HCA320 Assignment Mod 8

  

Signature Assignment: Medicare and Medicaid

Consider how people qualify to receive Medicare and/or Medicaid and write a paper that addresses the bullets below. There should be four (4) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Start your paper with an introduction and include a “Conclusion” section that summarizes all topics. This paper should consist of at least 1750 words and no more than 2000.

This week reflect upon the Medicare and Medicaid programs to address the following:

  • Describe      the Quality Improvement Organization (QIO) and explain how the QIO      improves policies and healthcare for Medicare beneficiaries.  
  • Briefly      define the qualifications for Medicare and Medicaid benefits. How can      qualifications be modified to serve more people who are considered a      vulnerable population?
  • Discuss      the impact (including at least two positive and two negative aspects) that      the ACA has had on benefits and coverage for Medicare and Medicaid      recipients. 
  • Describe      your role(s) as a healthcare leader as it applies to the practice of      advocating for cost effective care for vulnerable populations.

Assignment Expectations

Length: 1750-2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment.  Your essay must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

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Education Cost

Cite a contemporary moral issue in the society.Apply one ethical theory learned in class (utilitarian) to judge this moral issue. Use a theory claim each paragraph to back up and support your argument. You must have a minimum of 5 paragraphs and apply 4 points utility Bentham’s Felicific Calculus Explained

NOTE :APPLYING THE ETHICAL DOCTRINE IS AN AUTOMATIC ZERO 

MLA FORMAT REQUIERED I NEED A TURNIN IN REPORT 

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Discussion – Public Health Ethics

Respond to the following in a minimum of 175 words: 

What is the responsibility of the health care manager regarding public health ethics and social responsibility? Provide an example.

What is the biggest issue you believe you may face as a health care manager?

 

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Medicaid Expansion

Scenario

You are the director of community affairs for the health lobby organization, Pathways to a Healthy America. In 2010, President Barack Obama signed the Affordable Care Act into law. As a result, millions of Americans who were previously uninsured gained access to the healthcare system. One of the initial provisions of the Act required individual states to expand the eligibility criteria for Medicaid. The program’s costs would be absorbed by the federal government at a rate of 100% for the first three years of program participation which would decrease to 90% after 2020, still, considerably higher than previous funding by the federal government. However, in 2012, the Supreme Court ruled the mandate unconstitutional allowing individual states to voluntarily “opt” out of the Medicaid expansion program. As a result of the various states’ decision to “opt” out of the ACA’s Medicaid expansion, millions of adults fell into the critical coverage gap. Your organization represents a state which has decided to forego participation in the ACA expansion program. The decision was met with both praise and criticism.

It has now been a few years since the decision and your organization has gathered information on the impact of the decision in order to advocate for Medicaid reform during the next state legislative session.

You are required to write an advocacy report to state lawmakers in which you advocate for either participating in the original expansion program or participating with conditions (waivers) to address the critical gap in coverage for vulnerable adults in your state. Waivers such as Section 1115 enable for alternative implementation of Medicaid expansion and allow states to impose restrictions which may result in a denial of Medicaid eligibility for individuals who do not meet those restrictions, i.e., work requirements.

Instructions

State: Texas 

Research the Medicaid expansion program offered through the Affordable Care Act (ACA) as well as Medicaid reform initiatives using waivers to increase access to Medicaid. Determine, based on your state’s profile, which process (the ACA’s expansion program or the use of waivers) is most beneficial to your state. Include a comprehensive, well-supported recommendation for participation in Medicaid reform using either the ACA’s program or a modified reform process using waivers.

Your advocacy report should describe your state’s (Texas) current Medicaid program including its eligibility criteria, demographics, Medicaid spending and savings since the ACA’s implementation, and comprehensive details of current or pending waivers. You should also include a discussion (benchmark) on another state’s success with Medicaid reform using your recommended strategy (the ACA’s expansion program or the use of the specific types of waivers for which you propose).

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Targeting markets

The organization for this assignment – Amedisys Hospice of Greater Chesapeake.

After completing your research, prepare your Written Assignment 2 intermediate deliverables (relevant submission folders are in the sub-modules) as directed by the general guidelines for written assignments in the syllabus, project descriptions, by answering each of the following questions in turn:

  1. Name and describe the health service organization.
  2. Describe its primary target market in terms of the segmentation variables presented in the Week 4 Overview. You can use the PRIZM system or describe it yourself. 
  3. What kind of behaviors do its patients/clients exhibit when making a decision to use the organization’s services? Might want to refer to the Health Service Model. 
  4. What do you think is the organization’s value proposition?  Use the generic value propositions outlined in the Week 4 Overview.
  5. Describe the organization’s primary competitors.  If possible, prepare a positioning map using two variables important to the patients/clients of the organization. 
  6. Based on your competitive analysis, what do you is the organization’s competitive position? 
  7. What recommendations would you make for changes to the organization’s target market, services or competitive position and why?

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Resources needed to implement change proposal

 

Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

The assignment will be used to develop a written implementation plan.

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.

