Marc Garufi: National Chlamydia Coalition Presentation

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The document discusses perspectives on the Office of Management and Budget (OMB) and its role in assisting the President and overseeing the federal budget process. It also summarizes OMB's mission, key aspects of the federal budget process, CDC's budget from 2008-2012, funding for sexual health programs, and considerations for public health budgets and roles in light of recent health care reforms.

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National Chlamydia Coalition January 26, 2012 Marc Garufi, Chief, Public Health Branch Office of Management and Budget (OMB), Executive Office of the President *The following views are of the presenter only and do not represent the official position of the Executive Office of the President.

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Running Head: BUDGET AND PUBLIC FINANCE BUDGET AND PUBLIC FINANCE Colorado Technical University Budget and Public Finance Nana Lawson Individual project unit 4 July 31st 2019 BUDGET AND PUBLIC FINANCE. Finance and budgeting are essential to public administration since it involves spending and transparently allocating public dollars. Managing funds mostly involves budgeting and understanding public reaction (Simon, H. A., Smithburg, D. W., & Thompson, 2017). Financial resource availability shapes many of the outcomes that matter to public administration including the effectiveness of public service, undertaking management reforms, performance implications and decisions to pursue. In 1988, the chamber of deputies changed the procedures regulating the budget session to control the formation of public needs. The current financial crisis of our world today has forced organizations to cut budgets, reset priorities, restructure services and assume new financial responsibilities. This reminds us of the centrality of financial resources management to the public service. Budgets help in laying a foundation for the achievement of goals. When we focus on public finance, political, economic, legal and administrative aspects of public finance are examined. Budgeting is not an easy process as it may seem and it involves many things. Many issues are involved when it comes to budgeting and public finance. Each budgetary decision made impacts various parts of a community that mainly depend on the government. For instance, looking at the day today ever-rising population, limited resources are a major factor when budgeting due to the large percentage of people existing in a world that has limited resources not enough to sustain them all. Communication has also become an issue when we consider budgets. Just as many people say, communication is the key to success. For continuity to take place, communication must be considered. When we look at our world most communication mostly takes place through online services which mostly involves lies and corrupt activities. This hinders the budget and public finance process since almost everything relies on new technology. Change of culture has also become a hindrance when we look at the differences between then old and new centuries since this century involves a lot of things. Infrastructure comes in since dealing with infrastructure and finding the way to invest in it with revenues that are not growing at the same rate as costs are hard. Vision is also an issue since the government lacks an up straight vision on where the community is going. The government and its staff majorly base on obtaining power, being the best which makes it hard to budget (GrReed, B. J., &Raudla, 2010). This is because, when we focus on a vision, it becomes easier for budgeting since we can know what needs ...

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Review other posts submitted by your classmates. Respond to at least two other posts. In your responses, explain whether you agree or disagree with the original poster's position and why. Offer suggestions and perspectives that the original poster may not have considered or weighed differently than you. Post # 1 Rachel Watson Hello class, my name is Rachel and I am nearing (finally) the end of my MHA degree. I have been a nurse for over 15 years and decided to transition from clinical healthcare to administrative because I have worked in many organizations where administrative leaders have little to know clinical knowledge, yet make substantial decisions impacting clinical workflow and patient care. That being said, I have worked over 10 years in the federal healthcare system as a military spouse and recently relocated to Japan after living in Germany for 6.5 years. I actually am writing this in quarantine (thanks Covid-19) as military regulations require us to quarantine for 14 days after arriving in the country. My career goals have been modified quite a bit in the last year, as I was gearing up to move back to the US and have a lot more employment opportunities, but like always, the military had different plans for us. My employment options are very limited here in Japan but I hope to make the best out of the situation and hopefully can find some employment opportunities to enhance my professional development. As I mentioned, one of the main reasons I switched from clinical to administrative roles is because I felt decision makers needed clinical guidance and knowledge. When thinking about the role of interest groups in policy-making, I think it’s fair to say a wide variety of stakeholders need to be actively engaged in the policy process to best suit all stakeholders. I say this because a policy can improve things for one group of stakeholders while providing negative effects for another group. For example, access to care has been at the forefront of many healthcare issues; however, shortening appointment times to allow for more appointment slots will improve access to care for patients but could decrease the quality of care provided from providers and increase the workload of those clinicians. I can speak from experience that this change, while intended to have positive impacts on patient care actually leads to increased frustration from both providers and patients because patients are rushed out of their appointments feeling like the provider isn’t listening. That being said, focus groups for policy making should include a variety of stakeholders such as providers, patients, public figures, insurance agents and government officials if available to create an environment to discuss policies that will affect positives and negatives for each stakeholder group to best approach local and national levels. Furthermore, it is important to remember that many healthcare policies and decisions are made at the state level and don’t require fe.

