Category: Healthcare

Researchers have documented systematic variation in Medicare spending and health services utilization across various geographic regions for decades. The findings also evidence that high Medicare spending is unrelated to health outcomes. Policymakers have changed Medicare payment systems to promote high-value care. As key stakeholders in the health care delivery system, health care organizations and providers play an important role in health care spending.
You are taking on the role of a new CEO of a hospital that was identified as having high health care cost and utilization. In the first meeting with the board, you are tasked to reduce health care spending and utilization in your hospital. Your board provides a list of factors influencing health care spending and service uses. Your board asks you to prioritize the list and select one of the most critical determinants to implement a strategic plan.
Some categories of the factors influencing health care spending and service uses are the following:
The operating cost regarding the supplies needed to care for patients.
Diversity within patient populations, patients’ current state of health, access to care, insurance coverage, and patients’ preferences for their care.
Physicians’ decisions on what care to give and the availability of reliable medical evidence to guide those decisions.
In the next meeting, you are required to present your strategic plan to your board. Be sure to include the appraised factors in the list that you deemed the most important. Justify your rationales for your selections.
In your initial post,
Propose your solutions to achieve a reduction in health care spending and utilization while maintaining quality of care.
Support your response with a minimum of two scholarly sources that were published in the last 5 years. Be sure to cite your references using proper APA Style (see APA: Formatting Your References ListLinks to an external site. for assistance).

Develop a 20-minute video presentation (I WILL RECORD) for nursing colleagues highlighting the fundamental principles of care coordination. Create a detailed narrative script for your presentation, approximately 3-5 pages in length. This is a video presentation.
Introduction
This assessment provides an opportunity for you to educate your peers on the care coordination process. The assessment also requires you to address change management issues.
Preparation
You are encouraged to complete the Managing Change activity. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.
Scenario
Your nurse manager has been observing your effectiveness as a care coordinator and recognizes the importance of educating other staff nurses in care coordination. Consequently, she has asked you to develop a presentation for your colleagues on care coordination basics. By providing them with basic information about the care coordination process, you will assist them in taking on an expanded role in helping to manage the care coordination process and improve patient outcomes in your community care center.
To prepare for this assessment, identify key factors nurses must consider to effectively participate in the care coordination process.
You may also wish to:
Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
Allow plenty of time to rehearse your presentation.
Recording Equipment Setup and Testing
Check that your recording equipment and software are working properly and that you know how to record and upload your presentation. You may use Kaltura (recommended) or similar software for your audio recording. A reference page is required. However, no PowerPoint presentation is required for this assessment.
If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your video in the courseroom.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact  to request accommodations.
Instructions
Complete the following:
Develop a video presentation for nursing colleagues highlighting the fundamental principles of care coordination. Include community resources, ethical issues, and policy issues that affect the coordination of care. To prepare, develop a detailed narrative script. The script will be submitted along with the video.
Note: You are not required to deliver your presentation.
Presentation Format and Length
Create a detailed narrative script for your video presentation, approximately 3–5 pages in length. Include a reference list at the end of the script.
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your video. Include your source citations on a references page appended to your narrative script. Explore the resources about effective presentations as you prepare your assessment.
Grading Requirements
The requirements outlined below correspond to the grading criteria in the Care Coordination Presentation to Colleagues Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
Provide, for example, drug-specific educational interventions, cultural competence strategies.
Include evidence that you have to support your selected strategies.
Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
Explain the rationale for coordinated care plans based on ethical decision making.
Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision making.
Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.
What are the logical implications and consequences of relevant policy provisions?
What evidence do you have to support your conclusions?
Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.
Fine tune the presentation to your audience.
Stay focused on key issues of import with respect to the effects of resources, ethics, and policy on the provision of high-quality, patient-centered care.
Adhere to presentation best practices.
Additional Requirements
Submit both your presentation video and script. The script should include a reference page. See Using Kaltura for more information about uploading multimedia files. You may submit the assessment only once, so be sure that both assessment deliverables are included.
Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.
Context
Nurses have a powerful role in the coordination and continuum of care. All nurses must be cognizant of the care coordination process and how safety, ethics, policy, physiological, and cultural needs affect care and patient outcomes. As a nurse, care coordination is something that should always be considered. Nurses must be aware of factors that impact care coordination and of a continuum of care that utilizes community resources effectively and is part of an ethical framework that represents the professionalism of nurses. Understanding policy elements helps nurses coordinate care effectively.
Course Competencies
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 2: Collaborate with patients and family to achieve desired outcomes.
Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
Competency 3: Create a satisfying patient experience.
Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
Competency 4: Defend decisions based on the code of ethics for nursing.
Explain the rationale for coordinated care plans based on ethical decision making.
Competency 5: Explain how health care policies affect patient-centered care.
Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.
Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.

