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

The paper must include an analysis of the issue, as well as future projections for its direction, and the role of the nurse leader and the nursing profession. This is a paper on Health Policy. The paper must be well documented, appropriately formatted and provide a vision and reality of nursing leadership as an approach to achieve health policy goals and resolve issues. I would like to concentrate on the following topics Barriers to Culturally Competent Care and Linking Cultural Competence to the Elimination of Racial and Ethnic Disparities in Health Care.
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Title: Organizational Design Paper
Analyze the design of your organization;(health care agency) Desscribe the internal and external factors that have defined and shaped your organization in terms of its size organizational structure, and processes. Has the demand for more accountability affected the behavior of your organization in any way?

2 questions to answer

Question 1:
Search the internet for this 31 page document titled: Roadmap for Implementing Value Driven Healthcare in the Traditional Medicare Fee-for-Service Program, and other current websites that speak to this document. Share your thoughts in a comprehensive, scholarly manner about what you discovered in the document.

Cite your sources.

APA format

Question 2
Share your comments regarding this week's Dlugacz (2010) or Mason, et al. (2012) readings. Only need to discuss one of the chapters from one of the authors selected.

(I am sending a PDF file of the Dlugacz reading of chapter 1)

Cite your sources.

APA format
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Customer is requesting that (moriks58) completes this order.

Position Paper TOPIC: (SHOULD AMERICA ADOPT NATIONAL HEALTH INSURANCE)
Cover page should include; Kathy Pittman
Critical Inquire

Students will be required to write an 8 - 10 page position paper on an issue related to health care delivery. The reference page should not be included in the total page count. Be sure to pick a topic that is debatable. The paper, written in APA format, should consist of:

1. Introduction & statement of the issue

2. Literature supporting the issue

3. Literature in opposition of the issue

4. Analysis of content in the media related to issue (Must include discussion of at least one(1) article in the media)

5. Student position & rationale

6. Conclusion

7. References (a minimum of 5 references no more than 5 years old are required)





Points awarded for submission, organization, and demonstration of a beginning discussion on the topic selected.

The final paper must be typed in Microsoft WORD.

The final paper will be graded as follows:

I. Introduction & statement of issue 15 points

II. Presentation of literature

(Focus on proc/cons cost/quality/access in relationship to each side, use subtitles for pros/cons to make reading easier)

a. Supporting issue/topic 50 points

b. Opposing issue/topic 50 points

III. Current Media Article Analysis

a. Identify article & author 20 points (review facts presented in the article)

b. Identify parties/stakeholders affected & 15 points Briefly describe how according to the article (ie. Who cares that the article was written? Who should read the article?)

c. Potential biases of the author 20 points (ie. Is the author credible? How do you know?)

d. How does the article topic relate to cost/quality/ 25 points access of health care

IV. Presentation of student position 50 points (ie. Include references/personal examples as appropriate that influence your position)

V. Conclusion (summary paragraph) 10 points

VI. References (usage, <5yrs old) 10 points

Writing Component of Paper

Grammar/spelling 20 points

Organization 10 points

Punctuation 15 points

APA guidelines 10 points (presence of title page, running head, page numbers, format for references & citations)

Points for Final Paper 320 Points

The paper must examine either a portion of the work of a significant moral theologian or a specific issue relating to health care. The paper should perform (a) an analytical function--i.e., sort out what's at stake with respect to the moral theologian or issue being discussed, and (b) a critical function--i.e., present and defend your own views on these matters.
The topic needs to focus on the ethical debate of providing healthcare services to illegal immigrants in the United States. This has become an increasingly problematic issue in states like California where hospitals have to provide emergency healthcare to illegal immigrants, most of which came from Mexico. There is also the rising issue that many illegal immigrants are able to pull from social security and medicare when they come of age. The big issue to focus on in the paper is how much care should the United States Government provide to illegal immigrants and how much does the care cost the average American?
I need 20 cited sources, with preferably multiple citations. One source needs to be The New Revised Standard Version of the Bible. The Bible can only serve as one of the necessary sources, but multiple quotes can be used from it. The sources can not come simply from popular press, but need to mostly be from scholarly Journals here most of which should be based in the United States since the issue needs to focus on the United States. The focus of the class is Medical Ethics from a Christian perspective, looking at the allocation of scarce healthcare resources among Americans both citizens, immigrants, and illegal immigrants.

