Module 2 Case Managed Care

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 Case Issues In Healthcare

Required Reading

ACHE. (2016). ACHE code of ethics. Retrieved from https://ache.org/abt_ache/code.cfm

Flite, C. A., & Harman, L. B. (2013). Code of ethics: Principles for ethical leadership. Perspectives in Health Information Management / AHIMA, American Health Information Management Association, 10(Winter), 1d. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3544144/

NAHQ. (2011). NAHQ Code of ethics and standards of practice for healthcare professionals. Retrieved from http://nahq.org/about/code-of-ethics

Airth-Kindree, N., & Kirkhorn, L. C. (2016). Ethical grand rounds: Teaching ethics at the point of care. Nursing Education Perspectives, 37(1), 48-50. doi:http://dx.doi.org/10.5480/13-1128

Benson, Michael D,M.D., F.A.C.O.G., Benson, Jordan B,C.P.A., J.D., & Stein, Mark S,J.D., PhD. (2016). Hospital quality improvement: Are peer review immunity, privilege, and confidentiality in the public interest? Northwestern Journal of Law and Social Policy, 11(1), 1-27.

Brothers, K. B., & Rothstein, M. A. (2015). Ethical, legal and social implications of incorporating personalized medicine into healthcare. Personalized Medicine, 12(1), 43-51. doi:http://dx.doi.org/10.2217/pme.14.65

Denecke, K., Bamidis, P., Bond, C., Gabarron, E., Househ, M., Lau, A. Y. S., … Hansen, M. (2015). Ethical Issues of Social Media Usage in Healthcare. Yearbook of Medical Informatics, 10(1), 137–147. Available in the Trident Online Library.

Fiscella, K., Tobin, J. N., Carroll, J. K., He, H., & Ogedegbe, G. (2015). Ethical oversight in quality improvement and quality improvement research: New approaches to promote a learning health care system. BMC Medical Ethics, 16(63). doi: 10.1186/s12910-015-0056-2. Accessed from http://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-015-0056-2

Ghosh, K. (2015). Benevolent leadership in not-for-profit organizations. Leadership & Organization Development Journal, 36(5), 592-611.

Gillon, R. (2015). Defending the four principles approach as a good basis for good medical practice and therefore for good medical ethics. Journal of medical ethics41(1), 111-116.

Healthcare Financial Management Association [HFMA]. (2016). HFMA’s code of ethics. Accessed from https://www.hfma.org/code/

Kostkova, Patty P. (2016). Who owns the fata? Open fata for healthcare. Frontiers in Public Health, 4(4), 7. doi: 10.3389/fpubh.2016.00007

Kulshreshtha, P. (2015). Ethical leadership and contemporary organizational ethics: Principles and cases. Journal of Leadership, Accountability and Ethics, 12(1), 94-97.
Mascone, C. F. (2015). Navigating ethical dilemmas. Chemical Engineering Progress, 111(2), 3.

McLean, S. A. M. & Campbell, T.D. (Ed.). (2006). Applied legal philosophy: First do no harm: Law, ethics and healthcare. Abingdon, GB: Routledge.

Assignment Overview

There have been many cases of violations of ethical principles in medical and public health history. It is important to study these and understand not only what went wrong, but the implications of a failure to follow ethical principles, to ensure that these things do not happen again.

**Case Assignment

For this assignment, you will be creating a PowerPoint presentation. Three cases are listed below. For each case, you will provide a background and then apply at least the 4 basic ethical principles reviewed thus far in the course; you may research and apply additional ones. For each principle, explain why it was violated in this case. If you do not believe that the principle was violated, explain why. This should not be opinion, but should be your analysis of the cases and the principles; do not use first person. 

*Your slides should be in presentation format and your text should be in your speaker’s notes. You must include speaker’s notes. Remember to cite your sources.

*You will need to research the cases below. Be sure that you are using reliable sources for your information; peer-reviewed articles, academic books, government web pages and documents. You may use newspaper articles, but these should not be your principle and only source to discuss an individual case.

  • The Tuskegee Experiment
  • Henrietta Lacks and the development of the HeLa cell line
  • Nazi Medical Experiments

Assignment Expectations

  1. Conduct additional research to gather sufficient information to support your analysis.
  2. Your presentation should have at least 6 slides, as well as a cover slide and reference slide.
  3. Support your presentation with peer-reviewed articles, and use at least 6 references. For additional information on how to recognize peer-reviewed journals, see http://www.angelo.edu/services/library/handouts/peerrev.php
  4. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/
 
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Module 2 Case Bha

Module 2 – Case

ISSUES IN HEALTHCARE ETHICS

Assignment Overview

There have been many cases of violations of ethical principles in medical and public health history. It is important to study these and understand not only what went wrong, but the implications of a failure to follow ethical principles, to ensure that these things do not happen again.

Case Assignment

For this assignment, you will be creating a PowerPoint presentation. Three cases are listed below. For each case, you will provide a background and then apply at least the 4 basic ethical principles reviewed thus far in the course; you may research and apply additional ones. For each principle, explain why it was violated in this case. If you do not believe that the principle was violated, explain why. This should not be opinion, but should be your analysis of the cases and the principles; do not use first person.
Your slides should be in presentation format and your text should be in your speaker’s notes. You must include speaker’s notes. Remember to cite your sources.

You will need to research the cases below. Be sure that you are using reliable sources for your information; peer-reviewed articles, academic books, government web pages and documents. You may use newspaper articles, but these should not be your principle and only source to discuss an individual case.

