The American Health Care Delivery System Essay
Consider the costs associated with the American healthcare system, the contentions associated with managed care implementation, and the continued problems associated with macro and microallocation within the system
.
What ethics should guide continuing change in the American Health Care delivery system? Why? Please include references
.
Financial Accountability and Nursing’s Role in Decision-Making Paper
This Financial Accountability and Nursing’s Role in Decision-Making Paper assignment broadens the students understanding and knowledge of the various roles financial management and nursing leaders play in the business of healthcare. Have you ever said to yourself “If we only did things this way, this department/unit would more efficiently and cost effective? Or, what about “I have an idea to improve care and save money?”
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For this Financial Accountability and Nursing’s Role in Decision-Making Paper assignment, the student will identify a workplace/unit issue or concern. Create a plan related to the issue/concern that could help the unit become more efficient and cost effective. A major emphasis of this assignment is to focus upon on how to be more cost effective without compromising quality and safety. How can the plan improve the fiscalhealth of the department and/or unit?
Areas and ideas to consider might include:
· Charge for procedures not previously charged for
· Changing brands of items
· Creating a new department
· Outsourcing procedures or personnel
· Buying new or different equipment
· Hiring personnel
· Eliminating procedures, departments, supplies, etc.
· Redesigning procedures, department layout, policy
Assignment Criteria
Develop a scholarly Financial Accountability and Nursing’s Role in Decision-Making Paper that addresses the following criteria:
1. Identify and fully describe the problem or issue.
2. Describe in detail why this is a problem/issue and how it affects patients, nursing, and the organization in terms of fiscal management. Be specific.
3. Develop a plan or proposal related to the chosen problem on how to improve the fiscal health of the department/unit.
4. Include a literature review supporting the plan.
· Describe how the literature/evidence describes the problem/issue or supports the plan/ideas to resolve the problem/issue
· Discuss specific goals and objectives for implementing this plan/proposal
5. Identify specific strategies for solving this problem based on the readings and literature.
6. Include a proposed budget that shows the anticipated cost savings.
· Discuss the return on investment expected (when, who, how, etc.)
· This can be described in (a) narrative format within the paper, (b) in a table within the paper, or (c) as an appendix
7. Include a proposed time line for implementation.
8. Describe how the proposal/plan effectiveness will be evaluated.
9. The scholarly paper should be six to eight (6-8) pages excluding the title page, reference page, and appendices.
10. Include level 1and 2 headings to organize the paper.
11. The paper should begin with an introductory paragraph that includes the purpose statement.
12. The paper should include a conclusion.
13. Write the paper in third person and a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.
14. Include a minimum of six (6) references from professional peer-reviewed nursing journals to support your paper.References should be from scholarly peer-reviewed journals (review in Ulrich Periodical Directory) and be less than five (5) years old.
15. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).
16. Submit the Financial Accountability and Nursing’s Role in Decision-Making Paper assignment to TurnitinDirect
prior
to your final submission to the assignment drop box by the posted due date. Please be sure to review the originality report and make any needed changes prior to submitting to the assignment drop box.
17. Submit to the assignment drop box by posted due date.
Assignment 5: Financial Accountability and Nursing’s Role in Decision-Making Paper Grading Rubric
(12 points
)
Assignment Criteria
5 points
4 points
2 points
1 point
All topics/criteria addressed and all questions fully answered.
All topics/criteria addressed and most questions fully answered.
All topics/criteria addressed and most questions partially answered.
One or more topics/criteria not addressed or completely answered.
Quality/Accuracy of Information
3 points
2 points
1 point
0 points
Information clearly relates to the main topic/criteria. It includes several supporting details and/or examples.
Information clearly relates to the main topic/criteria. It provides supporting details and/or examples.
Information clearly relates to the main topic/criteria. A few details and/or examples are given.
Information has little or nothing to do with the main topic/criteria.
Organization
2 points
1 point
0.5 point
0.25 point
Information is very organized with well-constructed paragraphs and levels of heading.
Information organized with well-constructed paragraphs and levels of heading.
There is an attempt at organization but errors exist. No levels of heading.
The information or overall structure appears disorganized.
Sources
2 points
1 point
0.5 point
0.25 point
All references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/ historical source.
The majority of references are from a relevantprofessional peer-reviewed scholarly journal, within a 5-year timeframe or a classic/historical source.
Some references are from non-peer-reviewed scholarly sources or older than 5-years.
