Differentiate between the prospective payment systems for outpatient, home health, physician and non-physician practitioners, and ambulatory surgical settings. In your response ensure that you compare and contrast payment systems for each of the categories listed.
The critical assignment in this course is a finance and reimbursement presentation. You will select and research a system of care along with its’ related finance and reimbursement functions and challenges. You may choose from among the following- Medi-Cal Expansion.
1. Your presentation should begin with a brief history of medical insurance in the United States, and then an identification and rationale for choosing your specific system of care.
2. You are to critically examine, analyze, and explain the role of your chosen system, and describe major components, responsibilities, and structure, along with its’ effects on health care delivery.
3. You are to interpret major finance and reimbursement challenges and/or conflicts, key factors that influence health care reimbursement functionality and efficiency, and offer potential solutions to identified challenges/conflicts.
4. You are to provide a detailed and well-developed explanation of the strengths and challenges of your chosen system, which includes an analysis of relevant resources utilized and/or needed, the significance to healthcare finance and reimbursement, and an explanation of possible future directions.
5. You are to demonstrates exceptional understanding of finance and reimbursement relevant to your chosen system and utilize appropriate, relevant, and compelling content that demonstrates your mastery of the subject throughout.
6. Refer to the rubric scoring criteria for a detailed list of expectations and provide what you believe is necessary to exceptionally demonstrate your depth of knowledge throughout.
7. You must integrate information learned throughout the course to fully address all aspects and requirements of the critical assignment.
All submissions should reflect professionalism in grammar, spelling, presentation style/format, including APA 6th citations and references when appropriate.
Take the rough draft file attached- create a table of contents and a compelling overall summary highlighting: the current nursing shortage, importance of intervention, purpose of Project SOS, and funding needed. Use and cite at least 3 references within the summary. You may reuse references included in the rough draft file.
Table of Contents:
The table of contents must be generated using your word processors built in “Table of Contents” generation feature (found within the [Reference] Tab of Microsoft Word).
Discuss the following prompts:
https://www.latimes.com/local/california/la-me-measles-20150418-story.html#page=1
https://www.usatoday.com/story/news/2015/02/05/measles-vaccine-immunization-health/22916079/
A CEO is critical to the smooth and efficient operation of a health care organization. The CEO scans the external environment, integrates the strategic plan with the operations, directs business practices, oversees the development of high-quality care, assures cost-effective strategies, and integrates clinical programs in the organization. In this assignment, research the responsibilities of the CEO or administrator in a health care setting of your choice, for instance, your current or future employer. Then you will create a video presentation on three ideas that a CEO could apply to make a health care setting a great place to work. You will develop a PowerPoint presentation and screencast video with web camera on.
In the CEO For a Day Assignment, you take a position as the CEO of XYZ Health for a day and address the following:
After watching the videos below, discuss the meaningful use and impact electronic records can have on the healthcare industry.
1. Why are they important for patients and healthcare organizations alike?
2. Why haven’t all healthcare organizations adopted them?
3. How do you see them being used on a systems level, rather than simply organizational?
4. How do you see them evolving over the next decade?
Your initial post should be at least 250 words. Support your response with at least two scholarly sources published within the last 5 years.
State inspections of long-term care organizations happen at a minimum of once per year. Upon the inspection process, a multitude of violations can be incurred by the long-term care organization. With that said, the F-Tag system represents a very specific and individualized code of federal regulations. As an example, F880 represents infection control and F550 represents quality of life issues. Robert is the new appointed long-term care/skilled care administrator for a 180-bed facility. As the newly appointed administrator, Robert is tasked with improving upon the previous year’s state inspection outcomes and has decided to focus most of his attention upon the facilities deficient F550 quality of life scores. Robert decides to have a meeting with his management team and the resident council representative as he knows that quality of life aspects encompass a multitude of factors such as diet, patient activities, staff interactions, and a full understanding of patient expectations.
Where should Robert begin the processes internally and externally? Complete the following:
-Describe why Robert should establish a collaborative process, who he should establish the process with, and what collaborative processes should be implemented internally to improve the organizational policies.
-Describe why Robert should establish collaborative processes externally, who he should establish these processes with externally, and what collaborative processes he could implement externally to improve the organizational policies.
Should I respect the point of view of a racist?
For this post, pick one point of view from the five questions above that you find particularly repugnant – one that you think is completely unjustifiable. If you were in conversation with such a person, how could you ethically respond to the statement of such a point of view? Keep in mind that you are expressing a value opinion, which requires ideological reasoning.
Review the definition of critical thinking. After studying critical thinking for the past eight weeks, would you change your definition in any way? If yes, how and why? If no – if it was perfect – what parts of the text were best reflected in your definition?
The purpose of this assignment is to help you become more aware of the services for aging adults that are available in your community, and to encourage you to make direct contact with selected providers and consumers of these services. Of particular interest here is the recognition that basic services for all community residents are the backbone of what is needed by older adults as well.
Start with those basic elements of your community environment before going on to more specialized services designed solely for its older residents. Using this information, write a 5-8 page paper in which you:
Describe your community as to location, geography, size, transportation, recreational, economic, cultural, and demographic characteristics, including the break-down of various age groups in the population.
Conduct a survey of your community’s services, both general and specific to aging people. You may find it helpful to start with your town/city/county/local area Agency on Aging websites (information about how to access these can be found under “Readings and Resources” for this lesson). You may include any number of services in your survey. I suggest that you present information in table format to shorten the paper. For each service, give available information about eligibility requirements, fees, and type(s) of services provided. You may find it difficult to get some of the information you are looking for, and if so, this experience is important to describe in your paper, too (consider that the consumer probably has less skill that you do in searching, and will probably not find it either).
Conduct interviews with three people as follows:
For the older adult:
Does the person being interviewed know about the services you found on your survey?
Has he/she used any of these services?
Would he/she use or refuse services in the future?
What problems does he/she perceive with aging-related issues now or in the future?
Where would he/she go for help should he/she need it?
What are his/her hopes and fears for the future?
How well is the community responding to the needs of its elders?
What is needed that is not available?
Who should provide for these unmet needs?
What can older members of the community contribute to the community?
For provider and administrator:
What problems do they perceive with aging-related services now or in the future?
How well is the community responding to the needs of its elders?
What is needed that is not available?
Who should lead the effort to evaluate needs and services for older adults?
Who should plan for meeting these needs?
Who should pay for services to meets the needs of aging adults in the community?
Comment on whether these responses fit with your impressions of how U.S. policy is currently written.
Based on your assessment findings, summarize the positive and negative aspects of the quality of life for older adults who live in your community.
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