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Analyze the challenges Medicaid faces in terms of improving access to care, quality of care, and reducing the cost of care.

Evolution of Laws

MMA was signed by President Bush in 2003. The MMA brought about sweeping changes that increased enrollment and improved access to Medicare Plans. Similarly, the PPACA was signed into law by President Obama in 2010. The law is expected to significantly increase access to Medicaid for the uninsured, low-income families, and individuals. Medicaid managed care has been implemented by most states, mainly because of rising costs, plan quality, access to providers, and the decrease in state revenues and federal matching funding. Medicare has explored managed care for the same reasons: to reduce costs, improve quality and improve access to providers. Using the South University Online Library or the Internet, research the following two topics and write a paper evaluating the impact of these policies on Medicare and Medicaid managed care.

You need to research on the following two topics:

· Medicare and managed care

· Medicaid and managed care

Based on your research, answer the following questions:

· Write a summary for each topic tying together the information learned about that topic.

· Analyze the challenges Medicaid faces in terms of improving access to care, quality of care, and reducing the cost of care.

· Analyze the challenges Medicare faces in terms of improving access to care, quality of care, and reducing the cost of care.

· Draw conclusions about the future of managed care in each program—will it grow or decline? What will be the challenges for success?

· Select at least four reputable articles per topic that address the challenges facing Medicare and Medicaid managed care.

Based on your research, summarize your findings on the selected topics and compile your observations in a 5- to 6-page Microsoft Word document.

Support your responses with examples.

Cite any sources in APA format.

 
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What strategies may be implemented to manage the impact of violence in the workplace?

Locate and read an article in the University Library on violence in the workplace.

 

Write a 500- to 750-word paper on violence in the workplace.

 

Include the following in your paper:

 

·Summarize the article.

 

·Identify forms of bullying that may lead to violence in the workplace.

 

·What strategies may be implemented to manage the impact of violence in the workplace?

Format your paper consistent with APA guidelines

 

 
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What identified key nursing interventions protect the public against food-borne bacteria and viruses?

Overview

· Prepare two educational handouts (two pages each), one for community members and patients and one for health care providers, that provide information about common bacteria or viruses and how to reduce the risk of infection.

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

· Competency 1: Evaluate scholarly nursing literature that supports evidence-based nursing practice.

· Identify timely evidence-based data needed to explain a potential health threat.

· Apply evidence-based research to a health care initiative.

Competency 2: Explain ways to promote safe, quality, evidence-based care to populations and communities in health care environments.

· Apply evidence-based research to a health care initiative.

· Explain the factors that can adversely affect the health of individuals.

· Describe evidence-based preventative measures to increase safety.

Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.

· Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

· Correctly format citations and references using APA style.

https://courserooma.capella.edu/images/ci/icons/generic_updown.gifContext

Historically, the nursing profession responds to the needs of society by helping manage the safety and welfare of the population. To continue this mission and provide safe, quality nursing care, you must keep abreast of the latest topics that affect the health status of our communities. Being able to effectively disseminate knowledge to the general public and other health professionals is crucial for the nursing profession.

https://courserooma.capella.edu/images/ci/icons/generic_updown.gifQuestions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

· What nursing organizations are responsible for ensuring safe, quality care?

· Why is it important to identify causative agents and modes of transmission?

· What identified key nursing interventions protect the public against food-borne bacteria and viruses?

https://courserooma.capella.edu/images/ci/icons/generic_updown.gifResources

Suggested Resources

The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Click the links provided below to view the following multimedia pieces.

· APA Citation: Citing a Journal Article | Transcript.

· APA Citation: Citing a Book | Transcript.

· APA Citation: Citing a Website | Transcript.

Show More

Library Resources

The following e-books or articles from the Capella University Library are linked directly in this course:

· Webster, R. G., Monto, A. S., & Braciale, T. J., & Lamb, R. A. (Eds). (2013). Textbook of influenza (2nd ed.). Hoboken, NJ: John Wiley & Sons.

· Labbé, R. G., & García, S. (Eds). (2013). Guide to foodborne pathogens (2nd ed.). Hoboken, NJ: John Wiley & Sons.

· Tucker, S., & Poland, G. A. (2013). Health care reform and influenza immunization. Workplace Health and Safety61(5), 193–195.

