Module 2 Case Managed Care

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FOLLOW INSTRUCTIONS AS INSTRUCTED/

Assignment Overview:

-A few years ago, some opined that managed care was either dead or nearly dead. Years later, managed care seems stronger than ever, or is it? After reading the background information, conduct additional research and respond to the below questions.

Case Assignment:

Watch the following videos in preparation for this assignment:

TheMinaSara (2015). History of managed care. Retrieved from https://www.youtube.com/watch?v=SoExSvjPnh0

Hicks, D. & Nelson, N. (Presenter). (2016, October 19). Accreditation of health care . Retrieved from https://www.youtube.com/watch?v=3XDs7ccTQDs

Use what you learned from the videos, the module’s required readings, and your own research to answer the following questions in your paper.  

  1. What is managed care and where did it come from?
  2. Discuss the current state of managed care in the U.S. health care system.
  3. Briefly explain some of the potential impact of health care reform initiatives on managed care in the U.S.

Length: Submit a 3- to 4-page paper, not including the cover page and the reference list.

Assignment Expectations Link: https://tlc.trident.edu/d2l/lor/viewer/view_private.d2l?ou=115988&loIdentId=3108

 
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Module 2 Classroom Assignment Interviewing Skills

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Module 2 “Classroom Assignment” Interviewing skills

Be prepared to conduct an interview of someone you choose.  It can be a family member or a friend . Review “Techniques of Communication” in the textbook reading. Pay special attention to your nonverbal communication by being aware of how your unique patterns might affect the quality of the interview.  For this assignment you can choose whatever topic you want, but just focus on those techniques of communication.  Once you have completed the interview please write a one page (no specific format) write up of how your interview went and what techniques you were able to incorporate into your interview. 

 
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Module 2 Discussion 19126485

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Barriers to Improving Health Behaviors

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Your comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.”

This module discusses individual and family-related interventions. Discuss the role of individuals and families in changing health behaviors. Drawing from your own personal experiences, provide examples of how individuals or families can aid and hinder a person’s intention to change his/her health behavior.

 
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Module 2 Discussion 19213851

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Barriers to Health

Part 1:

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Your comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.” Before delving into your response to this Discussion question, I would like us to continue to get to know each other through another icebreaker. You will be seeing these icebreakers at the beginning of each module’s Discussion.  The icebreaker for this Discussion is as follows:
 

Ice-breaker: You can choose whichever statement(s) you would like. I am passionate about  _________________. If I could choose any other career/job, I would work as a _____________. If I had the time, I would love to ______________.

Discussion topic:

Describe your professional role (current or future) in overcoming societal, systemic, or structural influences (force) that create barriers to healthy behaviors. Please specify your profession, type of job, and give examples. After describing your role, ensure you give examples of how you will go about aligning the role with your passion and how you will achieve your future role(s).

Part 2:

Describe your professional role (current or future) in overcoming societal, systemic, or structural influences (force) that create barriers to healthy behaviors. Please specify your profession, type of job, and give examples. After describing your role, ensure you give examples of how you will go about aligning the role with your passion and how you will achieve your future role(s).

 
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Module 2 Discussion 19220547

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Using metrics to assess organizational/program efficiency and effectiveness

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According to McLaughlin and Olson (2012), “a key component of effective operations is the ability to move strategy to action” (pg. 13).  Once a health care organization has a strategy, it is then necessary to select the accurate assessment tool to implement the strategy. Balance scorecards, strategy maps, and dashboards are three organizational assessment tools that are used frequently to move a strategy into action.

  1. Read the article, The balanced scorecard, strategy maps and dashboards: Why are they different? at the following link: http://www.cgma.org/magazine/2013/jul/20138186.html
  2. Identify two (2) issues from the list of top issues confronting hospitals in 2016 published by the America College of Healthcare Executives (https://www.ache.org/pubs/research/ceoissues.cfm)
  3. Then choose one (1) tool (balanced scorecard, strategy maps, or dashboards) per selected issue and discuss (from a health care manager perspective) how you would use that tool to minimize the selected issue.

