Discuss characteristics of the U.S. health care system. Mention key functional components of a health care delivery system. State and Emphasize importance for practitioners and managers to understand the health care delivery system.

Health care delivery system

Questions

Discuss characteristics of the U.S. health care system. Mention key functional components of a health care delivery system.

State and Emphasize importance for practitioners and managers to understand the health care delivery system.

 

How is quality monitored? What are the qualifications for each of the plans? How do these plans reimburse health care providers? How much are prevention and wellness emphasized?

Framework and various dimensions the health care models

The purpose of this assignment is to evaluate the framework and various dimensions of access to care, including delivery, and quality among the health care models.

Choose two models (HMO and Medicare) In a 1,250-1,500 word paper, answer the following questions:

-How is quality monitored? (market-place plan/gov financed plan)
-What are the qualifications for each of the plans? (market-place plan/gov financed plan)
-How do these plans reimburse health care providers? (market-place plan/gov financed plan)
-How much are prevention and wellness emphasized? (market-place plan/gov financed plan)
-What are the primary drivers of health care financing? (market-place plan/gov financed plan)
-Explain what component you feel requires the most reform in order to finance a health care system that covers all, or most, people. Justify your rationale. (market-place plan/gov financed plan)

Support your writing with three to five scholarly peer-reviewed resources.
References (3-5 scholarly peer-reviewed resources required with URL)

ONLY ARTICLE ACCEPTED ARE IN GCU LIBRARY. PLEASE FIND AN ARTICLE BY GOING INTO THE GCU LIBRARY.
https://eds-s-ebscohost-com.lopes.idm.oclc.org/eds/resultsadvanced?vid=5&sid=a35844b8-6673-49df-9273-f0e9b4b2029f%40redis&bquery=HMO+VS+MEDICARE&bdata=JmNsaTA9RlQmY2x2MD1ZJnR5cGU9MSZzZWFyY2hNb2RlPVN0YW5kYXJkJnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d

What recommendations can be made to ensure the organization manages future growth or continued success? What are the short-, medium-, and long-term changes that need to be considered? What does the organization need to do to maintain its financial health and viability?

PEST Analysis for Healthcare

Prior to beginning work on this assignment, read Chapters 10 and 11 from the textbook, review earlier chapters in the textbook as needed along with the instructor guidance from this week as well as previous weeks. Additionally, review the following:

Download and review the required Final Paper Download Final Papertemplate. You must use the template to complete your assignment.
What Goes Into a PEST Analysis for Healthcare? (Links to an external site.)
Intellectual Capital (Links to an external site.) by Investopedia
Strategic Planning for a Financial Turnaround (Links to an external site.)
For your final paper Download final paper, you will continue with the same organization you chose for the Week 3 SWOT analysis, which addressed one of the following health care organizations:
Veteran’s Health Administration (VHA)

Conduct an evaluation of the organization based on strategic planning analysis. Your evaluation of the organization’s strategic plan Download evaluation of the organization’s strategic planmust include the following:

Analyze the internal environment.
Identify at least two internal problems associated with the organization and explain the rationale. Examples may include

  • Patient experience
  • Internet search keywords: organization name + patient reviews
  • Telehealth availability
  • Limited marketing
  • Delayed payments for billed services
  • Cybersecurity
  • Internet search keywords: organization name and security breach or cybersecurity or ransomware attack
  • Price transparency
  • Health care staffing shortages

Analyze the external environment.
Examine all the following external issues that can impact the organization’s ability to meet the Mission, Vision, and Values and the goals identified in the strategic plan:

  • Political
  • Economic
  • Social
  • Technological
  • Environmental
  • Legal

Evaluate the competitive advantage of the organization.
Explain what the organization does that no other organization in the community or region does. Examples may include