· Talbot, T. R., & Talbot, H. K. (2013). Influenza prevention update: Examining common arguments against influenza vaccination. JAMA309(9), 453.

· Duncan, D. (2013). Treatment and prevention of influenza. Nurse Prescribing11(12), 590–596.

· Arendt, S., Rajagopal, L., Strohbehn, C., Stokes, N., Meyer, J., & Mandernach, S. (2013). Reporting of foodborne illness by U.S. consumers and healthcare professionals. International Journal of Environmental Research and Public Health10(8), 3684–714.

· Wohlgenant, K. C., Cates, S. C., Godwin, S. L., & Speller-Henderson, L. (2012). The role of healthcare providers and caregivers in educating older adults about foodborne illness prevention. Educational Gerontology38(11), 753–762.

· Thobaben, M. (2010). Causes and prevention of foodborne illness. Home Health Care Management and Practice22(7), 533–535.

· Ali, M. M., Verrill, L., & Zhang, Y. (2014). Self-reported hand washing behaviors and foodborne illness: A propensity score matching approach. Journal of Food Protection77(3), 352–358.

· David, S. D., & Katz, R. L. (2013). Navigating the legal framework for state foodborne illness surveillance and outbreak response: Observations and challenges. Journal of Law, Medicine and Ethics41(Supplement), 28–32.

· Quinlan, J. J. (2013). Foodborne illness incidence rates and food safety risks for populations of low socioeconomic status and minority race/ethnicity: A review of the literature. International Journal of Environmental Research and Public Health10(8), 3634–52.

Library Guides

For assistance when researching general nursing topics, refer to the Nursing (BSN) Library Research Guide.

In addition, a unique Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the BSN-FP4001 – Orientation to Baccalaureate Nursing Library Guide to help direct your research.

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

· US National Library of Medicine, National Institutes of Health. (n.d.). PubMed Central® (PMC). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/

· Centers for Disease Control and Prevention. (n.d.). Influenza. Retrieved from http://www.cdc.gov/flu/index.htm

· World Health Organization. (n.d.). Public health preparedness: Influenza. Retrieved from http://www.who.int/influenza/preparedness/en/

· Santibañez, S., Fiore, A. E., Merlin, T. L., & Redd, S. (2009). A primer on strategies for prevention and control of seasonal and pandemic influenza. American Journal of Public Health99(Supplement 2), S216–S224. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504386/

· U.S. Department of Health and Human Services, National Institute of Diabetes and Digestive and Kidney Diseases. (n.d.). Foodborne illnesses. Retrieved from http://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/foodborne-illnesses/Pages/facts.aspx

· U.S. Department of Health and Human Services, National Institute of Allergy and Infectious Diseases. (n.d.). Foodborne diseases. Retrieved from http://www.niaid.nih.gov/topics/foodborne/pages/default.aspx

· U.S. Department of Health and Human Services, U.S. Food and Drug Administration (FDA). (n.d.). Foodborne illness & contaminants. Retrieved from http://www.fda.gov/Food/FoodborneIllnessContaminants/default.htm

· U.S. Department of Health and Human Services, U.S. Food and Drug Administration (FDA). (n.d.). Foodborne illnesses: What you need to know. Retrieved from http://www.fda.gov/Food/FoodborneIllnessContaminants/FoodborneIllnessesNeedToKnow/ucm103263.htm

· Centers for Disease Control and Prevention. (n.d.). A–Z index for foodborne illness. Retrieved from http://www.cdc.gov/foodsafety/diseases/

· National Network of Libraries of Medicine. (n.d.). Health literacy. Retrieved from http://nnlm.gov/outreach/consumer/hlthlit.html

https://courserooma.capella.edu/images/ci/icons/generic_updown.gifAssessment Instructions

Preparation

Search the library and the Internet for scholarly and professional peer-reviewed articles on food-borne illness or virus prevention. You will need at least three articles to use as support for your work on this assessment. In addition, look for statistics on cases of food-borne illness or influenza in your community.

Directions

Your employer is hosting a Healthy Mind and Body Fair in your community. Your manager has asked for your help in creating educational materials about food-borne illnesses like E.coli or viruses such as influenza. The goal is to provide information about how to reduce the risk of infection. You have been asked to create two informational handouts:

1. One handout is for participants (community members, patients) that raises awareness about the transmission of common bacteria or viruses and how to prevent the spread of these common infections.

