Current Trends and Issues in Managed Care

Compensation and reimbursement models are another method of controlling access, cost, and quality in a managed care environment. An MCO doesn’t have direct control over physicians or hospitals but through contractual agreements that set incentives for meeting agreed-upon standards, it can exert influence.

This week, you are required to write an essay on the following topics:

  • Managed care hospital reimbursement
  • Managed care provider reimbursement

Using the South University Online library (e.g. CINAHL) or the Internet, review at least two articles for each topic and write a review for each source of information. Use the following guidelines for developing your essay:

  • Write a summary for each topic tying together the information learned about that topic.
  • Analyze the market forces that would favor using one reimbursement method over another.
  • Evaluate the key differences between different types of payment methodologies from the provider and hospital point of view.
  • Evaluate the advantages and disadvantages of the payment methodologies reviewed from the provider and hospital point of view.
  • Evaluate new payment methodologies resulting from the Patient Protection and Affordable Care Act (PPACA) and discuss future changes in reimbursement methodologies.
  • Compare and contrast each article to the information discussed in the course textbook.
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Change Project Proposal

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem statement
  3. Purpose of the change proposal
  4. PICOT
  5. Literature search strategy employed
  6. Evaluation of the literature
  7. Applicable change or nursing theory utilized
  8. Proposed implementation plan with outcome measures
  9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
  10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Etapas de la Vida – Desarrollo del Ciclo Vital

Etapas de la Vida – Desarrollo del Ciclo Vital

Estimados estudiantes:

Luego de estudiar la presentación correspondiente al tema de Desarrollo del Ciclo Vital, compartirán sus puntos de vista utilizando como punto de partida la siguiente pregunta: ¿Cuál crees que es la etapa de la vida (infancia, adolescencia, adultez y vejez) que conlleva más cambios y ajustes? Explica tu contestación.

Hola por favor este trabajo es igual que el que me hiciste, es para mi compañera estamos en la misma clase necesito que me lo hagas totalmente diferente al mío no puede tener nada parecido por que si no estamos en problemas(puedes escoger cualquier menos adolescentes que fue el que me hiciste muchas gracias.)

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Evidence base reasearch discussion 2

For this discussion, you will create a table like the one below, comparing and contrasting at least 5 elements of quantitative and qualitative research. Additionally, please provide one example of when you would use a qualitative approach vs. a quantitative approach to study a health/health care-related topic. Example: Qualitative approach would be used to study the experience of living with a tracheostomy. Quantitative approach would be used to study the effectiveness of various tracheostomy cleaning solutions. You CANNOT use the examples used below:

Qualitative Methods Quantitative Methods
Includes interviews, open-ended questions, and focus groups Includes primarily surveys, observations, and reviews of records
Uses research questions to guide the research Uses hypotheses to guide the research

Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.

References:

  • Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.

Words Limits

  • Initial Post: Minimum 200 words excluding references (approximately one (1) page)

Textbooks:

Nursing Research

  • Read Chapters 6, 9, 10.

https://books.google.com/books?id=3tTsAwAAQBAJ&pri…

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Answer questions on posting, using evidence based guidelines.

This week’s content discussed common psychiatric disorders in the Adult and Older Adult client. Often times a secondary diagnosis is masked due to their psychiatric disorder. Review the following case study and answer the following questions.

Mr. White is a 72-year-old man, with a history of hypertension, COPD and moderate dementia, who presents with 4 days of increased confusion, nighttime restlessness, visual hallucinations, and urinary incontinence. His physical exam is unremarkable except for tachypnea, a mildly enlarged prostate, inattentiveness, and a worsening of his MMSE score from a baseline of 18 to 12 today.

Mr. White’s presentation is most consistent with an acute delirium (acute change in cognition, perceptual derangement, waxing and waning consciousness, and inattention).

  1. What is the most likely diagnosis to frequently cause acute delirium in patients with dementia?
  2. What additional testing should you consider if any?
  3. What are treatment options to consider with this patient?

Please use references no longer than 3-5 yrs. old. and APA format.

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Task Force Project Adolescent Pregnancy

In Module 1, you began your work as the head of the Maternal, Infant, and Reproductive Health Task Force in Centervale. You did this by learning more about adolescent pregnancy and the behavioral, cultural, and environmental risk factors associated with this health issue. In this assignment, your attention turns to community issues. Your task force has representatives from several community organizations. You know that in addition to your focus on an individual-level change, you will need to provide the group with information about community-level change to impact the adolescent pregnancy issue in Centervale. It is attached.

  1. Read the editorial entitled “Community-based Intervention” in which the authors recommend four typologies or approaches to community-based projects (McLeroy, Norton, Kegler, Burdine, & Sumaya, 2003). Consider how each of these typologies might be applicable to adolescent pregnancy prevention in Centervale. it is attached.
  2. Download and review the “Demographic Background on Centervale.”
    It is Attached.
  1. Prepare a memo for the task force on the following:
    1. Compare and contrast the four categories of community-based interventions.
    2. Select two typologies to present as options to the task force and explain in detail how these can be applied.
    3. Identify one typology for recommendation, giving reasons in support.

Your final product will be in a MS Word document of approximately 3–4 pages. You should utilize at least 3 scholarly sources beyond the course readings in your research. Your paper should be written in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.

