Discuss the history of private health insurance and manage care and how it involved into a healthcare industry? Identify the key federal laws that protect individuals who are enrolled in private insurance.

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Financing Healthcare

Consider how compensation for healthcare services shape delivery of care, and reflects policy and policy changes and write a paper that addresses the bullets below. Be sure to completely address each bullet point. There should be four (4) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Include a “Conclusion” section that summarizes all topics. This assignment will be at least 1250 words.

This week you will reflect upon accountability in healthcare finance to address the following:

Discuss the history of private health insurance and manage care and how it involved into a healthcare industry?
Identify the key federal laws that protect individuals who are enrolled in private insurance.
Briefly discuss consumer-driven healthcare and the empowerment of the healthcare consumer.
Explore the opportunities which have emerged for nurses within the private insurance market.

As leaders in public health agency, how would you partner/collaborate with members of your chosen population ,community or current issue/ matter to reduce health disparities and inequities being faced within this group?

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Discussion board

– After reading the assigned article, you have to answer the questions but here are the questions:
1_ what is the role of our own beliefs and values in addressing systemic injustice and inequity?
2_As a leader in public health, what steps should we take to change cultural beliefs and values in an effort to reduce or eliminate system injustice and inequity?
3_ As leaders in public health agency, how would you partner/collaborate with members of your chosen population ,community or current issue/ matter to reduce health disparities and inequities being faced within this group?

Create a detailed outline for your finance and reimbursement presentation. Include and discuss 3-5 major bullet points along with several supporting points and discussion for each requirement.

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Medicaid Expansion

Create a detailed outline for your finance and reimbursement presentation.  Include and discuss 3-5 major bullet points along with several supporting points and discussion for each requirement.  Your supportive discussions must also integrate and cite some of your research/references.  I have included a skeleton outline below that you can use to fill in with details from your specific topic and research.  Also, feel free to use an outline of your own making/choosing.

Introduction

  1. Thesis statement: (actually write it out)
  2. Main issues: (list them)

Brief History of Medical Insurance in the U.S.

Chosen System of Care and Rationale

  1. Major System Components,
  2. Main System Responsibilities
  3. System Structure
  4. System’s Effects on Healthcare Delivery

Main Issue 1

Main Issue 2

Important Changes and/or Challenges/Conflicts

  1. Related Finance and Reimbursement Functions and Challenges
  2. Factors Influencing Reimbursement Functionality and Efficiency
  3. Potential Solutions to Identified Challenges/Conflicts

Applications/Relationships to Healthcare Administration and Management

  1. System Strengths and Challenges
  2. Specific Finance and Reimbursement Strategies and Relevant Resources Currently Utilized
  3. Potential Alternatives to Consider
  4. Potential Significance to Healthcare Finance and Reimbursement

Conclusion

  1. Recommendations
  2. Things to think about

References

 

Are they working as intended? What are some of the strengths and challenges? Is it possible to implement something more beneficial for patients, yet more efficient and cost protective for healthcare organizations?

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Prospective Payment Systems

After reviewing the CMS website (and related links) and then watching the videos below, discuss key elements and impacts of Prospective Payment Systems.

1. Are they working as intended?
2. What are some of the strengths and challenges?
3. Is it possible to implement something more beneficial for patients, yet more efficient and cost protective for healthcare organizations?

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/index.html

As part of the human resources department, would you be in favor of unionizing? Why or why not? Describe the collective bargaining process, including why it is important in labor relations and why it creates challenges.

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Human resource

As part of the human resources department, would you be in favor of unionizing? Why or why not? Describe the collective bargaining process, including why it is important in labor relations and why it creates challenges.

Select an organization/Strategic Business Unit (SBU) to assess and analyze using the knowledge and tools gained throughout the course.

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Strategic Assessment and Market Analysis (SAMA)

For this assignment, students will select an organization/Strategic Business Unit (SBU) to assess and analyze using the knowledge and tools gained throughout the course. Students are given wide latitude in selecting their organization/SBU to examine. Ideally, the selected organization/SBU will engage in the broader healthcare sector in some form or fashion though this is not an absolute requirement. Students may choose to study the organization/SBU that currently employs them, though they should exercise caution in leveraging and/or divulging information that may be proprietary or otherwise sensitive. When in doubt, students should consult with their organizational leadership for guidance on what can be included.

