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Assignment Details (3-4 pages, abstract, conclusion and references) Quandaries in Health Care Declining Trust in the Health Care System (The Trust Crisis) Health reform is mired in the morass of multitier payment systems and multiple modes of access, limited by the ability to seek and to pay. Increasingly, patients are interacting with multiple entities within the system, causing more and more confusion on the part of the patient. According to recent research, patients' trust in the system, providers, and insurers continues to decline. This may result in a decline in individual health and an increase in costs for health care. Investigate the declining trust in the health care system from an ethical and moral position. You may use the four principles plus attention to scope model of Beauchamp and Childress or any other ethical model that you choose to address this. Complete the following: State what model you will use to investigate this issue. Identify 2 or more legal issues contributing to this problem. Identify 2 or more economic and financial issues contributing to this problem. Analyze the impact of various issues that are contributing to this problem, and rank them in order from greatest to least impact. Propose at least 1 modification that would increase trust in the health care system with rationale. .

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this problem, and rank them in order from greatest to least
impact.
Propose at least 1 modification that would increase trust in the
health care system with rationale.

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Navigate 2 Scenario for Health Policy Episode 1: Policy Analysis and Development Overview In this episode, you will be in a health care policy internship program in a Senator’s office in Washington, D.C. The Senator wants to develop policy that requires all health care organizations that receive federal funds to implement the recommendations presented in the Institute of Medicine reports on quality care. You will develop a policy, so that it can become proposed legislation. You must collect data, describe the problem, solutions and related ethical issues, examine the cost-benefit analysis, identify stakeholders (such as lobbyists from American Hospital Association, health care providers, health care corporations, pharmaceuticals, insurers, etc.), and impact. Based on this information, you will create a policy description that will be the foundation for a bill. You will describe critical issues that would be in the bill such as requirements of hospitals to: Monitor and report medical errors to the Department of Health and Human Services Use root cause analysis on a certain percentage of errors Track and report patient outcomes focused on the clinical problems identified in the National Health Care Quality Report Integrate the 5 health care profession core competencies into staff education and track outcomes Establish a no-blame culture *I suggest for you to do some research on your own, and if you use outside sources to help your compile your policy description, be sure to reference them (following an APA format) at the end of your post. Assignment You will post a policy description to this discussion board forum. Make sure to identify a plan that addresses legal and ethical issues in a health care policy. You must also respond to 2 of your peers' posts and make sure to reference any outside sources you may have used in your recommendation. Below are the characters from this LearnScapes scenario (LearnScapes for Health Policy 1): The Student (which is you), Health Care Policy Intern for Congress The student used to work within the Bright Road Health Care System, and had a special interest in policy. The student is thinking about moving into politics, hoping to make a difference at that level. The student has just been accepted into the internship; this is the student’s first big project. Peter Shackley, Senior Policy Staff Member The student’s mentor, Peter, is a young and feisty staff member. In his late 20s, Pete has been interested in politics since he was President of his high school student body. He’s especially passionate about policy-making and how the process works. Pete will help guide the student through the policy-making process. Gretchen Wilde, Senator Chief of Staff Gretchen is in her 30s and has been the Senator’s Chief of Staff for about 2 years now. She’s very professional, and holds high expectations for everyone in the Senator’s office, including interns. Gretchen is responsible for reviewing polic.

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1 HCM 400 Milestone One Diana Berrios PART A A health care delivery system is a mechanism meant to improve the health related needs of individuals. In the U.S, this involves meeting dramatic changes and improvement. The providers seek to for the cost-effective ways to offer their services to consumers. However, there are major factors that affect their delivery of healthcare. These are as follows; · Good communication: Proper communication affects the delivery of healthcare system since communication brings understanding between the patients and healthcare provider. If good communication is not implemented the relation between the two parties may not be good and thus inefficient. · Proper decision making: The decision making is critical for healthcare delivery system. The decision should be taken collectively for all patients to be served equally. Otherwise, it would have the advanced effect to the healthcare industry. · Proper planning: Planning provides how, when, what, where to ensure delivery of healthcare in advance so as there is effective implementation of ideas. Otherwise, the healthcare system will not run effectively. · Increasing population: Population growth impacts the healthcare system delivery because the services required to cater for the patients in demand will increase. The healthcare system may face inadequate facilities for delivery their services due to the growing number of patients (Palley, H. A.2016). · Management of resources: The resources within the health care system are supposed to be divided in an efficient manner; otherwise, it might impact the profitability. · Ethical issues: most of the organizations are affected by ethical problems such as noncompliance with the rules and norms as well as government regulations in delivering their healthcare services. · Operating finance: This is a problem affecting healthcare delivery system. Sometimes, there are no funds to finance some of the basic assets required to provide efficient service to the patients. However, this can be reduced by making use of operation leasing. Operation lease is any kind of lease that is not capital lease. The lease does not transfer all the benefits and risks that are related to the ownership property to the lease. In most cases, the operation lease is normally used in short term equipment lease. The healthcare organizations should consider the following types of leases for ensure their operations are fully financed; · Stretch lease: this is appropriate for organizations with low revenue. The lease allows them to pay low monthly payment and tax benefit available. · Skip payment lease: this allows the organizations to avoid payment during low season of the year. · Master lease: This allows the organizations to cater for the future assets or any emerging asset required without negotiations of new contract. PART B The healthcare service and delivery opportunities and challenges that exist because of the above forces are as follows; ...