1. The second handout is directed at allied health care providers. This material should provide a higher level of information and detail about the subject.

Each handout should cover the following:

. Provide information about the illness and transmission.

. Provide recent statistics of cases in the community, with sources noted.

. Describe both treatment and prevention options, with an emphasis on prevention.

. Relay any new research or treatment modalities.

. Include information your readers will want to refer to in the future. This includes Web sites or tips for finding additional information or additional resources.

Consider the reader when creating your handouts, and be creative!

Format the handouts as follows:

. Break up content into short paragraphs.

. Use bullet points and lists whenever possible.

. Use sub-headings to isolate different topics within the documents.

. Remember, say no more than what is necessary; the urge to say too much can ruin a good handout.

Additional Requirements

Each handout should meet the following criteria:

. Contain 500 words (2 pages).

. Must be readable, concise, with a logical ordering of ideas.

. Include a minimum of three references. (These must be recent, from within the past five years.) The same resources can be used for both handouts.

. Provide adequate documentation of ideas and appropriate APA citation of relevant literature.

. Include a reference page.

. Be double spaced in Times New Roman font, 12 point.

 
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What are the threats to the studies internal validity?

Quantitative Mini Critique

Objectives

 

1. Identify an area of clinical interest

2. Find one peer-reviewed journal article (no older than 5 years) related to your clinical topic of interest. Do not use a meta-analysis or systematic review.

3. Critique the journal article, fully answering the following questions

4. This critique should be 3-4 pages (not including the cover page and reference page)

5. Utilize the APA levels of headings on page 62 of the APA Manual

6. APA formatting required (Include appropriate APA level/headings)

Ethical Aspects of a Study

Was the study approved and monitored by an Institutional Review Board, Research Ethics Board or similar committee?

Were appropriate informed consent procedures used with all participants?

13

Research Problems, Research Questions and Hypotheses

What is the research problem?

Is the problem statement easy to locate?

Does the study have significance to nursing? Why or why not?

Research Design

Was the design experimental, quasi-experimental, or non-experimental?

Was the study longitudinal or cross-sectional? What are the threats to the studies internal validity?

Sampling

What type of sampling design was used?

Are possible sample biases or weaknesses identified?

Data Collection

What methods of data collection were utilized (Self-reports, Scales, Observation, Rating Scales)? If self-report methods were used, did the researchers make good decisions about specific methods (in-person interviews, mailed questionnaires, etc.)?

If observational methods were used, did the report adequately describe what the observations entailed?

 
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What are the different services provided by the Medicare and Medicaid programs?

Medicare Regulations

Medicare is a federally regulated program that mandates compliance to its standards through state and federal oversight. One of the primary purposes of Medicare regulations is the protection of its recipients. Medicare Advantage is part of the Medicare Modernization Act, which was passed in 2003. Search the Internet by using the following keywords:

· Medicare regulations

· Centers for Medicare

· Medicaid services

On the basis of your research, answer the following questions:

· What are the purposes of Medicare regulations other than the one mentioned above?

· How will the federal government enforce compliance in the Medicare Advantage program? Which two other Medicare regulations do you think are the most important for managed care organizations and why?

· Do you think Medicare and Medicaid programs face challenges from the perspectives of providers, the government, and consumers (recipients of Medicare or Medicaid)? Why or why not?

· What are the different services provided by the Medicare and Medicaid programs? Do you feel there is a need to have two different programs? Why or why not?

· Discuss the advantages and disadvantages of Medicare programs such as Medicare Advantage and Medicare Part D. Do you think Medicare Advantage programs ensure the survivability of Medicare? Why or why not?

Additionally, respond to the questions given below after reading the following information in regard to control of managed care organizations at the state level.

States have a broad range of control of managed health care organizations. The main interests of the states are to protect the interest of the consumer and regulate the structure of MCOs.

· Discuss the regulatory structure used to regulate MCOs and health insurers at the state level.

· Discuss how states came to be the primary regulators of insurance.

· Evaluate the most critical components of state oversight of HMO operations.

· Review the licensing requirements for MCOs in your state and describe the specific requirements to obtain a Certificate of Authority (COA). Compare to the requirements discussed in the course textbook.