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Cost of Health Care

Our health, or the absence of such, can be very expensive. Many vulnerable populations simply do not have private funds available to pay for their care.  Relating your research to individuals with mental conditions, select a mental illness of your choice and discuss your response to the following questions:

  • What public financing resources are available to individuals with this particular mental condition?
  • What are the eligibility requirements and restrictions to receive these funds?
  • What happens if eligibility standards/requirements are not met by those with this illness?
  • Research and discuss two methods of alternative funding for care for this group. What are the benefits and limitations of the methods you discussed?

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source. Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

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Barriers to Care

Suicide and homicide are violent actions reported in the news daily.  Individuals suffering from abuse, depression, mental disorders, or substance-abuse disorders are at an increased risk for committing suicide or homicide.  Factors that contribute to the risk are age, gender, socio-economic status, and race/ethnicity. Additionally, situations that cause extreme life or job stress, such as those seen when a loved one dies or by military personnel, can contribute to the risk.  Chapter 6 of your course text highlights barriers to care relating to the vulnerable and this population group in particular.  For this discussion:

  • Locate and share statistical data for your community on annual suicide and homicide rates.
  • Identify and briefly describe one organizational barrier and one financial barrier relating to the suicide- and homicide-prone.
  • Create two recommendations on ways each of these barriers can be reduced or eliminated.
  • Identify two local resources available for suicide- or homicide-prone individuals.  Discuss which services are offered and whether the services fully meet the needs of the population.

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source. Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

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Case study 4

MN 577 Midterm Alternative Assignment 

Sandra Smith is a 21 year old female G0P0 who presents to your office with complaints of 3 days of dysuria and vaginal discharge, she admits to recent, unprotected vaginal intercourse with a new male partner.

1. What do you need to include in your focused physical assessment of Sandra?

2. What diagnostic tests would you order?

3. List 3 differential diagnosis for this case study.

4. What are the potential sequele of unprotected sex? 

5. If this is an STI, what would be the course of action as a provider for the patient’s partner?

6. If you perform a wet mount, what could the results indicate?

7. What are other considerations that are needed in caring for a women’s health patient in the Primary care setting?

8. Explain your non-pharmacological management of this patient.

9. List pharmacological management of this patient. 

10. What would you need to include in your patient/family teaching?

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Leadership Communication

 

Purpose

The purpose of this paper is to provide the student with the opportunity to explore and explain verbal, non-verbal, and written communication at the highest professional level. This assignment allows for the assimilation of professional leadership competencies as a doctorally prepared practice scholar. Assignment content supports professional formation, communication, and dissemination of skills relevant to the DNP practice scholar.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO3: Differentiate attributes of effective leaders and followers in influencing healthcare. (PO 6)

CO4: Assimilate attributes for intra-/inter-professional collaboration across healthcare settings (PO 8)

CO5: Formulate selected strategies for leadership and influence across healthcare systems. (PO 8)

Due Date(s)

The Late Assignment Policy applies to this assignment.

The assignment title is due by Sunday 11:59 p.m. MT at the end of Week 5.

Total points possible: 350 points.

Preparing the Assignment

Follow these guidelines when completing each component of this assignment. Contact your course faculty if you have questions. It is each student’s responsibility to save and maintain all artifacts required in the e-Portfolio

  1. The assignment will include the following components within 5-7 pages (not including title page or reference page):
    1. Title Page (Title matches the first-page title)
    2. Use the following required Level 1 headings:
      1. Verbal Communication Competencies and the Practice Scholar
      2. Non-verbal Communication Competencies and the Practice Scholar
      3. Written Communication Competencies and the Practice Scholar
      4. Conclusion
    3. Introduction (Note: Do not use “Introduction” as a heading). Place the paper’s title on the first line.
      1. In a brief paragraph, introduce your paper’s topic and establish its importance.
      2. Present a clear purpose statement and a mini-outline, in sentence format, of the paper. The best introductions outline the paper according to the major sections in the assignment guidelines (which are the required level 1 headings for the body of the paper).
    4. Verbal Communication Competencies and the Practice Scholar
      1. This section describes the leadership competency of verbal communication for the DNP practice scholar.
      2. Present your understanding of the components, comportment, and collaborative nature of effective and ineffective verbal communication as a leader.
    5. Non-Verbal Communication Competencies and the Practice Scholar
      1. This section describes the leadership competency of non-verbal communication for the DNP practice scholar.
      2. Present your understanding of the positive and negative behaviors of non-verbal communication as a leader and examples of each.
    6. Written Communication Competencies and the Practice Scholar
      1. This section describes the leadership competency of written communication for the DNP practice scholar.
      2. Include your understanding of (a) professional tone & style, (b) use of standard English, and (c) strategies for effective writing as a DNP leader in documents such as emails, memos, curricula vitarum, grant proposals, white papers, poster presentations, project dissemination manuscripts, and other formal written forms of professional leadership communication.
    7. Conclusion
      1. Recap the paper’s purpose statement and mini-outline criteria.
      2. Draw major conclusions from the body of your paper.
      3. Summarize the importance of effective communication competencies for the DNP leader.
    8. Clarity of writing
      1. Use consistent standard English grammar and sentence structure is evident throughout the paper. The sentences and wording should be clear and concise, without slang, colloquialisms, street language, or conversational style.
      2. Paper should be generally free of grammar, punctuation, spelling, and typographical errors.
      3. The paper should be organized and use the required Level I Headings headers and others as needed to organize the content.

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