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Managed Care within Health Care covers a variety of information from nursing homes, policies, Medical, Medicare, out of pocket, and partial payment, management, contracts, government, and the Social Security State Fund. Within this working paper I will discuss a few of these mechanisms that are applied and utilized within ‘Managed Care’ today. A system within a system that brings in 25% of the United States debt.

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I sent two attachements. One is the article that I want you to use. Make sure you get it. HITECH Legislation In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must: Improve quality, safety, and efficiency, and reduce health disparities Engage patients and families Improve care coordination Improve population and public health Ensure adequate privacy and security protections for personal health information For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology. To prepare: Review the Learning Resources on the HITECH legislation and its primary goals. Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar. Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured. Reflect on how the incentives and meaningful use impact the quality of patient care. Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met. Post on or before Day 3 a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use. Read a selection of your colleagues’ responses. Respond by Day 6 to at least two of your colleagues on two different days using one or more of the following approaches: Ask a probing question, substantiated with additional background information, evidence or research. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library. Validate an idea with your own experience and additional research. Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. .

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Introduction The introduction of the Affordable Care Act in America was highly beneficial since it increased the number of low-income covered by Medicaid. It ensures that they are able to acquire medical coverage and access to healthcare services. Essentially, they have an opportunity to increase their eligibility despite their poverty level state. The Act has been able to improve the quality of Medicaid in the country to the same level as Medicare. Currently, people who fall between ages 19 to 64 and below the federal poverty level of 133% can be covered under Medicaid.3 Before the introduction of ACA, such patients would not be eligible. Stakeholders The Medicaid program affects different groups of people in the country. Millions of people have a direct stake in the program, meaning any changes will directly affect their decisions on health care coverage. They include low-income earners, the federal government, private insurance companies, and healthcare providers. Overview The Affordable Care Act certainly affected the number of people covered under Medicaid. Moreover, the amount of healthcare coverage in the county had a direct correlation with the availability of the Act in the United Sates. Currently, questions have been circulating as to whether the Act should be revised. However, the pertinent issue that arises from such questions is the manner in which any changes in the Federal Law might affect the Medicaid program. The program covers approximately 50 million Americans from low-earning families.1 Medicaid involves a partnership between the Federal and local governments over funding. It is optional for states to participate in the program, but all local governments are currently involved in the partnership. For a state to participate, it has to meet federal requirements. One of the requirements is that the state cover a particular group of people and offer certain benefits. However, most of the eligibility in the program is dependent upon a person's income and the category in which he or she belongs. Many young adults with no children previously lacked coverage because they did not fall under the categories provided for by the program. However, the Federal poverty guidelines would help to solve this problem since it lists a cut-off point for young adults with low income. The program now has a component that facilitates reporting of quality through patient measurements. An example is patient satisfaction and adherence to treatment, which has reportedly dropped by 40%.2 The challenge is that the program may fail to be beneficial for patients who need it since they may be turned away by healthcare providers. The component entails utilizing the measurements to determine choices of reimbursement. There is a risk that providers might begin turning away patients from low-income backgrounds Analysis The program has come a long way since it was first enacted, but there is the risk that such a measure might lock out large sections of .

