Category: Health Care

After reading the article, demonstrate your ability to explain the concept of managed care in terms of cost control and access by listing three interesting trends on the quality of care measures from the Health Plan Employer Data and Information Set. Your substantive initial post should include two probing questions

Instructions
OBJECTIVES
• Part 1: To familiarize yourself with different health plan quality measures and ratings done by the National Committee for Quality Assurance (NCQA).
• Part 2: To distinguish between process and outcome measures.
INSTRUCTIONS (There are 5 questions in total, each worth 2 points.)
Note: You may switch between screens to complete this assignment. There is no time limit on this assignment.
PART 1: National Committee for Quality Assurance (NCQA) Plan Rankings
Visit NCQA Website Links to an external site. for the most recent health plan ratings (the last update was 9/15/2024.
This website is hosted by an external party. In the event that the link should stop working, the Professor will provide students with an updated link (likely through a course Announcement).
Answer Assignment Questions in Submission Quiz
Use the filters on the left side of the NCQA rankings page to get the data you need to answer each question. For example, you may need to filter by “Plan Type” (Medicare, Commercial (Private), Exchange, or Medicaid] and/or by “States Served.”
Questions: Here are some examples of the questions you may see in the submission quiz:
Of private (commercial) plans in the State, how many plans received an overall score of 5.0?
Of Medicare plans in the State, how many plans received an overall score of 5.0?
Of Medicaid plans in the State, how many plans received an overall score of 5.0?
(After responding to quiz questions for Part 1, you will see quiz questions for Part 2.)
PART 2: Identifying Process and Outcome Measures
Remember:
Process measures indicate what administrative or procedural “actions” a provider or health plan does to maintain or improve patient health.
Outcome measures reflect the impact of the healthcare service or intervention on the health status of patients. So, outcome measures evaluate the effectiveness or “outcomes” of a patient following the receipt of services, treatment, or procedures.
Examples of both process and outcome measures are included in this chapter’s lecture.
1. Of private (commercial) plans in the State of Arizona, which of the following plans received an overall score of 3.0? (There may be more than one answer.)
Group of answer choices
A.UnitedHealthcare of Arizona
B. Banner Health and Aetna Insurance Company
C. Aetna Life Insurance Company
D. Cigna Health and Life Insurance Comp
2. Of Medicare plans in the State of Kansas, which of the following plans received an overall score of 4.0? (There may be more than one answer.)
A. Group of answer choices
B. Coventry Health Care of Missouri, Inc.
C. Blue Cross Blue Shield of Kansas, Inc.
D. CHA HMO, Inc.
3. Of Medicaid plans in the State of Nebraska, which of the following plans received an overall score of 4.0? (There may be more than one answer.)
A. Community Care Health Plan of Nebraska,Inc. dba Healthy Blue
B. UnitedHealthcare of Midlands, Inc.
C. Molina Healthcare of Nebraska
D. Nebraska Total Care
4. Is the following quality measure a “process measure” or an “outcome measure?”
Patient satisfaction with doctor and office staff interactions.
A. Process
B. Outcome
5. Is the following quality measure a “process measure” or an “outcome measure?”
Number of hospital-acquired infections in a given month at St. Vincent’s Hospital.
A. Process
B. Outcome

For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:
Select one of the case studies presented in the Assessment 03 Supplement: Applying Ethical Principles [PDF] Download Assessment 03 Supplement: Applying Ethical Principles [PDF] resource.
Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
Identify who is involved or affected by the ethical problem or issue.
Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
Apply the three components outlined in the Ethical Decision-Making Model media.
Analyze the factors that contributed to the ethical problem or issue identified in the case study.
Describe the factors that contributed to the problem or issue and explain how they contributed.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references. You will select at least one current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.

