•  Describe how improved communication, collaboration, and teamwork can improve conditions in your department.

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*must also complete handout*

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

1.   Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
2.   Reorganization in Response to Merger or Consolidation of Services
3.    Layoffs as a Result of Declining Revenues
4.   Influx of Registry, Part-Time, and Temporary Contract Staff
5.   Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars

6.   Poor Job Satisfaction Rates Resulting in Turnover

 

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

•  Inform the staff of the two issues (from the topics provided) your organization is facing.

•  Describe the impact of these issues on your department.

•  Describe how improved communication, collaboration, and teamwork can improve conditions in your department.

•  Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.

•  A minimum of three academic references from credible sources are required for this assignment.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

 

Rubric:

  1. Two issues/challenges are identified from among those listed in the assignment instructions.
  2. Comprehensive and compelling discussion regarding organizational issues, their impact, opportunities for improvement, and recommendations to foster a shared vision is offered.
  3. Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
  4. There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
  5. Writer is clearly in command of standard, written, academic English.

Why do you thinks its important to understand different cultural food pyramids when making recommendations to patients about wellness?

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Why do you thinks its important to understand different cultural food pyramids when making recommendations to patients about wellness?

Describe and explain the role of the BRCA1 and breast cancer 2, early onset (BRCA2) gene in contribution as a risk factor for breast cancer. Analyze the risk factors for breast cancer and possible interventions to preventive health management for women and men.

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Cancer, Genetics, and Genomics

Rachel comes from a family with a history of breast cancer on her mother’s side. Rachel’s mother died of breast cancer when she was very young. Rachel has two sisters, Lisa and Kristin. Rachel has remained close to Lisa, but she no longer has a relationship with Kristin. At a routine checkup, Rachel is told about the availability of genetic testing for identifying a predisposition to breast cancer. Her doctor recommends the test to Rachel given her family history. Rachel has the genetic testing done and finds that she has a mutated breast cancer 1, early onset (BRCA1) gene. Her doctor tells her she is at high risk for developing breast and ovarian cancer. Rachel’s doctor suggests she ask her sisters to be tested also, so they can take the proper preventative measures. Rachel feels comfortable sharing this information with Lisa, but she has not spoken to Kristin in many years. Rachel tells her doctor that she is not in contact with Kristin and will not make an effort to tell her about BRCA1 and genetic testing. Rachel’s doctor feels confident that she can locate Kristin but worries about breaching patient confidentiality if she goes against Rachel’s wishes.

If you were Rachel’s healthcare provider, what would you do? Provide a rationale for your response. Include the pathological processes associated with breast cancer. What role does the BRCA1 gene contribute to managing the patient’s care? Describe and explain the role of the BRCA1 and breast cancer 2, early onset (BRCA2) gene in contribution as a risk factor for breast cancer. Analyze the risk factors for breast cancer and possible interventions to preventive health management for women and men.

2.  What is long term care? This must be a comprehensive answer that describes things like stakeholders (customers/providers), reimbursement models, facilities, organizations, governing bodies, how it differs from acute, etc.

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1.   How has this “Long Term Care Administration” course contributed to your comprehension of the intricacies of the health care delivery system?  Why is it both critical and beneficial to students to learn how long term care is integrated within the overall continuum of care?

 

2.  What is long term care? This must be a comprehensive answer that describes things like stakeholders (customers/providers), reimbursement models, facilities, organizations, governing bodies, how it differs from acute, etc.

 

 

3.      What three (3) key concepts or experiences or discussions were most meaningful to you for either

a.       Your individual development and/or

b.      Your increased knowledge/understanding of long term care

*describe each in detail

*explain how/why for each one

Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization

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Post an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization

Describe the history of the U.S. health care system. Include at least three of the revolutionary factors (e.g., teacher’s union in Dallas, Texas; the American Medical Association; Civil War, and the First Marine Hospital, etc.). Chapter two in our textbook discusses the evolution of our system and is a good resource for this part of your presentation.