McLaughlin, D. B., & Olson, J. R. (2012). Healthcare operations management (2nd ed.). Chicago, IL: Health Administration Press.

 
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Module 2 Discussion 19275353

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What was the intended purpose of the “gatekeeper” system? Based on what you’ve read, do you believe it has achieved its purpose? Why or why not? If not, what could be changed that would result in it meeting its intended goal? Be sure to read and comment upon a few of your fellow students’ remarks on this subject.

 
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Module 2 Discussion 3

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  Write a summary of 200 words maximum on one of the items linked to in the “Integrated Computing” section. 

Use APA and one reference 

 
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Module 2 Discussion Bha

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Healthcare Ethics and Healthcare Reform

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According to the American College of Emergency Physicians. (ACEP) (n.d.), “the enacted Affordable Care Act (PPACA) of 2010 has fueled ethical debate of several important controversial topics. Ethical issues of health care reform include moral foundations, cost containment, public health, access to care, ED crowding, and end-of-life issues.”

Review the following article:

ACEP. (n.d). The Ethics of Health Care Reform: Issues in Emergency – Medicine – An Information Paper. Retrieved from https://www.acep.org/life-as-a-physician/ethics–legal/ethics/the-ethics-of-health-care-reform-issues-in-emergency—medicine—an-information-paper/#sm.0000s5twwucmldpxvhb28muxrbrou

  • From a healthcare administrator perspective, discuss the ethical and moral issues presented in this article. Do you agree or disagree? Explain your rationale in detail.
  • What ethical ramifications should be considered in regard to future healthcare reform?

250 words

 
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Module 2 Discussion Post

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Before beginning please read over required reading.

Required Reading:

Brown, C. (2018). Recognition of family physicians as experts rather than gatekeepers requires “cultural shift”. Canadian Medical Association Journal, 190(17), E550-E551. Available in the Trident Online Library.

Dumontet, M., Buchmueller, T., Dourgnon, P., Jusot, F., & Wittwer, J. (2017). Gatekeeping and the utilization of physician services in France: Evidence on the médecin traitant reform. Health Policy, 121(6), 675. doi:10.1016/j.healthpol.2017.04.006

HOMEWORK ASSIGNMENT:

What was the intended purpose of the “gatekeeper” system? Based on what you’ve read, do you believe it has achieved its purpose? Why or why not? If not, what could be changed that would result in it meeting its intended goal? Be sure to read and comment upon a few of your fellow students’ remarks on this subject.

 
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Module 2 Discussion Research Questions Primary Versus Pico

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 I need compelete answer in 2-3 paragraph:

This discussion topic has two (2) parts and builds from your previous discussion forum. First, you will describe a primary research question that emerges on a topic from your clinical practice. Second, using the same topic, you will restate your primary research question into an evidence-based practice question. Substantial statements for all listed points on this discussion will be worth 3 points.

Please click the Grading Information button on the top left, then the Rubric button on the right of the discussion board window for grading criteria on the discussion points as listed below:

Part 1:

  1. Many applied research studies are initiated from the researcher’s clinical practice. Reflecting on your nursing practice, identify  a PRIMARY research question that would be of interest to you. (Hint: Think of a specific situation, procedure, etc., that you feel could be handled or performed better Perhaps, you identified something in the previous discussion forum?)
  2. If you were going to do a study using your PRIMARY research question as the basis of the study, do you think it would be better addressed using a quantitative or qualitative perspective?

Part 2:

  1. Now using your primary research question as a guide, using a PICO format, place your question as an evidence-based practice question (Refer to Chapter 8 in the Hopp & Rittenmeyer (2012) text and the Module 1 Presentation 2, Evidence-based Practice).
  2. Explain how your Primary Research Question differs from your stated Evidence-based Practice Question.
  3. Who would be the sample as related to your PICO question?

Your response should be written in your own words.

 
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