Write a paper that discusses the following 3 elements:
Provide an overview of how health care in the United States has evolved since the postindustrial period.
How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care?
Why has the United States been unsuccessful in evolving the current health care system into a national health care system?
Note:
Use APA style and 3 scholarly references.
Avoiding Violation of Legal Reporting Obligation Essay
As a health care administrator, you must protect your patients from abuse, negligence, and violence. Health care professionals are required by law to report all suspected illegal activity to the concerned authorities.
Research the legal and reporting obligations in your state. Accordingly, respond to the following:
Analyze and explain the legal and reporting requirements as they apply to the providers, suppliers, and payers that make up the health care system of your state.
What are the legal reporting obligations that impact the health care environment and are of concern to the health care administrator?
Describe an example, either real or fictitious, where the legal reporting obligations were violated. What were the legal reporting obligations violated? How could the violation have been avoided?
Compile your report in a 6-to-10-page Word document.
Please complete attached “Sleep and Dream Diary”. You should complete the grid each morning when you first wake up. In this weeks’ assignment you will need to analyze results of your “Sleep and Dream Diary” and come up with the hypotheses. For example, one might hypothesize that those who spend more time sleeping also spend more time dreaming and thus can report more dreams.
Please formulate your hypotheses and write a two page summary of your hypothesis and supporting facts and findings.
This assignment must be submitted in “doc” or “ docx.” format. Additionally, it must be typed, double spaced, Times New Roman font (size 12), one inch margins on all sides. Type the question followed by your answer to the question. A title page is to be included. The title page is to contain the title of the assignment, your name, the instructor’s name, the course title, and the date.
Health care beliefs of the Korean and Mexican heritage
1. Describe the health care beliefs of the Korean and Mexican heritage on how they are related to the delivery of health care.
2. Is there any similarity between this two cultures.
3. Give your opinion on how the beliefs of the this two culture influence the delivery of health care.
As always and stated in the syllabus present your assignment in an APA format word document on an Arial 12 font attached to the threat in the tab of the discussion question call “week 10 discussion questions”. A minimum of 2 evidence based references are required and two replies to any of your peers sustained with the proper references are required. A minimum of 500 words are required.
Learning Objectives
Students will:
Develop diagnoses for clients receiving psychotherapy*
Evaluate efficacy of existential-humanistic therapy for clients*
Analyze legal and ethical implications of counseling clients with psychiatric disorders*
Analyze clinical supervision experiences*
* The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.
For
Part 1
, select a client whom you observed or counseled this week (other than the client used for this week’s Discussion). Then, address the following in your Practicum Journal:
Describe the client and identify any pertinent history or medical information, including prescribed medications.
Using the DSM-5, explain and justify your diagnosis for this client.
Explain whether existential-humanistic therapy would be beneficial with this client. Include expected outcomes based on this therapeutic approach.
Explain any legal and/or ethical implications related to counseling this client.
Support your approach with evidence-based literature.
For
Part 2
, reflect on your clinical supervision experiences. Then, address the following in your Practicum Journal:
How often are you receiving clinical supervision from your preceptor?
What are the sessions like?
What is the preceptor bringing to your attention?
How are you translating these sessions to your clinical practice?
Human resource management (HRM) essay
Human resource management (HRM) is a system of improving utilization of human capital and associated productivity through the development of relationships and objectives of employment amongst the staff and their organization (Trebble, Heyworth, Clarke, Powell, & Hockey, 2014). HRM is considered to be strategic when it supports achieving organizational objectives. Strategic human resources management (SHRM) states that an organization must acquire realistic information on the capabilities and talents to their employees, in order to be effective and adapt to changes quickly (Pynes & Lombardi, 2011).An example of this, is using the skills of the staff as a resources to develop a competitive advantage from other organizations, instead of simply supporting the organization and its goals (Trebble, Heyworth, Clarke, Powell, & Hockey, 2014). We can observe this when using strategic human resources, as this type of resource aims at making the necessary changes to support and or improve the overall operational and strategical objective of the organization (Pynes & Lombardi, 2011). SHRM is important because it can help with designing jobs, hiring proper staff, develop the employees skills, and identify new approaches to improve the overall performance and customer service, etc.(Fottler, 2008). A successful healthcare manager needs to be able to understand the impact any change may have on their company’s performance, and therefore, prepare themselves and the staff for such changes. He or she understands human behavior, works effectively with his or her employees, and is knowledgeable about numerous systems and practices available to improve the overall performance of the facility, including the staff. The manager must also be aware of the economic, technological, social, and legal issues that can affect human resources, and the facility (Fottler, 2008). The performance of an organization will determine the outcome of such. An organization must be competitive to ensure their success. Strategic human resources management helps health care organizations match the requirements of their human resources with the needs of the organization, and the demands of its external environment. SHRM ensures the appropriate staff needed, and it assists with the needs of clinical outcomes and human resources practices (Pynes & Lombardi, 2011).