  • Differentiation from competitors in the community
  • Reputation
  • Superior location (e.g., Consider the income of the area and who the consumers are likely to be based on the location.)
  • Customer satisfaction
  • Convenience
  • Price level
  • Examine the role of stakeholders (address at least three of the following):
  • Government
  • Accrediting bodies
  • Insurance providers
  • Patients
  • Licensed professionals
  • Other health care organizations (e.g., competitors and partners)
    Large employers in the area (e.g., up- or downsizing in number of employees and how that affects the health care organization, or employer needs for specialized care providers)
    Assess the services provided (address at least three of the following):

New or innovative services or products

  • Renowned health care providers (e.g., a doctor who has special expertise or experience)
  • Availability of financial support for qualifying patients (e.g., Medicare, Medicaid, financial assistance opportunities)
  • Modern technology and equipment

Equitable care that ensures a fair distribution of care among all individuals in the community and is culturally competent (Tip: Evaluate the mission, vision, and values statements to determine the organization’s position on equitable and culturally competent care).
Analyze the organization’s competencies and resources.

Intellectual capital (choose two)

  • Professional competency (e.g., highly qualified and credentialed health care workers)
    Information systems and data management
    Contracts with state or federal government (certified to provide care to patients using Medicare and Medicaid)
    Contracts with insurance providers (e.g., in- versus out-of-network costs to patients)
    Contracts with other organizations to provide care for employees (e.g., large employers in the community—see stakeholders segment above)

Organizational competencies (choose two)

  • Managing the continuum of care (e.g., maintaining contact with the patient over a long period of time and across health services to ensure they receive the best possible care)
  • Training physicians and staff to ensure their skills, knowledge, and behaviors reflect current industry standards and best practices
  • Review of strategic plans and altering the plans as needed (e.g., alternative strategies)
  • Environmental scanning (e.g., benchmarking the services, skills, and work force against competitors)

Create a recommendation for the future direction of the organization of choice. Based on the findings on the topics above, address the following:

  • What recommendations can be made to ensure the organization manages future growth or continued success?
  • What are the short-, medium-, and long-term changes that need to be considered?
  • What does the organization need to do to maintain its financial health and viability?

Explore one of the following ethical issues related to the health care industry.

Medical ethics encompasses many situations.

In this discussion, you will explore one of the following ethical issues related to the health care industry.

Below is the ethical issue you are assigned to complete in your initial post.

Financial – fraudulent billing practices, dropping insurers due to low reimbursements or extended repayment periods, financial kickbacks from pharmaceutical or assistive devices manufacturers, prescribing or withholding treatments to meet an organization’s budget.

What has the greatest impact on health and longevity have? What medical advancement improved human longevity?

Week 6 Discussion

Reply to the following using at least 175 words per reply. Be constructive and professional in your reply. Be sure to use FULL APA references and in-text citations.

1. Medical science and technology have persisted in advancing yearly because of more healthy, prolonged lifespans and adequate medical treatment options. The average life expectancy has increased from 45 to 80 years of age (“How Medical Technology Advances Extend Life Expectancy,” 2022), meaning life expectancy has nearly doubled. The persisted medical advances are the driver for the more prolonged life expectancy of healthier lifestyles, preventative care, more precise and prematurely medical diagnoses, and the expanded treatments of infectious and chronic diseases—also with the advancements in surgical procedures in the areas of distinct surgical operations.

Of course, the developments in medicine and health-related services will continue to evolve by impacting our lifespan positively by living longer, healthier lives which significantly causes growth of fitness and healthcare advances. Today, wearable technology such as smartwatches tracks and monitors blood pressure and heart rate, which collect and analyze well-being. Today we are more health conscious of maintaining healthier lifestyles through diet, nutrition, exercise, and mental and emotional health. Why not create wearable healthcare technology that will make a longer lifespan? Medical advances are essential in diagnosing, treating, and preventing diseases that extend and save lives, right? There will always be continuing medical development to protect the healthcare system better.

Reference

How Medical Technology Advances Extend Life Expectancy. (2022). https://interplex.com/trends/how-medical-technology-advances-extend-life-expectancy/

What has the greatest impact on health and longevity have?