Discussion Question One:
Discuss the concept of clinical integration and the Accountable Care Organization and how do you feel it will help improve or hinder the quality of health care.

Discussion Question Two:
Identify a large integrated health care system in the county. Provide specific information about the health care system and identify why the system is a success.

Become familiar with the emerging strategies in modern health care organizations including joint venturing and physician practice issues and accountable care organization and long term planning.

Harrison: Chapters 9, 10 and 11

Harrison, J.P. (2010). Essentials of Strategic Planning in Healthcare. Chicago: Health Administration Press. ISBN-10: 1567933483, ISBN-13: 978-1567933482.

Other research as necessary


Other research as necessary
Harrison: Chapters 9, 10 and 11

Other research as necessary

This paper will provide an opinion view of Corporate Employee Training and Development for large organizations (1000+ employees). Prefer a focus on the Health Care Industry for references, but not all required.
It should have a breakdown and position for the value of :
1.Scope of Training
a.Investments and a Systems approach to training
2.Needs Assessment and Organizational Analysis
3.Training program design
a.Objectives
b.Employee readiness and Motivation
4.Implementation of Training
a.Methods for non-management
b.Method for management
5.Evaluating the Training Program
a.Measurement of effectiveness
b.Employee reaction
c.Learning effectiveness
d.Behavior change
e.Results ? Return on Investment
i.P&L impact, Safety, motivations
6.Unique or customized programs

The research and position paper should include research on the current and future factors affecting the topics

Regulatory and Legislative Issues Paper
Select a health care law that is either already in effect or under consideration. Using APA 6th edition format, prepare a paper evaluating the impact of this law on health care. How has it or will it affect health care? How will it impact health care in terms of cost? How will the law impact health care in terms of quality? What groups are in favor of it? Why? What groups are opposed to the law? Why?

Article source is

http://www.nejm.org/doi/full/10.1056/NEJMsa051249#t=articleBackground



Guidelines for Article Review:

Each class member is responsible for reading and reviewing one article from a
scholarly journal that the student used so support their presentation. Appropriate
chapters from a scholarly book may also be reviewed. Internet sources are
acceptable for this assignment if they are weighty and comparable to a peer-
reviewed journal article. Articfles should be at least 5 pages long. Article
reviews will be 2 pages in length, and due in class on the date indicated for
the corresponding group presentation. All reviews must be carefully written,
strictly adhere to the APA writing style, and typed (double-spaced) in 12 pitch,
Times New Roman font, with 1-1.5" margins. The article must be attached to
the review . Twenty points will be subtracted from your earned (article review)
grade for each day -- including weekends -- that you are late in submitting an
article review. An additional 5 points will be deducted from a students earned
grade if the review is not stapled (paper clips are not an acceptable alternative).
Any review that includes more than 3 lines of direct quotation (of ANY length --
i.e., whether 3 separate quotes or one long one) will receive a 10 point deduction

8

from its earned grade. Students who request extensions after the stipulated
date will receive extensions only if they meet University terms for granting of
Incompletes (e.g., can document illness or other personal business that caused
failure to complete the assignment). All work must be submitted in the form of an
ORIGINAL hard copy. The instructor will NOT accept faxes, email/attachments,
or copies (Xerox, fax, email/attachment, etc.) of the assignment unless previously
agreed to with the individual student. Article reviews based upon unacceptable
sources (e.g., newspaper, popular magazine) will earn, at most, 10 points.

ADDITIONAL ARTICLE REVIEW GUIDELINES

Article reviews must follow all specifications provided on the course syllabus. In
preparing this work, you will also need to respond to each of the following:

Citation
Each review must include the APA citation for the
article (or chapter) that you are discussing.