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For your Final Presentation you will be presenting on the U.S. healthcare system. Imagine you are a community health director educating a group of new healthcare professionals on the U.S. healthcare system. You have been asked to create a PowerPoint presentation, which includes the elements listed below:

Note: You will be using Part 1 from week three for the first section of the Final Presentation. Please make sure to correct issues and address any recommendations from your instructor’s Week 3 Assignment feedback.

Introduction: Include a title slide. Next, include an introductory slide where you introduce yourself and explain what you are about to present.
Part I: The U.S. Healthcare System – Define the U.S. healthcare system by addressing the items below:

  • Describe the history of the U.S. health care system. Include at least three of the revolutionary factors (e.g., teacher’s union in Dallas, Texas; the American Medical Association; Civil War, and the First Marine Hospital, etc.). Chapter two in our textbook discusses the evolution of our system and is a good resource for this part of your presentation.
  • Identify at least one major development from each of the following: financial, legal, ethical, regulatory, and social [i.e., consumer demand]) that transformed the system into what it is today. You may want to revisit the health care timelines available in your course textbook.
  • Differentiate the stakeholders and their roles (i.e., health care professionals, clients [patients], government, colleges, and health care agencies.
    • Include the positive and negative contributions of how they affect our health care system.

Part II: The Cost of the U.S. Healthcare System

  • Describe the costs and how they are set (i.e., reimbursement methods, managed care organizations, Medicare, Medicaid, and private insurance).
  • Explain how technology has affected costs (e.g., EHR, medical research, equipment improvements like MRI, mammography, etc.) and delivery of quality care (e.g., personalized medicine, mobile services like ePrescribing, disease registries, etc.).

Part III: The United States Versus Other Health Care Systems—an International Perspective

  • Contrast the U.S. health care system with at least one other (e.g., Canada’s universal health care vs. U.S. healthcare or South Africa vs. U.S. health care, etc.).
    • Include at least one positive aspect from the other country’s health care system that you would like to see added to the U.S. healthcare system. Explain why you would like to see this in our system.

Part IV: Reforms and Improvements

  • Describe any potential reforms and improvements that are currently being discussed at either the local, state, or federal level. Your work must be based upon scholarly research, not media commentary.
    • Examples could include the following:
      • Federal modifications (i.e., Medicare reform, repealing PPACA, universal type system, etc.)
      • State modifications(i.e., Medicaid reform, income tax credits, etc.)
      • Increased consumer controls

Note: The PPACA is not an appropriate reform or improvement to be described here because it is already law and not a future improvement. However, if there is a proposal to amend or eliminate, then you can include that potential reform.

Conclusion: Future of the U.S. healthcare system

  • Explain what you believe the U.S. healthcare system will look like in the next 10 years. Give at least two recommendations for change.
  • Address access to care, quality of care, and cost of care including an example of each in your vision of our future healthcare system.

What do you think about allowing some people to purchase additional insurance, thereby creating a two-tier health system based on affordability?

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Healthcare Synthesis

Using the South University online library, the Internet, and the data from the Organization for Economic Cooperation and Development (OECD), research comparative international work and compare the United States and Canada with respect to which country is more effective in the areas of (1) economic growth; (2) expenditure (public and private expenditure on health); (3) information and communications technology; and (4) health.

Click here to access data from the OECD.

On the basis of your observations, create a 1- to 2-page report.

Your report should address the following questions:

  • After going through the statistics:
    • What information or statistic you find either surprising or reasonable?
    • Do you anticipate the statistics will be similar in ten years? Why or why not?
  • The current structure of healthcare coverage in the United States has a combination of employer-based coverage and public program (e.g., Medicare, Medicaid) coverage, with a large uninsured population. If a single-payer system is implemented where Medicare is expanded to cover all citizens for those who prefer private insurance, there will be comparable coverage under the same range of private insurance plans already available. Keeping in mind these considerations, answer the following questions:
    • What do you think about allowing some people to purchase additional insurance, thereby creating a two-tier health system based on affordability?
    • What are the advantages and disadvantages of this initiative?
  • Considering the fact that healthcare is not a guaranteed right for everyone in the United States, there are different kinds of barriers and obstacles in obtaining healthcare. In contrast to this fact, the notions of equity and fairness are considered very important. You will notice that these notions aren’t considered when we discuss people’s access to other goods, such as cars and computers.
    • What are these barriers? Give examples of the different barriers to health care under the following headings:
      • Financial barriers
      • Scarcity of healthcare providers
      • Barriers to access healthcare
      • Cultural barriers
      • Barriers of healthcare resources
    • How would you define the term, “equity and fairness”, in the context of the healthcare situations prevailing in the United States and Canada?
    • Why are they considered important when discussing people’s access to care?
  • It is believed that government funded healthcare for all citizens is consistent with a capitalist economy and the cultural values of self-determination and free enterprise.
    • Do you agree with this statement? If not, what other approaches do you think will resolve the current inequities in the system?

Explain the positive and negative aspects, respectively, of managed care organization from the provider’s point of view—a physician and a healthcare facility—and from a patient’s point of view.

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Managed Care

In the United States, managed care is becoming an increasingly popular method of administering healthcare. It influences the clinical behavior of providers, as it combines the payment and delivery of healthcare into a single system, the purpose of which is to control the cost, quality, and access of healthcare services for a single bracket of health plan enrollees (Scutchfield, Lee, & Patton, 1997).

Yet, managed care often evokes strong or negative reactions from healthcare providers because they are paid a fixed amount for treating their patients, regardless of the actual cost, which may influence their level of efficiency. This can challenge the relationships between doctors and patients (Claxton, Rae, Panchal, Damico, & Lundy, 2012; Sekhri, 2000).

Research managed care’s inception and study some examples. Be sure to investigate the perspectives about managed care from the vantage of both healthcare providers and patients. You can use the following keywords for your research—United States managed care, history of managed care, and managed care timeline.

Based on your research, answer the following questions in a 8- to 10-page Microsoft Word document:

  • What are the positive and negative aspects of managed care? Analyze the benefits and the risks for both providers and patients, and how providers should choose among managed care contracts. Conclude with your analysis and recommendations for managed care health plans. Your response should include answers to the following questions:
    • Summarize the history of when, how, and why managed care was developed.
    • Define and discuss each type of managed care organization (MCO)—health maintenance organization (HMO), preferred provider organization (PPO), and point of sale (POS).
    • Explain the positive and negative aspects, respectively, of managed care organization from the provider’s point of view—a physician and a healthcare facility—and from a patient’s point of view.
    • Explain the three types of incentives for providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk—the provider, the patient, or the managed care organization.
    • Offer your recommendations, to accept or decline, for patients considering managed care health plans, with your rationale for each.

Describe the situation and potential solutions, including collaboration methods with other healthcare professionals.

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There is no right or wrong answer for this ethical question; however, you will need to discuss an ethical consideration or dilemma of the APRN. Please remember what is correct for one person may not be correct for another. Look at the Nuremburg Code (US Department of Health & Human Services, 2005; Washington, 2012) as it was the major start of ethics in research and that can carry over to nursing practice.

US Department of Health & Human Services. (2005). The Nuremberg code.
Retrieved from http://www.hhs.gov/ohrp/archive/nurcode.html

Washington, H. A. (2012). Non-consenting adults. Retrieved from
http://www.slate.com/articles/health_and_science/new_scientist/
2012/01/the_nuremberg_code_set_up_to_protect_the_human_
subjects_of_research_is_being_routinely_ignored_.html

In this week’s lecture material, ethical considerations of the advanced practice nurse have been discussed. Please expand on the following points:

  • Choose a potential ethical dilemma that you may face in your chosen advanced practice nursing role.
  • Describe the situation and potential solutions, including collaboration methods with other healthcare professionals.
  • Examine the potential cost and benefits to your solution.
  • Predict who would potentially oppose your stance. Support your stance with current research (minimum of one research article).

***Note: I work in the State of Florida and I will work here as nurse practitioner****