Marjorie Benton

Program/policy effectiveness

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Question Description: Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
Select an existing healthcare program or policy evaluation or choose one of interest to you.
Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

Describe the healthcare program or policy outcomes.
How was the success of the program or policy measured?
How many people were reached by the program or policy selected?
How much of an impact was realized with the program or policy selected?
At what point in program implementation was the program or policy evaluation conducted?
What data was used to conduct the program or policy evaluation?
What specific information on unintended consequences was identified?
What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
Did the program or policy meet the original intent and objectives? Why or why not?
Would you recommend implementing this program or policy in your place of work? Why or why not?
Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

Answer preview

The policy evaluation used statistical data from the number of insured and uninsured children in both Medicaid and CHIP programs. The valuable data came from the number of children who got registered to the two programs after the implementation of ACA.

What specific information on unintended consequences became identified?

Although there was a national increase in the number of insured children due to ACA policy, some states had large counts of insurance coverage to children under Medicaid and CHIP programs than other areas. For example, the Medicaid and CHIP participation rate increased by 6.1 percent in Arizona and 3.4 percent in California (Kenney et al., 2016).

What stakeholders were identified in the evaluation of the program or policy? Who would benefit the most from the results and reporting of the program or policy evaluation? Be specific and provide examples.

[982 Words]

Program policy effectiveness

Marjorie Benton

Health promotion

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Discuss why nutrition is a central component in health promotion. What are some of the nutritional challenges for emerging populations? What roles do nutritional deficiency and nutritional excess play in disease?

Answer preview

Dave has committed two tortuous actions by causing a car accident and causing Victor to suffer physical harm through an assault. The most critical step is ascertaining the persons who accrue tort liability from these acts. On the charge of negligently causing a car accident, Empire Courier Service would be liable under vicarious liability doctrine. The inference of vicarious liability is made when an employee commits a tort when in the ordinary routine that constitutes part of his or her job mandate (Neild, 2013). The negligent conduct transpired in between deliveries when Dave had gone for lunch in a company vehicle. The fact that most employees of Empire Courier Service go for lunch at Big Burrito Bistro serves to illustrate that going for lunch at that place is an established routine in their employment. Therefore, the employer incurs liability for the negligent accident committed as Dave was leaving the parking lot.

[822 Words]

Health promotion

Marjorie Benton

Well-organized health and wellness programs

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Well-organized health and wellness programs have the capacity to improve employees’ generalized well-being. Consequently, the development of such initiatives is very common in organizations today, with HR professionals playing a key role in organizing and championing employee health and wellness.

Your assignment this week is to first watch the On-the-Job video of Stew Leonard’s health and wellness program that is located in the online Mind Tap content associated with this course. Watching this video will give you an excellent example of a company that has an exceptional health and wellness program. One of the reasons people want to work at Stew Leonard’s is its great benefits, but the company also emphasizes health and wellness with a variety of programs. For example, a healthcare center in the store is staffed by a registered nurse who answers employee questions. To control healthcare expenses, Stew Leonard’s invests in health and wellness, helps employees solve healthcare problems, and educates employees about healthcare costs. Because of the company’s efforts, 85% of its employees and their families are up to date on their physicals, an unusually high percentage. A wellness committee creates programs that encourage healthy activities. Stew Leonard’s has a director of safety and wellness, and each store has a safety committee that meets monthly. As an incentive, employees are rewarded with a pizza party if their store doesn’t have a safety incident in 30 days. When employees don’t have to worry about health and safety issues, they can focus on the customers.

After watching the video, identify another company that has an excellent health and wellness program and write a short, 2-page report on the company’s practices. You should focus specifically on the policies and approaches the company utilizes to enhance employee health and wellness.

To identify key information, look through reputable news outlets and business publications (online and/or print) for stories about your selected company’s health and wellness efforts. To better understand these approaches, you should be somewhat familiar with the company in terms of background, industry, operations, and/or culture.

The report should be approximately 2 single-spaced pages (12-point Times New Roman font, 1-inch margins; page count does not include title page or bibliography). At least 5 credible sources (much more is preferable) should be cited that provide support for your assessment. The file submitted should be in Microsoft Word format

Answer preview

Walmart provides different wellness events focused on cultivating a culture of health and wellness. These events also promote the screening of associates and their families for different healthcare conditions. The organization often hosts free wellness events in the stores focused on screening and educating associates on healthy living (Walmart, n.d.). Wellness events help employees feel healthy and fit, produce high-quality work, and cope with different work (Macdonald, 2005). The wellness events show a commitment to the wellness of the associates beyond the scope of the absence of disease. The primary objective of these programs is to prevent the associates from falling sick by enhancing their physical and mental well-being.