Summary
Tell the reader exactly what the article is about. What
was the reason for the article? If a research work, how did the author go about
conducting the study? Who were the subjects? What kinds of analysis wee
conducted? What were the authors findings and conclusions?

Professional Critique
From the perspective of a professional in the field of
health care management, how do you respond to the article? For example, is it
clearly written? Would its intended audience understand the content (remember
that the average consumer may NOT be the intended reader)? How might the
work have been improved? Did the author support his conclusions with
appropriate evidence? Were any biases apparent in the authors work and/or
conclusions? What were the management implications. Do not hedge when
preparing your professional critique. Take a stand.

Personal Response Even if you select an article that, from your professional
point of view is horrible, it may generate a favorable personal response.
Alternatively, you may have similar personal and professional responses to a
written work. Tell me about those personal responses. Only in this section may
you introduce any subjectivity. Was the article interesting to you? Do you think it
covered an important topic? How might it have been improved to make for better
reading? better research? Did the author tackle a major problem in an
appropriate manner? Questions as these are all fair game for your personal
response.

9

3Qs
Create three questions that you can ask someone to
establish his grasp of the content. Do not provide answers to these questions.

All reviews must be written in professional prose. That means you cannot
use contractions, nor can you use the first person in your writing. Spelling,
grammar, and punctuation must be consistent with professional standards.
Lastly, remember that only professional sources are eligible for use as an article
review. Publications such as Sports Illustrated, Seventeen, Newsweek, Life
or any other popular magazine (that you can buy at the super market) are NOT
acceptable. Newspapers and the INTERNET are also inappropriate sources for
this assignment.

If you have questions about the acceptability of your article, show it to me ??"
at least one week before your review ??" and I will gladly determine whether it
is appropriate for the assignment. Please note: Students who submit reviews
based on unacceptable sources (e.g., NET, newspaper, or magazines) will (1)
receive an automatic zero for the assignment and (2) NOT have any opportunity
to resubmit the assignment. Students whose reviews do not include all necessary
content areas will be graded proportional to the presence/quality of mandatory
areas that are covered in their review.

Finally, submit only the article review. Do NOT use plastic binders and do NOT
submit a copy of the source with your review.
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You are a community health nurse employed in a rural Alberta health unit. In your district, the unemployment rate is over 20%, and the incidence of small grocery store theft has increased markedly during the past year. During routine infant and preschool immunization clinics and home visits you have noted signs of fatigue, anemia, and susceptibility to respiratory infections in family members of all ages. In addition you have noticed that many of the parents that you see in their homes seem to be smoking more. During clinic and home visits, many parents express concern about the adequacy of the diet that they are able to provide, and say that the funding they receive from Social Services is insufficient to meet their families? basic food needs. The largest urban centre where large discount food stores are available is a four-hour-drive away. Most families in the district do their grocery shopping at the local general stores, where prices are higher. Many of these families have large debts. The owners of these stores are unable to extend the credit lines of many of their customers much further, although they are sympathetic to the overall situation. The general tone within the district towards the employment and economic situation is pessimistic, although many parents do comment during clinic and home visits that they are still waiting for things to ?turn around.?

Recently a small group of farmers and local businessmen expressed interest in developing a food bank, although no one has any experience in organizing one. The only condition that they have placed on their offer is that ?needy families become directly involved in helping themselves and each other, and nobody just gets a free handout.? The provincial nutritionist, a good friend of yours, has indicated her support and is willing to be involved in consultation and teaching.

Second ? Prepare the following for submission to your unit manager.

.Develop a written proposal ? Using data supplied in the case study outline how you, the community health nurse, would work with this community integrating the concepts of population health promotion, primary health care and health promotion. Offer to discuss your proposal with someone or a group in your network.

You are assigned to write an article review using a source that contains peer-reviewed/scholarly articles. You will one of the following topics.

? an article dealing with use of flow charts for medical processes.
? an article, dealing with time value of money and healthcare.

