TOPIC: Health Care Reform


After much public and political debate, in March 2010, the Patient Protection and Affordable Care Act (PPACA) was signed into law by President Barack Obama. The PPACA is one of many health care reform efforts that have sought to correct key features of the U.S. health care system such as financing, service delivery, and care coordination. This week, you will examine the passage of PPACA as a milestone along the historical continuum of health care reform in the United States.

To prepare:


Review this week?s Learning Resources and media presentation, reflecting on the evolution of health care in the United States and the public?s response to health care reform efforts historically and currently.


1. Consider: What principal features of the U.S. health care system helped or hindered the enactment of federal health reform in March 2010? What challenges were encountered?


2. How do these conditions and/or challenges reflect characteristics of the policy process and the political environment?

Post a cohesive response that addresses the following:

A. Analyze at least one important feature of the U.S. health care system that is of particular interest to you. Explain why you think this feature is significant in terms of health policy and reform.


B. Describe one or more conditions or challenges specifically related to the passing of the PPACA.
C. Explain how this exemplifies the nature of the policy-making process, and evaluate how it could relate to the question of why health reform in the United States has been so difficult.

In 2 pages and referring to the SG2 Health Care Reform document, answer this question: "What impact will Health Care Reform have on Occupational Therapy?"


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Customer is requesting that (cathii) completes this order.

I need a 3 page body APA style essay about Healthcare reform in a different country other than the US talking about the pros and cons of there healthcare reform with at least 3 references. All I need is a title page, the body, and reference page.

1.Compare the Dutch, German and British healthcare systems in terms of financing and delivery structures and incentives.

2.Should specialists be on hospital payroll or paid by third parties?

3.Define scope and scale economies? Explain hospital scope and scale economies.

4.What is the middle-income against all public insurance problem? Would a parallel private system hence drain resources from the public system?

5.Why do public healthcare systems tend to exhibit an intrinsic tendency to produce waiting lists?

6.Visit: http://www.csc-surgery.com/contact.php
What exactly is this hospital? What would your policy response be?

7. Emergency room waits are just inevitable. Evaluate.

8. Find and explain at least two hospital costs that could each be a fixed or a variable cost depending on whose costs they are.

Your answer to each essay question should be complete and between 200 and 300 words.

1.Describe how the issues that Florence Nightingale encountered in the 1800s were a major source and/or vehicle for the spread of infection and how her contributions continue to be important today.

2.Describe the duties and responsibilities of the Department of Health and Human Services.

3.Explain why physicians have been so reluctant to remove a patient's life support systems.

4.Many patients are reluctant to complain about their health care. Recommend means to alleviate this issue. Support your rationale.

5.Employment handbooks have become the basis for many recent lawsuits based on the premise of implied contracts. Take a position either in favor of or against the use of employment handbooks. Recommend alternative solutions to your course of action.

6.Many health insurance plans now restrict coverage for pre-existing conditions. Examine the issues surrounding this lack of coverage and recommend an alternative solution.

7.Compare and contrast the two legal concepts of a burden of proof and the preponderance of the credible evidence. Should the same level of proof be used in all cases?

8.Compare and contrast the differences between nominal, compensatory, hedonic, in punitive damages.

9.Explain the concept of a respondent superior. In today's society, is it just to hold an organizational liable for the negligent acts of its employees, even though there was no wrongful conduct on the part of the organization?

10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.

11.The Emergency Medical Treatment and Active Labor Act (EMTALA) forbids Medicare-participating hospitals from dumping patients out of emergency departments. If hospitals are required to treat any and all patients at the emergency room, why is this law necessary?

12.Explain how a sexual impropriety committed by healthcare practitioner should be handled. Should the impropriety be handled solely in the institution, rather than the courts? Explain your rationale.

Topic is: Health Care: Right or Privilege;

Identify, specifically, the ethical issue and the ethical problems it presents. Drawing on various sources, explain how one of the classical theories (utilitarianism, deontology, virtue ethics) would resolve the problem. Then, contrast this response with the perspective brought to the issue by relativism, emotivism, or ethical egoism. Finally, state which of these views is closer to your own, supporting your response with a clearly-presented and well-supported argument. The more specific you can be the better, and feel free to include examples that will strengthen your account.

This is MBA (Master of Business Administration) level

Please write two pages on what you believe will or will not occur in health care over the next year.
Please see attached summary of new health reform law

Read Case 6, "The Health Care Industry" (pages 222-223 the answer questions 1-4 on pages 223-224 (you may skip question 5).


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As a Chief Nursing Officer, you are responsible for one of the state?s largest Obstetric Health Care Centers. You have received word of some fraudulent behaviors in the center.

