Create a PowerPoint presentation of 14-16 slides with speaking notes on the new regulations impacting the practice as a result of the Affordable Care Act.

Introduction

The Patient Protection and Affordable Care Act (PPACA or ACA) was signed into law by President Barack Obama in 2010. The ACA attempts to increase access to care, reduce cost, and improve quality. Nearly 50 different reform initiatives were implemented between 2010 and 2017. Although primary care is a major focus of the act, these additional initiatives are focused on 10 different areas, including public health, prevention of disease, community health, and increasing revenue provisions to pay for the reform (Niles, 2021). The law has been controversial due to the mandate that all Americans must purchase health insurance.

The U.S. government plays a significant role in the operation of the country’s health care system. Quality, access, funding, education, and preventative services are all influenced by the U.S. government (Niles, 2021), and the Affordable Care Act (ACA) has further increased the role and involvement of the government in health care. All health care administrators must be knowledgeable on the role of the government.

Numerous governmental organizations exist, such as the U.S. Department of Health and Human Services (HHS), the Centers for Disease Control (CDC), the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), the Centers for Medicare and Medicaid Services (CMS), the Occupational Safety and Health Administration (OSHA), and the Office of the Surgeon General to name a few. Each organization exists for a specific purpose and has a specific mission. Your role as an administrator will be to understand the scope of these agencies and to help your organization meet or exceed the governmental mandates imposed by each.

Reference

Niles, N. J. (2021). Basics of the U.S. health care system (4th ed.). Jones & Bartlett Learning.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Analyze current health reform, policy, and regulation in U.S. health care. 
  • Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
  • Analyze current trends in policy and predict future reforms.
  • Explain how health care reform and policy have impacted health care quality and cost.
  • Explain how regulatory agencies have evolved to address health reform and policy.
• Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others. 
  • Produce a presentation that conveys understanding of the topic, its context, and its relevance.
  • Use academic writing conventions such as APA formatting and citation style, or others as required.
  • Produce writing that includes minimal grammar, usage, and mechanical errors, including spelling.

Instructions

Imagine you are an office manager for a ten-physician primary care practice. You have been asked by the physician group to research and give a presentation on the new regulations impacting the practice as a result of the Affordable Care Act. Using the resources provided, plus at least two other peer-reviewed articles based on your own research, develop a PowerPoint presentation of 14–16 slides, complete with speaking notes. Address the following:

• Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
• Analyze current trends in policy, and predict future reforms as a result of the current state.
• Explain how regulatory agencies have evolved to address health reform and policy.
• Explain how health care reform and policy have impacted health care quality and cost.

You might want to (but do not have to) organize your presentation using the following outline:

• Slide 1: Title of the Presentation.
• Slide 2: Brief explanation of the purpose of the presentation.
• Slide 3: The Affordable Care Act.
• Slide 4: Impact on the U.S. Health Care System.
• Slide 5: Impact on the Practice of Health Care in the United States.
• Slides 6–7: Current Trends in Policy.
• Slide 8: Future Reforms.
• Slides 10–12: The Role of Regulatory Agencies (one slide per agency you address).
• Slide 13: Impact to Quality.
• Slide 14: Impact to Cost. 
• Slide 15: Concluding Summary.

Presentation Requirements

Your presentation should consist of:

• 14–16 bulleted slides.
• Speaker notes that fully explain each slide.
• A minimum of two peer-reviewed references, in addition to resources offered in this course or that you find yourself, including government websites.
• Appropriate APA citations and peer-reviewed references on each slide, as necessary.

General Guidelines for PowerPoint

• Keep the design simple. Font: Arial or Verdana, size 24-point, minimum.
• Keep the slides concise: 5–7 bullet points per slide and 5–7 words per bullet. Use speaker notes to explicate the bullets.
• For best color contrast, use light text on dark background (for example, yellow on black, white on dark blue).
• Use the proper slide layout. For example, if a slide has a title and text, it is created using the correct Title and Text layout.

Only one or two paragraphs

• Why is it important for a nurse to advocate for a client even if it means challenging another member of the interprofessional team?

In your discussion with peers, discuss how client advocacy relates to professionalism, ethics, and quality.

Be sure to apply concepts from the readings and research. You must cite at least one source: your textbook, scholarly resources,  in APA Style.

Discuss reasons for applying to the Accelerated Bachelors of Science in Nursing program at the XXXXXX and how it fits into personal, educational, and professional goals.