As you read the article, consider the following questions: How could the topic of this article apply to your personal or professional life? How could it apply to an organization you have observed?

Use these guidelines to select an article:
? Is in reliable sources/journals
? Related to business and economics
? At least 10 pages long
Use these guidelines to prepare your article review:

At least two pages
? Identify the main topic/question
? Who is the authors intended audience?
? Summarize the article for page one
? State how the article relates to the topic of your choice
? Report your key learning regarding the selected topic
? State what is useful and you can utilize it in quantitative methods for healthcare

Assignment 3: Selection and Retention
Assume the same role of VP of HR as in the previous assignments.

1.Discuss how the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards impact how you develop job descriptions. Provide specific examples to support your response.
2.Create a selection process for your specific health care organization that adheres to all legal requirements.
3.Outline a plan to maximize employee retention specific to your organization.
4.Outline a plan for terminating employees who are not a good fit for the organization.
5.Cite at least five (5) references, three (3) of which must be from peer-reviewed journals.
Your assignment must:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format.

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Customer is requesting that (Maryamkazi) completes this order.

(Financial Planning)

1. Discuss the steps involved in formulating a strategic plan within health care organizations.

2. Discuss how health care organizations benefit from financial planning.

3. Discuss how scenario analysis and scenario planning differ from traditional methods of planning in health care organizations.

(Reading material)
In today's volatile healthcare environment, traditional planning tools are inadequate to guide financial managers of provider organizations in developing managed care strategies. These tools often disregard the uncertainty surrounding market forces such as employee benefit structure, the future of Medicare managed care, and the impact of consumer behavior.
Scenario analysis overcomes this limitation by acknowledging the uncertain healthcare environment and articulating a set of plausible alternative futures, thus supplying financial executives with the perspective to craft strategies that can improve the market position of their organizations. By being alert for trigger points that might signal the rise of a specific scenario, financial managers can increase their preparedness for changes in market forces.


Managed care plans and providers face tremendous uncertainty regarding the future of the industry, as a variety of healthcare policy scenarios are being offered by candidates in this year's presidential election campaigns. Health care's loss of stability demands that new strategic-planning tools that determine the potential impact of uncertainty on financial performance be implemented.

Scenario planning is a tool that can be used to explore the impact of different possible futures for health care. a Scenarios provide a structured framework for imagining and assessing uncertainty, allowing the distillation of complex market interactions into a limited number of plausible alternatives that can be used to determine an organization's most appropriate strategic initiatives.

Managed Care Market Forces

Scenario planning is especially useful for analyzing the current healthcare climate, which is characterized by a significant level of uncertainty regarding critical market forces. These market forces include:

Collective bargaining for physicians. To what degree will physicians legally be able to negotiate collectively with payers?

Consolidation of health plans. Will health plans continue to consolidate until only a handful of payers compete in each market, or will new plans aggressively enter markets, leading to fragmented healthcare coverage across many payers?

Employee benefit structure. Will employers continue to provide employees a defined benefit that allows them to choose from a limited number of health plans, or will they shift to a defined-contribution approach that allows employees free rein to determine how to spend a fixed sum?

Federal healthcare reform and universal access. Will health coverage continue to be provided through fragmented channels, or will there be a shift to universal coverage guaranteed by the Federal government?

Medicare managed care. Will the number of Medicare beneficiaries covered by managed care plans significantly increase or decrease?

Healthcare inflation. What will be the relationship between the increase in healthcare costs as measured by the medical price index (MPI) and overall economic inflation as measured by the consumer price index (CPI)?

Health plan models. Which health plan model will emerge as the dominant structure?

Impact of consumerism. Will consumers continue to play a relatively passive role in healthcare decision making, or will they become more active, demanding more information about provider prices and quality of care?

Provider payment structure. What will be the primary payment mechanism for hospitals and physicians?

Physician practice structure. Will the majority of physicians participate in multispecialty or singlespecialty group practices, or operate solo practices? Will group practices be large or small?