· What are the protections available to consumers under the law in your state? Compare these protections to what is discussed in the textbook.

· In your opinion, are the state regulations designed for the consumers, or are they designed for the MCOs? Use your course and text readings to support your answer.

 
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Describe how the role of the nurse practitioner or nurse educator fits into the nursing philosophy.

1. Philosophy of APRN Paper- 20%:. Articulate your philosophy of nursing based on your own experience and relate it to a nursing theory or philosophy (such as Orem, Benner, etc.).  Describe why an advanced practice nursing degree fits into the schema of the philosophy.  Don’t forget to discuss how nurse educators or nurse practitioners fit into the roles of advanced practice nursing (see rubric below for specifics).  2-3 pages, with at least 2 peer-reviewed references that are less than 5 years old, unless they are classic references.  APA format and appropriate grammar. “I” statements are acceptable for this assignment. This will be the first section of your portfolio.

 

Points 0

Not Addressed

1

Referred To

2

Noted

3

Describes Well

4

Excellently Described

Introduction describing your personal philosophy of nursing          
Relate your philosophy to a nursing theory or philosophy          
Describe how the role of the nurse practitioner or nurse educator fits into the nursing philosophy.          
Describe the 4 classic roles of APRNs (NP, CRNA, CNS, CNM). Which roles are recognized as APRNs in SC? Which ones are recognized in the APRN Consensus Model?

OR

Describe how nurse educators are an emerging advanced practice role.

         
Use of APA Format & Correct Grammar 7 or more errors 5-6 errors 3-4 errors 1-2 errors No errors

 

Textbook for this course:

Joel, L. A. (2013). Advanced practice nursing: Essentials for role development (3rd ed.). Philadelphia, PA: F.A. Davis. (ISBN-13: 978-0803627857).

Info about student:

Family Nurse Practitioner Student, has been a registered nurse for 11 years.

 
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Develop logic model to develop programs in the administration of health care.

Unit outcomes addressed in this Assignment:

  • Develop logic model to develop programs in the administration of health care.

Course outcome assessed/addressed in this Assignment:

HS499-5: Health Care Administration: Demonstrate an understanding of the forces impacting health delivery systems and the effective management of health care administration.

Instructions

There are many forces that impact health delivery systems. Choose one aspect that influences how health delivery systems are challenged, and describe the issue. Examples include, but are not limited to, access to care, quality health care improvement, lack of coordinated care, continuity of care (medical home), etc.

After reviewing the Logic Model Development Guide from the readings, create a logic model for a new program you would like to fund to address this impact on the health delivery system. Discuss how the program can be applied to reduce the impact on the health delivery system.

Requirements

  • The paper and included logic model should be at least 975 words in length.
  • Include a list of references in APA format, including the information used from the modules.
  • attachment

    hs499u9assignment.pdf
 
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Evaluate models of behavior using the basic model of health promotion and disease prevention

You will read through the case study for the Unit 8 Assignment. Using this case study, you will:

  1. Evaluate models of behavior using the basic model of health promotion and disease prevention, explain in your own words the systemic process that contributes to your client’s healthy or unhealthy habits. Evaluate the mind-body connection between your client and their health.
  2. Make a list of your client’s needs, prioritizing them, and evaluate a plan for meeting these needs.
  3. Create a treatment plan for your client. A treatment plan typically includes a diagnosis of the problem based on the client’s history, treatment goals, and steps the client will take in order to achieve the treatment goals. Make sure your plan is specific, measurable, and achievable and that it contains timeframes for the goals to be achieved. Your paper should be 6–8 pages, and you should use at least four resources, other than your text, to research the disorder you chose for your Assignment. You must have at least one Kaplan Library resource for your Final Project, from library databases such as Academic Search Premier or Lexis Nexis, along with online articles and books.
  • attachment

    ps370_u8_case_study.pdf
 
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Describe the biochemical composition, structure, and replication of DNA

  • If you were asked to get a genetic test panel performed, which diseases or health risks would you be interested in learning about and why?
  • Describe the biochemical composition, structure, and replication of DNA. Detail the role of specific RNA’s in the process of protein transcription and translation.
  • Describe, in detail, one of the processes of cell survival. Describe how an abnormality in one of these cell functions causes cancer.
  • APA FORMAT with detailed answers
 
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