Telematic devices (e.g., safe driving devices) are used by insurance companies to collect billions of miles worth of driving data from policyholders. Consider the impact that similar devices can have in health care.
Respond to the following in a minimum of 175 words:
Should health insurance companies be able to collect health data on policyholders through wearable tech in order to inform the costs of insuring individuals? Consider the question from legal and ethical standpoints. Defend your answer by citing 2 to 3 reputable sources on the topic.

A safe environment is essential for home and work. Environmental safety reduces the risks of falling and sustaining injuries.
What can you do to make your home environment healthy?
What, besides your personal home, makes a safe living environment?
Do you consider the structure of your home dwelling important for your environmental safety? Why or why not?
Do you consider your nearby environment an important factor in your environmental safety? Why or why not?
Is dust and lead control important to your safety? Why or why not?

please USE THE TEMPLATE AND ADD THE DIFFERENTIAL DX AND REFERENCES
the principal file is template and the orther have a info to integrate
NEED TO STAY ATTENT TO RUBRIC AS DETAIL

Before posting your Primary Response, create an outline, write a draft based on this outline, run a Grammarly report on the draft, and edit and revise as necessary. Provide scholarly sources to support your discussion as appropriate. Your responses should be the product of your own critical thinking and deductive reasoning.
Your literature review is, like virtually all components of your dissertation project, an iterative task that may change over time as you learn more about your topic. It is not a “one and done” project because of the learning process you will go through as you develop mastery in relation to your dissertation research.
In this Discussion Board (DB) assignment, reflect on the various strategies that you may need to develop in relation to various aspects of your work with the literature that informs your study. The following are some questions to consider for this DB assignment:
What are regarded as the top academic journals in your field or concentration, and how did you determine this?
What are the top publications in your profession or industry, and how did you determine this?
In general, what strategies are you using to support your search for relevant literature on your topic?
In what ways might you need to adapt those strategies to evaluate the usefulness of peer-reviewed versus gray literature sources?

The introduction should have a thesis that consists of a hypothesis or concepts that will be supported with research in the body of the paper. All assignments require at least 2 expert references.
Submit all written assignments as APA formatted MS Word documents.
Feedback on your assignments will be embedded in the body of the returned paper. You are expected to demonstrate improvement with every assignment.
This assessment directs you to analyze the uses for health data with the purpose of improving health care policies and operations. Raw data doesn’t say much to most people, but through data analysis, information can be extracted and used to “tell the story” of a particular patient population.
Select or generate a dataset that is meaningful to you and your interests in the health care industry by using one of the links below:
CDC WONDER Online Databases    – 
CDC WONDER
HealthData.gov/Datasets- 
Results matching type of Datasets | Page 1 of 14 | HealthData.gov
Evaluate the dataset and determine how valuable it is for improving health care operations or policies. This will require the creation of a chart or graph to interpret the data.
Write a 1,400- to 1,750-word report with your evaluation of the dataset and what value can be gained from it. Include the following:
The source of the data
Why the data is important
A detailed chart or graph to interpret the data 
What trends the data documents
What changes in operations or policies can be made to improve quality or efficiency
Cite 3 reputable references to support your report (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).
Format your entire paper according to APA guidelines.
Include a copy of the dataset along with your report as a separate attachment.