1.Evaluate how the Healthcare Qui Tam affects health care organizations.
2.Provide four (4) examples of Qui Tam cases that exist in a variety of health care organizations.
3.Devise a procedure for admission into a health care facility that upholds the law about the required number of Medicare and Medicaid referrals.
4.Recommend a corporate integrity program that will mitigate incidents of fraud and assess how the recommendation will impact issues of reproduction and birth.
5.Devise a plan to protect patient information that complies with all necessary laws.
6.Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality as academic resources.

For this final case assignment, your task is to write a 2-3 page essay in which you address a current national health care coverage component:

President Obama and signed into law a National Health Care Coverage system to provide all Americans with access to health care and affordable health care coverage. There are many debates going on in the media regarding the components of this law with regard to the elderly, women, minority groups, employers, employees, etc.

(1) Suppose that you are a health care policy analyst. Identify and describe a component of the new law with regard to it's impact on one group (several examples are provided above). (2) Then, describe and analyze at least one advantage and one disadvantage to this health care coverage component.

Write a four page paper assessing one source of risk management data for quality improvement. Choose one data source, and evaluate its effectiveness in accurately identifying risk. PLEASE SELECT AN ISSUE IN THE BEHAVIORAL HEALTH FIELD SUCH AS THE RISK INVOLVED IN POOR CHART DOCUMENTATION (LEADS TO AUDIT BY ACCREDITING BODIES) OR THE ISSUE OF SUICIDE OF PATIENTS ON LOCKED PSYCHIATRIC UNITS (LEADS TO LOTS OF LEGAL RAMIFICATIONS)


Please use the text listed as one source and select three peer review journals for the others.

Carroll, R. & Brown, R. (Eds.) (2006). Risk management handbook for health care organizations: Clinical risk management (5th ed.). San Francisco, CA: Jossey-Bass.

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Topic : You work for a large Hospital in NYC and have been charged with overseeing a number of initiatives regarding quality improvement. Since improving quality is an expensive undertaking, you must also keep a close eye on the budget. Explain why you chose to priortize cost over quality. Prioritize Containing and / or reducing cost.

The paper must not be longer,
than 10 pages in length supporting position on their controversial
healthcare issue. Use journal articles, case studies, and otherelated materials to make your case and must appropriately document any
references. The paper should be size 12 font, 1.5 spaced text and adhere to
the following format:
i. Executive summary
ii. Introduction to the issue
iii. Discussion of issues, principles, and theories
iv. Analysis of issue based on research
v. The effect of this issue on the public, healthcare, and pharmaceutical
companies
vi. Conclusions and findings

Please write short and to the point paper on the following 2 questions. The paper should be no more than 2 pages. I would rather double spaced, but you can use single spacing if you run out of room.

1. As you have discovered many hospitals have closed or have opened new outpatient facilities to counteract the reduction of inpatient utilization by patients and providers. Describe in detail the three main forces that have been responsible for the hospital downsizing in the US, and the decline in inpatient utilization. How will the new health care law affect this trend? Will there continue to be an increase in outpatient services and a decrease in inpatient care? Explain why you think inpatient will increase or decrease. As a person interested in health care delivery systems, what would you do to help prevent hospitals from losing revenue and closing?

2. The text(see below) describes many underserved populations. Some of these populations are underserved because they lack access to health care, for example children of the working poor who do not qualify for Medicaid but who do not have health insurance. Others are underserved because of their long term disabilities and need for ongoing care. Select one of these populations, explain why it is underserved, and explain one current health program in the US that addresses their needs. What is a weakness of the current program?

Please write short and to the point paper on the following 2 questions. The paper should be no more than 2 pages. I would rather double spaced, but you can use single spacing if you run out of room.

Text is:
Shi, L., & Singh, D.A. (2012) Delivering Health Care in America : A Systems Approach; 5TH
Note: Please make sure to purchase the 5th edition (not the 4th edition)

Management Information Systems for Healthcare Managers

Unit 1 Health Care Delivery Systems


Reading Assignment
e-Textbooks are accessible via the Vital Source bookshelf. Click here and enter the login information you received via email from Words of Wisdom (WOW) to access your text.
Green, N.A. & Bowie, M.J., Textbook & Lab Manual, chap. 1
________________________________________
Assignment Type: Individual Project Points Possible: 50 Deliverable Length: See assignment detail
Complete Lab Assignment 1-2, and submit the Annotated Bibliography to the dropbox.
Submit an annotated bibliography of 2 citations using APA style. Submit a paper of 1?2 pages that addresses at least 4 of the following criteria:
? Description of article?s content and focus
? Whether the article?s content is useful
? Article?s limitations (e.g., outdated)
? Audience for which the article is intended
? Evaluation of any research methods used in the article
? Author?s background
? Any conclusions the author(s) made about the topic
? Your reaction to the article
Please submit your assignment.
For assistance with your assignment, please use your text, Web resources, and all course materials.