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Community Needs and Health Screening Initiative, writing homework help

Community Needs and Health Screening Initiative

Directions

For this Assignment you will pick one recommended screening from AHRQ section 2; an A or B Grade:

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

An initiative is a project, an event, so something in the community is ideal. Workplace location for employees is fine too. Please include the following suggested level one headings so content is clear and easily identified.

Conceptual Model

Choose a conceptual model that you think might work for your initiative and explain the model here. Appendix 2 in the document at the link below will help you understand community approaches. Appendix 3 in this same document will help you with conceptual model selection. Note: This project is about screening, not physical activity evaluation. Use the appendix as a resource for models:

Physical Activity Evaluation Handbook. (2002). Retrieved from https://www.cdc.gov/nccdphp/dnpa/physical/handbook/pdf/handbook.pdf

You may choose to independently research your model to help you explain its application to your initiative. If you have found another model you will like to use, not listed, contact your instructor.

Screening Purpose

Discuss why it is important to screen for this condition. This is where you address your community assessment and the reason for this need in your community/ population choice. Support your stance with statistics and information, ideally related to the location and population.

Population

Clearly address the demographics that are being screened; where they live, state, county, ages, races included etc.

Screening Activity

This section is what you are doing at the screening and should completely align with the screening guideline above for the condition. Also all health promotion screenings include some brief prevention education component.

Outcome Goals

Bullet a few specific goals here. What do you hope to accomplish with your screening?

Location

Briefly explain where you are doing this. It should be very specific. Senior Citizen Center in Monroe Co on Saturday. Local church- name, malls, fair etc. Think about what facility type, area you will need. Add comments on why this location meets the needs of your target population and screening choice.

Cost

This is the cost for you to develop and conduct the initiative. It is best displayed as a brief Word table showing what it costs you do develop and conduct the screening; paper, equipment, rental s etc. Volunteers are fine, but everything is not free. Students must demonstrate they can develop a cost estimate for screenings that is realistic and takes into account financials. If there is a cost for the attendees that should go here as well.

Summary

Provide a summary of your screening, general benefit to the community and why it is important.

This should be a 3–4 page paper, excluding title page, and references. A person should be able to read your paper and understand fully what you are screening, where, when, the costs and how it is supported in the guideline. Ideally a person would be able to duplicate your screening initiative, based on the clarity you present. This paper should adhere to appropriate 6th edition APA format. A minimum of 3-4 sources should be used.

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Ethics Paper for Nursing

(1) A Scholarly Academic Journal/Article must be used pertaining to healthcare (i.e. nursing, hospital, medical care). However you could type in the search engine: “ethics case study nursing” or “ethics case study healthcare” and etc. (2) Subheadings must be included for each paragraph. Subheading should be titled: Introduction, Intervention/Solution, Possible Interventions/Solutions, Case Outcome, Cultural Issues, Ethical Principle, Conclusion. (3) Plagiarism will be checked through the software turnitin.com. (4) Please read the Rubric and Paper Instructions carefully. One of the criteria is to “Explain at least two ethical principles involved and how the principles apply to the case” this can be found in the Ethics Principles file I uploaded. I have worked with you before and I liked your work. Hope to be satisfied this time as well Please let me know if you have anymore questions.

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Read chapter 6 and 7

Read Chapter 6 & 7

1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.

2. What similarities and differences can you identify among the above interactions?

3. Explain the concept of congruence between verbal and nonverbal communication.

4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective?

5. How have you seen ISBAR used during your clinical experiences?

6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports.

7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond?

8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?

9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.

10. Discuss the differences between direct delegation and indirect delegation.

1. You have to observe delegation procedures in your assigned unit:

A-What considerations does the RN take into account when delegating patient care?

2-You have to look at the unit census and prioritize the patient care:

A- Give the rationale foryour choices.

3.Answer the following questions during your clinical experiences:

a. What specific tasks did your patients require that you might have been able to delegate?

b. How effective was your nurse/preceptor in delegating tasks to others?

c. How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?

APA FORMART !!!!!

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community health method

For Part 2 of the Final Project, review the Learning Resources from Weeks 4, 5, and 6. Also, review the comments the Instructor provided for Part 1 of the Final Project from Week 3.

Final Project Part 2 (3–4 pages excluding APA citations):

Address the following two areas:

  1. Explain methods for data collection:
    • Describe the methods of data collection you might use in your community health needs assessment, and explain why you would use them. You should discuss at least two quantitative and two qualitative data collection methods for your community health needs assessment. For example, explain whether you would use surveys, focus groups, interviews, or other such methods to gather information for your chosen community.
    • Explain the strengths and weaknesses of each method.
    • Justify why you chose those methods over the others, and explain what makes these methods most important to use in your particular community. Also, explain how these particular methods help you better understand your community and its specific needs.

      Note: You will not collect actual data. You will only describe methods of data collection.

  2. Evaluate resources on which to collect data:
    • Based on your chosen community, describe four resources that are lacking in your community. Explain what would be the best methods for collecting data about these lacking resources.

      For example, you might find there are two hospitals available to the community members, but one of them is 50 miles away. You may also find that there are only two primary care physicians in the community and that these physicians are so overbooked that it takes weeks to get an appointment with either of them. In addition, you may find that there is not an adequate number of bike trails in the community.

      Conducting a patient survey will help you determine the reasons for doctor visits and understand the potential need for additional services and resources.

    • Explain why you chose those particular resources over others
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