In a 250-300-word paper, submit an introduction to your term paper, including background explanation of the issue for which reform may be considered along with identifying the possible reform.

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Health Policy and Reform

Paper topic : Tort Reform (regarding medical malpractice)

In a 250-300-word paper, submit an introduction to your term paper, including background explanation of the issue for which reform may be considered along with identifying the possible reform. Be sure to include a summary of the main argument in favor of your reform as well as a summary of the main argument against your possible reform.

Note that 20 points will be deducted for each summary of the main argument for and against your possible reform that is not included.

Discuss current or upcoming technology that benefits plan members. Examine the member’s outreach program and incentives for wellness and prevention. Identify its accreditation or certification, and its commitment to excellence and quality.

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Managed Care Organizations

ADDRESS EVERY BULLETED POINT IN DIFFERENT SECTIONS AND RESOURCE ATTACHED HAS TO BE USED.

For this discussion forum, you are taking on the role of the human resources director in a large health system. Your CEO is unhappy with the current health insurance company due to their poor member services and claim processes. You are tasked to find another company that provides excellent member services and timely claim processes. Your benefits consultant, who represents several insurance companies, is on Family and Medical Leave (FMLA) for 2 months. You decide to search online and locate a top-rated health insurance company (e.g., UnitedHealth, Aetna, etc.). Using the health insurance company that you found, compile the critical information about what they offer to make an informed choice.

In your initial post,

-Describe the member services of the health insurance company you found online (e.g., UnitedHealth or Aetna).
-Discuss current or upcoming technology that benefits plan members.
-Examine the member’s outreach program and incentives for wellness and prevention.
-Identify its accreditation or certification, and its commitment to excellence and quality.
-Generate at least one suggestion to improve the company’s member services or website.

How is Medicare different from other government sponsored healthcare plans? Are the current projections concerning? What types of medical claims will be affected and how? What can or should we do about it? As a future healthcare administrator, how do you weigh your responsibilities for your patients vs. your responsibilities for your healthcare organization?

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Medicare (In)solvency

Medicare is the nation’s health insurance program for persons aged 65 and older and certain disabled persons. Medicare consists of four distinct parts: Part A (Hospital Insurance, or HI); Part B (Supplementary Medical Insurance, or SMI); Part C (Medicare Advantage, or MA); and Part D (the outpatient prescription drug benefit). From its inception, the HI Trust Fund has faced a projected shortfall. The insolvency date has been postponed a number of times, primarily due to legislative changes that have had the effect of restraining growth in program spending. The 2018 Medicare Trustees Report projects that, under intermediate assumptions, the HI Trust Fund will become insolvent in 2026, three years earlier than estimated in the prior year’s report.

After reading the following reports (linked below), discuss historical events leading to the looming insolvency. How is Medicare different from other government sponsored healthcare plans? Are the current projections concerning? What types of medical claims will be affected and how? What can or should we do about it? As a future healthcare administrator, how do you weigh your responsibilities for your patients vs. your responsibilities for your healthcare organization?

  • https://www.kff.org/medicare/issue-brief/the-facts-on-medicare-spending-and-financing/
  • https://nationalinterest.org/feature/medicare-will-be-insolvent-by-2026%E2%80%94can-america-fix-it-time-26211
  • https://www.forbes.com/sites/howardgleckman/2018/06/06/no-medicare-wont-go-broke-in-2026-yes-it-will-cost-a-lot-more-money/#58aab8f47eb1

Describe your experience with the Web-based EHR. Discuss the possible challenges one would face to convince healthcare providers to use this type of EHR. What features did you see in the EHR that were helpful?

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Describe the use of electronic health records in patient care.

For this Assignment you will discuss your experience using a Web-based EHR. You will design and construct a Microsoft PowerPoint® presentation that will be presented in a training session for new HIT students coming into your facility. Please include the following topics in your presentation:

Describe your experience with the Web-based EHR.
Discuss the possible challenges one would face to convince healthcare providers to use this type of EHR.
What features did you see in the EHR that were helpful?
How could other facilities benefit from these features?
What impressed you about the Web-based EHR?

Dedicate a minimum of three slides to each topic. Your presentation must have at least 15-20 slides.

Requirements:

This Assignment should follow the conventions of Standard English (correct grammar, punctuation, etc.). Your writing should be well ordered, logical, and unified, as well as original and insightful. The resources used (including your text) should be properly cited.

 

Your work should display superior content, organization, style, and mechanics.

Research your state health department’s website to determine your state’s mandatory list of reportable or notifiable diseases and their case definitions.

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Disease surveillance

Research your state health department’s website to determine your state’s mandatory list of reportable or notifiable diseases and their case definitions.

If disease surveillance finds an outbreak has occurred there is usually an investigation. An outbreak or epidemic could be linked to a community disaster. Identify the roles of the nurse in the preparedness, response, and recovery stages of a disaster. What roles in a disaster is the community or public health nurse best suited for, and why?

Which of Porter’s Five Forces is/are more dominant in healthcare than in other industries? How does the strength of these forces vary among healthcare sectors?

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Discussion Post

Q1: Which of Porter’s Five Forces is/are more dominant in healthcare than in other industries? How does the strength of these forces vary among healthcare sectors?

Q2: What are the major substitutes for hospital care? Give one example. How do these substitutes vary by hospital service?