There are several ways for an organization to maintain and achieve sustainable competitive advantages through human resources. Human resources are valuable because they can improve the efficiency and or the aeffectiveness of the corporation. They also focus and improve the employees skills. Organizations can also achieve competitive advantages through SHRM by encouraging proactive behavior, improving communication, improving the company’s goal and vision, and improve strategical planning (Fottler, 2008).
Human Resources strategies include staffing, development, compensation, and workforce composition. A staffing strategy is a set of activities used by the organization to determine its proper employee needs. A developmental strategy assists the organization in enhancing the quality of its human resources. A compensation strategy has to complete the organization’s other strategies. An example of this is, if the organization in pursuing a strategy of diversification, its compensation strategy can be aimed towards rewarding the employee whose skills allow them to move from the original business to the relevant one. A workforce strategy has to change over time as the workforce diversifies (Fottler, 2008).
A healthcare manager is constantly improving and changing strategies. It is important that he or she makes the more appropriate decision pertaining his or her company. Philippians 4:6-7 says: “Do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus.” When in doubt, we must remember that god will provide us with the knowledge to make the proper decision.
References:
Fottler, M. D. (2008). Strategic human resources management. Human resources in healthcare: Managing for success, 1-26.
Pynes, J. E., & Lombardi, D. N. (2011). Human resources management for health care organizations: A strategic approach (1st ed). San Francisco, CA: Jossey-Bass.
Trebble, T. M., Heyworth, N., Clarke, N., Powell, T., & Hockey, P. M. (2014). Managing hospitals doctors and their practice: what can we learn about human resource management from non-healthcare organizations? BMC Health Services Research, 14(1), 1-11 .doi: 10.1186/s12913-014-0566-5.
Discussion #2
The discussion around the movement back towards a pay for performance model in healthcare compensation has become trending in healthcarehuman resources. In the past this system has come under fire for being subjective and focusing primarily on compensation (Pynes & Lombardi, 2011). In order for a merit pay, otherwise known as pay for performance system to work, strategic goals for evaluation must be aligned with the overall goals of the organization, as well as training raters which will most likely be managers need to be held accountable as well (Pynes & Lombardi, 2011, p. 264).
In coming fiscal years, Medicare will allow for individual physicians, practices, or medical groups report goals to participate in Merit-Based Incentive Payment System (MIPS) program (Rutherford, 2017, p. 51). Many of the goals that can be selected from for additional Medicare compensation are supportive of other trending topics in healthcare such as quality improvement, integration of electronic health records, and reporting procedures (Rutherford, 2017, p. 52). By participating in national level merit pay programs an organization regardless of size could increase the ability of payments that it can give to its providers. “For medical practice managers in groups serving any significant Medicare population, participation in the Medicare MIPS program is a sound strategy for 2017” (Rutherford, 2017, p. 53). Pulling national and government funds to be able to give merit pay to healthcareproviders allows the organization to use organizational dollars to offer merit rewards to the support staff. Offering merit pay to support staff can be used to attract and retain employees, which can save costs overall in regard to recruiting and training due to staff turnover.
Merit pay or pay for performance offered for all employees of a healthcare organization can possibly increase employee morale, and play a significant role in the retention of employees. However, when employees stay with an organization for longer than 10 years it is possible that they could max out their pay, it would not make sense to play an employee such as a lab technician more than a BSN registered nurse. In order to avoid this from happening managers and HR leaders need to look towards a compensation system that attracts, retains, focuses, and motivates employees (Boden, 2017, p. 411). Additional ways that pay for performance can be used is in the rewarding of additional benefits, such as paid days off, scheduling preferences, or improved overall benefits. “If it sounds like you’re simply ‘cutting’ earning potential, you will drive morale deeper yet” (Boden, 2017, p. 412). For this reason, a clear pay structure and earning potential needs to be crafted by management and HR and shared with employees particularly if there will be a change to the overall compensation system with the move to pay for performance or merit pay.
Fair pay and compensation of employees is not only legally required, but ethically encouraged. When looking to scripture for guidance in the compensation of employees managers and leaders in HR can look to 1 Timothy 5:18, “For the Scripture says, ‘you shall not muzzle an ox when it treads out the grain,’ and, ‘the laborer deserves his wages’” (English Standard Version). In the case of healthcare compensation it is very important to make sure every level of care is compensated appropriately. Pay for performance or merit pay can be a cost saving compensation system that can be used inhealthcare to reward top performers for their excellence in care, as opposed to using traditional methods of time in service, experience, and position. It is important to make sure that each employee has wages that they deserve. An additional benefit or compensation that could be given due to performance is educational benefits to give top performing employees the chance to advance their pay potential within the organization.
Boden, T. W. (2017). Establishing a fair wage structure for the healthcare practice. The Journal of Medical Practice Management: MPM, 32(6), 411-412. Retrieved from
https://search-proquest-com.ezproxy.liberty.edu/docview/1930757658?pq-origsite=summon&accountid=12085
Pynes, J. E., & Lombardi, D. N. (2011). Human resources management for health care organizations: A strategic approach. San Francisco, CA: Jossey-Bass. ISBN: 9780470873557.
