Chairman Baucus, Ranking Member Grassley, distinguished Committee members. I am Glenn Hackbarth, chairman of the Medicare Payment Advisory Commission (MedPAC).

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Chairman Baucus, Ranking Member Grassley, distinguished Committee members. I am Glenn
Hackbarth, chairman of the Medicare Payment Advisory Commission (MedPAC). I appreciate
the opportunity to be part of the panel this morning and to share MedPAC’s views on delivery
system reform.
The Medicare Payment Advisory Commission (MedPAC) is an independent Congressional
agency established by the Balanced Budget Act of 1997 (P.L. 105-33) to advise the U.S.
Congress on issues affecting the Medicare program. The Commission’s statutory mandate is
quite broad: In addition to advising the Congress on payments to private health plans
participating in Medicare and providers in Medicare’s traditional fee-for-service program,
MedPAC is also tasked with analyzing access to care, quality of care, and other issues
affecting Medicare. The Commission’s 17 members bring diverse expertise in the financing
and delivery of health care services.
MedPAC meets publicly to discuss policy issues and formulate its recommendations to the
Congress. In the course of these meetings, Commissioners consider the results of staff
research, presentations by policy experts, and comments from interested parties. Commission
members and staff also seek input on Medicare issues through frequent meetings with
individuals interested in the program, including staff from congressional committees and the
Centers for Medicare & Medicaid Services (CMS), health care researchers, health care
providers, and beneficiary advocates.
Two reports – issued in March and June each year – are the primary outlet for Commission
recommendations. In addition to these reports and others on subjects requested by the
Congress, MedPAC advises the Congress through other avenues, including comments on
reports and proposed regulations issued by the Secretary of the Department of Health and
Human Services, testimony, and briefings for congressional staff.
Our health care system today
The health care delivery system we see today is not a true system: Care coordination is rare,
specialist care is favored over primary care, quality of care is often poor, and costs are high and
increasing at an unsustainable rate. Part of the problem is that Medicare’s fee-for-service (FFS)
2
payment systems reward more care, and more complex care, without regard to the value of that
care. In addition, Medicare’s payment systems create separate payment “silos” (e.g., inpatient
hospitals, physicians, post-acute care providers) and do not encourage coordination among
providers within a silo or across the silos. We must address those limitations—creating new
payment methods that will reward efficient use of our limited resources and encourage the
effective integration of care.
Medicare has not been the sole cause of the problem, nor should it be the only participant in the
solution. Private payer rates and incentives perpetuate system inefficiencies, and the current
disconnect among different payers creates mixed signals to providers. This contributes to the
perception that one payer is cross-subsidizing other payers and further exacerbates the problem.
Private and other public payers will need to change payment systems to bring about the
conditions needed to change the broader health care delivery system. But Medicare should not
wait for others to act first; it can lead the way to broader delivery system reform.
Because this roundtable discussion is intended to spark dialogue on the solutions, I will focus
on the recommendations the Commission has made to reform the health care delivery system
and to strengthen the Medicare program. MedPAC has testified previously before Senate
Finance Committee on problems of our health care delivery system and a detailed discussion of
these problems is in the attached Appendix.  

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In separate paragraphs, explain the data clusters and which Gordon’s pattern each data cluster represents.

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In
separate paragraphs, explain the data clusters and which Gordon’s pattern each
data cluster represents. Which Gordon’s patterns are Functional or
Dysfunctional? (Take each of the data clusters and discuss how they helped
you.)      

The question or prompt should be included prior to your answer
responses. In this section each of the data clusters will be identified and
discussed as to the reason that the data cues make up each cluster and how they
helped you to move forward with the care planning. Then, the data clusters will
be used to identify the appropriate Gordon’s pattern. Gordon’s patterns will be
identified as functional or dysfunctional. EACH data cluster will be developed
and explained in a separate paragraph.

Any information that is not your original work (such as
definitions) must have an in-text citation and corresponding reference (this means
that the reference where you found the citation should be listed in the
reference section of the write up). Remove these instructions prior to turning
in the assignment to the discussion forum or the deliverable homework forum.
All responses should be in black ink.

