Note: Before completing this Assignment, please familiarize yourself with the Week 4 Assignment Rubric, located in the Course Information area of the course navigation menu.
Intermountain Healthcare is a high-performing integrated health system with facilities in Utah and Idaho. The health system has a long-standing clinical integration structure that encourages professional collaboration. Despite this, in 1999, many physicians at Intermountain Healthcare found it difficult to fulfill the needs of patients with co-occurring physical and mental health conditions. To efficiently and effectively address this issue, Intermountain Healthcare adopted a mental health integration model in many of its primary care facilities, as well as some of its specialty clinics and partner clinics. The team-based approach has improved the coordination of services, resulting in higher quality care at a savings of cost.
Consider the example above. What advantages does integration afford Intermountain Healthcare? Do other integrated health systems experience similar benefits? Are there disadvantages to integration? If so, what are they?
To prepare for this Assignment,review the information related to vertical and horizontal integration presented in the Learning Resources.
Select one of the following horizontally integrated health systems:
National Surgical Hospitals
Select Medical Healthcare
Sunrise Senior Living
Labcorp
Quest Diagnostics
Pfizer Pharmaceuticals
Also select one of the following vertically integrated health systems:
Kaiser Permanente
Mayo Clinic
Cleveland Clinic
MedStar Health
Memorial Hermann Healthcare System Houston
As an alternative, you may use Becker’s Hospital Review resource to identify a vertically integrated health system.
Using the Walden Library and credible sources on the Internet, research your selected health systems. Investigate the rationale for pursuing integration and the strategies each health system has used to achieve integration. Note information related to the size of each health system, settings/locations, and types of services it provides.
Based on your research, consider the ways in which the two health systems are similar to and/or different from one another.
Assess the business and health care-related implications of horizontal and vertical integration of your selected health systems. How does integration impact the management of your selected organizations and the patients/consumers they serve, especially in terms of cost, quality, and access?
Consider any applicable insights you have gained through the Discussion for this week.
The Assignment
Write a paper in which you:
Compare the horizontally integrated health system and the vertically integrated health system you have selected (e.g., size, settings/locations, and types of services).
Explain each health system’s rationale for pursuing integration and the strategies it has used to achieve integration.
Assess the business and health care-related implications of integration for your selected health systems, including how integration impacts the patients/consumers the organization serves.
General Guidance on Assignment Length: Your Assignment should be 3–4 pages, excluding a title page and references. Refer to the Week 4 Assignment Rubric for grading elements and criteria. Your Instructor will use the rubric to assess your work.
Required Resources
Readings
Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.
Chapter 9, “Managed Care and Integrated Organizations” (pp. 361–368)
Cohen, A., Klein, S., & McCarthy, D. (2014). Hill Physicians Medical Group: A market-driven approach to accountable care for commercially insured patients. Retrieved from http://www.commonwealthfund.org/~/media/files/publications/case-study/2014/oct/1770_cohen_hill_physicians_aco_case_study.pdf
Cutler, D. M., & Morton, F. S. (2013). Special communication: Hospitals, market share, and consolidation. JAMA, 310(18), 1964–1970. Retrieved from the Walden Library databases.
Sanford, K. D. (2013). Integration requires new roles and responsibilities. Healthcare Financial Management, 67(3), 56–60. Retrieved from the Walden Library databases.
Summer, L. (2014). Research insights: Integration, concentration, and competition in the provider marketplace. Retrieved from http://www.academyhealth.org/files/publications/AH_R_Integration%20FINAL2.pdf
Use the following resources to select integrated health systems on which to focus for your Assignment. You may also use this list to develop background information as you research health systems in your area for the Discussion.
Rodak, S. (2013). 100 integrated health systems to know. Retrieved from http://www.beckershospitalreview.com/lists/100-integrated-health-systems-to-know.html
Vertically Integrated Health Systems
Cleveland Clinic. (n.d.). Retrieved March 27, 2015, from http://my.clevelandclinic.org
Kaiser Permanente. (n.d.). Retrieved March 27, 2015, from http://kp.kaiserpermanente.org/
Mayo Clinic. (n.d.). Retrieved March 27, 2015, from http://www.mayoclinic.org
MedStar Health. (n.d.). Retrieved March 27, 2015, from https://www.medstarhealth.org/
Memorial Hermann Healthcare System Houston. (n.d.). Retrieved March 27, 2015, from http://www.memorialhermann.org
Horizontally Integrated Health Systems
Labcorp. (2014). Retrieved March 27, 2015, from https://www.labcorp.com/
National Surgical Healthcare. (n.d.). Retrieved March 27, 2015, from http://www.nshinc.com
Pfizer Pharmaceuticals. (n.d.). Retrieved March 27, 2015, from http://www.pfizerrxpathways.com/
Select Medical. (n.d.). Retrieved March 27, 2015, from http://www.selectmedical.com
Sunrise Senior Living. (n.d.). Retrieved March 27, 2015, from http://www.sunriseseniorliving.com/
Quest Diagnostics. (n.d.). Retrieved March 27, 2015, from http://www.questdiagnostics.com/
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WEEK TWO – Preventing Fraud
See the “The Trolley Dodgers” case for this question. Background
The San Francisco Giants are easily the most heated, if not hated, rival of the Dodgers. In March 2012, a federal judge sentenced the Giants’ former payroll manager to 21 months in prison after she pleaded guilty to embezzling $2.2 million from the Giants organization. An attorney for the Giants testified that the payroll manager “wreaked havoc” on the Giants’ players, executives, and employees. The attorney said that the embezzlement “included more than 40 separate illegal transactions, including changing payroll records and stealing employees’ identities and diverting their tax payments.” A federal prosecutor reported that the payroll manager used the embezzled funds to buy a luxury car, to purchase a second home in San Diego, and to travel.
