Cost-Effectiveness Analysis, Cost-Utility Analysis, and the Perfect Health Care System

 

Please answer the following questions regarding cost-effectiveness analysis, cost-utility analysis, and the perfect health care system.

  • Give an original example of a situation in which cost-effectiveness analysis and cost-utility analysis would give you contrary results. Substantiate your answer.
  • Suppose you had the opportunity to organize the perfect healthcare system. Explain how you would organize the financing method, reimbursement method, mode of production, and physician referral procedure.

Must be at least 250 words

Must be supported by at least two references 

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WEEK 7 Discussion 1 Clinical Concepts

 Change is a constant in the field of nursing. There are several steps that must take place for a nurse leader to implement a change. Use this forum to discuss each of the essential steps. 

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Weeks 7 and 8 NIH Protecting Human Research Participants Reflective Paper

 

Protecting human research participants is of utmost importance. Even though your change project will not be implemented in the field and you will not be engaging with human subjects in this context, it is still critical that all healthcare professionals have a solid foundation in patient rights and protections within the realm of research.

It is essential that all healthcare professionals, whether or not they are currently involved in research studies, remain aware of regulatory policies and updates such as the Federal Policy for the Protection of Human Subjects, or Common Rule, that will take effect January 2019.

Review the Frequently Asked Questions on Requirements for Education at the National Institutes of Health (NIH) link here:

https://humansubjects.nih.gov/requirement-education

 

If you would like to review more information, you can go to the following link to view 12 recorded webinars related to Human Research Protection on the U.S. Department of Health and Human Services YouTube channel:

https://www.youtube.com/watch?v=9r8cpgWs7j4&list=PL5965CB14C2506914

Assignment Instructions:
This week, reflect on what you learned from the NIH materials about protecting the rights of human research participants.

Discuss at least three of the following in your paper:

  • Describe the circumstances that influenced the need for a policy to protect human research subjects. Give examples of specific ways human research subjects can be harmed by researchers.
  • Identify three vulnerable populations and the special restrictions associated with human research among these groups. Evaluate the requirements and restrictions. Do you think they are adequate? Why or why not?
  • The Belmont Report summarizes the ethical principles and guidelines for research involving human subjects. Three core principles are identified: respect for persons, beneficence, and justice. Even though these principles are considered equal, prioritize them in order of importance to you. Explain your decisions.
  • Although you are not implementing a change project at this time, and you may not be directly involved in research as part of your professional responsibilities, explain the reasons why it is important for you to know about these rights and protections.

Your reflective paper should be two to three pages and written in current APA Style.

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WEEK 7 Discussion 2 Assessment

 

A 23-year-old female complains of severe left lower abdominal/pelvic pain for 6 hours. She states her last menstrual period was “about 3 or 4 weeks ago.” She is sexually active and denies using any contraceptive method. She denies other symptoms, significant history, or allergies.

  • In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why?
  • Which lab or imaging tests would you order for this patient and give a brief explanation of why?

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Topic 3 DQ1

Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness for each of these six articles on why the article may or may not provide sufficient evidence for your practice change. (you can use these articles previously used on the change project)

Barber, R. D., Coulourides Kogan, A., Riffenburgh, A., & Enguidanos, S. (2015). A role for social workers in improving care setting transitions: a case study. Social work in health care, 54(3), 177–192. https://doi.org/10.1080/00981389.2015.1005273

Cote, D. J., Dasenbrock, H. H., Muskens, I. S., Broekman, M. L., Zaidi, H. A., Dunn, I. F., … & Laws Jr, E. R. (2017). Readmission and other adverse events after transsphenoidal surgery: prevalence, timing, and predictive factors. Journal of the American College of Surgeons, 224(5), 971-979. https://doi.org/10.1016/j.jamcollsurg.2017.02.015

Härkänen, M., Kervinen, M., Ahonen, J., Voutilainen, A., Turunen, H., & Vehviläinen‐Julkunen, K. (2015). Patient‐specific risk factors of adverse drug events in adult inpatients–evidence detected using the G lobal T rigger T ool method. Journal of Clinical Nursing, 24(3-4), 582-591. https://doi.org/10.1111/jocn.12714

Jackson, C., Shahsahebi, M., Wedlake, T., & DuBard, C. A. (2015). Timeliness of outpatient follow-up: an evidence-based approach for planning after hospital discharge. The Annals of Family Medicine, 13(2), 115-122.https://doi.org/10.1370/afm.1753

Kalisch, B. (2015). The Post-Hospitalization Syndrome: Can Nursing Make the Difference?. Nurse Leader, 13(1), 81. https://doi.org/10.1016/j.mnl.2014.10.006