For purposes of scenario analysis, planners should select from among the identified market forces two forces that are anticipated to have a great potential impact on the organization. These forces should be used to form a matrix that presents four plausible futures, or scenarios. These four scenarios represent the extreme outcomes of the market forces at work.

Scenarios and Strategies

In Exhibit 1, two opposing possible developments in healthcare inflation (the magnitude of the MPI vs. the CPI) and the role of the healthcare consumer (active vs. passive) are combined to construct a matrix illustrating four possible managed care scenarios. These four possible scenarios can be called the Two-Tiered System, Freedom of Choice, Flashback to the Mid-1990s, and Healthcare Reform Revisited. Exhibit 2 illustrates the strategic implications of each scenario for hospitals and physicians.

Two-Tiered System. In this scenario, the increase in medical costs greatly exceeds general inflation, and the consumer chooses to takes an active role in healthcare decision making. Employers would move to a defined-contribution approach to health coverage and providing employees with a fixed dollar amount every month. Consumers would make their own decisions regarding the purchase of insurance and healthcare services, seeking value from hospitals, physicians, and insurers. The combination of individual purchasing discretion and greater demand for information would lead to new models of contracting. The Internet may emerge as the low-cost channel for individuals to use to purchase insurance and healthcare services either on their own or as part of a group.

As new purchasing channels emerge, providers would need to develop relationships and redefine contract parameters with another set of payers. Branding and product differentiation would become important strategies for providers. Scoring well on public "report cards" would be crucial. Direct consumer evaluation of the price/quality trade-off would reward "value" providers. Additionally, hospitals and physicians would need to more closely evaluate strategies traditionally used to sell consumer goods, such as pricing, discountcoupon distribution, and product bundling.

Freedom of Choice. The Freedom of Choice scenario reflects an active consumer and medical inflation that generally is in line with the nation's inflation rate. Because employer healthcare costs would not be growing significantly faster than general inflation, companies would continue to offer their employees a choice of plans and providers with a defined benefit. Consumers would take an active role in making healthcare decisions within the defined limits of their coverage. Although freedom of choice would exist, the market forces of supply and demand would serve to ration care and access.

Enlarge 200%
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EXHIBIT 1:
EXHIBIT 2:


Consumer-driven choice and low inflationary pressure have several strategic implications for hospitals and physicians. Participation on every managed care panel would not be essential. Consumers would migrate to their provider of choice, increasing provider leverage with payers. Consumer watchdog groups, employer coalitions, and payers would attempt to define and measure quality. If these attempts were unsuccessful, consumers would make choices based on their perceptions of quality, causing many providers to put greater emphasis on market visibility and brand recognition.

Flashback to the Mid-1990s. The third scenario, Flashback to the Mid1990s, combines relatively low increases in medical costs with consumer passivity. In this scenario, managed care payers would be the dominant market force, setting contracting and coverage parameters and, thus, making the greatest profits. In an attempt to define and measure provider quality, payers would require providers to submit information that would allow quality evaluation to occur. Because of consumer indifference to choice among healthcare providers, there would be a shift from open-access products to closed-panel models presided over by gatekeepers. Federal legislation would wane because employers would be content with the relatively low rate of medical inflation, and consumers would not demand government intervention because perceived problems would be minor.

Hospitals and physicians would consider aggressive responses to the payers' strong market position. Hospitals would consider consolidation in an attempt to increase their bargaining power. Physicians would renew their interest in independent practice associations (IPAs) or group practices as their primary contracting organization. Providers faced with the daunting choice of major rate concessions or exclusion from panels would refuse to enter into contracts with payers who would not pay minimally acceptable rates.

Healthcare Reform Revisited.

High medical cost inflation and passive consumers create the fourth scenario, Healthcare Reform Revisited. Concerned with the high rate of medical inflation, the Federal government would pass a series of reforms that would establish active Federal oversight and regulation of both providers and payers. Faced with increased Federal scrutiny, providers would focus a significant portion of their resources on corporate compliance and policy development. Risk would be shifted from payers to hospitals and physicians primarily through capitation.