When initially confronted about her embezzlement scheme, the payroll manager had “denied it completely.” She confessed when she was shown the proof that prosecutors had collected. During her sentencing hearing, the payroll manager pleaded with the federal judge to sentence her to five years probation but no jail term. She told the judge, “I cannot say how sorry that I am that I did this, because it’s not who I am. I have no excuse for it. There is no excuse in the world for taking something that doesn’t belong to you.”
For more insight into this story, please visit these articles: Former Giants Payroll Manager Sentenced to 21 Months (Links to an external site.) San Francisco Giants Payroll Manager (Links to an external site.) Questions Provide a narrated PowerPoint with answers to these questions:
Identify the key audit objectives for a client’s payroll function. Comment on objectives related to tests of controls and substantive audit procedures.
What internal control weaknesses were evident in the Dodgers’ payroll system?
Identify audit procedures that might have led to the discovery of the fraudulent scheme masterminded by Campos.
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Many feel that health care is a public good which should be available to all in the community. However one can argue can the hospital/ clinic remain solvent if these services are not reimbursed? We will examine the case in the short assignment the specific case scenario of an illegal immigrant requiring regular dialysis treatments.Assume that you are a hospital administrator and were recently reviewing Emergency room reports indicating that there had been a recent influx of patients who were not legal citizens requiring dialysis treatments.You are aware that Medicaid and Medicare reimbursement for undocumented alien health care services is extremely limited and has not expanded by the ACA. However federal regulations provide that when an individual comes to an emergency room for emergency medical care that individual cannot be turned away and must be treated. Staff cannot inquire into the individuals ability to pay or citizenship. Dispensing health care services from an emergency department is one of the most expensive ways to deliver health care. While provision of this care is mandated as previously explained reimbursement is often denied when the patient is an illegal immigrant. This leaves the hospital to absorb the funds expended on providing the dialysis treatments. Hospitals are in a quandary about how to approach providing such care especially since dialysis is an ongoing treatment and this situation represents a chronic and persistent problem.Clarify your position in 750 to 1000 word count (a two to four-page) usingAPAstyle. Please answer the following questions:
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choose a family in your community and conduct a family health assessment using the following questions below.
1. Family composition.
Type of family, age, gender and racial/ethnic composition of the family.
2. Roles of each family member. Who is the leader in the family? Who is the primary provider? Is there any other provider?
3. Do family members have any existing physical or psychological conditions that are affecting family function?
4. Home (physical condition) and external environment; living situation (this must include financial information). How the family support itself.
For example; working parents, children or any other member
5. How adequately have individual family members accomplished age-appropriate developmental tasks?
6. Do individual family member’s developmental states create stress in the family?
7. What developmental stage is the family in? How well has the family achieve the task of this and previous developmental stages?
8. Any family history of genetic predisposition to disease?
9. Immunization status of the family?
10. Any child or adolescent experiencing problems
11. Hospital admission of any family member and how it is handle by the other members?
12. What are the typical modes of family communication? It is affective? Why?
13. How are decision make in the family?
14. Is there evidence of violence within the family? What forms of discipline are use?
15. How well the family deals with crisis?
16. What cultural and religious factors influence the family health and social status?
17. What are the family goals?
18. Identify any external or internal sources of support that are available?
19. Is there evidence of role conflict? Role overload?
20. Does the family have an emergency plan to deal with family crisis, disasters?
Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.
Please present a summary of your assessment in anAPA format on a 12 Arial font, word document attached to the forum in the discussion tab of the blackboard title “family assessment” Please use at least 3 scholarly evidence-based practice references besides the class textbook to sustain your assessment.A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading)
I will attach the company annual report in which I talk about in Unit 1 of this course to help with assignment. Also, I’m about to upload any other resources that you may need. Just as soon as I can.
/by
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Nutrition/ Core Nutritional Science Assignment/no plagiarism/deadline close
PLS CHECK ALL THE ATTACHMENTS – ANSWER THEM IN ORDER PLS (i.e. 7 before 8 and post)
4 Assignments in one
ASSIGNMENT – STUDY GUIDE 7:VITAMINS Directions -Using Chapters 10 and 11, and the DRI tables (pp. A, B) of your textbook as a reference, answer the following questions.Please include the questions with your answers.
ASSIGNMENT – STUDY GUIDE 8:MINERALS AND WATER Directions.Using Chapters 12, and the DRI tables (pp A, B) in your textbook as a reference, answer the following questions.
ASSIGNMENT – STUDY GUIDE 9: LIFE CYCLE NUTRITION — INFANCY, CHILDHOOD & ADOLESCENCE Directions.Using Chapter 16 and the DRI tables (inside front cover) of your textbook as a reference, answer the following questions.Please include the questions with your answers.