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Running Head: CONDUCTING ENVIRONMENTAL ANALYSIS 1 CONDUCTING ENVIRONMENTAL ANALYSIS 2 Conducting Environmental Analysis Introduction External environmental as well as internal environmental factors have continued to influence how most activities are managed in an organization (Baskind, 2012). In this case we look at these factors in relation to Bridge HealthCare which is a hospital that offers healthcare services in Tennessee. This organization is operating in health industry which is a very dynamic and diverse environment. As a health care facility, Bridge is faced with several challenges and it is therefore very important for the management and staff to collaborate in order to meet the goals of the organization. It is important as an administrator to carry out an evaluation process that is important to identify the factors that affect the success of Bridge Healthcare. In this case we are going concentrate on those internal and external factors that are very influential when it comes to success of the organization. Determine two (2) specific forces in the external environment that will have the most impact on your organization There are several segments of the external environment that needs to be analyzed in order to determine the threats that an organization is faced with. There are five sectors that make up the external environment and they include social cultural forces, political forces, competitive forces and technological forces (Baskind, 2012). i. Changes that are seen in the political or legal segment In most cases, changes in political or legal segment can be reflected across the hospital through the payer mix. Payer mix is defined as that proportion of revenue which is realized from different payers. According to data in 2012 by Forster health care programs that are government funded made up 66% of the revenue that was acquired by most of health care providers. The remaining amount of revenue was provided by the local government, private payment, insurance companies, and voluntary non-governmental organizations (Baskind, 2012). Looking at the fact that the government made up the biggest percentage of payer, it means that financial liability of most organizations is dependent on funding that is provided by the federal government, and the partnership that the government had with state through the Medicaid plan. In any case the federal government enacts legislations that would lead to changes in the sources of finance, Bridge and other health care providers will be at risk of financial strain. Bridge hospital started to experience difficulty when there was turbulence in the legal and political sector when they created the TennCare program. The current model of reimbursement which is the TennCare started way back in 1994. Looking back since it was implemented funding per cover dropped to 57% from 65%. This was not the only instance where political factors in Tennessee affected the medical provision. The Federal Balanced Act i ...

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TCO F: You work for a freshman congressman who is trying to learn the level of federal involvement in healthcare. He understands that the federal government pays for healthcare, but he is unclear on programs and funding amounts. He does not understand the difference between the executive branch of the government\'s direct involvement in healthcare and Congress\'s involvement through legislation and funding. Key points for the brief are federal-level administrative programs (executive level) and congressional legislation and funding. Solution There are a few classifications of government subsidizing that are of extensive enthusiasm to clinician-advocates. Included among them are biomedical and health administrations inquire about, benefit programs for patients, for example, the Ryan White AIDS Care Act, and general health subsidizing identified with particular ailments and particular bodies electorate. Toward the beginning of February every year, the President sends to the Congress his proposed spending plan for the government financial year that starts on October 1 of that year. The proposed spending plan contains huge insight about subsidizing levels, government work levels, and program achievements. Its accommodation starts a procedure that in principle closes in Congress\' order of apportionments bills to subsidize the whole government. As required by the Budget Impoundment and Control Act of 1974, the initial step for Congress is to sanction a Budget Resolution. This is a simultaneous determination that isn\'t marked into law by the president however ties Congress by putting limits on government spending in wide utilitarian classifications (i.e., health, transportation, farming, or protection). It additionally proposes changes in impose and different approaches to alter add up to government spending and income to hit shortage or surplus targets. Different panels of the Congress decide the specifics of how these objectives are to be met. For instance, the House Ways and Means and Senate Finance Committees are in charge of suggesting the nitty gritty changes in impose approach with the goal that income achieves the sum foreseen in the spending determination. Similarly, the House Energy and Commerce Committee and the Senate HELP Committee would need to create changes to the law representing social insurance projects to meet target spending figures. These progressions are basically \"stapled together\" into a bill called a Reconciliation Bill. Once the spending assignments are made to the Appropriations Committees and afterward to the subcommittees (most health related subsidizing is dealt with by the Labor HHS-Education Subcommittee in the two houses), a progression of hearings with government office authorities and in some cases the overall population start. This information is utilized as a part of the generation of a draft apportionments charge in every subcommittee known as the \"administrator\'s stamp.\" From this point, the authoritati.

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