Hospitals and physicians would reevaluate the role of the integrated delivery system to optimally match their organizational structure with the industry's risk-based payment system. Hospitals would reconsider purchasing primary care physician practices to link with their hospital services. IPAs and physician-hospital organizations (PHOs) would be revived as contracting organizations. Risk-management skills and information technology would become essential as providers would be asked to develop risk-sharing, incentive-based systems. Additionally, hospitals would develop quality-measurement systems to meet Federal regulations.

Using Scenario Analysis

Each of the four scenarios given above examines a different possible future for health care brought about by the interactions of critical variables. Healthcare finance executives can use scenarios to identify strategies that would be successful under various future conditions and those that would be especially valuable in a specific scenario. By being alert for triggers that might indicate the onset of a particular scenario, financial managers can begin to adjust strategy to prepare for a shift in the healthcare marketplace. For example, if major purchasers of health care lobby Congress to regulate health care more closely, the Healthcare Reform Revisited scenario might be on the horizon.

Scenario planning and analysis provide a systematic method to recognize and address the major uncertainties facing healthcare organizations. It is most useful when a high degree of uncertainty exists around critical market forces, such as government reform or policy changes, competitor consolidation or expansion, and changing attitudes of the healthcare consumer. By identifying and discussing the implications of each scenario, healthcare financial executives will be able to develop a set of robust and adaptable strategies that allow their organization to stay one step ahead of the market. *

This paper is to be a compare and contrast paper on U.S. and Norway health care systems. It is not about health care reform.

Develop a thesis statement.
-introduction, comparisons and contrasts, strong conclusion. Comparisons and contrasts should include one or more of the following topics: health care spending, health care costs, health insurance, medical education, professions in health care, health care settings, and/or reimbursement. References Cited page - in APA format.

I have a bunch of information that was pasted from the internet. I will send it just in case you can use it.
Thanks.

Directions from instructor:

You are provided an opportunity to thoroughly research the health care system of a foreign country. In light of studying the health care system of a foreign country you are to take the information and compare and contrast health care delivery to the principles implemented here in the U.S. Taking what you have learned in this course along with the use of outside resources you are to incorporate and gain a full understanding of the similarities and differences of a foreign country's health care system in comparison with that of the U.S.


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Write an eight (8) to ten (10) page paper using APA format that provides an analysis of President Obamas proposed health care reform plan. Include in your analysis the following:
A description of the major features of the proposed health care reform plan, including how the plan will be funded
An objective analysis of the pros and cons of the proposed plan in relation to the following factors:
The degree to which the plan will increase access to health care for various segments of the population
The extent to which the proposed plan will affect cost relative to the consumer, the taxpayer, the insurance companies, government, and other payers
The impact of the plan on the quality of care delivered
Unintended consequences (e.g. health care rationing)
An analysis of the potential response of the three stakeholders listed below. Analysis should address the subgroups within each stakeholder group (examples are given):
Health care providers: subgroups include groups such as physicians, hospitals, HMOs, etc.
Health care consumers: insured, uninsured
Current health care payers: employers, insurance companies, etc.
A summary of the paper that articulates your position relative to the proposed plan. Explain why you support or oppose the plan.

Based on your specialty tracks elected role option (Nurse Practitioner), identify a potential problem (topic) that you would like to investigate through nursing research. Begin by reading the American Association of Colleges of Nursings (AACN) position statement on nursing research (http://www.aacn.nche.edu/publications/position/nursing-research).

Use a minimum of three nursing research articles that have addressed the problem you have identified. The literature may not be older than 5 years. After reading the literature respond to the following:

1. Note your role option and briefly describe the problem you are interested in researching and why this is of interest to you. (Health disparities, racial and ethnic minorities tend to receive lower quality healthcare)
2. Briefly summarize the literature you reviewed. Focus your discussion on the problem and how the literature you identified provides evidence of the existence of the problem.
3. Include in your discussion a potential innovation that you might consider as a solution to the problem.
Include citations/references in APA style format, using citations where appropriate.