  • The Tuskegee Experiment
  • Henrietta Lacks and the development of the HeLa cell line
  • Nazi Medical Experiments

Assignment Expectations

  1. Conduct additional research to gather sufficient information to support your analysis.
  2. Your presentation should have at least 6 slides, as well as a cover slide and reference slide.
  3. Support your presentation with peer-reviewed articles, and use at least 6 references. For additional information on how to recognize peer-reviewed journals, see http://www.angelo.edu/services/library/handouts/peerrev.php
  4. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/
 
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Module 2 Case Assignment

Module 2 – Case

ORGANIZATION BEHAVIOR, STRUCTURE, AND ASSESSMENT

Assignment Overview

Health care management requires leadership skills which will test your ability to make vital decisions. “Like a rapidly mutating cancer cell, poor leadership within healthcare systems can cause toxic symptoms that adversely impact organizational work cultures and staff satisfaction and lead to burnout” (Werberg, 2010, para. 1). Assessments made by leadership have a direct relation to many areas, including but not limited to the following: The quality of care provided, staff morale, and organizational reputation. As a trailblazer of your organization, you will use effective leadership skills to manage/avoid conflict, make effective recommendations, manage staff, and protect the overall quality/efficiency of the organization. To make effective decisions as a leader you should identify the major facts, indicate if or what problems exist, and finally, recommend a solution.

This assignment requires you to review a practical case study and analyze the elements of poor leadership. The case study also explores characteristics of a health care leader while introducing safety culture. Your assessment and responses to the realistic scenario should be based off leadership attributes.

Werberg, D. (2010). Transformational leadership and staff retention: An evidence review with implications for healthcare systems. Nursing Administration Quarterly.  34(3), 246-258. doi: 10.1097/NAQ.0b013e3181e70298

**Homework Case Assignment

Read the following case study published by the Institute for Healthcare Improvement:

Griner, P. (2017). Case study: On being transparent. Retrieved from http://www.ihi.org/education/IHIOpenSchool/resources/Documents/Participant_On%20Being%20Transparent.pdf

After reading the case study, you should complete a 2- to 3-page case analysis that includes three distinct sections (in addition to your introduction and conclusion):

  1. Major Facts – Summarize the facts in the case. This includes the most important incidents in the case. Avoid simply restating the case.
  2. Problem(s) – From the facts it should reveal the problems that need attention. Specify those problems and explain their significance.
  3. Solution and Expected Outcome – Recommend a solution, and for each recommendation provide an action on how it would be implemented. For each solution provide your expected outcome.

Assignment Expectations

  1. Conduct additional research to gather sufficient information to justify/support your recommendations and outcomes. You should have at least two solutions and two outcomes respectively.
  2. Limit your response to a maximum of 3 pages.
  3. Support your case with peer-reviewed articles, with at least 2 references. Use the following source for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.
  4. You may use the following source to assist in formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/
 
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Module 2 Project Assignment Selection Of Alteration In Healthdisease

 

This is the first submission for this project. Please select an alteration in health (disease) that you would like to work on. Be sure to select a disease that has enough information and depth to meet the project requirements.

Describe the selection in one paragraph and why you chose it. You may use your textbook or other resources for your selection. The disease selected must be approved by your instructor before you continue on to the next project assignment.

 
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Module 2 Picot Format

 

Clinical Question – Formulate a clinical question using the PICOT format.

P: Patient Population
I: Intervention or area on Interest
C: Comparison intervention or group
O: Outcome
T: Time
Ex: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?”

Intext citation and 3-4 references. Answer all question

 
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Module 2 Picot Format 4

 

Clinical Question – Formulate a clinical question using the PICOT format.

P: Patient Population
I: Intervention or area on Interest
C: Comparison intervention or group
O: Outcome
T: Time
Ex: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?”

Please follow instruction intext citation and 3-4 references

 
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Module 2 Picot Format 3

 

Clinical Question – Formulate a clinical question using the PICOT format.

P: Patient Population
I: Intervention or area on Interest
C: Comparison intervention or group
O: Outcome
T: Time
Ex: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?”

Please answer all question in-text citation 3-4 references

 
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Module 2 Picot Format 2

 

Clinical Question – Formulate a clinical question using the PICOT format.

P: Patient Population
I: Intervention or area on Interest
C: Comparison intervention or group
O: Outcome
T: Time
Ex: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?”

Please include in-text citation and 3-4 references 

 
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Module 2 Medical Ethics And Law

 

Throughout this week, you read about managed care and third-party payers, the basic components of insurance.

Up until recent years the only options for the uninsured, if they qualified for it, were Medicare and Medicaid. With the passage of the Affordable Care Act, the landscape of insurance is changing.

For this week’s written assignment, read the following article:

Hamel, M.B., Blumenthal, D., Abrams, M., & Nuzum, R. (2015) 

http://www.nejm.org/doi/full/10.1056/NEJMhpr1503614#t=article

The New England Journal of Medicine, 372, 2451-2458. Retrieved from 

http://www.nejm.org

After reading the article, answer the following questions:

  1. What are your initial thoughts from the article?
  2. How do you think the Affordable Care Act improves health care for Americans?
  3. Who do you think will benefit the most from the Affordable Care Act? Why?
  4. Why are some states slower to participate than others?
  5. If you could create a healthcare plan for the United States, what would it include, who would be covered?
 
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