2. The life span perspective is that human development occurs throughout the entirety of our lives. Development refers to the changes in biology, psychology in medicine it can connect to human characteristics. Lifespan and rates development can vary across the lifespan both interpersonally and intrapersonally. Then there is that certain characteristics of human cognition and behavior may undergo critical development periods. Significant and impactful behavior occurs throughout our lives. Different forms of normative beliefs may be more or less important across the lifespan when predicting health intentions and behaviors. Modern medicine might have enabled people to live for longer, and also live far unhealthier lifestyles. at times. Modern medicine has helped with life expectancy in many parts of the world. Helping with disease treatment and diagnosis, vaccines, medical technologies, and methods that have saved hundreds of lives. I do think these developments will continue because modern medicine in this day and age is consistently changing. Mostly due to technology, and the many ways treatment and treatment options are more unique, due to the technology boom in medicine.

Crimmins E. M. (2015). Lifespan and Healthspan: Past, Present, and Promise. The Gerontologist, 55(6), 901–911. https://doi.org/10.1093/geront/gnv130

What medical advancement improved human longevity?

Present your recommendations on implementing value-based healthcare delivery with a focus on the role of nursing in the development of the delivery model.

Value-based healthcare delivery

Imagine you have been asked to present your recommendations on implementing value-based healthcare delivery with a focus on the role of nursing in the development of the delivery model. You will develop the project as if to present the proposal to the healthcare system’s board of directors. Be sure to include specific roles and how the changes will improve healthcare delivery and financial management.

For this assignment, create a Microsoft PowerPoint® or OpenOffice Impress® presentation of 20 slides total, include an introductory slide, a reference slide and 18 content slides

After you have reviewed the list and the healthy alternative strategies, reflect on your own areas of need; discuss how you think this might be useful when working with a client.

Healthy alternative strategies

The authors have discussed a list of needs which the critic may typically help us meet (the need to do right; to feel right; to achieve; to control negative feelings)

After you have reviewed the list and the healthy alternative strategies (pages 44-47), reflect on your own areas of need; discuss how you think this might be useful when working with a client.

Apply this process to the FSI Case Study Family and describe how you would work with any one of the three family members with this strategy.

Make sure to include one of the healthy strategies!

 

Discuss what local, state, and/or federal government health programs are responsible for addressing the issue. Discuss what non-governmental agencies are assisting in addressing the issue. Give an explanation of the need for collaboration between government and non-governmental stakeholders.

Healthy People 2030 | health.gov. (2022).

Health.gov. https://health.gov/healthypeople

Assignment Introduction
Select a current public health issue from the Healthy People website.
Once you have picked a public health issue, read through all areas of the topic page, including the Overview, Objectives, and Interventions & Resources, to have a thorough understanding of the health problem and what is being done to reduce its impact on communities.

  • Create a 10- to 12-slide presentation with speaker notes and recorded audio using the following guidelines for creating your presentation:
  • Title slide (1 slide)
  • Introduction slide (1 slide)
  • Provide a summary of the selected public health issue, including the affected population(s) (Overview tab). (1–2 slides)
  • Discuss what local, state, and/or federal government health programs are responsible for addressing the issue. (1 slide)
  • Discuss what non-governmental agencies are assisting in addressing the issue. (1 slide)
  • Give an explanation of the need for collaboration between government and non-governmental stakeholders. (1–2 slides)
  • Propose a minimum of three evidence-based solutions that could be used to address the health issue (use the Interventions & Resources tab to assist). (2–3 slides)
  • Describe the challenges the stakeholders face when implementing evidence-based solutions, including but not limited to reaching the affected population(s) (target audience) and funding. (1 slide)
  • Conclusion (1 slide)

Format references in 7th edition APA style. (as many slides as needed)

Requirements

  • Your submission is created in a Microsoft PowerPoint® presentation.
  • To meet the objective requirements, your presentation is at least 10 slides in length, and your oral report is at least 3 minutes in length.
  • Your submission includes specific examples of concepts, topics, definitions, and other elements to demonstrate mastery of the objective.
  • Your speaker notes use Standard English and include a highly developed and sustained viewpoint and purpose.
  • Communication is highly ordered, logical, and unified.
  • A document or presentation slide is submitted that contains a list of references for all sources used following proper APA citation style.