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Please write a well-organized, analyzed, strong and well-written research paper on a current and highly debated public health topic of your choice. (Within the past 3 years) This paper should show in depth knowledge that the writer can effectively write about health care using research resources through library databases, journals and Internet search engines .The length of the paper should be eight double-spaced pages, not including the title page, references, or any charts or tables. The paper must meet all APA standards and references must include at least five peer-reviewed journal articles.

Choose a clinical site and complete the following assignment:

1. Name the site. = New Horizons Healthcare
2. What is the organizational type = not-for-profit
3. Describe the units/services within the organization.
4. How is the organization financed? = Private money
5. What insurance is accepted? Medicare, Medicaid, Commercial
6. What are the patient demographics? = mixed
7. How is quality care defined? Is patient safety part of the definition? Is the term evidenced-based practice used in any definitions?
8. How are quality patient outcomes defined and measured?
9. Are awards/rewards given for excellence in patient care?
If yes, how are the award recipients determined? To whom are the awards given?
10. Does the environment facilitate communication within health care teams? If yes, how is this accomplished?
11. What technology, if any, is employed in the practice setting? = Electronic medical record/billing - example *** how it is used.
12. What part does nursing play in the selection, use, and evaluation of technology?
13. Are there any policy changes you would suggest? No, because clinicians were involved in setting up
14. Would you seek employment in this institution or one like it? - YES


Minimum requirement of 1000-1500 words and 5 scholarly resources. You are free to make this up using the guidelines above
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Week 7 Discussion Increase text size
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Health Care Policy
In this week?s media presentation, Dr. Trautman, Dr. Wakefield, and Ms. Coyle discuss how public policies initiated at the national or state level ultimately influence what occurs at the institutional and local level of nursing practice and health care delivery. Health care policy usually is developed to address health care cost, quality, or access, or a combination of the three. Due to the nature of their interaction with patients, nurses are well situated to be effective, knowledgeable advocates for their patients.

In this week?s Discussion, you will examine how current policies impact how you as a nurse provide health care. You will then select an issue of interest and determine how you could advocate for policy in that area.

To prepare:

?Select one public policy that currently is impacting you and your practice. Consider the following:
?What health care driver was the policy designed to address: cost, quality, access, or a combination?
?Does the policy appear to be achieving its intended results? On what data are you basing your assumption?
?What have been the effects (adverse or positive) of this policy on health care cost, quality, and access?
?How is this policy affecting your nursing practice?
?Next, select a health care issue?something you see or experience on a daily basis?about which you would like to influence a practice change through the policy process.
?Review the Learning Resources, focusing on Kingdon?s Model. How would you utilize this model to guide your policy development?
Post by Day 3 a brief description of a public policy that is having an impact on your practice; summarize your analysis of the policy using the bulleted list above as a guide. Then, summarize the issue you would like to influence though a change in public policy, and outline how you would utilize Kingdon?s Model to guide your policy development.

Need to cover the basic financial theories and information covered in a initial MBA finance class. It musst cover the areas of corporate finance and not personal finance. Focus on the changes of medicare and medicaid reimbursement under the current economic conditions as well the potential healthcare reform changes. Please include the free bibliography. Thanks

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.

(Introduction to Strategic Management )


1.Identify the health care organization that you work for,

2.Discuss the 4 threats (Environmental, Economic, Government, and Demography) as they apply to your organization.
Customer is requesting that (infoceo) completes this order.

You are to tell me if we really need healthcare reform. Talk about the pros and cons of healthcare reform and give reasons why you think there will or will not be health care reform legislation passed in the near future. Make sure your paper ends with a conclusion paragraph.

This paper is to be at least 5 pages long not including the cover page and reference page. Further, you need a least six references. It is to be double spaced and must follow the APA style of writing.

I need a reference page.

The paper must compare and contrast the Universal Healthcare Programs: Current Administration vs. The Truman Era. The first of the three pages MUST BE an executive summary of the points covered in the paper. The paper must be straight and to the point.