(The History of Hospitals, Delivery of Inpatient Services )

1. The type of facility you have chosen for this subject ( you can choose!)
2. The types of services that are provided at this facility. Include a description of both inpatient and outpatient services
3. The types of patients that receive care at this facility.
4. Provide a minimum of two examples of how this facility has responded to changing trends in healthcare. Examples of this may be new programs, cost containment strategies etc.


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Customer is requesting that (infoceo) completes this order.

Course: Healthcare Administration
Book:
Swayne, L. E., Duncan, W. J., & Ginter, P. M. (2005).Strategic management of health care organizations.
(5th Edition)
Assignment 4: Riverview Regional Medical Center: An HMA Facility
Due Week 8 and worth 320 points
Read the ?Riverview Regional Medical Center: an HMA Facility? case.

Write a 4-6 page paper in which you:

1. Identify the six (6) stakeholder groups for Riverview Regional Medical Center (RRMC).
2. Discuss the target markets of existing programs and identify gaps in RRMC?s marketing strategy.
3. Discuss new services or products that could be developed with existing resources.
4. Discuss services that need to be strengthened and promoted to control out migration from the primary service area.
5. Describe what RRMC should do to counter its image problem in the community because of its decision to close the Women?s Pavilion.
6. Describe what Mr. Hayes can do to improve the relationship with the medical staff.

Please include each question followed by the answer. Also please include intext cites as well as cites/references with actual web sites.

Thanks in advance!

Elements: The body of project, in this order: title page-project approval page- abstract-table of contents- list of tables (if appropiate)-list of illustrations (charts,graphs, figures) if appropiate-list of symbols-preface.Each Project must be organized into five-capter APA fromat on a topic related to the field of public administration.Paginated in Arabic numerals are the text and other pages following the preliminary pages arranged in the following order: text(chapters of the manuscript)-endnotes-appendices-references-index. All Capstone Projects must carry the following information on the title page: a research Project presented to the faculty of National University in partial fulfillment of the requirements for the degree of Bachelor of Science in Public Administration.
The following is my abstract submitted:
VARYING DIFFERNCES OF UNIVERSAL HEALTH CARE
Abstract
This paper (my project) explores several published articles that report on results from research conducted on Online (Internet) and Offline (non-internet) on the benefits of Americans receiving/participating in Universal Health Care (UHC). The articles, however, vary in their definition in implementing UHC. The Demorcratic government suggest that UHC is more effective than Private Insurer Carriers (PIC), defined andd used as a supplementary coverage for the millions of rejected un-insurable Americans (what are you trying to explain to the reader). Other articles define UHC differently and thedrefore, offer different results?? This paper (this is a project) examines UHC research in relation to several other research articles to suggest that all areas of UHC should be studied in order to fully understand how UHC will influence (impact) and better the llives of all Americans, regardless of their economic ability to pay.
And then I will make recommendations based on my analysis.

STRAYER UNIVERSITY






A STUDY OF THE CHALLENGES FACED BY RURAL HEALTHCARE FACILITIES.





A DIRECTED RESEARCH PROJECT SUBMITTED TO THE FACULTY OF THE GRADUATE SCHOOL OF HEALTH SERVICES IN PREPARATION OF FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF HEALTH SERVICES ADMINISTRATION


TO


DR. BELINDA HARTNETT



BY

JOHN G. COGLIANO



LAUGHLIN NV


DATE









TABLE OF CONTENTS

TABLE OF CONTENTS

PROPOSAL









































PROPOSAL




Context of the Problem
One-fourth of America's population lives in rural areas. Compared with urban Americans, rural residents have higher poverty rates, a larger percentage of elderly, tend to be in poorer health, have fewer doctors, hospitals, and other health resources, and face more difficulty getting to health services.