Managing the chronic conditions that would cause absenteeism is important for Walmart to maintain efficiency.  Experts in health comprehensively help the employees understand how to feel and look better. Walmart is committed to physical and psychological well-being and includes sessions of evaluation of key stressors at home and work.  Walmart recognizes that when employees are physically and psychologically fit, they can make appropriate decisions improving productivity. Raising awareness and education opportunities is one of the most effective approaches in wellness management (Sairanen, Matzanke, & Smeall, 2011). Walmart is also committed to supporting employees to complete degrees in health and wellness. The employees can earn degrees by paying $1 per day (Thomas, 2019, September 24). These opportunities not only help employees to fill vacancies in Walmart health-related jobs but also enhance the cultivation of the culture of health and wellness.

[1313 Words]

Well-organized health and wellness programs

Marjorie Benton

Health promotion prevention

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Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

  1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
  2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
  3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
  4. What health promotion activities are often practiced by this group?
  5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
  6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Answer preview

According to the AHRQ (2020), several health disparities have been identified that affect the African Americans minority group, including nutritional, uninsured healthcare access, and so on. These are some of the identified issues that they face. However, a lack of health insurance is the most arising issue that has affected many of this minority group. Furthermore, the genetic factor is also another identifiable health disparity witnessed in this community, whereby a large number of people experience chronic illnesses. In a report released by the CDC (2017) on creating healthcare equity, 50% of African Americans were more likely to contract HBP illnesses from ages 35-65 compared to other ethnic communities. The final one is economic factors, which is a catalyzing aspect of significant healthcare disparities. The nutritional challenges that the black community faces are based on the Social Determinants of Health (SDOH) that the Healthy People 2020 program has focused on. From this point of view, nutritional challenges face this community, especially for the less fortunate and the middle class. These challenges include a lack of educational awareness, ignorance, socioeconomic factors, and strict healthcare policies.

[1259 Words]

Health promotion prevention

Marjorie Benton

Quality Indicators and the Business of Quality

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Within the Discussion Board area, write 600–800 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

The use of at least 2–3 scholarly references to support your argument is expected in APA style.

Answer preview

Although P4P initiatives aim to improve the quality of healthcare and reduce healthcare costs, it has several concerns and challenges. First, some physicians may misuse therapies that are rewarded financially, causing more harm to patients. For instance, a physician may administer antibiotic drugs unnecessarily, which can lead to antibiotics resistance. Also, physicians may avoid some patients who have complicated illnesses. Critical patients may be denied survival or recovery chances because they are not likely to give faster outcomes (Kyeremanteng, Robidoux, D’Egidio, Fernando, & Neilipovitz, 2019). Another thing is that P4P can lead to unfairness in the workplace, which can lead to distrust and animosity. For example, a manager can favor some of the workers to get benefits, while leaving others, which can trigger animosity. Another concern is that P4P is associated with costs for measuring outcomes and in the bonuses given to professionals, which leads to increased healthcare costs.

[744 Words]

Quality Indicators and the Business of Quality

Marjorie Benton

pharmacology in advanced practice

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Journal/Overview -The journal document should be 3-4 pages in length. No citations are required, and no specific formatting is needed. Utilize appropriate grammar and mechanics of writing.

Refer to the journal submission you completed in Unit 1 and reflect on the following:

Topic: The use of pharmacology in advanced practice.

  1. How has your knowledge of pharmacology changed?
  2. Do you find yourself thinking about medication use in your current employment differently? Why or why not?
  3. Explain how your appreciation of the advanced practice role changed or did not change?

How do you envision using the knowledge from this course in your future advanced practice role?

Im from Florida, I work in Psychiatric behavioral health;

im doing my family nurse practitioner

Requirements: 4 pages

Answer preview

Yes, I think about medication use differently due to my current employment. That is because many people get a different understanding when they hear the word medicine, as they only think of pills. However, medicine can be delivered in many ways, including swallowing, rubbing on the skin like creams, inhaling like nasal sprays, injections, and placing drugs under the tongue like sublingual medicines. I have learned that no one should take medicine without the doctor’s administration. Having worked in my current employment, I have learned that people should take medicine only when it is supposed to. That is because medicine act in different ways. Some medicines are used to cure illnesses, while others are used to halt the spread of diseases such as bacteria. Other medicines are used to treat cancer, while others prevent the development and spread of the cells. When taken wrongly,

[1471 Words]

pharmacology in advanced practice

Marjorie Benton

Potential professional boundary violation

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Please answer the following questions. Each question must have at least 3 paragraphs(each paragraph must have between 5-6 sentences) and you must use at 3 least references (APA) included in your post.

