As a graduate student and health care administrator, you must be able to research a critical issue or situation and present your findings in a compelling manner. For this Assignment, as well as this module’s Discussion, you will examine the continuum of care a patient may need and research the services available in your area to support the patient.

Note: During the Module 3 Discussion, you will share some of the information for this Assignment with your colleagues.

To develop the content for your presentation, record detailed notes as you complete the following steps.

• Review the information about the continuum and coordination of health services presented in the Learning Resources, including the HIMSS resource, Continuum of Care, and the tables in Chapter 1 of the course text.

• Develop a brief description of a hypothetical adult patient who has a serious health problem or injury. Imagine this patient lives in your local area. If you are an international student, you may choose a geographic area in the United States or use your own location.

• Use the pertinent information in Chapters 7, 8, 9, and/or 10 of the Shi & Singh textbook and conduct additional research of your own to analyze specific services your hypothetical patient might need, beginning with the onset or diagnosis of an illness or injury and concluding with an end-point of your choosing (i.e., recovery, symptom management, end of life). Also research the types of organizations that provide those services.

• Investigate the health care organizations in your local area. Based on the services your hypothetical patient needs, select four or five actual settings in which he/she would receive care.

• Next, gather information related to the types of insurance from which each organization accepts payment. Typically, this would include Medicare, Medicaid, and various types of insurance programs. What challenges do you anticipate your patient may have related to payment for services?

• Review the Institute for Healthcare Improvement (2014) resource and consider what it means for health care to be safe, effective, patient-centered, timely, efficient, and equitable. Analyze how the scenario you have created—with your hypothetical patient receiving services from actual settings in your geographic area—illustrates positive or negative attributes related to two or more of the six Institute of Medicine aims.

• Next, prepare to create your presentation using PowerPoint. Examine the Presentation Guidelines and Tips and the Module 3 Assignment Template, both found in this module’s Learning Resources.

The Assignment

Download and save the Module 3 Assignment Template, found in this module’s Learning Resources. Use the template to create a succinct and engaging PowerPoint presentation. Include the following:

• Title slide

• Introduction slide

• 7 slides* in which you:

ü  Introduce the patient, health problem/injury, and geographic area.

ü  Describe the continuum of care, including specific services from four or five actual settings in your local area.

ü  Describe a potential challenge related to payment for services this patient may encounter.

ü  Explain how this example illustrates positive or negative attributes related to two or more of the six Institute of Medicine (IOM) aims.

o    Sources slide*

ü  List all resources (a minimum of 4) used to develop your presentation.

*Apply the design principles included in Presentation Guidelines and Tips to develop a professional presentation.

• On your content slides, use a combination of text, photos, graphs, maps, links to websites, color contrasts, and/or other visual elements to convey the information.

• Create presenter notes of a few sentences to accompany each slide in a way that supports (rather than duplicates) the information presented visually.

Your presentation must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources as appropriate. See the rubric in the Course Information area for additional requirements related to research and scholarly writing/presentation.

Resources to use

Readings

• Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.

o Chapter 1, “An Overview of US Health Care Delivery” (p. 3, Table 1–1, “The Complexity of Health Care Delivery”; p. 16, “Continuum of Services”; p. 17, Table 1–2, “The Continuum of Health Care Services”)

o Chapter 7, “Outpatient and Primary Care Services” (pp. 250–284)

o Chapter 8, “Inpatient Facilities and Services” (pp. 291–327)

o Chapter 9, “Managed Care and Integrated Organizations” (pp. 335–361)

o Chapter 10, “Long-Term Care” (pp. 377–408)

Examine Tables 1–1 and 1–3 to identify the types of organizations involved in the continuum of care, as this will inform your work in the Discussion and the Assignment. Read sections of the other text chapters as needed to learn about the specific settings you are addressing in your Discussion postings and the Assignment.

• HIMSS. (2014). Continuum of care. Retrieved fromhttp://www.himss.org/ResourceLibrary/genResourceDetailPDF.aspx?ItemNumber=30272

• Institute for Healthcare Improvement. (2014). Across the chasm: Six aims for changing the health care system. Retrieved fromhttp://www.ihi.org/resources/Pages/ImprovementStories/AcrosstheChasmSixAimsforChangingtheHealthCareSystem.aspx

Select and read two or more of the following resources to support your Discussion postings and/or Assignment.

• Dunn, L. (2013). The acute-care continuum: The future of hospital-based care. Retrieved fromhttp://www.beckershospitalreview.com/white-papers/the-acute-care-continuum-the-future-of-hospital-based-care.html

• The Joint Commission. (2013). Transitions of care (ToC) portal. Retrieved fromhttp://www.jointcommission.org/toc.aspx

• Patel, K. (2013). Containing health care costs: Recent progress and remaining challenges. Retrieved from http://www.brookings.edu/research/testimony/2013/07/30-health-care-costs-patel

• The Scan Foundation. (2013). LifePlans, Inc: Satisfaction with long-term services and supports across the continuum of care. Retrieved from http://www.thescanfoundation.org/lifeplans-inc-satisfaction-long-term-services-and-supports-across-continuum-care

• Tampi, R. R., & Tampi, D. J. (2013). Multidisciplinary teams in the continuum of care for older adults with mental illnesses. Neuropsychiatry, 3(6), 555–558.

Retrieved from the Walden Library databases.

