranteed. In many cases, researchers must identify those in the position of power and seek their approval and buy-in of decisions related to a particular population. In the field of research, these individuals are known as gatekeepers. Crosby, DiClemente, and Salazar (2013) define gatekeepers as “people who are in positions to grant or deny access” (p. 107).

Consider the example scenario in this week’s Introduction regarding the reduction of waterborne illnesses. After the failure of the free shoe program, the organization now decides to investigate the feasibility of implementing a more hygienic set of latrines in a local school that serves hundreds of children. Who might be the gatekeepers in this situation? The school principal? The owners of the local water supply? Once these gatekeepers have been identified, what are the next steps in terms of gaining buy-in from them?

For this week’s Assignment, review the Learning Resources. Consider why certain individuals are gatekeepers and need to be involved in program planning and interventions.

Assignment:

Paper: 2 PAGES APA NOT INCLUDING REF

For the community plan intervention you selected for your Final Project, identify potential gatekeepers and provide a rationale for why you chose them. In the paper, explain the following: USE SUBHEADINGS

  • 1)Who are the informal and formal gatekeepers in the community? Provide a rationale for your answer that includes how and why you identified these gatekeepers.
  • 2)What are the next steps for gaining buy-in from these gatekeepers, and why? Provide a rationale for your answer.

1 Page Public Health ( Annotation Of A Qualitative Research Article) On HIV/AIDS

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DUE 7/22/18 8 P.M EST

PLEASE READ

 

Submit: Annotation of a Qualitative Research Article on HIV/AIDS

This week, you will submit the annotation of a qualitative research article on HIV/ AIDS.

An annotation consists of three separate paragraphs that cover three respective components: summary, analysis, and application. These three components convey the relevance and value of the source. As such, an annotation demonstrates your critical thinking about, and authority on, the source topic.

An annotated bibliography is a document containing selected sources accompanied by a respective annotation of each source. In preparation for your own future research, an annotated bibliography provides a background for understanding a portion of the existing literature on a particular topic. It is also a useful first step in gathering sources in preparation for writing a subsequent literature review as part of a dissertation.

  • PLEASE READ:
  • Annotate one qualitative research article from a peer-reviewed journal on HIV/AIDS
  • Provide the reference list entry for this article in APA Style followed by a three-paragraph annotation that includes:
  • Format your annotation in Times New Roman, 12-point font, double-spaced. A separate References list page is not needed for this assignment.

Due TOMORROW! Discussion Question Only! No Intro Or Conclusion

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Healthcare Factors Behind Cost Curve and Supply Curve Shifts”  Please respond to the following:

  • From the American Hospital Association Website , compare the healthcare-based factors in the issues that you reviewed that, in your opinion, cause the cost curve of healthcare to shift. Provide at least one (1) example showing the manner in which the cost curve shifts in your response.
  • Suggest at least three (3) attributes that cause the supply curve in healthcare to fluctuate. Provide specific examples of each of the suggested attributes to support your response.

Please Do A Comment In Base To This Answer. Reference In Each.

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Comment 1

Knowing scientific management theory as defined as supervising by way of focusing on task accomplishments rather than interpersonal relationships (Huber 2014). Some routines in health care that seem to be inefficient in regards to scientific management are the overwhelming focus on tasks, the evaluations based on tasks accomplished, and the pressure to join committees to add more tasks to nurses’ duties. A lot of times nurses have trouble tending to the needs of their patients because they are so focused on getting the tasks done so as to not get in trouble. Many times tasks are added to the nurses’ workload making it hard to complete everything on time. This causes incidental overtime which is also greatly frowned upon. Finally, the committees are supposed to be a good thing, allowing nurses to participate in shared governance. The issue arises when the requirements for the committees capitalize on the time the nurse should be working or decompressing from the stress of daily work. Some examples of participative decision-making at the hospital that I work at are unit forums and shared governance council. The unit forums allow for nurses and aides in the unit to meet and discuss issues to resolve amongst themselves. Shared governance councils allow for nurses to meet with administration to discuss issues at the bedside that can only be fixed by administration.