ASSIGNMENT – STUDY GUIDE 10: LIFE CYCLE NUTRITION — ADULTS Directions.Using Chapter 17 of your textbook as a reference, answer the following questions.Please include the questions with your answers.
DNT 200 — NUTRITION FOR HEALTH SCIENCES
All definitions should be nutrition oriented…
Please do not leave any question unanswered..detailed answers pls
Thanks
TEXTBOOK: Understanding Nutrition, 15th edition. The publisher is Cengage
Then, write a paper which responds to the following questions:
Many Americans emphasize the importance of the American Revolution for the progress of humankind towards equality and democracy. From your perspective, does the significance of the American Revolution change when the perspective shifts to include the experiences of women, African Americans, and Native Americans? Why or why not? Explain your answers.
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After reading chapters 11 and 12 of the McLaughlin & McLaughlin text, what set of values identified in the chapter would you consider important to any national health policy? Do we meet your set of values currently and if not, how do we get there? In your opinion, what is the value of life? How does it compare to the Christian worldview? How does it compare to other cultures and worldviews?
Your thread is due by 11:59 p.m. (ET) on Thursday, and your three replies are due by 11:59 p.m. (ET) on Saturday.
I need one Main Post (Minimum 400 words) and three Responses (200-250 Words each)
Below are the specific requirements for each part of this assignment.
THREADS:
· Must be at least 400 words.
· A minimum of one source is required (course textbook may be used).
· Citations used should be formatted in APA.
· Should thoroughly address the topic prompt, using citations as appropriate.
REPLIES:
· Must post at least three 200–250-word replies to your classmates/instructor per forum.
· Should expand upon ideas expressed in your classmates’ threads by adding new ideas to points that you agree with and/or explaining areas of disagreement.
· Should be posted intermittently throughout the forum. Do not complete all of the replies at one time; instead, allow for conversation to develop by posting multiple times throughout the week.
· A minimum of one source per reply is required (course textbook may be used).
· Citations used should be formatted in APA.
I have attached the Discussion Rubic as to how the Main post and Responses would be Graded. Please follow every single Instruction. There is a Video attachment too that NEEDS TO BE USED doing the work
I have also attached the Main post of two students and one for instructor you need to respond to. Please send me the main post as well as the responses
Required Resources:
McLaughlin, C. P., & McLaughlin, C. D. (2015). Health policy analysis: An interdisciplinary approach (2nd ed.). Sudbury, MA: Jones and Bartlett. ISBN: 9781284037777.
American Psychological Association. Publication manual of the American Psychological Association (Current ed.). Washington, DC: Author.
Iverson, C, Christiansen, S, & Flanagin, A. AMA Manual of Style: A Guide for Authors and Editors Current ed. New York, NY: Oxford University Press.
Requirement from Instructor:
This week I have posted my final thoughts on our current state of affairs within the area of Health Care Policy and hope you will take the opportunity to read and comment. It is OK to disagree as well. Remember that a response to my post counts in your three responses, so please engage, as you feel directed.
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Instructions from my professor: Cultural Health Promotion Project
Cultural diversity refers to the differences among people based upon shared ideology and shared valued sets of beliefs, norms, customs, and meanings evidenced in a way of life. This diversity is expressed in many ways. Diversity in history, beliefs, practices, and opportunities not only exist among the many cultural groups, they typically exist across a wide continuum within the group. Health behaviors are influenced by culture and cultural values as well as socioeconomic status.
In this assignment, students will develop a health promotion project for a cultural group living anywhere in the United States. You are to learn as much as you can about the culture norms and patterns and how these norms and patterns influence health practices. The purpose of this assignment is to develop a deeper understanding and sensitivity regarding the role of culture in patients’ lives and in nursing through the examination of a cultural/ethnic group while addressing health promotion strategies and disease prevention. PROJECT COMPONENTS The project should address the followingAspects ofCultural Assessment:
1. Ethnic/racial identity: How does the group identify itself in terms ethnicity and racial background? What is the range of interaction outside of the cultural group? Are recreational, educational, and other social activities within the ethnic reference group, the wider community, or both?
2. History and Value Orientation: How are values derived? What is the historical experience of the group that may have impacted values?
3. Language-communication process: What is the primary spoken language? What languages are spoken in the home? And by whom? What language is preferred when speaking to outsiders? Do second and third generations in the speak the language of their grandparents?
4. Health Beliefs and Practices: What are the traditional health beliefs? How common are these beliefs and practices within this group? To what extent are folk healing practices and practitioners used?
5. Religious Belief and Spirituality: Discuss religious articles & practices. How is spirituality is defined in the culture? Remember that Religious Beliefs and Spirituality are different concepts.
6. Life cycle events: Which life cycle events are important to the culture? What are the customs associated with births, coming of age, marriage, and death?
7. Nutritional Behavior/Diet: Are there restrictions? Are there common practices?
8. Medical health care access and experience: Is access to care and equality of care an issue for this group? For example, are group members less likely to receive needed care due to system issues such as financial access or provider biases than another group? Based on theCultural Assessment Data, the student will design a Cultural Health Promotion Plan:
9. Cultural Health Promotion Plan: Identify a health risk or health problem the project will address. Describe why this is an issue for your chosen target group and how cultural plays a role in the health risk or problem.