Majority of references are from non-peer-reviewed scholarly sources or older than 5-years.
Earned Points
Up to 20% of the assigned points (total points of assignment) can be deducted from the earned points for errors in APA style [title page, introduction, purpose statement, level heading, conclusion, references, citations, and format], spelling, and/or grammar.
Healthcare Organizations and Their Environments Essay
You have been asked to prepare a speech to deliver to an industry group about the following topic:
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1. The unabated continuation of the proliferation and fragmentation of the health professions.
2. What are the desirable aspects of this fragmentation?
3. And what is the undesirable aspects of this fragmentation?
4. Should actions be taken to slow or stop this trend? If so, what should be done and how can it be achieved?
Your Policy Priority Issue Guidelines and Grading Rubric
Purpose
The purpose of this assignment is to: a) identify and reflect upon key concepts related to your planning a policymaker call b) provide empirical evidence to support new insights gained regarding your healthcare policy issue and the policymaking process, and c) present ideas in a clear, succinct, and scholarly manner.
Course Outcomes
This assignment enables the student to meet the following course outcomes:
(CO#1) Analyze application of theories to the development of policies that affect nursing and health care. (PO 9, 10)
(CO#3) Communicate with policymakers to advocate for effective policies that affect nurses and nursing, consumers, or the health care system. (PO 2, 3, 10)
(CO#4) Analyze the historical, ethical, and political contexts of healthcare policy and the consequences of policy implementation. (PO 6, 10)
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(CO#6) Investigate the interrelationship between policy decisions and evidence-based practice. (PO 4, 7, 10)
Due Date Sunday 11:59 p.m. MT at the end of Week 3
Total Points: 175 points
Requirements
Assignment Criteria for Presentation:
1. Provide an introduction to your healthcare policy-priority issue and the title or name of your legislator.
2. Articulate key points under each of the Formulating a Healthcare Policy Ungraded Worksheet #1 sections.
3. Provide an analysis of empirical evidence that supports your chosen healthcare policy-priority issue and analysis.
4. Demonstrate the importance and impact of the chosen healthcare policy-priority issue to nursing.
5. Provide concluding statements summarizing the content.
6. The paper will be a minimum of 4 pages and a maximum of five pages in length, in APA format 6th edition, excluding the title and reference page.
Preparing the Paper
After completing Formulating a Healthcare Policy Ungraded Worksheet #1, address all areas on the worksheet in the body of a scholarly paper. Include a minimum of five (5) classic or current references published within the past 5 years.
Category
Points
%
Description
Introduction and Conclusion
35
20
Introduction clearly introduces your healthcare policy- priority issue and the title or name of your designated legislator.
Concluding statements summarizing content.
Key Points
40
23
Identification of all key points of your healthcare policy-priority issue (review sections of Healthcare Policy Ungraded Worksheet) are clearly analyzed and fully articulated.
Empirical Evidence
40
23
Provide an analysis of empirical evidence that supports your chosen healthcare policy issue and analysis.
Impact and Importance to Nursing
35
20
Demonstrate the importance and impact of the chosen healthcare policy issue to nursing.
APA Format
10
6
Text, title page, and references are consistent with APA format.
Writing Quality
15
8
Rules of grammar, word usage, sentence, and paragraph format and punctuation.
Total
175
100
A quality assignment will meet or exceed all of the above requirements.
Grading Rubric
Assignment Criteria
Exceptional
(100%)
Outstanding or highest level of performance
Exceeds
(88%)
Very good or high level of performance
Meets
(80%)
Competent or satisfactory level of performance
Needs Improvement
(38%)
Poor or failing level of performance
Developing
(0)
Unsatisfactory level of performance
Content Possible Points = 150 Points
Introduction clearly introduces your healthcare policy-priority issue. Concluding statements summarizing content are present.
35 Points
31 Points
28 Points
13 Points
0 Points
Introduction clearly introduces your healthcare policy-priority issue and the title or name of your designated legislator. Concluding statements summarizing content are present, clear, and well written.
Introduction introduces your healthcare policy-priority issue and the name or title of your designated legislator. Concluding statements summarizing content are present. Minor clarity or detail issues.
Introduction and conclusion are included; could include more details such as a specific healthcare policy-priority issue that a legislator could act upon or the name or title of the legislator; clarity or improvement of format.
Lacking introduction or conclusion.
No attempt made at introduction or conclusion.
Identification of all key points of your healthcare policy-priority issue are clearly analyzed and fully articulated.