 

1.     
Using
Gordon’s as a guide, which nursing diagnoses are identified for this client?
(Separate each Gordon’s pattern into a paragraph and discuss your process).

The question or prompt should be included prior to your answer
responses.

In this section, use the Gordon’s patterns identified in section
one (1) to discuss nursing diagnoses that are associated with each pattern.
There may be more than one applicable nursing diagnosis for the pattern and
data cluster. EACH Gordon’s pattern and associated nursing diagnoses will be
developed and explained in a separate paragraph.

Any information that is not your original work (such as
definitions) must have an in-text citation and corresponding reference. Remove
these instructions prior to turning in the assignment to the discussion forum
or the deliverable homework forum. All responses should be in black ink.

 

2.     
List
ALL of the identified associated nursing diagnoses in the:                                              “Problem” Related to “_____  “ Evidenced by “____” format.

The question or prompt
should be included prior to your answer responses.

In this section, write
each nursing diagnoses in the full diagnostic statement format (problem
oriented nursing diagnoses have three parts; risk diagnoses have two parts;
health promotion or educational nursing diagnoses may have two or three parts).
Use principles learned from Chapter 17 of the Potter and Perry textbook,
Gordon’s Patterns handouts, or Donges workbook. The nursing diagnostic
statement does not require an in-text citation unless the definition of the problem is given, which is not
required.

Any information that
is not your original work (such as defi
nitions) must have an in-text citation and corresponding reference. Remove
these instructions prior to turning in the assignment to the discussion forum
or the deliverable homework forum. All responses should be in black ink.

 

3.     
Show
in a diagram how the nursing diagnoses listed were prioritized. The diagram
should be inserted into the correct answer space. 

The question or prompt
should be included prior to your answer responses.

In this section,
provide a diagram demonstrating how the nursing diagnoses are prioritized. Any
method may be used to prioritize. Each nursing diagnosis from prompt 2 and 3
must be represented.

Any information that
is not your original work (such as a diagram of Maslow’s heirarchy) must have a
citation and corresponding reference. Remove these instructions prior to
turning in the assignment to the discussion forum or the deliverable homework
forum. All responses should be in black ink.

 

4.     
Which
problem-oriented physiological  nursing
diagnosis is most important to address with this client? Explain how this was
determined. What was the method of prioritization?

The question or prompt
should be included prior to your answer responses.

In this section,
identify the priority physiologic problem-oriented nursing diagnosis (priority
patient problem). Explain how you determined this is the priority physiologic
problem using information from Prompt 4 and discussion of prioritization
methods.

Any information that
is not your original work (such as definitions) must have an it-citation and
corresponding reference. Remove these instructions prior to turning in the
assignment to the discussion forum or the deliverable homework forum. All
responses should be in black ink.

 

5.     
Which
nursing diagnosis is second most important to address with this client? Explain
how this was determined. What was the method of prioritization?

The question or prompt should be included prior to your answer
responses.

In this section, identify the second most important (priority) of
the listed nursing diagnosis (from section 3). Explain how you determined this
is the second priority problem using information from Prompt 4 and discussion
of prioritization methods.

Any information that is not your original work (such as
definitions) must have an it-citation and corresponding reference. Remove these
instructions prior to turning in the assignment to the discussion forum or the
deliverable homework forum. All responses should be in black ink.

 

6.     
Which
nursing diagnosis is least important to address with this client? Explain how
this was determined. What was the method of prioritization?

The question or prompt should be included prior to your answer
responses.

In this section, identify the least important of the listed nursing
diagnosis (from section 3). Explain how you determined this is the least
priority problem using information from Prompt 4 and discussion of prioritization
methods.

Any information that is not your original work (such as
definitions) must have an it-citation and corresponding reference. Remove these
instructions prior to turning in the assignment to the discussion forum or the
deliverable homework forum. All responses should be in black ink.

Complete
the Nursing process by answering the questions below and including the
information in the explanation paper:

 

7.     
What
is the goal for the client to show that the priority problem is reduced or
resolved? Remember what a goal is…

The question or prompt should be included prior to your answer
responses. 

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A health system owns and operates a hospital and employs primary care physicians, general surgeons, and oncologists.