10. Health Promotion Strategies/Methods: Based on the health risk/problem identified, describe the strategies/methods that you will implement. Focus on primary and secondary prevention strategies. Refer to Healthy People 2020 Topics and Objectives. You may access the website at: https://www.healthypeople.gov.
11. Project Evaluation Methods: State the outcomes you expect to achieve. State how you will measure/assess the effectiveness of the project.
Complete the paper according to APA 6th Edition Guidelines as a word-processed document.
The paper is limited to a MAXIMUM of Ten (10) pages (including the title page and references pages;NO Abstract is needed for this assignment). Do not exceed the ten-page limit as only ten pages will be read and graded. The paper must be double- spaced using Font Size 12 (including the reference page). PRESENTATION
In addition to the paper, each student will prepare a presentation. The presentation will be graded separately – refer to course syllabus. You may use a presentation style of your choice, i.e.. PowerPoint, Prezi, etc. Presentations are limited to 30 minutes.
NOTE:
the assignment consist in TWO homework: 1-the cultural health promotions project; and
2- a PowerPoint presentation of the cultural health
promotion project. (20 slices).
please follow all of my professor instructions (covering the 12 points above).
maximum of ten(10) pages.
plagiarism is not allow (the school use turn it in)
APA 6th format.
I attached the assignment with the highlighted instruction (they are the same instructions, with only the highlighted points).
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Please respond the main discussion and respond to the peers discussion
Discussion 1
Identify two university Library scholarly databases that will help you find the best research articles to support your EBP proposal. Discuss why these two databases are better than Google Scholar or a general Internet search.
Discussion 2
The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal, and suggest ways in which identified barriers may be addressed
Peer DQ1
When writing papers or doing research it’s essential to find reliable sources to obtain the information from, this will decrease the chances that the information is inaccurate. GCU library provides students with plenty of online scholarly databases to aid in this research process. Two databases I have used in the past are CINAHL Complete and PubMed. These two databases have health journals, books, continuing education modules, EBP care sheets, and so much more! What’s great about using these databases is the information is peer-reviewed and is backed up by actual research to ensure it’s accurate.
Using GCU’s library databases are a great tool to find reliable information, rather than just using Google. When using Google you truly never know what you are going to get or if the information on the website you found is accurate. It may look like a reliable website, but really anyone can make a website and put information into it. When we write papers or discussion boards, fellow classmates may use our information as a learning tool, so it’s important we are finding accurate information to share. Another advantage of using GCU’s databases are the searches are organized and you can type in keywords, peer-review options, publication years, etc. This helps pin point articles you are looking for so you don’t waste time looking through thousands of articles that does not pertain to what you are looking for.
The two GCU library databases that I feel will help me to find the best research articles to support my EBP proposal are Cochrane Library and Medline Plus. The general internet search is unreliable because anyone can post anything they want and may not produce reliable results. It is imperative to have reliable and trustworthy research articles to support the EBP project. Most library databases have scholarly/peer-reviewed articles and contain only scholarly literature. GCU library databases guarantee authority and trustworthiness. The library databases have advanced search features that can be limiting by publication type, data, language, document format, scholarly/peer-reviewed status, as well as, focus by subject which means more relevant information and less time wasted dealing with junk information. Using general internet search or Google Scholar can produce limited results and there is lack of regulation and duplicated information. It is imperative to evaluate the research articles for validity and reliability.
Peer DQ3
A Library database is an electronic (online) catalog or index that contain information about published items (California State University Los Angeles, 2018). When writing EBP proposal, it is important that the writer use the library database as it helps the writer to locate relevant information and also assess the quality of the information located. GCU Library contains many scholarly databases that one can use to find the best research article to support his/her EBP proposal. Of the many database article in GCU library, I have used the CINAHL complete (Cumulative Index to Nursing and Allied Health), Cochrane library and PubMed and found them to be very helpful because it leads the researcher/writer to the source of the information (e.g. journal, books, encyclopedias etc.); it provides citation that includes the article author, title and source of information; it also provides the journal name, volume, issue, page, an abstract of the article and full text (the entire article).
I found these two-library databases to be better than google scholar or general internet search when writing EBP proposal because the information they contain are more reliable and credible than that found on some website. Library database information are better basically because they are sourced from experts and professionals unlike the general internet search that anyone could upload. The quality of the internet resources is unmonitored and the authenticity of the information may not be known.
California State University Los Angeles. (2018). What is a Database? Retrieved from https://www.web.calstatela.edu
Peer DQ4
Google definitely provides a wealth of information, this sometimes isn’t worth spending the time sifting through the data. It doesn’t offer all the information that students are looking for and information found there may not be very reliable.
The two main databases in GCU library that I believe will help me find the best research articles to support my EBP proposal are as follows:
ProQuest Nursing & Allied Health Source – if offers a wide range of materials in nursing, allied health, alternative and complementary medicine and the likes. It has over 860 titles in full text and over 12,000 full text dissertations indicative of arduous nursing scholarships. Additionally, gives access to online reference books, training tools and evidence-based nursing material from The Joana Briggs Institute. It’s a good source for training videos and cultural reports that helps with crating a better understanding about patient care.
CINAHL Complete – is one of the strongest database for nursing. It offers research tools and access to nursing and allied journals. It is comprised of more than 1300 journal titles and covers over fifty specialties in nursing. In addition, it offers continuing education modules, research instruments and evidence-based care sheets
GCU library has many databases that allows access to thousands of full text journals and articles. And these scholarly resources are best to use in research as it provides solid and reliable information.