Instruction- This Policy and Procedure is for a developmental disability agency business and should be written as such, this project is not for a professor.
Services of Business include-1. Community Developmental services 2. Transportation services 3. Nursing Support services 4. Personal Supports 5. Respite Care 6. Supported Living 7. Adult Residential Services.
10.22.02.10
.10 Policies and Procedures.
A. A licensee shall develop and adopt written policies and procedures for ensuring:
(1) That each individual’s health and safety needs, as identified in the individual plan (IP), are being met;
(2) Fundamental rights in accordance with Health-General Article, §7-1002, Annotated Code of Maryland;
(3) That services are provided in a manner which promotes individual choice and the exercise of individual rights;
(4) Confidentiality for each individual in accordance with Health-General Article, §7-1010, Annotated Code of Maryland;
(5) The implementation of a grievance process with safeguards which protect against retaliatory actions for the filing of any grievance;
(6) That services are provided without discrimination;
(7) That all incidents, including those involving life-threatening conditions, are reported and investigated in accordance with the Administration’s procedures on reportable incidents;
(8) That medications are administered in accordance with the practices established by the Administration’s curriculum on medication training;
(9) Compliance with COMAR 10.27.11;
(10) That an individual whose behavior requires intervention receives the safeguards required by this regulation;
(11) That in order for an individual to be required to pay for property damage caused by the individual’s actions, the individual’s IP shall show evidence that the:
(a) Individual has a history of destructive behavior that has been documented in the behavior plan (BP),
(b) Individual has a BP that addresses the destructive behavior,
(c) Individual has the ability to pay for damages,
(d) Licensee’s standing committee, as described in Regulation .08 of this chapter, has reviewed and approved the damage payment, and
(e) Licensee has reported this approval to the regional director;
(12) Compliance with Health-General Article, §5-605, Annotated Code of Maryland;
(13) That there is no financial or personal conflict of interest for members of the governing body, staff, care providers, volunteers, and standing committee members;
(14) That the fiscal affairs of the licensee are conducted in accordance with generally accepted accounting practices;
(15) That there is adequate protection for the finances and property of each individual, including:
(a) A system to ensure that each individual’s funds are used in an appropriate manner consistent with the individual’s needs and preferences,
(b) A system to keep personal funds separate from the funds of the licensee and to ensure that funds are transferred to the individual in a timely manner when services are no longer being provided,
(c) Timely access for the individual to the funds,
(d) An accounting of the individual’s funds, on request, and
(e) The accrual of any interest into the individual’s account from an interest-bearing account;
(16) That State and federally required safety precautions, infection control, and standard precautions are implemented;
(17) That an effective disaster and emergency evacuation plan, with sufficient evacuation drills is in place;
(18) That an individual may not perform the duties of a paid staff person; and
(19) That an individual only perform those duties and tasks that are shared by the household or included as an activity documented in the individual’s IP or remunerated as part of a training program as required by federal or State law.
B. A licensed community residential service provider offering services in alternative living units or group homes shall develop an emergency plan for all types of emergencies and disasters that shall include:
(1) Procedures that will be followed before, during, and after an emergency to address the following:
(a) The evacuation, transportation, or 72 hour shelter-in-place of individuals and staff served;
(b) Holding an annual practice drill coordinated with local emergency planners for sheltering in place or evacuating;
(c) Preparing an after action report and improvement plan after drills that evaluates the plan and takes corrective actions;
(d) Ensuring that individuals served and staff have identification with current health, contact, and other important information that is immediately accessible in the event of evacuation;
(e) The role of the resident, family member, or legal representative in the event of evacuation;
(f) Arranging for medical needs and other accommodations for individuals served and staff at alternative facilities or shelters; and
(g) Establishing a communication protocol among all appropriate parties that includes redundant communication means;
(2) The notification to families, staff, and the respective DDA regional office (licensing authority) regarding the action that will be taken concerning the safety and well-being of the individuals served;
(3) The staff coverage, organization, and assignment of responsibilities that includes:
(a) Planning staff coverage needs for ongoing shelter in place or evacuations;
(b) Identifying staff members available to report for work or remain during extended periods; and
(c) Establishing staff notification and recall contingency plans and procedures;
(4) The continuity of operations, including, but not limited to, redundant communications systems, preservation of records and electronic data, the procurement of essential goods, equipment, and services, plans to secure vacated facilities, and the relocation to alternate facilities;
(5) Procedures to:
(a) Backup and electronically store off-site, appropriate records and data of consumers and staff and facility documents, for access under emergency conditions;
(b) Ensure access to an electronic copy of the emergency plans when requested by local, State, or federal emergency management organizations;
(6) Provisions to ensure that the facility’s emergency and disaster plans are shared with local emergency management organizations for the purpose of coordinating local emergency planning; and
(7) An executive summary of the evacuation procedures that shall be provided to the family member of a resident on request.
C. The licensee shall ensure that all staff, care providers, consultants, and volunteers are aware of the policies required by this chapter and that all staff, care providers, consultants, and volunteers implement each policy as adopted.
D. The licensee shall ensure that it provides sufficient information about its grievance process to each individual it serves and, when appropriate, to the individual’s proponent, to enable the individual or proponent to use the process effectively.
E. Nursing Policy and Procedures