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Case Study: A health system owns and operates a hospital and employs primary care physicians, general surgeons, and oncologists. The Hospital purchased a surgical practice in 2012. Part of the purchase of the practice included the purchase of the electronic medical record system that was a certified EHR. In January 2014, the hospital transitioned the primary care physicians, the surgeons, and the radiologists in the hospital to a new certified electronic health record, the implementation of which was completed 10 months later in October 2014. The physicians did not satisfy the MU criteria from January 1,2014 to December 31, 2014, because of the transition to a new certified EHR system. In addition, in 2015 the hospital’s electronic medical records vendor informed the hospital the it would not be able to satisfy the stage 3 interoperability and Technology  standards by January 2018.

1. Describe the process the physicians must complete to avoid the payment penalties.

2. Discuss what the hospital must do to achieve the MU objectives for Interoperability.    

 

For each of these questions, answer as an informatician and keep these additional points in mind to increase the points value of your answers. In other words, please make sure to include these points in your answers to the two questions, in paragraph APA format. 

Grading point distribution.

At least 2 approaches to make sure they meet criteria – 5 points

How you prioritize what is most important – 5 points

Areas for quality and value improvement – 5 points

ONC interoperability defined – 5 points

Description of how the selected approach aligns with the best practices – 5 points

How you measure the impact of these interventions and areas of improvement- 5 points

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Appropriate Use of Health Information

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Assignment 2 Dropbox: Appropriate Use of Health
Information
Assignment 2: Appropriate Use of Health Information (Paper)
30% of Total Grade
The introduction of the electronic health record and the use of other information and
communication technologies have provided nurses and other healthcare professionals a more
effective way of maintaining and communicating personal health information. However, this
increased access to information at the point-of-care increases the nurse’s responsibility to
maintain confidentiality of health information. There are several ways that a nurse using
information technology may inadvertently breach confidentiality. What are the safeguards that
need to be in place to support nurses in the appropriate use of health information? Accordingly,
the purpose of this assignment is to support your critical thinking regarding the appropriate use
and access to a person’s health information.
Scenario: Your manager, knowing that you are completing a course on nursing informatics asks
that you share with her information on practices that support protection of patient information.
In this assignment, you will:
 Discuss why protection of the privacy of health information is important.
 Discuss the legislation governing protection of health information in Ontario.
 Reflect on the practices in place regarding protection of health information in a
healthcare setting in which you have experience (e.g., currently practice or have practiced
previously in an employed or student capacity).
 Make recommendations on actions that can be taken in the practice setting to strengthen
the practices to support protection of health information.
Evaluation Criteria for Assignment 2
 Articulate why privacy of health information is important (3 marks)
 Describe the legal requirements set out in the legislation to protect privacy (3 marks)
 Discuss practices established in your practice setting to protect privacy of health
information (3 marks)
 Articulate and provide rationale for 4 actions that can be taken by nurses to strengthen
practices that support protection of health information (8 marks)
 Provide evidence of application of course concepts from Units 4 to 7 and include
references to sources (e.g., journal articles, web-based materials) beyond those offered in
the course materials (3 marks)
Include accurate APA (6th edition) formatting including: 

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Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.

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Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

  1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
  2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. 
  3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
  4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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Describe the ethnic minority group selected. Describe the current health status of this group.

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Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

  1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
  2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
  3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
  4. What health promotion activities are often practiced by this group?  
  5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
  6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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As a leader trained in Health Informatics, you have been asked by the technology

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Module 6 Presentation Discussion

No unread replies.No replies.