Q3: Are insurance companies buyers or suppliers for hospitals? What about physicians? Why is this designation more difficult to make in healthcare?

Describe the importance of reducing hospital read missions. Explain how healthcare quality improvement science can be used to guide reducing hospital readmission rates.

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Part 1 Finance Questions

Consider a healthcare organization in Saudi Arabia and assume they have a debt to equity ratio of 1.3.

Address the following requirements:

  • Q1 Discuss which actions would improve (i.e., increase) this ratio.
  • Q2 Discuss some of the problems encountered when performing financial statement and operating indicator analyses.

Part 2 Health care policy

Adopted by all United Nations Member States in 2015, the Sustainable Development Goals (SDG)s provide a shared proposal for peace and prosperity for individuals and the planet, now and into the future. The 17 SDGs are an urgent call for action for a global partnership among all developed and developing countries.

Select one of the 17 SDGs that you feel could significantly improve global health. Consider the policies healthcare professionals need to consider to advocate for vulnerable people at a global level.

Based on what you learned this week, address the following requirement:

  • Q1 Analyze a policy that impacts your selected SDG.
  • Q2 Explain why your selected SDG is relevant to the vulnerable population

Part 3 Healthcare Quality

In this week’s discussion, you will analyze hospital readmission rates and the role of quality improvement to achieve desired outcomes.

  • Q1 Describe the importance of reducing hospital read missions.
  • Q2 Explain how healthcare quality improvement science can be used to guide reducing hospital readmission rates.

 

Identify the roles of the nurse in the preparedness, response, and recovery stages of a disaster. What roles in a disaster is the community or public health nurse best suited for, and why?

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Research your state health department’s website to determine your state’s mandatory list of reportable or notifiable diseases and their case definitions.

If disease surveillance finds an outbreak has occurred there is usually an investigation. An outbreak or epidemic could be linked to a community disaster. Identify the roles of the nurse in the preparedness, response, and recovery stages of a disaster. What roles in a disaster is the community or public health nurse best suited for, and why?

Create a detailed outline for your ethical issue presentation. Review the presentation criteria and grading rubric and make sure to cover all major requirements.

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Detailed Presentation Outline

Background-

Continue researching your ethical dilemma, and be certain to critically examine ethical considerations, health practice, and policy options. While compiling research, organizing thoughts and sketching out direction is an integral part of the developmental process. Afterall, planning a professional presentation is not much different than planning a comprehensive research paper–it is the delivery of the content that looks different, not so much for the preparation. Supportive Submission #2 requires you to prepare a detailed outline of the anticipated topics you will cover in your Critical Assignment Presentation.

Instructions-

Create a detailed outline for your ethical issue presentation. Review the presentation criteria and grading rubric (provided in Weeks 4 or 8) and make sure to cover all major requirements. INCLUDE 3-5 MAJOR bullet points and several SUPPORTING points with discussion for each major requirement. Your supportive discussions must also integrate and cite your references (at least five beyond your textbook). If there are any areas you are lacking references, you may need to do additional research to ensure you have enough support for each area identified in the rubric. I have included a skeleton outline below that you may use as a starting point upon which to build, filling in with details from your specific topic and research. Alternatively, you may feel free to use an outline of your own making/choosing.

All written submissions should be academically sound and free of typos or grammatical errors. Submissions must follow current APA requirements, with 1-inch margins, typed in 12-point Times New Roman font, double spaced, and include an appropriate title page, running heads, page numbers, correctly formatted in-text citations and references where appropriate, and be uploaded as .doc or .docx documents.

Skeleton Outline:

A. Introduction

1. Thesis statement: (actually write it out)

2. Main issues: (list them)

B. Main Issue 1 (ethical dilemma)

C. Main Issue 2 (ethical dilemma)

D. Ethical Considerations

1. Relevant considerations (justificatory conditions, GMC’s, theories on distributive justice, etc.), and principles related to public health practice and/or policy development for your chosen issue (including social justice and the principles of ethical practice of public health)

2. Current and future political, legal, and/or economic issues related to ethical public health practice and health care delivery for your chosen issue

E. Health Practice or Policy Analysis via an Ethical Framework

F. Conclusion

1. Recommendations and application to the field of public health

2. Things to think about

G. References

How would you work with the patient and family/friends to ensure there are no communication problems? How would you work with her social worker and caregiver to make sure her needs are met and that all of you are utilizing cultural competency skills?

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Case Study #4: Aging and Disabilities

Read Chapter 13 case study (pg. 481-482) it may reflect an emerging issue with aging individuals and disabilities.

Answer the following questions:

1. How would you work with the patient and family/friends to ensure there are no communication problems? (Think of specific examples).

2. How would you work with her social worker and caregiver to make sure her needs are met and that all of you (as professionals) are utilizing cultural competency skills? (Remember that cultural competency skills also apply to colleagues, some of whom may not be as familiar with this concept or to the level of knowledge/skill that is needed…#inter professional education).

Complete the discussion/case study per discussion guidelines.

Discussion Guidelines
*In Original Posting Described as least two main issues from the reading resources.
*In Original Posting Related new content to at least two things you have already learned in this course.
*In Original Posting Related content to your two things from own personal experience.
*In Original Posting Provided a critical analysis of content.
*In Original Posting grammatically correct and free of spelling errors.

Reference Links (Chapter 13 pages 466-483). Case study on pages 481 & 482

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