Rutherford, R. (2017). Thriving under medicare’s newest pay-for-performance program: Strategies for success with the merit-based incentive payment system: Part III. The Journal of Medical Practice Management: MPM, 33(1), 51-54. Retrieved from
https://search-proquest-com.ezproxy.liberty.edu/docview/1933856170?pq-origsite=summon&accountid=12085
Healthy People 2020 and The Patient Protection and Affordable Care Act (PPACA) of 2010 Essay
Healthy People 2020 is an initiative established by the US Department of Health and Human Services to monitor the progress of the population in reaching national goals and objectives designed for health promotion and prevention. Healthy People 2020 is the product of extensive input from stakeholders. Many of its goals and objectives have been met, but there is still progress to be made.
From the assigned readings this week, review the following Web site:
U.S. Department of Health and Human Services:
Healthy People 2020
. (2012).
http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx
Review the listed topics and objectives of Healthy People 2020 and select one that is of interest to you. Then, respond to the following:
Explain why the objective you chose is of great significance to the population and the health of the communities.
Describe the federal program established in response to your selected objective.
Examine the implications of the program in healthcare in terms of morbidity, mortality, policy, and costs.
Support your statements with appropriate examples and scholarly references.
Part 2: The Patient Protection and Affordable Care Act
The Patient Protection and Affordable Care Act (PPACA) of 2010 is a pivotal piece of legislation aimed to improve the current healthcare system in the United States. The legislation intends to ensure that all American citizens have access to good quality and affordable healthcare. One of the main focuses of the act is preventing chronic disease and improving public health.
From the assigned readings this week, review the following Web resource:
The White House. (n.d.).
Health reform in action.
Retrieved from
http://www.whitehouse.gov/healthreform/healthcare-overview
Considering that the PPACA bill recommends the elimination of copayments (or copays) and deductibles for preventative healthcare for women, respond to the following:
Provide a brief overview of PPACA.
What are the implications of the PPACA for public health?
In your opinion, do you think that the elimination of copays and deductibles will increase the number of women who have annual mammograms? Justify your answer.
Even if these screening services are available, what would be the barriers to accessing these services?
Support your statements with appropriate examples and scholarly references.
The Public Health Department is planning to develop an adolescent substance abuse prevention program.
Using the University Online Library or the Internet, research about the stages of research synthesis. Based on your research, respond to the following:
Using meta-analysis, apply and explain the stages of research synthesis that you would propose to address adolescent substance abuse.
Identify the best practices that will form the basis of service delivery.
Analyze and explain whether evidence-based practice would prove to be the best choice for this program.
Explain which steps should be followed when using evidence-based practice for this program. Provide at least two examples of evidence-based practice that can be referred to for the program.
Analyze and explain which of the summative evaluation methods is the most effective in accessing a research program’s outcomes or effects. Describe the pros and cons of using each method.
Article critique on the article Parkinsonism and occupational exposure to pesticides
Instructions: 3 page AMA format (cite all sources in the body of the paper)
Complete an article critique on the article Parkinsonism and occupational exposure to pesticides.
Link to article—
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1740189/?tool=pmcentrez
Your critique should include the following elements:
Introduction: Include the title and author of the article, statement of the problem discussed, purpose, and hypothesis.
Research Methods: What approach or methods were used in this study? Are they appropriate for the purposes of the study?
Key results: Clearly and succinctly summarize the key results of the study.
Statistical Significance: What is the statistical significance of this study? Are the statistical methods appropriate?
For more information on statistical significance please review these resources:
Statistical Significance: Definition, Levels & Critical Regions –
http://study.com/academy/lesson/statistical-significance-definition-levels-critical-regions.html
Tests of Significance –
https://www.learner.org/courses/againstallodds/unitpages/unit25.html
Sources of bias: Was the author objective in the discussion of the topic? Identify and discuss any sources of bias in the study.Rubric Detail-Please ensure rubric guidelines are applied
Excellent
Good
Introduction
Points Range:.8 (10%) – .8 (10%)
Points Range:.64 (8%) – .79 (9.9%)
States the title, author, problem discussed, purpose, and hypothesis of the article
Research Methods
Points Range:1.6 (20%) – 1.6 (20%)
Points Range:1.28 (16%) – 1.58 (19.8%)
Identifies the research methods used in the study and discussed if they were appropriate
Key Results
Points Range:1.6 (20%) – 1.6 (20%)
Points Range:1.28 (16%) – 1.58 (19.8%)
Clearly and succinctly summarizes the key results of the study
Statistical Significance
Points Range:1.6 (20%) – 1.6 (20%)
Points Range:1.28 (16%) – 1.58 (19.8%)
Discusses the statistical significance of the study and if the statistical methods were appropriate
Sources of Bias
Points Range:2 (25%) – 2 (25%)
Points Range:1.6 (20%) – 1.98 (24.75%)
Identifies any sources of bias in the study and discusses if the author was objective in the discussion of the topic
Writing Mechanics
Points Range:.4 (5%) – .4 (5%)
Points Range:.32 (4%) – .4 (4.95%)
Paper is organized in the required format and contains no grammatical errors
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