40 Points
35 Points
32 Points
15 Points
0 Points
Key points are well described, and analysis is fully articulated.
Key points are described with some lack of clarity, and/or analysis is lacking detail or clarity.
Key points are not well described, and/or analysis is lacking detail or clarity.
Key points or analysis is missing.
Key points and analysis is missing.
Empirical evidence supporting your healthcare policy-priority issue is clearly analyzed.
40 Points
35 Points
32 Points
15 Points
0 Points
Empirical evidence supporting your healthcare policy- priority issue is clearly analyzed in a comprehensive and accurate manner.
Empirical evidence supporting your healthcare policy- priority issue is analyzed but lacking clarity or not substantive.
Empirical evidence supporting your healthcare policy- priority issue is noted but not analyzed.
Empirical evidence supporting your healthcare policy priority issue is lacking.
No attempt made at providing empirical evidence.
Your healthcare policy- priority issue clearly demonstrates the impact and or importance of your issue to nursing or the intended impact to patient outcomes.
35 Points
31 Points
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28 Points
13 Points
0 Points
Impact to patient outcomes or nursing practice is thoroughly discussed.
Impact to patient outcomes or nursing practice has rare inaccuracy.
Impact to patient outcomes or nursing practice lacks occasional important elements or specificity.
Impact to patient outcomes or nursing practice has multiple instances of inaccuracies.
Impact to patient outcomes or nursing practice has multiple instances of inaccuracies and is vague.
Content Subtotal _____of 150 points
Format Possible Points = 25 Points
APA Format: Text, title page, and reference page(s) are completely consistent with APA format 6th edition.
10 Points
9 Points
8 Points
4 Points
0 Points
Paper is free from APA errors throughout.
There are 1-2 APA format errors in the text, title page, and/or reference page(s)
There are 3-4 APA format errors in the text, title page, and/or reference page(s)
There are 5 APA format errors in the text, title page, and/or reference page(s)
There are 6 or more APA format errors in the text, title page, and/or reference page(s)
Writing Quality: Paper is appropriate in length. References include a minimum of 5 scholarly references excluding the course text. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work.
15 Points
13 Points
12 Points
6 Points
0 Points
Paper is appropriate in length. References include more than the minimum number of scholarly references, excluding the course text. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work.
Paper is short/long in length and/or contains a minimum of scholarly references excluding course text, or references utilized are not scholarly. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work with1-2 exceptions.
Paper is short/long in length and contains only 1 scholarly reference. Additional references are not scholarly. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work with 3-4 exceptions.
Paper is short/long two or more pages in length and does not contain scholarly references. References utilized are not scholarly. Rules of grammar, spelling, word usage, and punctuation are not followed with 5 errors.
Paper is short/long two or more pages in length and does not contain scholarly references. References utilized are not scholarly. Rules of grammar, spelling, word usage, and punctuation are not followed with 6 or more errors.
Format Subtotal _____of 25 points
Total Points _____of 175 points
Nursing Research
Purpose:
Comment
the Discussion (Class 504 Unit 5 Comment 2
Thing to Remember:
Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.
1 References, find resources that are 5 years or less
No errors with APA format 6 Edition
To Comment
Nursing research is so important to the care we provide our patients as it gives us the evidence from which we can guide our practice. Quantitative research in nursing focuses on data, numerical measurements or statistics (Melyk & Fineout-Overholt, 2014). Quantitative research can be broken down into four different designs; descriptive, correlational, experimental and quasi-experimental. Correlational quantitative research focuses on interpreting the associations of different variables without the researcher manipulating them but not going so far and to stating a cause and effect relationship between the variables. A fictitious example of this related to my PICOT question would be data that looks at the number of patients that have total joint replacements and noting that more infections occur in the summer months. There is no cause and effect relationship, just the statistical data that has been gathered.
Another type of quantitative research is the experimental design. This design tries to determine cause and effect and variables are controlled and manipulated by the researchers. A real world example of an experimental study is that completed by Kuo, Chen, Lee, Yen and Wang (2017) which compared Aquacel dressings to a control group related to infection rates for joint replacement surgeries. Studies of this nature are very important because the control that the researchers have can give us a better clear cut answer to the question that is being asked. By eliminating certain test candidates to make the control and the study group as similar as possible we are more able to establish a cause and effect relationship.