• Document: Module 3 Assignment Template (PowerPoint presentation)

• Document: Presentation Guidelines and Tips (PDF)

3.4 Physical Science in Action

1. 
 1

Go to this website to open the Circuit Construction Simulator:

http://phet.colorado.edu/en/simulation/circuit-construction-kit-dc

If you can not get the sim to run check the following:

Make sure you have Java installed and updated. https://www.java.com/verify

Make sure your security settings (apple menu>system preferences>Security & Privacy> general tab) allows apps downloaded from anywhere. You can change this back after running the sim.

PART 1

Click and drag one battery, two resistors, and seven wires from the white box.

Arrange the pieces into a circuit with the battery on top and the two resistors on the bottom.

Control-click on the left resistor to pop up a menu. Click the Change Resistance option.

Type “20” into the box and then click Done.

Click the Show Values button at the top of the green box.

Check that the battery is 9 Volts, the right resistor is 10 Ohms, and the left resistor is 20 Ohms.

Click the non-contact ammeter button in the middle of the green box. Place the crosshairs of the non-contact ammeter on the wire several places around the circuit to find the current in the wire.

0.15 A

0.30 A

0.45 A

0.60 A

2

Is this circuit arranged in series, in parallel, or in both formations?

Series

Parallel

Both Series and Parallel

3

Based on your answer from #2, use one of the following equations to calculate the total resistance of the circuit:

Resistance in Series

R

tot

=

R

1

+

R

2

Rtot=R

1

+R

2

Resistance in Parallel

1

R

tot

=

1

R

1

+

1

R

2

1

Rtot=

1

R

1

+

1

R

2

6.67 Ohms

10 Ohms

20 Ohms

30 Ohms

4

Now, using Ohm’s Law:

I=

V

R

I=VR

and the total resistance calculated in #3, what is the total current of this circuit?

0.15 A

0.30 A

0.45 A

0.60 A

5

Click the voltmeter button in the middle of the green box.  A voltmeter measures the difference in the voltage between 2 places on a circuit. This is called the voltage drop. Place the contacts of the voltmeter on the circuit on either side of the battery.

What is the voltage drop across the battery?

Note: The voltmeter tells you the voltage drop between the two points in the circuit touched by the probes. 

Voltage works in a similar fashion to gravitational potential energy based on height.  Balls will only roll down board if one end is higher than the other (so it is sloped). The ball (electron) at the higher end of the board (wire) has lots of potential energy (voltage). The ball will roll down the board (electron will move through the wire) to the lower end of the board that has less gravitational potential (less voltage). 

You could use a ruler to measure the height difference between the high point of the board and the low point where the ball moves to. This would be the change in height or how hard the ball dropped in height. For the electron, you would use a voltmeter to measure how much the voltage dropped from one point to another.

1 V

3 V

9 V

12 V

6

Place the contacts on either side of the 10 Ohm resistor.

What is the voltage drop across the 10 Ohm resistor?

3.0 V

4.5 V

6.0 V

9.0 V

7

What is the voltage drop across the 20 Ohm resistor?

3.0 V

4.5 V

6.0 V

9.0 V

8

Add together your answers from #6 and #7.  Is this number greater than, less than, or equal to the voltage of our battery?

Greater than

Less than

Equal to

9

Change the voltage of the battery from 9 V to 15 V by Ctrl-clicking on the battery and selecting “Change voltage”.

Use the voltmeter to re-measure the voltage across each of the resistors.Now how does the total voltage across the resistors compare to that of the battery?

Greater than

Less than

Equal to

10

Change the battery’s voltage back to 9 volts, use three more wires, and rearrange your resistors so that the circuit is set up like this:

Unlike above, this configuration allows for the same voltage (9V) to be applied to each resistor, and electrons now have different paths through which they can travel.  Because different paths have the same voltage but different resistances, Ohm’s law tells us then that each path will have a different current.

Is this circuit arranged in series, in parallel, or in both formations?

Series

Parallel

Both Series and Parallel

11

Based on your answer in #10, use one of the following equations to calculate the total resistance (sometimes called effective resistance) of the circuit:

Resistance in Series

R

tot

=

R

1

+

R

2

Rtot=R

1

+R

2

Resistance in Parallel

1

R

tot

=

1

R

1

+

1

R

2

1

Rtot=

1

R

1

+

1

R

2

5 Points

6.67 Ohms

10 Ohms

20 Ohms

30 Ohms

12

Now, using Ohm’s Law:

I=

V

R

I=VR

and the total resistance calculated in #11, what is the total current of this circuit?

1.35 A

0.90 A

0.45 A

0.30 A

13

Using the non-contact ammeter (middle of the green box), what is the current through the path with the 20 Ohm resistor?

1.35 A

0.90 A

0.45 A

0.30 A

14

Again, using the non-contact ammeter, what is the current through the path with the 10 Ohm resistor?

1.35 A

0.90 A

0.45 A

0.30 A

15

Add your answer for #13 and #14 together.  What is significant about this number?

This is equal to the total current you found in #12.

This is less than the total current you found in #12.

This is greater than the total current you found in #12.

16

Which statement is true?

5 Points

When two resistors are connected in series, there is less total current in the circuit than if the two resistors were connected in parallel.

When two resistors are connected in parallel, there is less total current in the circuit than if the two resistors were connected in series.

The total current is the same regardless of if the two resistors are connected in series or in parallel.

17

Which statement is true?

Current varies throughout a series circuit.

Current stays the same through a series circuit.

18

Which statement is true?

Voltage varies throughout a series circuit.

Voltage remains the same throughout a series circuit.

19

Which statement is true?

Current varies throughout a parallel circuit.

Current stays the same throughout a parallel circuit.

20

Which statement is true?

Voltage varies throughout a parallel circuit.

Voltage remains the same throughout a parallel circuit.