1. What signs might alert you to a potential professional boundary violation or crossing?

2. Contrast the terms terminal sedation , rational suicide, and physician-assisted suicide.

Answer preview

Another indication of boundary crossing is the act of nurses accepting awards that do not add value to therapeutic care (BPsySc and DHC, 2016). It is against healthcare protocol for nurses to be awarded; hence they should divert patients from gifting them. Besides, caregivers should refrain from giving their clients gifts since it might induce them to have an adverse reaction. It becomes an issue of concern when a health practitioner becomes too close with a patient. It is because the closeness would interfere with the professional connection present between the caregiver and the client.

The dress code of a nurse is also an indication of professional boundary-crossing. For instance, nurses should not wear tight clothes while they are attending to their clients (Risen, 2016). Some clients might not be comfortable being served by nurses who have worn tight clothes. Besides, caregivers should refrain from wearing exposing types of clothes as it might send the wrong messages to their clients.

[798 Words]

Potential professional boundary violation

 

Marjorie Benton

Cultural health care

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People of Indian Heritage.

People of Turkish Heritage.

People of Vietnamese Heritage.

Discuss the cultural health care beliefs of the study heritages and how they influence the delivery of evidence-based health care.

You must cite at least 2 evidence-based references without counting the class textbook and a minimum of 900-word essay (without counting the first and last page). References should Not Be older than 5 years. APA format.

 

Answer preview

Unlike the Vietnamese, Turks are more open to advanced medical practices and treatment protocols (Menawi et al., 2017). Education is crucial within Turkish culture and might be the reason Turks trust modern medicine. However, not all Turks trust modern medical practices, with some still clinging on to traditional remedies as a solution to the ailments plaguing them. Relationships within this culture are hierarchical, with the subordinates expected to respect and always consult their superiors. The eldest man in the family, which in most cases, is the father, has the final say with respect to the medical decisions members of his family make (Menawi et al., 2017). Therefore, health care professionals should engage more with them rather than the patient because they are the ultimate decision-makers. Turks are prone to high-risk behaviors because most believe that health controls do not contribute substantially to them leading health lifestyles (Beser et al., 2007). Men are the most affected because of their belief that they are strong and less likely to get sick. Turkish religious beliefs are intertwined with their health care beliefs. Turks wear certain religious ornaments and say special prayers when seeking help with mental and fertility problems.

[1031 Words]

Cultural health care

Marjorie Benton

School Health and Occupational Health

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Please read chapters 29 and 30 of the class textbooks and review the attached PowerPoint presentations. Once done answer the following questions;

1. Discuss how Healthy People 2020 can be used to shape the care given in a school health setting. Give at least one example.

2. Identify and discuss the eight components of a comprehensive school health program.

3. Identify and discuss the skills and competencies germane to occupational health nursing.

4. Describe and discuss a multidisciplinary approach for the resolution of occupational health issues

Use APA formt. A minimum of 3 evidence-based references besides the class textbook no older than 5 years must be used and quoted according to APA guidelines. A minimum of 800 words are required.

Answer preview

The fourth component is the nutrition services. It ensures that children have access to nutritious foods and education about healthy eating. Social, psychological, counseling services are the fifth component, which focuses on supporting student’s academic life as well as addressing mental and emotional health issues. The sixth component is a healthy school environment. This component focuses on making students comfortable in schools by ensuring that infrastructures like buildings are safe and clean, free from disasters, and backed with well-planned disaster recovery. The seventh component is health promotion for staff, which makes staff members motivated to continue with their work. The last component is community and family involvement. This component involves seeking help for school health programs from community stakeholders such as parents and political leaders.

[1095 Words]

School Health and Occupational Health

Marjorie Benton

US healthcare system

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Instructions: Please answer using your own words in a minimum of 400, maximum 500 words PER QUESTION SINGLE spaced. Referenced with two (2) peer-reviewed journal articles or qualified text publish within the past five years and follow APA Manual 7th editions scholarly writing guidelines. When writing replies, please provide your experiences, new ideas, add probing questions and new literature on the topic to enhance the learning opportunity.

 

Questions:

 

1.1. Major trends affecting the future of healthcare administration

After you read over the slide presentation posted for this weeks about some of the macro trends affecting the US healthcare system, think about how those trends may be affecting the future of the healthcare profession.  For example, what do you think about these following future possibilities?

  • Chronic Care Management companies take charge of care that keeps these folks out of the hospital as much as possible.
  • Geriatric Care Management companies use mobile technology as an alternative to institutionalization of old people.
  • Companies reduce the cost of care by moving services currently provided in a hospital to out in the community.
  • New mobile, robotic, and AI technologies become standard tolls for improving quality by reducing variations in the provision of healthcare services.
  • The overall healthcare marketplace remains nervous as it faces major changes in the Medicare program and the still unclear future of the Affordable Care Act, so it keep looking for all kinds of new ways to do more with less.