Review the APA formatting and citation style in Academic Tools – Academic Writer.

You have been asked to prepare a presentation for the Annual Gerontology Conference. Present to an audience of older adults, as well as administrators and managers of geriatric clinics, facilities, and services.

Foundations of Gerontology – Conference Presentation

Imagine you have been asked to prepare a presentation for the Annual Gerontology Conference. You will present to an audience of older adults, as well as administrators and managers of geriatric clinics, facilities, and services.

Create a 7- to 10-slide Microsoft® PowerPoint® presentation analyzing the foundational concepts of gerontology.

Your presentation should include the following:

Foundational concepts of gerontology
Multifaceted and collaborative concepts of gerontology care and services
Analysis of two to three major theories of aging
The relationship between aging theories, myths, and stereotypes

Include at least 3 peer-reviewed, scholarly, or similar sources to support your presentation.

Format your sources according to APA guidelines.

Write a 6 to 8 page narrative memo addressing the key health challenges faced by rural populations and the primary issues undermining quality healthcare delivery there.

Narrative Memo: Medical Rotations

Challenges in healthcare delivery vary extensively by region. In the U.S., rural communities face a particularly unique set of obstacles. According to Health Affairs, “The lack of broadband in rural areas is one of the most striking inequalities in U.S. society. Due to the lack of broadband availability, tens of millions of rural Americans aren’t able to ‘see’ their doctor over the internet in the same way urban Americans can. Making matters worse, financially strapped rural hospitals are being shuttered by the dozens.”

Again and again, we see that public health is an interrelated web of contributing factors. It’s education, and it’s housing, and it’s family support, and it’s job security. In the 1930s public health could undoubtedly be tied to electricity. In modern times, the equivalent is access to high-speed internet. There are other compounding factors too. For example, on average, rural communities are older, sicker and less affluent with less healthcare coverage than their urban counterparts. For many hospitals, the services required by this population are low-margin or even net-loss activities, with much lower demand for higher-margin electives procedures to cover them. The impact, over-time, is a reduction in services offered, quality of patient experience, or even hospital closure. These hospitals also struggle with talent retention. With smaller budgets for recruitment and compensation, rural hospitals find they simply can’t attract and retain doctors, in some cases resorting to bringing in doctors on very short-term contracts or even on an as-needed basis.

You work for Representative Hilda Fortuna, a Democrat representing California’s 34th Congressional District. She has been approached by two other members of Congress — Republican Representative Sally Thompson who represents South Carolina’s First Congressional District and Kendra Mackie, a Republican representing Oklahoma’s 5th Congressional District. Representative Thompson and Representative Mackie want to discuss cosponsoring legislation with Representative Fortuna regarding expanding healthcare access in general, with a particular emphasis on addressing the needs of rural populations. Representative Fortuna is interested in working across the aisle and has agreed to meet to explore cosponsoring this legislation. You and Representative Fortuna will be meeting with the Representatives and their staffs to discuss the broad outlines of the legislation.

In preparation for this meeting, you are being asked to write a 6 to 8 page narrative memo addressing the key health challenges faced by rural populations and the primary issues undermining quality healthcare delivery there. You have been asked to include the closure of rural hospitals and health care facilities, the challenge of recruiting family and primary care physicians to rural areas, and the lack of broadband access for telemedicine. Representative Fortuna would like to understand how significant these problems are, if there are others that should be addressed in the legislation, and examples of rural communities where innovative approaches to serving their communities have been successful that should be more broadly replicated.

Your research for this memo may draw on readings from the course, the resources and websites listed earlier, as well as additional sources. We recommend that you review the executive summary of the World Economic Forum’s The Future of Jobs Report: 2020 (Links to an external site.).