As a leader trained in Health Informatics, you have been asked by the technology taskforce at your healthcare organization to develop a presentation that highlights what would need to be considered as the organization plans for an enterprise-wide solution. This could be an EHR, PHR, telehealth system, lab information system etc.  You may select the type of system you wish to focus on for this assignment. It should not be vendor-specific.  The committee has asked that you develop a presentation that addresses the following:

  1. A summary of the software development life cycle (also sometimes referred to as the application life cycle, project life cycle or product life cycle) phases. In the summary, please identify the phase and discuss at least 3 key activities carried out during that phase.  Include at least 5 slides this.  You will be able to expand on some of the phases when you get to some of the other questions below.
  2. Respond to the following question: What are the business drivers for this new technology and who will the stakeholders be? – 1 slide
  3. How might you ensure that future users of the technology are engaged early in the process? – 1 slide
  4. What approach will you apply to engage future users of the technology early in the process? – 1 slide
  5. How will the organization benefit? How will the future user benefit? – 1 slide
  6. Most projects of this nature will involve feature requirements gathering. Describe how this requirements gathering will vary if you use the Agile method vs the Waterfall approach (front-heavy planning)? – 2 slides
  7. What would you include in a software requirement specification (SRS) document that specifies what is going to be built? – at least 2 slides
  8. The interface and user flow (how users use the system broken down by section and user type) should be considered before the user interface is developed.  What is the purpose of a wireframe? What would you consider as you develop the user flow?  – at least 2 slides
  9. Why might prototyping (creating mock-ups) be considered? Include at least one tool that can be used for prototyping  (one example – Adobe XD –  select a different tool )– 1 slide
  10. Would you consider a minimum viable product (MVP)? Why or why not? – 1 slide
  11. In 1-2 sentences for each: Unit testing, integration testing, system testing. Include on 1 slide.
  12. Question 11 addresses functional testing.  Please define non-functional testing. Will security checks be functional or non-functional testing? Will compatibility be considered functional or non-functional testing? – Include on 1 slide
  13. What crisis could occur upon implementation?  How will you manage the crisis? Discuss at least 2 crisis situations. – Include on 1 slide
  14. Why will it be important to include this product in the organization’s product roadmap? – 1 slide
  15. What might be included in a request for proposal – RFP? – 2 slides
  16. What other information would be useful to include?  – 2 slides

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An important role of nursing is to provide health promotion and disease prevention.

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An
important role of nursing is to provide health promotion and disease
prevention. Review the 2020 Topics and Objectives on the Healthy People
website. Choose a topic of interest that you would like to address, in
conjunction with a population at-risk for the associated topic. Submit the
topic and associated group to your instructor for approval.

Create a
15-20-slide PowerPoint presentation for your topic and focus group. Include
speaker notes and citations for each slide, and create a slide at the end for
References.

Address
the following:

1.    
Describe the approved topic and associated population your group
has selected. Discuss how this topic adversely affects the population. How does
health disparity affect this population?

2.    
Explain evidence-based approaches that can optimize health for
this population. How do these approaches minimize health disparity among
affected populations?

3.    
Outline a proposal for health education that can be used in a
family-centered health promotion to address the issue for the target population.
Ensure your proposal is based on evidence-based practice.

4.    
Present a general profile of at least one health-related
organization for the selected focus topic. Present two resources, national or
local, for the proposed education plan that can be utilized by the provider or
the patient.

5.    
Identify interdisciplinary health professionals important to
include in the health promotion. What is their role? Why is their involvement
significant?

Cite at
least three peer-reviewed or scholarly sources to complete this assignment.
Sources should be published within the last 5 years and appropriate for the
assignment criteria and public health content.

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.

While APA
style is not required for the body of this assignment, solid academic writing
is expected, and documentation of sources should be presented using APA
formatting guidelines, which can be 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. 

You are
required to submit this assignment to LopesWrite. Please refer to the
directions in the Student Success Center.

 

Examine
the topics and objectives on the 2020 Topics and Objectives page of the Healthy
People 2020 website. You will use this information to complete the assignment
for this topic.

URL:

https://www.healthypeople.gov/2020/topics-objectives

 

Please chosen topic is Heart Disease and Stroke and chosen population
at risk is Black African American. Please this is my chosen topic of assignment

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What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

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What
characteristics would lead a provider to suspect domestic violence, child
abuse, or elder abuse is taking place within a family? Discuss your facility’s
procedure for reporting these types of abuse.

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Explain the role of health education in health promotion. How is the nursing process used in developing health education?

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Explain
the role of health education in health promotion. How is the nursing process
used in developing health education? Describe a contemporary issue, local or
global, that a family may experience today. What steps would the nurse take to
address these as part of a health education plan?

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