Linkens, A.E.M.J.H., Milosevic, V., van der Kuy, P.H.M., Damen-Hendriks, V.H., Gonzalvo, C.M., & Hurkens, K.P.G.M. (2020). Medication-related hospital admissions and readmissions in older patients: an overview of literature. International Journal of Clinical Pharmacy, 42, 1243–1251. https://doi.org/10.1007/s11096-020-01040-1

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Patho discussion W7

Please refer to Chapter 28 and then answer the questions that follow the case study:

J. S. is 23 years old. He was brought to the emergency department after an auto accident. He suffered a concussion and a deep laceration of his right thigh. He lost about 4 units of blood prior to effective control of bleeding and closure of the wound. Fluid resuscitation is initiated, and a urinary catheter is inserted post operation to monitor his urine output. However, he continues to have significant oozing from his sutured wound.

His 24-hour urine volume is 350 ml with a high urine osmolality and low urine sodium. A coagulation screen results indicate the following: platelet count 250,000, bleeding time and a PTT time are both extended. 

1.  What type of renal failure is J. S. developing? Why is this type of renal failure developing?

2.  If J. S. does not receive adequate treatment, what further condition may he develop? Why? What is the best treatment option to prevent this from occurring?

3.  What other laboratory data beside urine output should be collected to evaluate J. S.’s renal function?

4.  If J. S.’s renal function continues to be diminished without any improvement, what could be the subsequent stages of his renal disorder?

Cite specific areas from your readings and research to support your ideas. 

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5 DQ 1

Topic 5 DQ 1

 

Health care organizations continually face challenges from various regulatory and government agencies while also being bound by Managed Care Organization (MCO) standards. View the video located in the study materials entitled “College of Nursing and Health Care Professions: Do We Know What Our Future Is?” for insight into the challenges of health care reform. Based on the video, describe two key reform factors that you believe will need to be addressed by future health care workers or leaders and explain why. (Note: You can download slides from this video for ease of review in developing your forum response). Additionally, what role does adherence to MCO standards play in your future health care vision?

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Caps Discussion W7

This week, you will add the Introduction and Conclusion sections to your final cumulative paper about Gestational diabetes.

Discussion Board:

For this week’s discussion board forum, post a draft of your final paper’s abstract, introduction, and conclusion for peer review. Identify any questions or challenges you are facing with the assignment or mention something new that you have learned. Pose specific questions you would like your peers to address.

Written Assignment:

The culminating argument paper is a restructuring of the first two papers with the addition of an abstract, introduction, and conclusion.

It is important that you do not repeat the mistakes and errors from previous papers. 

Show that you learned from your mistakes.

Pay attention to 7th addition APA formatting, the word “you”, re-watch the video “Five tips to improve academic writing”, (SEE BELOW LINK)

Your final paper should include a newly composed introductory section and a new conclusion section that presents your discussion of (and argument for) the solution. Your argument, or rationale, for the solution that you propose is the focus of this paper.

Your paper must:

Be 15–20 pages in length

Title page (1 page)

Abstract (1page –up to 250 words)

Introduction (1–2 pages)

Reworked informative papers (10–15 pages)

Conclusion (1–2 pages)

References (1–2 pages)

Reference 12–15 scholarly, peer-reviewed resources (compiled by combining all the references from your Perspective of Inquiry papers and any additional resources you use in this final paper.)

Follow all APA Style guidelines.

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video response grief

Appendix J – Grief

Ticket to class:

  • Place in dropbox prior to the start of class
  • No single word responses (at least 100+ words in each response)
  • Give examples
  • Cite resources
  • Give the questions some thought and answer honestly
  • Number your answers to correspond with the question
  • Worth 12 points / 10%

Watch the following videos:https://www.youtube.com/watch?v=Q2BJsOQypuw&feature=emb_logohttps://www.youtube.com/watch?v=zFvSgEKJktY&feature=emb_logoThese are short video of less than 3 minutes.Questions:

  1. How did each of the videos make you feel? Explain.
  2. What thoughts came to mind after viewing each video? Explain.
  3. What were some interesting facts that reached out to you while watching each video? Give examples.

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EPIDEMIOLOGY, AND COMMUNICABLE DISEASES

1. A.What are the social determinants of health?  B.Explain how social determinants of health contribute to the development of the disease.  C. Describe the fundamental idea that the communicable disease chain model is designed to represent. D. Give an example of the steps a nurse can take to break the link within the communicable disease chain.

Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

2. A. Select a global health issue affecting the international health community. B.Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). C.Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues. 

Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

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