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Discuss the changes taking place in long-term care reimbursement system in order to provide better reimbursement options both to consumers and providers.

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Working on the same two facilities that you identified in W3 Assignment 2, prepare a 8- to 10-page report in a Microsoft Word document including the following:

  • Describe the roles and responsibilities of the administration in each department of your chosen facilities.
  • Identify and list the sources of financing available to consumers for the various programs provided by your chosen facilities. Identify the key public and private sources of reimbursement available. Also discuss the role played by managed care and its impact on long-term care reimbursement.
  • Describe the various government and private resources available that assist in developing and maintaining quality improvement programs in your chosen facilities. Describe the ways in which quality and cost are controlled in your chosen facilities. Also discuss the ethical aspect of access to care in the facilities, including rationing.

Based on your observations and learning from the two facilities, discuss the changes brought in the long-term care system to make it reach full status as a competition-driven system. You may include the following points in your discussion:

  • Discuss the changes made in the control mechanisms (external and internal) in order to control the management, financing, and quality in the long-term care systems.
  • Discuss the changes taking place in long-term care reimbursement system in order to provide better reimbursement options both to consumers and providers.
  • Discuss the changes made in the efforts of providers to accommodate changing magnitude of the day-to-day needs of long-term care consumers.

Support your responses with examples.

Cite any sources in APA format.

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    suo_hsc3010_w3_a2_ocran_p.docx_.pptx

Examine case studies related to renal and urologic systems and fluid and electrolytes

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WORDS – 400

DEADLINE – 24 HOURS

BUDGET – 7 USD

Assignment Objectives: Identify and select appropriate interventions including diagnostic tests and nursing interventions. Analyze physiological and psychological responses to illness and treatment modalities

Purpose: Examine case studies related to renal and urologic systems and fluid and electrolytes. Answer the assigned questions. This assignment should help refine your clinical/critical thinking skills.

Assignment Description: Answer the questions in the grading criteria related to each of the patients provided. Your answer must follow APA 6th edition format. Submit the answer in the assignment area of your course. This assignment is worth 50 points.

Patient 1 – A 52 year old female patient with a long-standing history of COPD and heart failure is being seen for recent onset of headache, muscle cramps, bilateral lower extremity edema, and nervousness. She also reports a 5-day history of watery diarrhea. Her medications include diuretics and long-acting and short-acting beta-2 agonists. The results of a Basic Metabolic Profile (BMP) reveal abnormally low serum sodium, potassium, and chloride levels. Her anion gap is normal.

a. Describe the relationship of sodium and potassium in the ICF and ECF.

b. Identify the acid-base imbalances for which this patient is at risk and why she is at risk for them.

b. Define “anion gap” and the significance of the anion gap being normal in this patient.

 

Patient 2-You are asked to see a 20 year old woman who has white blood cells present in her urinalysis results. How would you determine whether she has cystitis or pyelonephritis?

a. Differentiate between cystitis and pyelonephritis. Consider history, possible presenting symptoms, and urinalysis results,.

b. Provide specific patient education for this patient regarding possible treatments and behaviors to prevent this condition in the future.

 

Parameters: Mini Case Study Assignment Grading Criteria

Requirement Maximum Points Earned Points
     
Patient 1 – Described relationship of sodium and potassium in the ICF, ECF. Correctly identified possible acid-base imbalances. Defined anion gap and its signicance.
 		 20  
Patient 2 – Differentiated cystitis and pyelonephritis. Provided patient education information re: treatment and prevention future occurrences. 20  
Submitted the assignment on time and in the correct location 2  
Used APA 6th edition style guidelines consistently and accurately. 5  
Used correct spelling and grammar 3  
 Total 50  

Upon Completion of this assignment:

  • Upload your completed assignment, and
  • Upload your originality report from turnitin.

Explain the ethical, legal, and economic factors that impact the health and wellness of the population

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Wellness Program Proposal

Health care initiatives focus on changing demographics and emerging health problems. Health care professionals need to develop skills in conducting gap analyses within their own communities, to design effective health education and wellness programs to address those gaps, and to remain mindful that effective care depends on the ability to build trust within the community being served.

For this assignment, you will develop a proposal for a wellness program that will help bridge the gaps in health care service delivery for the population you identified in your Windshield Survey assignment.

Use the Capella library and the Internet to find scholarly and professional resources that will help you design a wellness program for the health concern of your population. Find at least four resources to use in this assignment.

Requirements

Building on your Windshield Survey and Organizational Evaluation assignments, complete the following:

  • Design an evidence-based wellness program to address the primary health concern of the population that integrates:
    • Cultural considerations: Will you need to consult with someone from the population on how to approach the delivery of your program?
    • CAM, traditional medicine, holistic health, and spirituality considerations
    • Linguistic considerations: Will you need interpreters or translators for either written or oral presentations?
    • Educational considerations: What will be the best way to educate the population?
  • Describe how you will market or advertise the wellness program.
    • What are the benefits the program offers the population?
    • Will you need incentives to ensure participation and completion of the program?
  • Explain the ethical, legal, and economic factors that impact the health and wellness of the population. For example:
    • The ethical considerations (such as justice, non-malfeasance, and duty) that can affect preventative care and health promotion.
    • Local laws, federal laws, and the Affordable Health Care Act that can affect preventative care and health promotion.
    • The potential economic impact of clinical prevention and health promotion related to health disparities of your population.