Create a 12-15 page complete teaching plan, synthesizing previous work with an assessment plan for the course to create a cohesive whole.
Collapse All
Introduction
Assessment is a key to teaching and learning. In this assessment, you will select meaningful ways to assess the teaching and learning in the course you have been designing, and will tie together each of the parts of your course design.
Preparation
Note: Assessments in this course build on each other and must be completed in sequential order.
For this assessment, you will build an assessment plan of your own that fits with your course plan. Your assessment plan should blend seamlessly into the course components that you have already designed. To that end, you will consolidate the work you have already completed in earlier assessments with the assessment plan here in order to create a clear, concise, focused teaching plan that meets the needs of the content, learner population, and environment.
Take time to reflect on the following questions as you craft your assessment plan for your course, conducting additional research as necessary.
What types of assessment do you believe are most appropriate for your educational topic and intended audience?
How will you evaluate whether or not learning outcomes were accomplished?
Do the assessments you selected support cultural competence?
How will the assessments demonstrate that learning has occurred?
As you select the assessments that you will use, what is your rationale for the type of assessments you will use? Explain how these assessments support differences in learning styles (visual, auditory, kinesthetic)?
Also, before completing your final, complete course plan, be sure to make any necessary changes or improvements based on what you have learned over the course overall.
(Optional) Practice implementing these considerations in the Vila Health challenge provided in the Resources before beginning your work here.
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
What criteria would you use to evaluate computer-assisted instruction (CAI) tools?
How can social media be used to facilitate the educational process? What are some of the potential limits or pitfalls of its use?
If you are currently a nurse educator, do you routinely conduct course assessments? If so, is that assessment data used for classroom or course improvement?
How will you as a nurse-educator stay up-to-date on important trends that impact your field?
Instructions
Create a complete teaching plan for your course that fuses together all previous course components and includes the addition of a detailed assessment plan.
Your complete teaching plan should provide:
An overview of the course topic, environment, and learner population.
An explanation of the learner outcomes for the course as well as the learning theory or theories that are the foundation of the course.
An incorporation of evidence-based best practices to enhance learner motivation in your selected learning environment and format.
An integration of appropriate teaching strategies, techniques, and learner outcomes for nursing and healthcare education for use in specific situations and populations and of evidence-based best practices for classroom and learner management.
A consideration of barriers to learning when designing and developing educational programs and an integration of cultural competence in nursing and healthcare educational offerings.
A logical, well-designed assessment plan that addresses these points:
A selection of assessment types that are most appropriate for the content, environment, and learner population.
An explanation of how you will evaluate whether or not learning outcomes were accomplished in the course, and how assessments will demonstrate that learners have learned as intended.
An analysis of how your selected assessment types support cultural competence as well as fit for learners with varied learning styles.
Organize your plan as follows:
Title page.
Table of Contents.
An overview of your course (topic, setting audience, and so on).
Learning Theories and Diversity (Assessment 1).
Teaching Strategies (Assessment 2).
Management and Motivation (Assessment 3).
Assessment Strategies (designed in this Assessment).
Summary.
References.
Appendices.
Your completed plan should be clear and flow together well. It should show cohesion, understanding, and the application of best practices, and all writing should be professional and free of errors.