Statement of the problem
Hospital closures and other market changes have adversely affected rural areas, leaving State and Federal policymakers, and others concerned about access to health care in rural America. Considerable changes in the health care delivery system over the past decade have intensified the need for new approaches to health care in rural areas. Managed care organizations, for example, may not be developed easily in rural areas, partly because of low population density.
Main Research Questions and Sub-Questions
Can rural health care facilities overcome the ongoing challenges to provide quality medical care to their communities?
The subsequent six research sub questions of this study are formulated in the following way:
1.) Access to care. Many small rural hospitals have closed, while other health care Supply of primary care physicians and other health care providers facilities are in financial straits. Unavailability of resources and transportation problems are barriers to access for rural populations.
2.). The supply of primary care practitioners and other health care providers in rural areas is decreasing. Some are leaving rural areas to join managed care organizations elsewhere.
3.) Health promotion and disease prevention. Goals for improving the Nation's health over the next decade can be achieved only if rural populations are included in efforts to remove barriers to access and use of clinical preventive services.
4.) Health care technology. Technologies including telemedicine offer promise of improved access to health care, but their most efficient and effective applications need further evaluation.
5.) Organization of services for vulnerable rural populations. Low population density in rural areas makes it inherently difficult to deliver services that target persons with special health needs. Groups at particular risk include: the elderly; the poor; people with HIV or AIDS; the homeless; mothers, children, and adolescents; racial or ethnic minorities; and persons with disabilities.
6.) Consumer choice and the rural hospital. Factors that drive changes in rural hospitals have a critical effect on consumer choice and access.

Significance of the Study
This study is of significance to several groups including:
Patients (both present and future)
Families of Patients
Communities
Insurance Companies

Vulnerable Population in the Workplace Project

The goal of your project is to identify barriers in the workplace to understanding vulnerable populations and affecting the disparity in promoting health care delivery. This project presents the opportunity to take course concepts and knowledge to your workplace to affect change and create new awareness to the realities of health disparities and barriers to health care that challenge wellness interventions.

Identify a barrier to decreasing a health disparity in a vulnerable population.

Evaluate your workplace for the presence of barriers in understanding vulnerability.

Use the action plan approved by your facilitator to complete this project.

Develop your action plan with the objective of increasing awareness of vulnerability based on culture, illness or disease, or a goal of Healthy People 2020.

Design the materials for your action plan for your workplace. You can teach a class, create a poster for display in your unit, design a brochure for staff, or use another creative approach. Include the following elements:

? An audio or visual aid as a tool to your action plan
? Three integrated course concepts
? Other applicable materials such as the teaching aid, digital photos, a copy of the brochure, and an outline of the teaching plan, as appropriate

Write a 700- to 1,500-word report describing experience in the workplace. Describe the concepts that were the project?s focus, results, and possibilities for future change.

Include citations for at least four references

Format your paper consistent with APA guidelines.

To prepare:
? Review the article ?A Population Health Framework for Setting National and State Health Goals,? focusing on population health determinants.
? Review the information in the blog post ?What Is Population Health??
? With this information in mind, elect a population health issue that is of interest to you.
? My Population Health Interest( access to health care,)
? Using other relevant resources, conduct a search to locate current data on your population health issue access to health care
? Consider how epidemiologic data has been used to design population health measures and policy initiatives in addressing this issue.
?
References:?Central Intelligence Agency. (n.d.) The world factbook. Retrieved from https://www.cia.gov/library/publications/the-world-factbook/rankorder/2091rank.html
Kindig, D., Asada, Y., & Booske, B. (2008). A population health framework for setting national and state health goals. JAMA, 299(17), 2081?2083. doi: 10.1001/jama.299.17.2081
? Kindig, D. (2007). Understanding population health terminology. The Milbank Quarterly, 85(1), 139?161. ?Retrieved from the Walden Library databases. ??This article provides a valuable foundation in understanding the terminology of population health. Although written in 2007, the information in this article is very pertinent to the topics discussed this week.
? Kindig, D., Asada, Y., & Booske, B. (2008). A population health framework for setting national and state health goals. JAMA, 299(17), 2081?2083. ?Retrieved from the Walden Library databases. ??Using a framework to craft policy and programs can help ensure that outcomes are measurable. The authors of this article note how some of the overarching goals of Healthy People 2010 were not measurable. They suggest a framework for developing more measurable goals for Healthy People 2020.
? Centers for Disease Control and Prevention. (2010). Morbidity and mortality weekly report (MMWR). State health statistics. Retrieved from http://www.cdc.gov/mmwr/StateHealth/index.html ??The CDC website provides health statistics gathered using epidemiologic methods. Explore the health statistics for your state or for a health problem of interest to you.
? HealthyPeople.gov. (2010). Foundation health measures. Retrieved from http://healthypeople.gov/2020/about/tracking.aspx ??Healthy People 2020 uses the four foundational measures presented at this website to monitor the health of the American population.
? State of New South Wales, Department of Education and Communities and Charles Sturt University. (2012). Core 1: Health priorities in Australia: How are priority issues for Australia?s health identified? Retrieved from http://hsc.csu.edu.au/pdhpe/core1/focus/focus1_1/4003/health_pri1_1_1.htm ??Australia uses epidemiologic data to establish its health priorities. Review the information presented at this website, and consider how the United States sets its health priorities.
? U.S. Department of Health and Human Services. (2010). Healthy People 2020. Retrieved from http://www.healthypeople.gov/2020/TopicsObjectives2020/pdfs/HP2020_brochure_with_LHI_508.pdf ??This overview of Healthy People 2020 provides a description of goals of this program, along with indicators used to assess the health of the United States.
? U.S. Department of Health and Human Services. (2012). Healthy People 2020 ? Improving the health of Americans. Retrieved from http://www.healthypeople.gov/2020/default.aspx ??This site contains a wide variety of information and resources dealing with the Healthy People 2020 goals, as well as information on how to implement the objectives.
? University of Wisconsin Department of Population Health Sciences. (n.d.). What is population health? Retrieved from http://www.improvingpopulationhealth.org/blog/what-is-population-health.html ??This website provides a definition of population health and health determinants. It also examines how health policy can influence determinants of health.