Reference
Grand Canyon University (2017). Nursing Health Sciences Resources. Retrieved from
Grand Canyon University’s (GCU) library serves as the foundation of academic support for all learning and research pursuits of GCU students, faculty and staff. Two GCU Library databases that will be helpful in finding best research articles to support EBP proposal will be CINAHL Complete and PubMed.
CINAHL Complete is the definitive research tool for nursing and allied health professionals with access to the top nursing and allied health journals. Includes full text for more than 1,300 journal titles with indexing for more than 5,000 journal titles. Covers more than 50 nursing specialties, speech language pathology, and nutrition. Also contains continuing education modules, evidence-based care sheets, and research instruments.
PubMed comprises more than 20 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites (GCU, 2017).
Reference,
Grand Canyon University. (2017). Journal Databases – Nursing & Health Sciences. Retrieved from http://library.gcu.edu/Database/Subject?subject=Nu…
Peer DQ6
The two databases I have found useful for reasearch and info are the Joanna Briggs Institute EBP and the Nursing and allied Health database. These articles are found on an educational institute library whcih provides eivdence based articles and as well as peer review items. While anyone may edit a google site the ones on the school library database have reasearch and evidence to back there articles.
The Joanna Brigss Institute is anevidence-based practice database that includes more than 3,000 records across seven publication types. These types include Evidence Summaries, Evidence-Based Recommended Practices, Best Practice Information Sheets, Systematic Reviews, Consumer Information Sheets, Systematic Review Protocols, & Technical Reports.
The Nursing and Allied HEalth Database provides students, instructors, researchers, and nurses around the world with its diverse mix of scholarly literature, clinical training videos, reference materials, and evidence-based resources, including dissertations and systematic reviews.
Reference:
Grand Canyon University (2017) Journal Database: Nursing and Health Sciences.
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Integration of Health Systems
UncategorizedNote: Before completing this Assignment, please familiarize yourself with the Week 4 Assignment Rubric, located in the Course Information area of the course navigation menu.
Consider the example above. What advantages does integration afford Intermountain Healthcare? Do other integrated health systems experience similar benefits? Are there disadvantages to integration? If so, what are they?
To prepare for this Assignment,review the information related to vertical and horizontal integration presented in the Learning Resources.
Select one of the following horizontally integrated health systems:
Also select one of the following vertically integrated health systems:
As an alternative, you may use Becker’s Hospital Review resource to identify a vertically integrated health system.
Using the Walden Library and credible sources on the Internet, research your selected health systems. Investigate the rationale for pursuing integration and the strategies each health system has used to achieve integration. Note information related to the size of each health system, settings/locations, and types of services it provides.
Based on your research, consider the ways in which the two health systems are similar to and/or different from one another.
Assess the business and health care-related implications of horizontal and vertical integration of your selected health systems. How does integration impact the management of your selected organizations and the patients/consumers they serve, especially in terms of cost, quality, and access?
Consider any applicable insights you have gained through the Discussion for this week.
The Assignment
Write a paper in which you:
General Guidance on Assignment Length: Your Assignment should be 3–4 pages, excluding a title page and references. Refer to the Week 4 Assignment Rubric for grading elements and criteria. Your Instructor will use the rubric to assess your work.
Required Resources
Readings
Retrieved from the Walden Library databases.
Retrieved from the Walden Library databases.
Use the following resources to select integrated health systems on which to focus for your Assignment. You may also use this list to develop background information as you research health systems in your area for the Discussion.
Vertically Integrated Health Systems
Horizontally Integrated Health Systems
>Accounting homework help
UncategorizedSee the “The Trolley Dodgers” case for this question.
Background
The San Francisco Giants are easily the most heated, if not hated, rival of the Dodgers. In March 2012, a federal judge sentenced the Giants’ former payroll manager to 21 months in prison after she pleaded guilty to embezzling $2.2 million from the Giants organization. An attorney for the Giants testified that the payroll manager “wreaked havoc” on the Giants’ players, executives, and employees. The attorney said that the embezzlement “included more than 40 separate illegal transactions, including changing payroll records and stealing employees’ identities and diverting their tax payments.” A federal prosecutor reported that the payroll manager used the embezzled funds to buy a luxury car, to purchase a second home in San Diego, and to travel.
When initially confronted about her embezzlement scheme, the payroll manager had “denied it completely.” She confessed when she was shown the proof that prosecutors had collected. During her sentencing hearing, the payroll manager pleaded with the federal judge to sentence her to five years probation but no jail term. She told the judge, “I cannot say how sorry that I am that I did this, because it’s not who I am. I have no excuse for it. There is no excuse in the world for taking something that doesn’t belong to you.”
For more insight into this story, please visit these articles:
Former Giants Payroll Manager Sentenced to 21 Months (Links to an external site.)
San Francisco Giants Payroll Manager (Links to an external site.)
Questions
Provide a narrated PowerPoint with answers to these questions:
RUBRIC ATTACHED.
Many feel that health care is a public good which should be available to all in the community. However one can argue can the hospital/ clinic remain solvent if these services are not reimbursed?
