For the Final Paper, you are to choose an emerging managed care delivery model, Accountable Care Organizations, or Patient-Centered Medical Homes

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Prep for Final Paper
This assignment is designed to guide you as you start your research for the Final Paper. Review the requirements for your Final Paper. Then, use the following guide as you write your assignment for Week Three:
Final Paper Prep: For the Final Paper, you are to choose an emerging managed care delivery model, Accountable Care Organizations, or Patient-Centered Medical Homes. For this assignment, you will complete section two of your Final Paper – Managed Health Care Quality – to address how the selected emerging managed healthcare delivery model has done to improve quality of care.
· Annotated Bibliography: Provide an annotated bibliography of at least five of the required ten scholarly sources you will be using to write your Final Paper. An annotated bibliography starts with your source that is in APA format and followed by a brief descriptive and/or evaluative paragraph about your source. Follow the guide provided here
The Prep for Final Paper assignment
· Must be three to five double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined
· Must include a separate title page with the following:
· Title of paper
· Student’s name
· Course name and number
· Instructor’s name
· Date submitted
· Must use at least three scholarly, peer-reviewed, and/or other credible sources in addition to the course text.
· The Scholarly, Peer Reviewed, and Other Credible Sources (Links to an external site.)Links to an external site. table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment. Be sure to integrate your research (Links to an external site.)Links to an external site. rather than simply inserting it.
· Must document all sources in APA style as outlined here (Links to an external site.)Links to an external site. and here (Links to an external site.)Links to an external site..
· Must include a separate references page (Links to an external site.)Links to an external site. that is formatted according to APA style as outlined

John Faber is the facilities manager employed at a 240-bed nursing home for the past 3 years. Before John, the facility had one supervisor over both housekeeping and laundry and a separate maintenance supervisor

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Case
Fire the Facilities Manager?
John Faber is the facilities manager employed at a 240-bed nursing home for the past 3 years. Before John, the facility had one supervisor over both housekeeping and laundry and a separate maintenance supervisor. Hiring John to supervise all three departments resulted in an annual savings of $7,000 in labor and materials. Prior to joining this facility, John was the maintenance supervisor at a 120-bed skilled care nursing home. Before that, he was a small business owner of a home cleaning service that employed six people. He sold that business 4 years ago. John’s background also includes ownership of a coin laundromat that he disposed of several years ago.
It is time for the annual performance review for all associates. For department heads, the corporate office has authorized a wage increase of between 0% and 6% based on performance. As the administrator (NHA) mulls over John’s performance during the past year, she is pleased with the ongoing cost savings and on-budget performance in facilities services. However, the NHA thinks that she has to hold John accountable for the citation in housekeeping during the certification survey just 2 months ago (rated as E on the Severity/Scope Grid). Last year also the facility had been cited for housekeeping (rated as H on the Severity/Scope Grid), and a resident who had tripped and fallen over a vacuum cleaner cord had sued the facility. Earlier this year, the corporation had settled the claim for $20,000.
The corporate vice president of operations just called and suggested that John should be fired for his poor performance, but the NHA does not share the same view. Her response to the VP of operations was, “I would like to think it over and get back to you tomorrow.” Now, the day has arrived for the NHA to have a phone conference with the VP of operations and a face-to-face meeting with John.
Questions
1.  How should the NHA resolve the conflict with the VP of operations? Provide adequate details, and incorporate in your response the leadership style you suggest using with John.
2.  The NHA’s decision is to not give John a wage increase, which leads to a disagreement between John and the NHA because he regards it as unfair. How should the NHA handle this conflict in which the objective should be to arrive at a win–win solution? Again, provide adequate details.

Identify the type of heart failure based on data presented in the case study. Express your understanding of the pathophysiology and clinical aspects of heart failure. Answer other questions associated with heart failure

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Case Study: Heart Failure:

Objective: Identify the type of heart failure based on data presented in the case study. Express your understanding of the pathophysiology and clinical aspects of heart failure. Answer other questions associated with heart failure.
INSTRUCTIONS:
1. Read and review information about the topic. You can use your textbook, ( Porth’s Pathophysiology. Concept of Altered Health States 9th edition. By Sheila Grossman,Carol Mattson Por), other nursing or medical books, scientific articles, or scholarly websites (American Heart Association, Centers for Disease Control and Prevention). All sources used in this assignment must be ‘scholarly sources’. Please remember that WebMD, Wikipedia, and other internet sites are not considered scholarly sources.
2. Carefully, read the case study.
3. Answer the questions that follow the case study. These questions are to be answered in a 3-4-page paper that conforms to APA formatting, including cover page, citations, direct quotes, and reference page.
4. All submitted papers will be analyzed for originality through the Turnitin program. Please refer to the course syllabus for the academic honesty statement which includes plagiarism.
5. Please review and understand the grading rubric for each assignment.
Case Study: Heart Failure:
Carol is a 68-year-old African-American female who went to her doctor’s office because of a “racing heart”. She has been experiencing a worsening of shortness of breath over the last 2 months. Over the last 3 weeks, she noticed swelling of her ankles and feet. Carol states that she feels weak and tired most of the time. She has been awakened in the middle of the night with severe shortness of breath despite sleeping on 3 pillows.
Carol’s past medical history includes: a myocardial infarction several years ago, high cholesterol, gastroesophageal reflux, and osteoarthritis. She has allergies to nuts, shellfish, and strawberries.
Carol has a family history of atherosclerosis, myocardial infarction, and stroke.
Carol has been a 2-pack-per-day cigarette smoker for 30 years. She has been trying to quit smoking since her heart attack. Carol states she occasionally drinks alcohol.
Physical Examination:
Blood pressure: 163/94
Heart rate: 125 beats per minute and regular
Respiratory rate: 28 breaths per minute and labored
Temperature: 98.6 F
Height: 5’8”
Weight: 215 lbs.
Skin: is pale with cool hands and feet.
Positive jugular vein distention
Lungs: bibasilar rales (crackles) on auscultation
Abdomen: hepatomegaly (enlarged liver)
Extremities: bilateral pitting edema of lower extremities
Labs:
B-type Natriuretic Peptide (BNP) – 885 pg/mL (normal=100 pg/mL)
QUESTIONS:
1. Explain the pathophysiology of left-sided heart failure and right-sided heart failure.
2. In a chart, please compare and contrast the signs and symptoms of left-sided and right-sided heart failure.
3. Based on the information given in this case study, what type of heart failure do you
suspect that Carol has developed?
a. Identify specific data from the case study that supports your answer.
b. Explain the pathophysiology for the data you identified in 3a. Be sure to cite your references.
4. What is the probable cause of the heart failure?
5. Identify 4 risk factors that probably contributed to Carol’s past heart attack. Please
indicate if each risk factor is modifiable or not.
a. How does Carol’s blood pressure affect her current health status?
b. Why is Carol tachycardic?
c. Why is Carol tachypneic?
d. Based on her BMI, what can you say about Carol’s weight?

As a public health professional, what key steps would be taken to address barriers for preventing Chagas disease while still preserving important practices of their culture?

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Details:
Access the interactive media piece, “Social, Behavioral, and Cultural Factors in Public Health: Increasing Cultural Competency.” https://lc.gcumedia.com/zwebassets/courseMaterialPages/hlt515_publicHealth.Public Health Questionsphp
Navigate and review the information in the interactive media piece and complete the assessment at the end. The assessment is based on the information presented in the media piece (although you may also apply what you have learned from other course readings to complete the assessment).
After completing the assessment, save the document as an Acrobat PDF file and submit the assignment to the instructor.
You are required to submit this assignment to Turnitin.
The writer can use more resources for citation and please use new articles. This assignment is about the country listed Bolivia, china, India, Mozambique and Nicaragua. Please the writer to do all his or best in writing this assignment please see question below to answer for the assignment. Thank you
https://lc.gcumedia.com/zwebassets/courseMaterialPages/hlt515_publicHealth.Public Health Questionsphp
Questions: Bolivia Countries 
1. How is the Guarani culture contributing to the spread of Chagas disease?
2. As a public health professional, what key steps would be taken to address barriers for preventing Chagas disease while still preserving important practices of their culture?
3. What challenges could be a public health professional confront when working on public health projects with indigenous populations like the Guarani?
China
4. What are some key components of TCM that are different than westernized medicine?
5. Why would it be difficult to collect scientific evidence to show the effectiveness of TCM
6. How many traditional Chinese views of the body and illness clash with modern medicine?
INDIA
7. How are the three primary forces, also known as the doshas, connected to health and illness?
8. What are some similarities between Ayurveda and Traditional Chinese medicine?
9. How would Ayurveda shape the way Indians think about their body in health and illness?
Mozambique 
10. How are traditional African perceptions regarding health and illness affecting the spread of HIV/AIDS in Mozambique?
11. When developing HIV/AIDS program in Africa, why should the community always be involved? Should traditional healers play a role?
12. When should public health professionals try to change traditional African culture and belief s and when should they not?
NICARAGUA
13. What characteristics surrounding the Grisi Siknis illness make it a cultural bound syndrome?
14. As a public health professional, how would you address the prevention of this illness?
15. What perceptions regarding health and illness are the leading the Miskito Indians to be affected by Grisi Sikinis?