Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and the any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Describe the processes that take place during a typical hospitalization, or emergency department visit for a consumer under the ACA. From admission to discharge, including aftercare, rehab, and acquisition of medications; address the differences, with the same experience from before the ACA was passed into law?

Assignment Expectations: How will students be successful?

• Length:
  • 1500-2000 words (6-8 pages); answers must thoroughly address the questions in a clear, concise manner
• Structure:
  • Include a title page and reference page in APA style
• References:
  • Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions
• Format:
  • Save your assignment as a Microsoft Word (.doc or .docx), Open Office (.odt) or rich text format (.rtf) file type
• File name:
  • Name your saved file according to your last name, first initial and the week (for example, “jonesb.week1”)
• Submission:
  • Submit your assignment to the Drop Box

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Peter R Kongstvedt states, “The case manager is consistently challenged with managing fiscal constraints with patient expectations in light of orders and expectations articulated by the care team. This requires a highly skilled individual, certainly not a job for the faint of heart.” The case manager can also play a role in identifying disease prevention strategies.

In 2 pages, develop a “job description” or job outline for a case manager. Consider disease prevention as part of the responsibilities of the role. Also consider education and skills. Feel free to set up your information in a table. Give your work a professional look, and be sure to include each of the following headings or sections:

• Facility name
• Department
• Position title
• Classification
• Position grade or level
• Shift and/or days of the week
• Reporting relationships
• Summary statement
• Responsibilities
• Required competencies or position requirements
• Physical requirements or working conditions
• Date written
• Date revised

For information on case managers, see your reading. You may also want to conduct research in the following websites:

• Case Management Society of America (CMSA)
• American Case Management Association (ACMA)

Do not simply reproduce a position description that already exists! This is plagiarism. Be creative. You will be evaluated on the information contained in the position description, as well as how professional your document looks.

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Theresa is a 90-year-old patient who was taken to the hospital due to certain complications with breathing. She was diagnosed with cardiopulmonary disease, and her health was deteriorating. Theresa has not been responding to treatment. She was advised of possibly passing in the next 3 months. The doctor recommended pain medications and suggested skilled nursing services and personal care. Unfortunately, the nearest skilled nursing facility has not been doing well and is about to close down. Theresa’s grandchildren have been taking turns caring for her at home. The grandchildren cannot provide the 24-hour care that she needs.

Unless home support is put in place for Theresa, she has to continue hospitalization unless she is guaranteed 24-hour care at home. The grandchildren decided to hire home care for their grandmother, and Theresa was discharged home. Case management permitted to discharge and maintenance at home. Unfortunately, Theresa passed away within 20 days of discharge. The business department had prepared the bill for services rendered to her. The bill included the following:

• Fee for hospital stay per day was $ 700
• Home health expenses were $ 2,000 within a network and $1,500 for outside of network providers
• Case management fees were $ 750 (due to an effective case management strategy, the family was able to save some money)

Using the case study above, complete the following:

• Prepare a confidential case report for Theresa showing net cost savings as a result of effective case management.
• Prepare a case identification process for Theresa regarding her visit to the hospital.
• What would you do as a potential health care administrator to improve the quality of care of a skilled nursing facility that you have been hired to head?

Your paper must follow APA format, citing at least 4 sources to substantiate your claims.

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ote:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion
2. Secondary Prevention/Screenings for a Vulnerable Population
3. Bioterrorism/Disaster
4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
2. Request feedback (strengths and opportunities for improvement) from the provider.
3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

Prepare this assignment according to the guidelines found in the APA Style Guide

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