Ethical Issues in Global Health
Anabel Ruiz
Florida International University/NUR 4667 Nursing in Global Health Care Systems















Ethical Issues in Global Health

A)
I agree with the World Healthcare Organization that healthcare is a fundamental right and as such universal health care should be implemented allowing virtually all of the population in the United States (US) to have access to healthcare. The rationale for this is that in this manner, patients wouldn?t be denied coverage and more yearly physician visits means that a person who doesn?t want to go see a doctor about right leg pain and warmth because he already used up his yearly physical or simply because he has no insurance can prevent more costly and complicated procedures in the future and more importantly save the man?s life from a possible pulmonary embolism. Japan is a country that practices universal health care and as a result their populations as a whole have higher life expectancies than their counterparts in the US (World Health Organization, 2013).

B)
I believe every country should use their own resources to alleviate their nursing shortage. Developed countries should provide more incentives for their own people to study nursing such as paying for their education and facilitate new nurses in obtaining jobs. In India alone, ?2.4 million nurses will be needed by 2012 to provide a nurse patient ratio of one nurse per 500 patients? (Senior, 2010). If this is the case, why should more developed countries take away nurses that are critically needed in these less developed countries? My opinion is that once developed countries have resolved their nursing shortage, they can then use their resources to aid developing countries in educating new nurses or funding money to nursing programs so that the people that want to become a nurse but can?t afford it are able to do so. Also, developed countries can provide an incentive to send nursing educators to developing countries to help with their nurse educator shortage.



the work assignment is read the above assignment and respond back with a 100 words.thanks

Must be 15-20 pages (excluding title and reference page) Investigate a specific topic, research current literature, apply graduate level critical thinking to the presentation of the information

TOPIC - Analyze the effects of the social, cultural and political influence in the delivery of healthcare services as they specifically pertain to QUALITY IMPROVEMENT and RISK MANAGEMENT to the healthcare organization and patients served.

Must be 15-20 double spaced pages and formatted according to APA style
Must include an introductory paragraph with a succinct thesis statement
Must address the topic of the paper with critical thought
Must end with a conclusion that reaffirms your thesis
Must use at least 10 SCHOLARLY and/or PEER REVIEWED sources published in the last five years
Must document all sources in APA style
Must include a separate reference page formatted according to APA style

Draft a 5 page paper describing the many activities or factors which have served to shape the U.S. health care system.

**You should also identify EIGHT specific factors associated with historical, political economic and cultural activities and describe the impact of each on current health policy. You should draw your analysis both from readings in the text as well as what you see happening in current local or national debates.

**Please cite searchable online articles as well as books.

**Include an introductory and concluding paragraph and demonstrate college-level communication through the composition in Standard American English

**Use examples to support your discussion

Essay will be about the current healthcare issues on our country. How can we solve the ongoing problem of Medicare Fraud and Abuse and if the government has sufficient or effective regulation enforce. If not, how can we resolve the problem? what are the recommendation you can think of? It is for Economics on Healthcare so it must be economically sound.
Format is APA format with at leatst 5 references and 13 pages long.

This essay is due on August 18, 2011.

Before going further, how much will it cost me? Can I review the paper first before finalizing it?

Subject: Master of Nursing : Policy, Power & Politics in Health Care Provision

Type: short essay with 1500-2000 word limit

Instruction: Having reviewed the sociological issues and their relationship to health care policy, discuss what the health care priorities should be over the coming decade to fix health inequities within HONG KONG? Focus your discussion on two issues only (eg gender, poverty, social class, ethnicity).

Reference: about 10 reference with APA format