UncategorizedMany feel that health care is a public good which should be available to all in the community. However one can argue can the hospital/ clinic remain solvent if these services are not reimbursed? We will examine the case in the short assignment the specific case scenario of an illegal immigrant requiring regular dialysis treatments.Assume that you are a hospital administrator and were recently reviewing Emergency room reports indicating that there had been a recent influx of patients who were not legal citizens requiring dialysis treatments.You are aware that Medicaid and Medicare reimbursement for undocumented alien health care services is extremely limited and has not expanded by the ACA. However federal regulations provide that when an individual comes to an emergency room for emergency medical care that individual cannot be turned away and must be treated. Staff cannot inquire into the individuals ability to pay or citizenship. Dispensing health care services from an emergency department is one of the most expensive ways to deliver health care. While provision of this care is mandated as previously explained reimbursement is often denied when the patient is an illegal immigrant. This leaves the hospital to absorb the funds expended on providing the dialysis treatments. Hospitals are in a quandary about how to approach providing such care especially since dialysis is an ongoing treatment and this situation represents a chronic and persistent problem.Clarify your position in 750 to 1000 word count (a two to four-page) usingAPAstyle. Please answer the following questions:
Health Assessment
Uncategorizedchoose a family in your community and conduct a family health assessment using the following questions below.
1. Family composition.
Type of family, age, gender and racial/ethnic composition of the family.
2. Roles of each family member. Who is the leader in the family? Who is the primary provider? Is there any other provider?
3. Do family members have any existing physical or psychological conditions that are affecting family function?
4. Home (physical condition) and external environment; living situation (this must include financial information). How the family support itself.
For example; working parents, children or any other member
5. How adequately have individual family members accomplished age-appropriate developmental tasks?
6. Do individual family member’s developmental states create stress in the family?
7. What developmental stage is the family in? How well has the family achieve the task of this and previous developmental stages?
8. Any family history of genetic predisposition to disease?
9. Immunization status of the family?
10. Any child or adolescent experiencing problems
11. Hospital admission of any family member and how it is handle by the other members?
12. What are the typical modes of family communication? It is affective? Why?
13. How are decision make in the family?
14. Is there evidence of violence within the family? What forms of discipline are use?
15. How well the family deals with crisis?
16. What cultural and religious factors influence the family health and social status?
17. What are the family goals?
18. Identify any external or internal sources of support that are available?
19. Is there evidence of role conflict? Role overload?
20. Does the family have an emergency plan to deal with family crisis, disasters?
Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.
Please present a summary of your assessment in an APA format on a 12 Arial font, word document attached to the forum in the discussion tab of the blackboard title “family assessment” Please use at least 3 scholarly evidence-based practice references besides the class textbook to sustain your assessment. A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading)
Evaluation of a Merger or Acquisition
UncategorizedI will attach the company annual report in which I talk about in Unit 1 of this course to help with assignment. Also, I’m about to upload any other resources that you may need. Just as soon as I can.
LIFE CYCLE NUTRITION
Nursing HomeworksPLS CHECK ALL THE ATTACHMENTS – ANSWER THEM IN ORDER PLS (i.e. 7 before 8 and post)
4 Assignments in one
ASSIGNMENT – STUDY GUIDE 7: VITAMINS
Directions -Using Chapters 10 and 11, and the DRI tables (pp. A, B) of your textbook as a reference, answer the following questions. Please include the questions with your answers.
ASSIGNMENT – STUDY GUIDE 8: MINERALS AND WATER
Directions. Using Chapters 12, and the DRI tables (pp A, B) in your textbook as a reference, answer the following questions.
ASSIGNMENT – STUDY GUIDE 9: LIFE CYCLE NUTRITION — INFANCY, CHILDHOOD & ADOLESCENCE
Directions. Using Chapter 16 and the DRI tables (inside front cover) of your textbook as a reference, answer the following questions. Please include the questions with your answers.
ASSIGNMENT – STUDY GUIDE 10: LIFE CYCLE NUTRITION — ADULTS
Directions. Using Chapter 17 of your textbook as a reference, answer the following questions. Please include the questions with your answers.
DNT 200 — NUTRITION FOR HEALTH SCIENCES
All definitions should be nutrition oriented…
Please do not leave any question unanswered..detailed answers pls
Thanks
TEXTBOOK: Understanding Nutrition, 15th edition. The publisher is Cengage
History homework help
UncategorizedInstructions
First, make sure to review the information about response papers in the module before week 6, which includes the following materials:
Then, Read:
Then, write a paper which responds to the following questions:
Many Americans emphasize the importance of the American Revolution for the progress of humankind towards equality and democracy. From your perspective, does the significance of the American Revolution change when the perspective shifts to include the experiences of women, African Americans, and Native Americans? Why or why not? Explain your answers.
what is the value of life?
Biology Homework HelpYour thread is due by 11:59 p.m. (ET) on Thursday, and your three replies are due by 11:59 p.m. (ET) on Saturday.
I need one Main Post (Minimum 400 words) and three Responses (200-250 Words each)
Below are the specific requirements for each part of this assignment.
THREADS:
· Must be at least 400 words.
· A minimum of one source is required (course textbook may be used).
· Citations used should be formatted in APA.
· Should thoroughly address the topic prompt, using citations as appropriate.
REPLIES:
· Must post at least three 200–250-word replies to your classmates/instructor per forum.