Not only in the field of nursing is this type of research important but in the other sciences as well. No matter what the method or design of the research study, the interpretation of the results and integrating it to the theory that it was based on is important in the analysis of results (Yarcheski & Mahon, 2013). Using the different methods and designs can yiled different results and thus give us more information and results regarding out question or research topic.
Kuo, F.-C., Chen, B., Lee, M. S., Yen, S.-H., & Wang, J.-W. (2017). AQUACEL® Ag Surgical Dressing Reduces Surgical Site Infection and Improves Patient Satisfaction in Minimally Invasive Total Knee Arthroplasty: A Prospective, Randomized, Controlled Study.
BioMed Research International
,
2017
, 1262108.
http://doi.org/10.1155/2017/1262108
Melnyk, B. M., & Fineout-Overholt, E. (2014). Evidence-based practice in nursing and healthcare: a guide to best practice. Wolters Kluwer/Lippincott Williams et Wilkins.
Yarcheski, A., & Mahon, N. E. (2013). Characteristics of Quantitative Nursing Research from 1990 to 2010.
Journal Of Nursing Scholarship
,
45
(4), 405-411. doi:10.1111/jnu.12038
—
Nursing Research
Quantitative Research in Nursing Paper
Purpose:
Comment
the Discussion (Class 504 Unit 5 Comment 2
Thing to Remember:
Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.
1 References, find resources that are 5 years or less
No errors with APA format 6 Edition
To Comment
Nursing research is so important to the care we provide our patients as it gives us the evidence from which we can guide our practice. Quantitative research in nursing focuses on data, numerical measurements or statistics (Melyk & Fineout-Overholt, 2014). Quantitative research can be broken down into four different designs; descriptive, correlational, experimental and quasi-experimental. Correlational quantitative research focuses on interpreting the associations of different variables without the researcher manipulating them but not going so far and to stating a cause and effect relationship between the variables. A fictitious example of this related to my PICOT question would be data that looks at the number of patients that have total joint replacements and noting that more infections occur in the summer months. There is no cause and effect relationship, just the statistical data that has been gathered.
Another type of quantitative research is the experimental design. This design tries to determine cause and effect and variables are controlled and manipulated by the researchers. A real world example of an experimental study is that completed by Kuo, Chen, Lee, Yen and Wang (2017) which compared Aquacel dressings to a control group related to infection rates for joint replacement surgeries. Studies of this nature are very important because the control that the researchers have can give us a better clear cut answer to the question that is being asked. By eliminating certain test candidates to make the control and the study group as similar as possible we are more able to establish a cause and effect relationship.
Not only in the field of nursing is this type of research important but in the other sciences as well. No matter what the method or design of the research study, the interpretation of the results and integrating it to the theory that it was based on is important in the analysis of results (Yarcheski & Mahon, 2013). Using the different methods and designs can yiled different results and thus give us more information and results regarding out question or research topic.
Kuo, F.-C., Chen, B., Lee, M. S., Yen, S.-H., & Wang, J.-W. (2017). AQUACEL® Ag Surgical Dressing Reduces Surgical Site Infection and Improves Patient Satisfaction in Minimally Invasive Total Knee Arthroplasty: A Prospective, Randomized, Controlled Study.
BioMed Research International
,
2017
, 1262108.
http://doi.org/10.1155/2017/1262108
Melnyk, B. M., & Fineout-Overholt, E. (2014). Evidence-based practice in nursing and healthcare: a guide to best practice. Wolters Kluwer/Lippincott Williams et Wilkins.
Yarcheski, A., & Mahon, N. E. (2013). Characteristics of Quantitative Nursing Research from 1990 to 2010.
Journal Of Nursing Scholarship
,
45
(4), 405-411. doi:10.1111/jnu.12038
Quantitative Research in Nursing Paper–
April Klavinger, RN
Purpose: Discussion
class 505
.
Unit 5
Things to remember:
Discussion post is at least 200 words.
Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.
3 References, try to find resources that are 5 years or less
No errors with APA format 6thEdition
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To Discuss:
Topic 1: Complete the required Readings before posting to this Discussion. Analyzing specific examples in the text from Chapters, 7, 8 and 9, explain how types of epidemiological studies impact knowledge of diagnosis, prognosis or clinical treatment. Be sure to use vocabulary that demonstrate your understanding of epidemiological terms.
Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section.
This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. Clinical Epidemiology.