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MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS Page | 1 Quality Nearly fifteen years ago, the Institute of Medicine published the “To Err Is Human” report, which exposed the substantial impact of medical errors in the US healthcare system and called for a dramatic system change, including an improved understanding of those errors (McCarthy, Tuiskula, Driscoll, & Davis, 2017). Medical errors are considered to be failure to achieve the original goal or plan of action, and these errors may range from a patient falls to a mistake in the operating room. Not only do medical errors cause harm to the patient and jeopardize the patient’s trust, but they also cause a financial strain for the health system (“To Err is Human,” 1999). One of the contributing factors to medical errors is the lack of effective communication between doctors who are treating the same patient. This results in healthcare providers overprescribing medications for patients as well as increases the possibility of a patient having unnecessary tests or procedures performed. The report’s four-tiered approach includes: · Focusing on creating a stronger foundation of education on patient safety · Mandating a nationwide reporting system to encourage timely reporting of errors · Increasing the standards of performance for healthcare providers · Taking advantage of the security that safety systems offer (“To Err is Human,” 1999) Creating a strong educational foundation for patient safety is most important. Healthcare personnel are much more likely to actively participate in reporting systems, encourage one another to perform at a higher level, and take advantage of safety systems when they are well educated on patient safety and the implications of medical errors. The reporting system seems to provide the least amount of impact on patient safety as they can result in losing patient trust in certain healthcare systems. The healthcare system as a whole has made progress in establishing a safe environment for patients when they are in need of care. Challenges for Patient Safety and Steps for Improvement Despite continuing evidence of problems in patient safety and gaps between the care that patients receive and the evidence about what they should receive, efforts to improve quality in healthcare show mostly inconsistent and patchy results. Tap each image to know more. Data Collection and Monitoring Systems This always takes much more time and energy than anyone anticipates. It is worth investing heavily in data from the outset. Assess local systems, train people, and have quality assurance. Tribalism and Lack of Staff Engagement Overcoming a perceived lack of ownership and professional or disciplinary boundaries can be very difficult. Clarify who owns the problem and solution, agree roles and responsibilities at the outset, work to common goals, and use shared language. Convince People That There's a Problem Use hard data to secure emotional e ...

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Assignment DescriptionCultural Group Exploration Assignment .docx

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Assignment description from the syllabus: Each member of the matching team will individually submit a 3-page, double-spaced write-up on the case. To receive full credit, you should describe the firm’s opportunity/dilemma, evaluate/analyze their strategic options, and describe your recommendation on the most promising path(s) forward in their strategy. Make sure to back up your evaluation and recommendations with evidence/facts from the case. Three pages is very short—make sure that you are concise and to-the-point in zeroing in on key aspects of the case. At the end of your write-up, ask one or two questions that you are more concerned about the firm. ANU Press Chapter Title: OCCUPATIONAL STRESS Chapter Author(s): SU MON KYAW-MYINT and LYNDALL STRAZDINS Book Title: Health of People, Places and Planet Book Subtitle: Reflections based on Tony McMichael’s four decades of contribution to epidemiological understanding Book Editor(s): COLIN D. BUTLER, JANE DIXON, ANTHONY G. CAPON Published by: ANU Press. (2015) Stable URL: https://www.jstor.org/stable/j.ctt1729vxt.18 JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact [email protected] Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at https://about.jstor.org/terms This book is licensed under a Creative Commons Attribution-NonCommercial- NoDerivatives 4.0 International. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. ANU Press is collaborating with JSTOR to digitize, preserve and extend access to Health of People, Places and Planet This content downloaded from 63.145.155.130 on Tue, 25 Sep 2018 00:31:54 UTC All use subject to https://about.jstor.org/terms 81 4 OCCUPATIONAL STRESS SU MON KYAW-MYINT AND LYNDALL STRAZDINS Abstract In 1979, Tony McMichael co-authored a paper showing how occupational stress not only affected mental health; it also exacerbated the effect of chemical and physical hazards on respiratory and skin symptoms. This study was among the first to place occupational stress within the same framework as chemical and physical hazards. It also showed that stress and mental health faced complex assessment challenges, but that these were similar to those faced by the assessment of exposure to chemical and physical hazards, especially in large-scale epidemiological studies. More recently, occupational stress has been termed a ‘psychosocial hazard’ by some jurisdictions in an attempt to place it into the existing occupational risk management and risk assessment framework. However, progress has been slow and regulation of occupational stress remains outside standard occupational health and safety .

Assignment description from the syllabusEach member of the matc.docx

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