· Should expand upon ideas expressed in your classmates’ threads by adding new ideas to points that you agree with and/or explaining areas of disagreement.
· Should be posted intermittently throughout the forum. Do not complete all of the replies at one time; instead, allow for conversation to develop by posting multiple times throughout the week.
· A minimum of one source per reply is required (course textbook may be used).
· Citations used should be formatted in APA.
I have attached the Discussion Rubic as to how the Main post and Responses would be Graded. Please follow every single Instruction. There is a Video attachment too that NEEDS TO BE USED doing the work
I have also attached the Main post of two students and one for instructor you need to respond to. Please send me the main post as well as the responses
Required Resources:
McLaughlin, C. P., & McLaughlin, C. D. (2015). Health policy analysis: An interdisciplinary approach (2nd ed.). Sudbury, MA: Jones and Bartlett. ISBN: 9781284037777.
American Psychological Association. Publication manual of the American Psychological Association (Current ed.). Washington, DC: Author.
Iverson, C, Christiansen, S, & Flanagin, A. AMA Manual of Style: A Guide for Authors and Editors Current ed. New York, NY: Oxford University Press.
Requirement from Instructor:
This week I have posted my final thoughts on our current state of affairs within the area of Health Care Policy and hope you will take the opportunity to read and comment. It is OK to disagree as well. Remember that a response to my post counts in your three responses, so please engage, as you feel directed.
Nursing homework help
UncategorizedCultural Health Promotion Project
Cultural diversity refers to the differences among people based upon shared ideology and shared valued sets of beliefs, norms, customs, and meanings evidenced in a way of life. This diversity is expressed in many ways. Diversity in history, beliefs, practices, and opportunities not only exist among the many cultural groups, they typically exist across a wide continuum within the group. Health behaviors are influenced by culture and cultural values as well as socioeconomic status.
In this assignment, students will develop a health promotion project for a cultural group living anywhere in the United States. You are to learn as much as you can about the culture norms and patterns and how these norms and patterns influence health practices. The purpose of this assignment is to develop a deeper understanding and sensitivity regarding the role of culture in patients’ lives and in nursing through the examination of a cultural/ethnic group while addressing health promotion strategies and disease prevention.
PROJECT COMPONENTS
The project should address the following Aspects of Cultural Assessment:
1. Ethnic/racial identity: How does the group identify itself in terms ethnicity and racial background? What is the range of interaction outside of the cultural group? Are recreational, educational, and other social activities within the ethnic reference group, the wider community, or both?
2. History and Value Orientation: How are values derived? What is the historical experience of the group that may have impacted values?
3. Language-communication process: What is the primary spoken language? What languages are spoken in the home? And by whom? What language is preferred when speaking to outsiders? Do second and third generations in the speak the language of their grandparents?
4. Health Beliefs and Practices: What are the traditional health beliefs? How common are these beliefs and practices within this group? To what extent are folk healing practices and practitioners used?
5. Religious Belief and Spirituality: Discuss religious articles & practices. How is spirituality is defined in the culture? Remember that Religious Beliefs and Spirituality are different concepts.
6. Life cycle events: Which life cycle events are important to the culture? What are the customs associated with births, coming of age, marriage, and death?
7. Nutritional Behavior/Diet: Are there restrictions? Are there common practices?
8. Medical health care access and experience: Is access to care and equality of care an issue for this group? For example, are group members less likely to receive needed care due to system issues such as financial access or provider biases than another group?
Based on the Cultural Assessment Data, the student will design a Cultural Health Promotion Plan:
9. Cultural Health Promotion Plan: Identify a health risk or health problem the project will address. Describe why this is an issue for your chosen target group and how cultural plays a role in the health risk or problem.
10. Health Promotion Strategies/Methods: Based on the health risk/problem identified, describe the strategies/methods that you will implement. Focus on primary and secondary prevention strategies. Refer to Healthy People 2020 Topics and Objectives. You may access the website at: https://www.healthypeople.gov.
11. Project Evaluation Methods: State the outcomes you expect to achieve. State how you will measure/assess the effectiveness of the project.
Complete the paper according to APA 6th Edition Guidelines as a word-processed document.
The paper is limited to a MAXIMUM of Ten (10) pages (including the title page and references pages;NO Abstract is needed for this assignment). Do not exceed the ten-page limit as only ten pages will be read and graded. The paper must be double- spaced using Font Size 12 (including the reference page).
PRESENTATION
In addition to the paper, each student will prepare a presentation. The presentation will be graded separately – refer to course syllabus. You may use a presentation style of your choice, i.e.. PowerPoint, Prezi, etc. Presentations are limited to 30 minutes.
NOTE:
the assignment consist in TWO homework: 1-the cultural health promotions project; and
2- a PowerPoint presentation of the cultural health
promotion project. (20 slices).
please follow all of my professor instructions (covering the 12 points above).
maximum of ten(10) pages.
plagiarism is not allow (the school use turn it in)
APA 6th format.
I attached the assignment with the highlighted instruction (they are the same instructions, with only the highlighted points).
Identify two university Library scholarly databases that will help you find the best research articles to support your EBP proposal. Discuss why these two databases are better than Google Scholar or a general Internet search.