Students will construct their SAMA deliverable using standard APA style/format/citations, and will include the following sections:

Organization/SBU Introductory Profile (1-2 pages): This is a brief introductory description of both (1) the broader organization and (2) the specific SBU that the student will be analyzing. Note that some organizations are small enough to be considered SBUs in their own right (without parent organizations) and will not need to include a description of a parent organization. If the SBU is part of a larger organization, it is important that students demonstrate an understanding of the broader corporate forces at work (e.g. the need to align the SBU mission/vision with the corporate center mission/vision, etc.) While there are no elements that are specifically required in this section, students may wish to include things such as location, age, market served, status as for-profit or not-for-profit, etc.

SWOT Analysis (2-3 pages): This should be focused at the SBU-level. Note that it is acceptable to use bullet points here, but that students are expected to provide some description for each of their bulleted points (e.g. going beyond choppy labels like “brand recognition”, etc.).

Assessment of Strategic Tools (1-2 pages): In this section, students will either (1) critically assess the relative strength or weakness of an existing set of SBU-level mission/vision/values/objectives statements, or (2) develop and propose a new set SBU-level mission/vision/values/objectives.

Strategic Proposal (2-4 pages): In this section, students will (1) propose one strategic initiative for the SBU to implement, (2) discuss factors to consider during the implementation process, and (3) potential approaches to monitor/fine-tune/adjust the strategy.

The Professor will score the deliverable using a rubric, with a total of 100 possible points allocated as follows:

Organization/SBU Introductory Profile (10 points)
SWOT Analysis (25 points)
Assessment of Strategic Tools (25 points)
Strategic Proposal (25 points)
Writing/Mechanics/Adherence to Assignment Instructions (15 points)

Discuss a life-threatening event or a natural disaster in your community, such as a severe weather event, terrorist attack, or another type of public health emergency.

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Public Health Emergencies

Discuss a life-threatening event or a natural disaster in your community, such as a severe weather event, terrorist attack, or another type of public health emergency.
Examine an overall strategy that medical providers, healthcare organizations, and public health agencies should include in the response plan that combines the efforts of all groups.
Determine how these groups could work collaboratively to effectively manage this emergency. Provide specific examples to support your rationale from readings throughout your program or from peer-reviewed journal articles. My community is Pulaski County/North Little Rock, AR.

Write at least 1 page reaction to the question, use the sub-topics in chapter 12 that relates to your question to ensure and or enhance your explanation. Include at least two outside resources where your classmates can get additional information.

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Discussion questions Essay

Choose one of the discussion questions (page 263) in your textbook to answer. Write at least 1 page reaction to the question, use the sub-topics in chapter 12 that relates to your question to ensure and or enhance your explanation. Include at least two outside resources where your classmates can get additional information. Provide links and a short description of each resource. Credit will not be given to those who copy posts from other students.

Write an essay addressing the effects of hiit training on hyperlipidemia.

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Effects of hiit training on hyperlipidemia

Write an essay addressing the effects of hiit training on hyperlipidemia.

Demonstrate a potential return on investment, list the stakeholders involved and how each contributed to the project outcomes, list the stakeholders left out and how that affected the project, and use all relevant data available.

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HIT 674 Quality and Process Improvement with Health IT Semester Project

Home Monitoring of High Blood Pressure in Pregnancy: An Innovative App to Monitor Women’s Health during Pregnancy

Be sure to reference material from class, the textbook, and related professional experience.

https://www.health.org.uk/sites/default/files/16.%20St%20George%27s_HaMpton_v2.pdf

Additional links/resources

Background  Pre-eclampsia/risks for pregnant women

 

Program Goals

The goal of this quality improvement program was to address the risk of complications introduced by hypertensive disorders and its effects on pregnancies The program was run by the maternity/day assessment unit at St George’s University Hospitals in London. The program aimed to provide a new and innovative approach to monitoring hypertension to reduce these risks of complications. With this program, a smartphone app was used to both monitor hypertension as well as aid in the identification of pre-eclampsia in pregnant women to detect any abnormalities more early on than a routine hospital visit. Similarly, through this program, pregnant women had the ability to monitor these factors at home and the process incorporated alerts if a concern arose to go to the hospital for further assessment if needed. A major goal of the program was to allow women to have a role in their assessments, contribute to improving patient experience through paving a way for improved patient centered care, and reduce the amount of time patients needed to spend in the hospital waiting. Overall it aimed to provide pregnant women with improved quality of care to improve their satisfaction and ensure the best health outcomes during their pregnancy.

