Introduction

Many Americans are still confronting medical bills that are large enough to threaten their family financial health, up to and including personal bankruptcy. While more people have health insurance under the ACA, some people still lack coverage or have significant gaps in coverage for a variety of reasons. Some expenses are related to the high cost of treatments for certain diseases and conditions. Other expenses are related to the “routine” costs associated with insurance premiums and cost sharing for covered benefits.

Initial Post

Using 500 to 750 words, complete the following:

• Analyze the major current contributors to insurance coverage gaps (no coverage and gaps in coverage).

Grading Rubric

Discussion Rubric

Discussion Rubric – 100 PointsCriteriaExceeds ExpectationsMeets ExpectationsNeeds ImprovementInadequatePointsFrequency of ContributionInitial post with two peer replies posted on two separate days.

25 pointsInitial post with two peer replies posted on the same day.

22 pointsInitial post with one peer reply.

19 pointsOnly initial post submitted or only replied to peers.

17 points25Initial PostInitial post to is on time and of the correct length (500–750 words).

All components of the initial post requirements are addressed.

Course content synthesis is applied with at least two scholarly references included.

25 pointsInitial post is on time and of the correct length (500–750 words).

Most components of the initial post requirements are addressed.

Synthesis is present but weak.

One to two references are included.

22 pointsInitial post is one day late.

Does not meet the correct length (500–750 words).

Some components of the initial post requirements are addressed.

Synthesis?

One to two references are included.

19 pointsInitial post is more than one day late.

Initial post much fewer than 500-750 words.

Few components of the initial post requirements are addressed.

Lacks course content synthesis.

One or no scholarly references are included.

17 points25Peer RepliesOn time.

There was substantial evidence and synthesis of course content utilizing course topics and the introduction of questions and new information.

25 pointsOn time.

There was some evidence and synthesis of course content utilizing course topics and the introduction of questions or new information.

22 pointsReplies were at least one day late and/or:

There was either some synthesis of course content or the introduction of questions or new information.

19 pointsReplies were two or more days late and/or:

There was little or no evidence of course content utilizing course topics or the introduction of questions or new information.

17 points25Writing Mechanics and APA FormatFew to no writing mechanics or APA errors.

25 pointsFew to several writing mechanics and/or APA errors.

22 pointsSeveral to moderate writing mechanics and/or APA errors.

19 pointsMany writing mechanics and/or APA errors.

17 points25Total points100

Option 2: Case Management, Health Policy Strategies, Community Empowerment, and Education

You have just accepted your first job as a public health case manager. One of your responsibilities is to promote that health of your community by focusing on the health and safety of the local children. The area has low compliance with childhood immunizations. The affected children are usually not identified until they are ready to enter kindergarten. It is your goal to be proactive and decrease the number of children that are out of compliance and implement a system to help maintain up-to-date immunizations. In your post:

• Identify and discuss the specific responsibilities of the case manager as it relates to the health and safety of the local children.
• Present the current immunization legislature that supports your efforts. How does the Affordable Care Act effect immunizations?
• Discuss how you might empower the community to support and eventually lead the charge for community immunizations.
• Provide specific educational and programmatic strategies to offer the community.
• One page essay
• ALL in APA
• Must include at least one peer reviewed nursing journal article

Utilizing the information you have gathered over the weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.

Create the plan in a 4- to 6-page Microsoft Word document (the 4–6 pages include the holistic care plan). Include the following in your plan:

• Start the paper with a brief introduction describing the chronically ill group you selected and provide rationale for selecting this illness and the participants. Clearly identify the Healthy People 2020 topic chosen and why this topic was chosen.
• You will want to compile the information gathered from Weeks 1–4 over 2 to 3 pages. This should be in APA format and paragraph form. This is not to be copied and pasted from previous assignments. It is to be a summary of each week.
• The paper should include the care plan for your chronic illness group organized under the following headings:
  • Nursing Diagnoses
  • Assessment Data (objective and subjective)
  • Interview Results
  • Desired Outcomes
  • Evaluation Criteria
  • Actions and Interventions
  • Evaluation of Patient Outcomes
• You will need to ensure that the care plan is holistic and includes at least 3 nursing diagnoses related to the topic and interview results from the previous weeks.
• Include strategies for the family or caregiver in the care plan and provide your rationale on how they will work.
• Include a reference page to provide reference for all citations for the paper as well as the care plan.

On a separate references page, cite all sources using APA format.

• Use this APA Citation Helper as a convenient reference for properly citing resources.
• This handout will provide you the details of formatting your essay using APA style.
• You may create your essay in this APA-formatted template.