In Clinical Epidemiology, read:
Chapter 7: “Diagnosis”
Chapter 8: “Prognosis”
Chapter 9: “Treatment”
Centers for Disease Control and Prevention [CDC]. Solve the outbreak. Disease detective. Retrieved from
https://www.cdc.gov/mobile/applications/sto/web-app.html
Office of Disease Prevention and Health Promotion. (2017). Partnering to heal. Retrieved from
https://health.gov/hcq/training-partnering-to-heal.asp
Course Web Resources
Agency for Healthcare Research and Quality [AHRQ]. (2014). Guide to clinical preventive services. Retrieved from
https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/index.html
Centers for Disease control and Prevention [CDC]. (2014). Principles of epidemiology in public health practice. An Introduction to applied epidemiology and biostatistics. (3rd ed.). Glossary. Retrieved from
https://www.cdc.gov/OPHSS/CSELS/DSEPD/SS1978/Glossary.html
Department of Health and Human Services. (2014).
Leading health indicators
. Retrieved from
http://healthypeople.gov/2020/LHI/default.aspx
Healthy People 2020. (2016).
Topics and objective
Retrieved from
https://www.healthypeople.gov/2020/topics-objectives
Course PDF Web Resources
Centers for Disease Control and Prevention [CDC]. (2014). Principles of epidemiology in public health practice. An Introduction to applied epidemiology and biostatistics. (3rd ed.). Retrieved from
https://www.cdc.gov/ophss/csels/dsepd/ss1978/ss1978.pdf
Guide to Clinical Preventive Services. (2014). Recommendations of the US preventive task force. Retrieved from
https://archive.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide2012/guide-clinical-preventive-services.pdf
Clinical Epidemiology
Importance of quality measures using the clinical performance
Discussion:
As nurse practitioners continue to expand their role in delivering health care, it is imperative for NPs to provide the data and evidence to demonstrate the impact of NP care on patient outcomes. There are several challenges that advanced practice nurses face to provide quality care and meet productivity goals of an organization. This week it is important to explore the connection of quality care and performance measures. Some questions to consider as we discuss this topic are:
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Why are quality measures important?
What is the difference between quality measures and performance indicators?
What performance measures are used for NP productivity?
Why are incentive plans used in clinical organizations?
To prepare:
Read the article,
An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes
, by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015)
Explore quality measures and identify at least one clinical performance measure, such as the Agency for Healthcare Research and Quality (AHRQ)
By Day 3
Post
an explanation of the importance of quality measures using the clinical performance measure you identified as an example. Then, identify the performance measures used for NP productivity in Rhodes, Bechtle, and McNett (2015) article. Finally, share your opinion on incentive payment for care, including external motivators and at least one business model.
Risk management plan
In a 1,000-1,250 word Risk management plan paper, provide an analysis that includes the following:
Brief summary description of the type of risk management plan you selected (new employee, specific audience, community-focused, etc.) and your rationale for selecting that example.
Description of the recommended administrative steps and processes in a typical health care organization risk management program contrasted with the administrative steps and processes you can identify in your selected example plan.
(Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)
Analyze the key agencies and organizations that regulate the administration of safe health care and the roles each play in the risk management oversight process.
Evaluation of the selected exemplar risk management plan regarding compliance with the American Society of Healthcare Risk Management (ASHRM) standards relevant to privacy, health care worker safety, and patient safety.
Proposed recommendations or changes you would make to your selected risk management program example to enhance, improve, or to secure compliance standards.
In addition to your textbook, you are required to support your analysis with a minimum of three peer-reviewed references.
Prepare this Risk management plan assignment according to the guidelines found in the APA Style
Market Structure of Healthcare Industry Paper
Instructions
Pick one of the following healthcare industries listed below. Using what you have learned so far about market structure and the impact on supply and demand, write a 7 page Market Structure of Healthcare Industry paper report (double-spaced) addressing the following questions:
1- From what you have learned in class and research you have done on-line what is the market structure of that industry (e.g perfectly competitive, oligopoly, monopoly, other)
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2- What are the implications of the market structure on the demand and supply curve and price of the services offered?
3- What is the implication of third-party payers like private health insurance or federal programs like Medicare and Medicaid on demand and supply in this industry?
4- How has the government intervened in the industry and what was the
economic rationale
for the intervention? Was there a market failure or other rationale for intervention? Discuss
Choose one of the following industries to discuss the answers to the above questions:
a- Pharmaceutical Industry
b- For-profit health insurers
C- Not-for profit health insurers
D- Any physician specialty (e.g. cardiology, ophthalmology, etc.)
E- Hospital (national Network)
F- Small rural hospital