 

Review/Design of Project

During the term of a pregnancy, there are several data and values that must be kept track of to ensure the health of both mothers and babies in regards to various aspects of their health. A major aspect being their blood pressure levels, as abnormalities in this regard can indicate possible risks that need to be addressed. Pregnant women must often make frequent visits to the hospital to keep track of this data, involving long wait times for both the patients and providers, and the possibility of delay of detection of certain health statistics. This project aimed to address these risks to introduce an easy and efficient design process to track blood pressure levels and urine test results from home to allow quick transfer of data. The overall process of the project involved women tracking their blood pressure readings and urine test results at home and inputting the data in the app. The design of the project was focused on the patient, to enable more patient involvement to be effective and beneficial to both patients and providers.They were also presented with questions on the app to contribute to identifying if they were experiencing symptoms of pre-eclampsia.

Women entered their blood pressure and urine test results into the app along with answers to questions which were then transferred to the hospital computer and monitored by providers in real time.  The design of the project involved ensuring that the hospital’s computer system was securely and accurately linked to the newly developed app. The design process of the project was effective as it considered healthcare aims in its design including safety, effectiveness, patient-centered care, timeliness, efficiency, and equity.

Results

This link includes some results – https://solutions.hsj.co.uk/story.aspx?storyCode=7019192&preview=1&hash=278452BE15CEADA86A500D6EB018D31F

Key Stakeholders

Review the design of the improvement project (discussed in earlier paragraph), understanding the key stakeholders involved, processes, tools, and barriers.

Stakeholders by definition refer to a group of individuals who are concerned about a particular organizational system’s movements and decision making. For this particular organizational system, the St. George’s University Hospitals, the stakeholders should consist of the below members. The leadership members in the St. George’s University Hospitals, the National Health Service Foundation of London, the management team of St. George’s, quality team, patients as well as the Health IT vendor who have developed this home monitoring application for pregnant patients.

Role of Stakeholders

  • demonstrate a potential return on investment (or loss), list the stakeholders involved and how each contributed to the project outcomes, list the stakeholders left out and how that affected the project, and use all relevant data available.

Conclusion

State the specific goals of the program and the measures addressed. Based on this information, determine whether the project was successful. Why or why not? How did you measure success? Will it last?

Considering the goals of this quality improvement program, the effectiveness of the program can be demonstrated through its positive impacts and its success in meeting healthcare aims. Success can be measured in terms of the impact that the project had on both patients and providers and whether these impacts can make a positive difference in the way healthcare is provided to pregnant women in the future. Using the data gathered and the outcomes, in terms of effectiveness, there was a report in which 94.5% of women indicated patient satisfaction, indicating its positive impact. This was in terms of patient satisfaction, involvement in care, reduced anxiety, and app time. This not only positively impacted patients, but feedback from staff also indicated positive impacts including increased amount of time to allot to other appointments. Since data was able to be collected and gathered at home, it was easily transferable through the app and made data easily and quickly available to providers to make prompt decisions as needed. It also increased efficiency by decreasing the amount of time pregnant women needed to wait to receive effective care. One shortcoming that the project aims to address in the future is providing a way for users who are not as proficient in English to also be able to implement and use the app easily by providing a platform that is language friendly and user friendly.

References

Sheehan, E., & Khalil, A. (2017, February). Home Monitoring of Hypertension in Pregnancy (HaMpton). The Health Foundation. Retrieved November 29, 2022, from https://www.health.org.uk/sites/default/files/16.%20St%20George%27s_HaMpton_v2.pdf