UncategorizedQuestion Description
Please respond the main discussion and respond to the peers discussion
Discussion 1
Identify two university Library scholarly databases that will help you find the best research articles to support your EBP proposal. Discuss why these two databases are better than Google Scholar or a general Internet search.
Discussion 2
The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal, and suggest ways in which identified barriers may be addressed
Peer DQ1
When writing papers or doing research it’s essential to find reliable sources to obtain the information from, this will decrease the chances that the information is inaccurate. GCU library provides students with plenty of online scholarly databases to aid in this research process. Two databases I have used in the past are CINAHL Complete and PubMed. These two databases have health journals, books, continuing education modules, EBP care sheets, and so much more! What’s great about using these databases is the information is peer-reviewed and is backed up by actual research to ensure it’s accurate.
Using GCU’s library databases are a great tool to find reliable information, rather than just using Google. When using Google you truly never know what you are going to get or if the information on the website you found is accurate. It may look like a reliable website, but really anyone can make a website and put information into it. When we write papers or discussion boards, fellow classmates may use our information as a learning tool, so it’s important we are finding accurate information to share. Another advantage of using GCU’s databases are the searches are organized and you can type in keywords, peer-review options, publication years, etc. This helps pin point articles you are looking for so you don’t waste time looking through thousands of articles that does not pertain to what you are looking for.
Reference:
Peer DQ2
The two GCU library databases that I feel will help me to find the best research articles to support my EBP proposal are Cochrane Library and Medline Plus. The general internet search is unreliable because anyone can post anything they want and may not produce reliable results. It is imperative to have reliable and trustworthy research articles to support the EBP project. Most library databases have scholarly/peer-reviewed articles and contain only scholarly literature. GCU library databases guarantee authority and trustworthiness. The library databases have advanced search features that can be limiting by publication type, data, language, document format, scholarly/peer-reviewed status, as well as, focus by subject which means more relevant information and less time wasted dealing with junk information. Using general internet search or Google Scholar can produce limited results and there is lack of regulation and duplicated information. It is imperative to evaluate the research articles for validity and reliability.
Peer DQ3
A Library database is an electronic (online) catalog or index that contain information about published items (California State University Los Angeles, 2018). When writing EBP proposal, it is important that the writer use the library database as it helps the writer to locate relevant information and also assess the quality of the information located. GCU Library contains many scholarly databases that one can use to find the best research article to support his/her EBP proposal. Of the many database article in GCU library, I have used the CINAHL complete (Cumulative Index to Nursing and Allied Health), Cochrane library and PubMed and found them to be very helpful because it leads the researcher/writer to the source of the information (e.g. journal, books, encyclopedias etc.); it provides citation that includes the article author, title and source of information; it also provides the journal name, volume, issue, page, an abstract of the article and full text (the entire article).
I found these two-library databases to be better than google scholar or general internet search when writing EBP proposal because the information they contain are more reliable and credible than that found on some website. Library database information are better basically because they are sourced from experts and professionals unlike the general internet search that anyone could upload. The quality of the internet resources is unmonitored and the authenticity of the information may not be known.
California State University Los Angeles. (2018). What is a Database? Retrieved from https://www.web.calstatela.edu
Peer DQ4
Google definitely provides a wealth of information, this sometimes isn’t worth spending the time sifting through the data. It doesn’t offer all the information that students are looking for and information found there may not be very reliable.
The two main databases in GCU library that I believe will help me find the best research articles to support my EBP proposal are as follows:
GCU library has many databases that allows access to thousands of full text journals and articles. And these scholarly resources are best to use in research as it provides solid and reliable information.
Reference
Grand Canyon University (2017). Nursing Health Sciences Resources. Retrieved from
Peer DQ5
Grand Canyon University’s (GCU) library serves as the foundation of academic support for all learning and research pursuits of GCU students, faculty and staff. Two GCU Library databases that will be helpful in finding best research articles to support EBP proposal will be CINAHL Complete and PubMed.
CINAHL Complete is the definitive research tool for nursing and allied health professionals with access to the top nursing and allied health journals. Includes full text for more than 1,300 journal titles with indexing for more than 5,000 journal titles. Covers more than 50 nursing specialties, speech language pathology, and nutrition. Also contains continuing education modules, evidence-based care sheets, and research instruments.
PubMed comprises more than 20 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites (GCU, 2017).
Reference,
Grand Canyon University. (2017). Journal Databases – Nursing & Health Sciences. Retrieved from http://library.gcu.edu/Database/Subject?subject=Nu…
Peer DQ6
The two databases I have found useful for reasearch and info are the Joanna Briggs Institute EBP and the Nursing and allied Health database. These articles are found on an educational institute library whcih provides eivdence based articles and as well as peer review items. While anyone may edit a google site the ones on the school library database have reasearch and evidence to back there articles.
The Joanna Brigss Institute is anevidence-based practice database that includes more than 3,000 records across seven publication types. These types include Evidence Summaries, Evidence-Based Recommended Practices, Best Practice Information Sheets, Systematic Reviews, Consumer Information Sheets, Systematic Review Protocols, & Technical Reports.
The Nursing and Allied HEalth Database provides students, instructors, researchers, and nurses around the world with its diverse mix of scholarly literature, clinical training videos, reference materials, and evidence-based resources, including dissertations and systematic reviews.
Reference:
Grand Canyon University (2017) Journal Database: Nursing and Health Sciences.