Comment 2

The scientific management theory states that humans are motivated by money, and there should be a separation between managers and workers. The expected result is a dramatic increase in productivity of the workers and profits for the organization. Some of the routines in the health care setting that are inefficient is nurse-to-patient ratio and staff retention. I feel the nurse-to-patient ratios are unsafe as it overloads the nurse and nursing assistants in carrying for high acuity patients with a higher prevalence of medical errors and oversight. When staffing is is done according to census instead of census it creates an unsafe environment for the patients and the staff. Without adequate staffing, patient care is inadequate and the patients suffer. Which in turns causes patient surveys to report negative feedback giving the hospital low numbers.Staff retention is important to ensure there is adequate staff to meet the demands of an aging population with numerous chronic illnesses. When facilities ignore the concerns of staff or do not provide attempt to implement change that benefits the staff and the patients, morale falls and staff leave. When nurses feel their safety and license are in jeopardy, they will seek out a better work environment they feel safe in. The facility I work for currently does annual retention surveys that allow its employees to voice any concerns and share what they feel the facility is doing well or could improve on. The nurses are asked various questions in regards to the leaders and managers they work directly under and whether their needs are being addressed. The facility offers committees that focus on allowing staff to have voice. Some include unit base council for each unit of the facility, committee for staffing concerns and safety committees that focus on sentinel events.

Vulnerable Population Summary And Proposed Program

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The first of your two written assignments for the course will provide a beginning framework that you will utilize in the development of your
Final Project: a proposal for a community-based program in your area. For this first written assignment, you will select one of the vulnerable groups identified in the text that will serve as your target population of interest throughout the duration of your next written assignment and Final Project.

Select one among the following groups from Chapter 1:

  • Vulnerable mothers and children
  • Abused individuals
  • Chronically ill and disabled people
  • People diagnosed with HIV/AIDS
  • People diagnosed with mental conditions
  • Suicide- and homicide-liable people
  • People affected by alcohol and substance abuse
  • Indigent and homeless people
  • Immigrants and refugees
  • Groups for special consideration (you may propose a different vulnerable population at the consent of the instructor)

Once you have selected a group of interest, write a three page paper that covers the following:

  • Discuss the impact that at least two of the factors below have on the vulnerability of your chosen group:
    • Age
    • Gender
    • Culture/Ethnicity
    • Income
  • Analyze the intersection of social, political, and economic factors affecting vulnerability (must address all three factors).
  • Draft the design of a new model program, not currently existent within your community. Provide a two- to- three paragraph statement that introduces your proposed community program. This section is tentative and might change as you conduct more research. At a minimum, however, items to address should include:
  • An explanation of the issues and risk factors experienced by the selected population.
  • An evaluation of the health needs of the group and a proposed continuum of care level (preventive, treatment, or long-term care) based on the group’s issues, risk factors, and needs.  Justify the proposed level with supportive research/evidence.
  • A description of one to two proposed services your program will include.
  •  Your assignment should be a minimum of three pages in length (excluding title and reference pages), and should include a minimum of three scholarly sources cited according to APA guidelines as outlined in the Ashford Writing Center.

Week 13 – Chapter 46

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Chapter 46

Sixty-two–year-old James White is accompanied to the clinic today by his wife and son. James has had increasing problems with his memory for the past several months and has rapid mood swings for no apparent reason. His wife says that “he’ll go outside in the garden without his clothes on, and his speech is difficult to understand.” His son reports that at times James flaps his arms a lot and notices that he is unable to cut his food or tie his shoes. James was diagnosed with heart failure approximately 6 months ago.

a.            How would you explain to the White family what is occurring with James?

b.            What treatment modalities would be appropriate for James at this time?

Picot Statement And Literature Paper 800 Words Due Sunday Morning At 10:00 Am EST Absolutely No Plagiarism

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While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

Title page

Introduction section

A comparison of research questions

A comparison of sample populations

A comparison of the limitations of the study

A conclusion section, incorporating recommendations for further research

Prepare APA style

  • attachment

    NewPicotQuestionPaper.doc

Health Care Discussion*

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***************DUE IN 12 HRS!!!!!!!!!!!!!!!!*****************

 

Please answer the following questions in 100-150 words PER QUESTION. CITE ANY SOURCES USED.

1. Using the internet, research the organ donation laws in the state of Georgia, and provide a summary of those laws, and copy and paste in the URL address(s) that support(s) the information. Are you yourself listed as an organ donor and why or why not? If you so wish, you may also share if your family has had any experiences with organ donation and what your family would or would not do differently if a similar situation arose.

2. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) has impacted all patients with the general intention of protecting our privacy and rights as a patient. Research HIPAA and provide and reflect on what this Act was intended to address.  Also provide a brief overview of how this has impacted you as an individual consumer/patient.

3. Research two medical coverages from different companies and share your opinion of both medical coverages. Contrast the two and comment on the similarities and differences.

4. Describe why registers/registries are important in the healthcare setting. Be sure to reference a specific register/registry as a supportive example.

5. Think of a time when your healthcare visit was documented entirely via an Electronic Health Record/Computer?  Did this impact the overall quality of care that you received during your encounter?  Why or why not?

6. Think of a time when you read about fraud in the healthcare industry. What occurred and how was the specific activity flagged as fraud to begin with? In your reflection also list out how this could have been prevented and what can be/is done to prevent it from continuing to occur.