Healthcare Utilization and Finance –

NURSING SCIENCE 734.3.4: Healthcare Utilization and Finance –
The graduate analyzes financial implications related to healthcare
delivery, reimbursement, access, and national initiatives.
Introduction: It is essential that nurses understand the issues
related to healthcare financing, including local, state, and
national healthcare policies and initiatives that affect healthcare
delivery. As a patient advocate, the professional nurse is in a
position to work with patients and families to access available
resources to meet their healthcare needs. Requirements: A. Compare
the U.S. healthcare system with the healthcare system of Great
Britain, Japan, Germany, or Switzerland, by doing the following: 1.
Identify one country from the following list whose healthcare
system you will compare to the U.S. healthcare system: Great
Britain, Japan, Germany, or Switzerland. 2. Compare access between
the two healthcare systems for children, people who are unemployed,
and for people who are retired. a. Discuss coverage for medications
in the two healthcare systems. b. Determine the requirements to get
a referral to see a specialist in the two healthcare systems. c.
Discuss coverage for preexisting conditions in the two healthcare
systems. 3. Explain two financial implications for the patient with
regard to the healthcare delivery differences between the two
countries.
B. When you use sources to support ideas and elements in a paper
or project, provide acknowledgement of source information for any
content that is quoted, paraphrased or summarized. Acknowledgement
of source information includes in-text citation noting specifically
where in the submission the source is used and a corresponding
reference, which includes: Author Date Title Location of
information (e.g., drafter, journal, or website URL) Note: For
definitions of terms commonly used in the rubric, see the Rubric
Terms web link included in the Evaluation Procedures section. Note:
When using sources to support ideas and elements in an assessment,
the submission MUST include APA formatted in-text citations with a
corresponding reference list for any direct quotes or paraphrasing.
It is not necessary to list sources that were consulted if they
have not been quoted or paraphrased in the text of the assessment.
Note: No more than a combined total of 30% of a submission can be
directly quoted or closely paraphrased from outside sources, even
if cited correctly. For tips on using APA style, please refer to
the APA Handout web link included in the APA Guidelines section.
Evaluation Method Note You may wish to change your printer settings
to landscape mode if you have a rubric with many levels. Send to
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value: 0.00 value: 1.00 value: 2.00 Score/Level Articulation of
Response (clarity, organization, mechanics) The candidate provides
unsatisfactory articulation of response. The candidate provides
weak articulation of response. The candidate provides adequate
articulation of response. A1. Country to compare The candidate does
not identify 1 country from the given list whose healthcare system
will be compared to the U.S. healthcare system. Not applicable. The
candidate identifies 1 country from the given list whose healthcare
system will be compared to the U.S. healthcare system. A2. Access
The candidate does not provide an appropriate comparison of access
between the two healthcare systems for children, people who are
unemployed, and for people who are retired. The candidate provides
an appropriate comparison, with insufficient detail, of access
between the two healthcare systems for children, people who are
unemployed, and for people who are retired. The candidate provides
an appropriate comparison, with sufficient detail, of access
between the two healthcare systems for children, people who are
unemployed, and for people who are retired. A2a. Coverage of
Medications The candidate does not provide a logical discussion of
coverage for medications in the two healthcare systems. The
candidate provides a logical discussion, with insufficient detail,
of coverage for medications in the two healthcare systems. The
candidate provides a logical discussion, with sufficient detail, of
coverage for medications in the two healthcare systems. A2b.
Referral to See a Specialist The candidate does not accurately
determine the requirements to get a referral to see a specialist in
the two healthcare systems. Not applicable. The candidate
accurately determines the requirements to get a referral to see a
specialist in the two healthcare systems. A2c. Coverage for
Preexisting Conditions The candidate does not provide a logical
discussion of the coverage for preexisting conditions in the two
healthcare systems. The candidate provides a logical discussion,
with insufficient detail, of the coverage for preexisting
conditions in the two healthcare systems. The candidate provides a
logical discussion, with sufficient detail, of the coverage for
preexisting conditions in the two healthcare systems. A3. Finance
Implications for Healthcare Delivery The candidate does not provide
a logical explanation of 2 financial implications for the patient
with regard to the healthcare delivery differences between the two
countries. The candidate provides a logical explanation, with
insufficient detail, of 2 financial implications for the patient
with regard to the healthcare delivery differences between the two
countries. The candidate provides a logical explanation, with
sufficient detail, of 2 financial implications for the patient with
regard to the healthcare delivery differences between the two
countries. B. Sources There is evidence of quoted, paraphrased or
summarized content without acknowledgement of source information.
This level is also appropriate if task instructions require the
candidate to quote, paraphrase or summarize content from a source
to complete the assessment, and this has not yet been done. The
candidate provides required acknowledgement of source information
for quoted, paraphrased and summarized content. However, in-text
citations and/or source information is incomplete or inaccurate
with respect to author, date, title and the location of the
information (e.g., drafter, journal or website URL). The
candidate provides source information for all quoted, paraphrased
and summarized content. Source information appears to include
accurate and complete acknowledgement of source information
regarding the author, date, title and location of the information
(e.g., drafter, journal or website URL) as well as appropriate
in-text citation. This level is also appropriate if there is no
evidence of quoted, paraphrased or summarized content, and it is
not required by the instructions.