Introduction (one paragraph)
1. Provide a brief background of your state’s socio-demographics (provide all
populations, no matter how small)
2. What are the economic/fiscal conditions of the state (is your state in a
financial crisis or financially robust)
3. What is the political landscape (Republican, Democratic, Independent,
Libertarian, Socialist Democrats dominance in state politics) like?
Main Body of Paper (3 1⁄2 pages)
1. Provide general state of the healthcare system in your designated state.
a. Focus on Cost, Access and Quality of care indicators
b. Hospital Ratings
Case Study by State and Presentation
HSA 3602
Revised 11/30/20
2. What makes the healthcare delivery system unique in your state?
a. What are the special aspects (challenges, benefits) of healthcare in
your designated state?
i. Are there any unique healthcare policies that stand out?
b. How is your state paying for healthcare?
i. What was the effect of ACA on that state (did the state
government reject ACA’s expansion of Medicaid)
ii. What is the status of the Medicare and Medicaid system? (is it
overburdened by high levels of poverty or a large senior
population, poor health outcomes)
iii. In general, what is the fiscal status of this healthcare system
(bankrupt, poorly financed, heavily privatized, heavily
subsidized by the state, lacks competitive insurance
marketplace etc.)
3. Critique your state: strengths and weaknesses (1/2 page)
4. Brief Conclusion (one paragraph)
a. Summarize main findings.
In lieu of Class Presentation
Each student will post their findings using a one-page PowerPoint slide on the
Discussion Board and Safe Assign for 5pts. Please use the audio function on
PowerPoint, if you can.
 Include population size and social-demographics (ethnicity/race)
 Median income per household
 Medicaid expansion in your state or US Territory? Overburdened/Under
utilized
 State per capita spending on healthcare, etc.
 General health of the healthcare system
 If there is space, identify some unique policy or initiative in your state
Content Guidelines of Assignment
Your paper must demonstrate the following competencies:
 Your case study must be written in a clear and focused manner.
 Your case study must demonstrate a strong analysis and synthesis of the
materials gathered for your paper.
 There must be a minimum of SEVEN references required. These sources must
be reputable (CMS, CDC, KFF.org, peer-reviewed articles, for example)
Formatting Guidelines:
 The main content of your Paper must be a minimum of 5 pages.
 Use subheadings to signal a new segment in your writing.
Subheadings guide the reader from key point to key point.
Paper components:
Case Study by State and Presentation
HSA 3602
Revised 11/30/20
 Include (APA style) Cover Page, Abstract, Main Body of paper,
Summary or Conclusion and Reference Page.
• APA style Title Page – This does not count as a page
• Abstract and keywords (start page numbering) – This,
however, does not count as a content page and should
between 150-250 words, double spaced).
• Introduction – Body of paper – Summary (minimum of 5
pages)
• Reference List – this does not count as a page. Consult Owl
Purdue University APA guidelines linked in the Menu of our
BlackBoard course landing page.
• Use 1-inch margins.
• Use a professional font (12 pt).
• Include an APA style Running Head.
• Double space
• Page numbers
• Your writing must be original. This means you must cite
outside sources if used in your paper. Do not copy any text verbatim. Try to
summarize in your own words and then cite from where the idea came. Use
proper quotations and citations when quoting a text.
• Save as a .docx or .doc formatted file
• Name File: YourFirstNameYourLastName_State_Name
• Upload your paper into SAFE ASSIGN and include your name
and the assignment
• For example: SteveJones_State_Name
• You must submit your paper to SAFE ASSIGN. Late submissions
will not be accepted.
• Note that SAFE ASSIGN only allows for one submission.
• Once you have submitted your paper to SAFE ASSIGN, the
software will scan its database and generate a percentage match for your paper. If
your paper reaches a 30% match threshold with another text or paper, you will
receive a 10-point reduction from your final grade. Egregious matches of 50% or
more will be treated as a form of plagiarism. This means do not plagiarize or heavily
paraphrase.

Respond to the following in a minimum of 175 words:
How do you determine if the technology implemented was a success? Provide examples.

The purpose of this assignment is to evaluate access to health care. Develop a 12-15 slide presentation in which you will evaluate the challenges of health care access.
In your presentation, be sure to address the following:
Discuss factors or barriers that limit access to health care or health care resources for individuals today. Consider the impact of health care disparities.
Defend the concept of tax-exempt hospitals and charitable care. What is the impact on the community?
How do tax-exempt hospitals and charitable care influence affordable care for all patients? What would the consequences be if tax-exempt status or charitable care did not exist?
Explain the relationship between tax-exempt hospitals and charitable care in the free market. Discuss the tenuous relationship between serving the community and the goal of maintaining financial viability for the organization.
Discuss key factors that influence patient rights and responsibilities when making health care decisions. Based on the key factors, what ethical dilemmas would inhibit patient decision-making about their health?
Evaluate the ethical challenges of providing affordable access to health care insurance for all individuals.
Research a successful health care organization that has addressed access to care using an ethical framework. Describe ways this organization has mitigated access to care issues.
Include a title slide, references slide, and speaker notes.
Support your presentation with a minimum of three scholarly resources (not including the textbook).
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.