The format for this assignment should be a professional proposal. If possible, ask about the format used for proposals in your organization and follow that. Follow current APA style for your in-text citations and references.

Additional Requirements

  • Length of paper: 5–7 double-spaced pages, not including a title page and reference page.
  • References: At least four current scholarly or professional resources.
  • Formatting: APA format for in-text citations and references.
  • Font: Times New Roman, 12 pt.
Wellness Program Proposal Scoring Guide Grading Rubric
Criteria Non-performance Basic Proficient Distinguished
Integrate cultural considerations into an evidence-based wellness plan for a population.
13% 		Does not integrate cultural considerations into an evidence-based wellness plan for a population. Integrates cultural considerations into an evidence-based wellness plan, but the cultural considerations are not specific to any population. Integrates cultural considerations into an evidence-based wellness plan for a population. Integrates cultural considerations into an evidence-based wellness plan for a population, and shows a clear relationship between the considerations and the population.
Integrate CAM, traditional medicine, holistic health and spirituality into an evidence-based wellness plan for a population.
13% 		Does not integrate CAM, traditional medicine, holistic health and spirituality into an evidence-based wellness plan for a population. Integrates aspects of CAM, traditional, medicine, holistic health and spirituality into an evidence-based wellness plan, but the aspects are not specific to any population. Integrates CAM, traditional medicine, holistic health and spirituality into an evidence-based wellness plan for a population. Integrates CAM, traditional medicine, holistic health and spirituality into an evidence-based wellness plan for a population, and explains how it will promote positive outcomes.
Integrate linguistic considerations into an evidence-based wellness plan for a population.
13% 		Does not integrate linguistic considerations into an evidence-based wellness plan for a population. Integrates linguistic considerations into an evidence-based wellness plan, but the linguistic considerations are broad and not specific to any population. Integrates linguistic considerations into an evidence-based wellness plan for a population. Integrates linguistic considerations into an evidence-based wellness plan for a population and shows how errors in communication can negatively impact the health of a population.
Explain strategies for educating a population about health promotion and disease prevention
13% 		Does not explain strategies for educating a population about health promotion and disease prevention. Identifies strategies for educating a population about health promotion and disease prevention. Explains strategies for educating a population about health promotion and disease prevention. Explains strategies for educating a population about health promotion and disease prevention, and identifies ways to market an education plan to the population.
Explain the benefits of a health and wellness plan for a population.
13% 		Does not explain the benefits of a health and wellness plan for a population. Lists the benefits of a health and wellness plan for a population. Explains the benefits of a health and wellness plan for a population. Explains the long-term and short-term benefits of a health and wellness plan for a population.
Describe the ethical principles that can affect preventative care and health promotion.
10% 		Does not describe the ethical principles that can affect preventative care and health promotion. Lists the ethical principles that can affect preventative care and health promotion. Describes the ethical principles that can affect preventative care and health promotion. Describes the ethical principles that can affect preventative care and health promotion in both positive and negative ways for the organization and the population.
Explain how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion.
10% 		Does not explain how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion. Explains how local laws or federal laws or the Affordable Health Care Act can affect preventative care and health promotion, but not all three. Explains how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion. Explains how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion in both positive and negative ways for the organization and the population.
Explain the economic impact of clinical prevention and health promotion related to health disparities for a population.
10% 		Does not explain the economic impact of clinical prevention and health promotion related to health disparities for a population. Explains the economic impact of clinical prevention and health promotion related to health disparities for a population, but omits key elements. Explains the economic impact of clinical prevention and health promotion related to health disparities for a population. Explains the economic impact of clinical prevention and health promotion related to health disparities for a population in terms of both positive and negative aspects for the organization and the population.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
3% 		Does not write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes content clearly and logically, but grammar, punctuation, and mechanics have frequent errors. Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics; and uses relevant evidence to support a central idea.
Correctly format paper, citations, and references using APA style.
2% 		Does not correctly format paper, citations, and references using APA style. Correctly formats paper, but inconsistently formats citations and references using APA style. Correctly formats paper, citations, and references using APA style. Citations contain few errors. Correctly formats paper, citations, and references using APA style. Citations are free from all errors.

what contributes to making successful or unsuccessful systems

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Please click on this link:

 

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2732244/

 

Let’s discuss the Ten AMIA working groups together with the IMIA work group findings on Organizational and Social Issues for project failures and how to lessen those risks.  Specifically, let’s discuss communication, workflow, and quality; the complexity of IT undertakings; the need to integrate all aspects of projects, work environments, and regulatory and policy requirements; and the difficulty of getting all the parts and participants in harmony.

How do you address what “success” and “failure” mean, what contributes to making successful or unsuccessful systems, how to use failure as an enhanced learning opportunity for continued improvement, how system successes or failures should be studied, and what AMIA should do to enhance opportunities for successes?