These questions are intended to get our thinking started.

 

What else do you see in the future of our profession as healthcare managers and administrators?

 

 

1.2. Empathy

A deep desire to help is common to those who enter healthcare. Yet, that compassion can be dampened by the demands of the workday.

By now, you should have viewed the Cleveland Clinic Empathy Video. What are your thoughts?

 

 

 

 

 

1.3. What will the job market look like in 5 or 10 years?

Lecture: While the US healthcare system represents around $3 trillion in annual spending and is the largest single sector of the overall economy, it also sits inside larger “macro trends” that help define the landscape of jobs.

 

For example, such factors as globalization, the frantic pace of innovative handheld and genomic technology (like the iPhone 6 and mapping the human genome project), 78 million Americans all hitting old age (and higher healthcare utilization) at the same time, and radically changing values and beliefs are all working together to create a larger “context” for new jobs in the healthcare system.

 

So what difference do all these big changes mean to us?  The answer is both obvious and complicated. I will answer the obvious part and leave the complicated part to you to discuss.

 

The obvious answer is that these big changes are changing the way we live our lives. Just think that it wasn’t that long ago that classes on the internet like ours didn’t exist. And now, we just sort of assume, without even thinking about it, that such classes are perfectly normal.

 

So the obvious part is that such factors as globalization, technology, the aging of our society, and changing cultural values are all working together to change pretty well everything that used to be – into something else.

 

The hard part – and the part you need to think about – is what do all the changes really mean to the careers of healthcare professionals?

 

If we think that healthcare professionals will continue to do exactly what they are doing now over the next ten years then we are not paying attention to how much the work world has already changed from the way it worked ten years ago.

 

How will smart phones create new jobs in healthcare? 

 

Will genomic research eliminate certain diseases by modifying DNA?  What issues are raised by DNA manipulation?

 

How will the massive chronic care needs of the elderly create new career opportunities?

 

How will healthcare systems evolve to best leverage a global market for their services?

 

What new jobs may be created to best meet new consumer demands for more patient-focused care? Less institutionalization of the elderly? And better access to culturally appropriate care givers?

 

Answer Question:

 

 

So what do you think? What’s the job market likely to look like for you in ten or so years?

1.4 Introduction to Healthcare Financial Management

Read Hirsch, J.A., Harvey, H.B., Barr, R. M., Donovan, W. D., Duszak, R., Nicola, G. N., … & Manchikanti, L. (2016).  Once you have read the article, discuss the Medicare Sustainable Growth Rate. “The SGR target is calculated on the basis of projected changes in 4 factors:

 

1) fees for physicians’ services,

2) the number of Medicare beneficiaries,

3) US gross domestic product, and

4) service expenditures based on changing law or regulations (Hirsch, et al. 2016).”

 

How have these 4 factors been tied to fiscal performance?  Find some additional sources and support your position through an original post in a few paragraphs.  Once you have completed your post, review the link of at least two of your peers.

 

 

1.5. Health Insurance, Managed Care and Reimbursement Methodologies

Cost accounting is one of the most challenging areas in accounting to understand. “A cost accounting system is a system for recording, analyzing and allocating cost to the individual services provided to patients (e.g., medications, procedures, tests, room and board) (Becker’s Hospital Review, 2014). The healthcare industry has been working toward the goal of correlating cost with quality. Read Porter, M. E., & Lee, T. H. (2016). From volume to value in health care: the work begins. Jama, 316(10), 1047-1048. Discuss how healthcare providers and patients can benefit when cost is correlated with quality of the healthcare services provided. Post an original discussion of a few paragraphs and support your statements with research.

 

1.6. Financial Statements

Financial reporting is critical to the success of any organization because this is how managers and other stakeholders evaluate the sustainability and profitability of an organization.  The healthcare industry accounts for nearly 20% of the US GDP as of 2018 (BEA, 2019).  While there is guidance for financial reporting to the respective government agencies, there is no consistency in the development of financial reports among private healthcare organizations.  Discuss the importance of consistent financial reports across all healthcare organizations.  Support your statements with research and post your discussion in a few paragraphs

Answer preview

Most people do not look forward to going through a health care experience, primarily because of the negative emotions associated with such an experience (Moudatsou et al., 2020). For example, when a person gets diagnosed with terminal cancer, they are more likely than not to start experiencing hopelessness. However, embracing empathy, especially on the part of the health care professionals, will help turn such an experience from a nasty one to a slightly better one. One of the benefits of embracing empathy within the health care system is that it improves patient outcomes. Empathic engagement is the cornerstone of a fruitful patient-physician relationship (Moudatsou et al., 2020).

[2943 Words]

 

US Healthcare System