Barbara receives an email from her manager asking about the progress of the strategic plan. The manager informs Barbara that UCCO is wanting to implement a new electronic health record (EHR), to improve the overall process of providing quality patient care; and organizational challenges. After her discussion, Barbara realizes that she would need to complete a situational analysis. By performing a situational analysis, planners can help anticipate and manage change. Understanding the internal and external environment is also critical to an effective strategic plan. For the external environment, planners look at opportunities and threats. For the internal environment, planners look at strengths and weaknesses.

For this project assignment on UCCO, complete a minimum of a 1-2 page report and two SWOT tables to describe key opportunities, threats, strengths, and weaknesses in selecting an electronic record system. Your written report should address the following concepts:

Visit the Rasmussen online Library and search for a minimum of 2 articles covering the topics of electronic health record implementation. Conduct academic research using the library’s databases, like:

• CINAHL
• Discovery
• Business Source Complete via EBSCO
• Business via ProQuest
• What is the current economic situation for UCCO? What suggestions can Barbara make to help mitigate financial issues? Use the financial review provided in the UCCO case.
• What type of electronic record system should Barbara recommend for the company? What is her best option? What are the financial implications? Explain the choice based on what the system can provide in comparison to the organizational challenges?

Visit the Internet and search for a minimum of 2 electronic health record systems. Search for types of EHR systems.

To complete this assignment, construct two situational/SWOT analysis tables – one for each electronic record system being considered – that contains the following:

• External influences – opportunities and threats.
• Internal influences – strengths and weaknesses.
• Trends that can impact clinic performance, market and financial position
• EHR System functions and capabilities
• EHR End-user requirements and ease of use

Remember to integrate citations accurately and appropriately for all resource types; use attribution (credit) as a method to avoid plagiarism. Use NoodleBib to document your sources and to complete your APA formatted reference page and in-text citations. 

Organizational Growth

There has been a rapid growth of urgent care in the UCCO area in the past five years, which is fueled by patient demand for convenient, affordable care. Patients are looking for accessible healthcare that provides access to specialty services. Because UCCO was one of the first in the area, there is an advantage to having an established customer base. However, there are some current challenges that both reflect the urgent care community and nationa trends. 

· Growing, over-saturated of urgent care centers in the area

· Messaging that urgent care centers provide only general care services; specialty services not promoted

· Growth in patient volume is driven by demographic trends

· Population of aging patients (over age 65) growing at tremendous rates

· Cost of treatment for the UCCO continues to rise, yet patient cost remain the same

· Insurance cost rising, uninsured patients numbers rising

· Financial profits for UCCO down by 10% each year, for the past 3 years

· UCCO collections for patient balances are increasing

· Compliance audits reveal issues with patients confidentiality and privacy

· HIPPA training not completed as part of new employee orientation

· Customer satisfaction rates declining 

Requirements 

You will develop a strategic plan based on the Urgent Care Clinic Organization

Urgent Care Clinic 

-Urgent Care Clinic (UCCO) is a group of medical facilities that provide clinic services to the community. UCCO is an important aspect to the healthcare community by providing convenient services when a patient is unable to go to a primary care doctor or hospital. They are used for immediate care attention that may or may not be an emergency situation. Urgent Care Centers provides access to healthcare during the day, as well as nights, weekends, and most holidays. 

-UCCO was started in 2002 to address medical services needs in the local community. The goal was to minimize the need to seek multiple physicians and provide comprehensive healthcare. It was also the goal to provide services beyond the traditional operating hours of primary care and other doctors offices. UCCO focuses on total wellness that incorporates an integrative approach to optimize quality patient care. 

-The mission of UCCO is to promote community health. We offer a collaborative approach to enhance healthy lifestyles, with cost effective, quality care. The vision is to be the most trusted multispecialty organization in the regional area by consistently providing excellent customer service and high quality medical care. 

-UCCO is made up of 3 facilities with 8 specialties. 14 doctors, 3 directors, and a number of clinical staff and employees. Over 30% of UCCO patients are uninsured without any form of health insurance benefits. 

 The Syrian refugee crisis has gained unprecedented momentum in recent months. An estimated of 9 million refugees have fled their homes since the outbreak of civil war in March 2011 taking refuge in neighboring countries. Three million Syrian have resettled in Turkey, Lebanon, Jordan, and Iraq, which has created the worse refugee crisis to affect the region in years. What are some of the impacts and challenges of the influx of Syrian refugees on the health care system in the Middle East?