Review the learning resources for Week 11. Consider the role of the DNP-prepared nurse when it comes to advocating for or implementing a practice organization change or creating an organizational culture that embraces translation and application of evidence for quality improvement.
Reflect on your experiences in this course. Consider what challenged you the most. What areas for improvement have you identified?
Reflect on your experiences in this course. Consider what you learned that was totally new for you. What were your biggest takeaways, eye-openers, or revelations? Did you have any “aha” moments?
Think about your future professional practice as a DNP-prepared nurse. How do you plan to use what you have learned in thus course?
Post the following related to your experiences in this course:
Describe something that was challenging for you. Explain why it was challenging and what you did about it. Be specific and provide examples.
Describe an area for improvement that you have identified. What are your plans to improve in this area? Be specific and provide examples.
Describe something you learned that was totally new for you or which you consider a key takeaway that you will use in the future. Be specific and provide examples.
Explain how you plan to use what you have learned in this course in your future professional practice as a DNP-prepared nurse.
use 3-4 peer review articles for this blog

Prompt: Identify ways in which French and Raven’s Five Bases of Social Power are used in your organization (or in an organization with which you are familiar). Address the bases of power individually, not just in general. Evaluate whether or not these bases of power are used effectively or not. Does the use of each base result in compliance, commitment, or resistance?

requires a 3-page paper ( front and reference page excluded) in APA 7 format with at least three references (within the last five years). Include a discussion of treatment options to enhance safe practice as an NP.

For this assessment and all remaining assessments, choose any new or upgraded telehealth technology that you would like to see implemented in your organization or practice setting. Be creative and imagine what it would be like to have any telehealth resources that would benefit your community. Then, imagine that executive leaders in your organization or practice setting are considering the purchase of those resources to improve the quality of care provided to patients and enable medical and nursing staff to extend coverage for patients in the region. Finally, as a nurse leader with responsibilities in upper management, imagine that you have been asked to determine whether this purchase will adequately address key issues in patient care and lead to improved outcomes. To prepare for the assessment, you are encouraged to reflect on performance gaps in your organization, what outcomes are measured, and how telehealth technologies can help to improve outcomes. Also, consider how you would effectively communicate the need for a new or upgraded technology to executive leaders in a way that will help you obtain their support. Explain the relevance and importance of a needs assessment. Identify the key issues in nursing care affecting patient outcomes that the new or upgraded telehealth technology will address. Identify the safety requirements and regulatory considerations when using this technology. Identify the patient confidentiality and privacy protections that this technology must address. Describe the potential impact of internal and external stakeholders and end users on the acquisition of this technology. Support assertions, arguments, conclusions, and recommendations with relevant and credible evidence.

Prepare a 4–5 page capital budget for a major capital acquisition. You are the unit manager of a 50-bed, step-down unit, and it is time for you to prepare your annual capital budget. You have seen a significant turnover in your nursing staff in the past three years; a review of exit interviews and patient surveys indicates low nurse satisfaction, poor morale, and complaints of an antiquated and depressing work environment. You have researched the impact of a positive working environment on staff productivity and morale and decided to request a renovation of the nurses’ lounge as the main purchase in your capital budget. You will present your request as a quality improvement investment. As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. How would you approach the process of designing a capital budget? For example: What steps would you need to take? What resources would you access? Will you collaborate with other executives or staff? How will you tie the vision for the capital expenditure to the organization’s mission and goals? What challenges do you anticipate in justifying a capital budget to administrative leaders in an organization? What criteria might a particular health care organization or service provider apply to evaluate the return on a capital investment? Prepare a capital budget for a facility renovation. Assemble your budget figures in a table, using a format of your choice. You may use either Microsoft Word or Excel to create your budget table. Describe the capital acquisition. Justify the need for the capital acquisition. Prepare the capital budget. Describe the process for calculating costs. Present a plan for budget management. Explain how the capital acquisition will affect the financial health of the organization. Present budget data and information clearly and accurately. Integrate relevant and credible sources of evidence to support your budget data and information, correctly formatting citations and references using current APA style.