EXPLAIN TYPES OF INCENTIVES FOR PROVIDERS FOR EFFICIENCY IN THE DELIVERY OF HEALTHCARE SERVICES.

Managed Care

In the United States, managed care is becoming an increasingly popular method of administering healthcare. It influences the clinical behavior of providers, as it combines the payment and delivery of healthcare into a single system, the purpose of which is to control the cost, quality, and access of healthcare services for a single bracket of health plan enrollees (Scutchfield, Lee, & Patton, 1997).

Yet, managed care often evokes strong or negative reactions from healthcare providers because they are paid a fixed amount for treating their patients, regardless of the actual cost, which may influence their level of efficiency. This can challenge the relationships between doctors and patients (Claxton, Rae, Panchal, Damico, & Lundy, 2012; Sekhri, 2000).

Research managed care’s inception and study some examples. Be sure to investigate the perspectives about managed care from the vantage of both healthcare providers and patients. You can use the following keywords for your research—United States managed care, history of managed care, and managed care timeline.

Based on your research, answer the following questions in a 8- to 10-page Microsoft Word document:

  • What are the positive and negative aspects of managed care? Analyze the benefits and the risks for both providers and patients, and how providers should choose among managed care contracts. Conclude with your analysis and recommendations for managed care health plans. Your response should include answers to the following questions:
    • Summarize the history of when, how, and why managed care was developed.
    • Define and discuss each type of managed care organization (MCO)—health maintenance organization (HMO), preferred provider organization (PPO), and point of sale (POS).
    • Explain the positive and negative aspects, respectively, of managed care organization from the provider’s point of view—a physician and a healthcare facility—and from a patient’s point of view.
    • Explain the three types of incentives for providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk—the provider, the patient, or the managed care organization.
    • Offer your recommendations, to accept or decline, for patients considering managed care health plans, with your rationale for each.

References:

Claxton, G., Rae, M., Panchal, N., Damico, A., & Lundy, J. (2012). Employer Health

Benefits Annual 2012 Survey. Retrieved from http://ehbs.kff.org/pdf/2012/

8345.pdf

Sekhri, N. K. (2000). Managed care: The US experience. Retrieved from http://www.

who.int/bulletin/archives/78%286%29830.pdf

Scutchfield F. D., Lee, J., & Patton, D. (1997). Managed care in the United States.

Journal of Public Health Medicine, 19(3), 251–254. Retrieved from http://

jpubhealth.oxfordjournals.org/content/19/3/251.full.pdf

Support your responses with examples.

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PICOT/Evidence Appraisal Assignment

PICOT/Evidence Appraisal Assignment

PICOT Worksheet Guidelines

Purpose
Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format.
Course Outcomes
This assignment enables the student to meet the following Course Outcome.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)

Due Date
Submit the completed NR 439 PICOT Worksheet by Sunday, 11:59 p.m. MT at the end of Week 3.
Points
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This assignment is worth 200 points.
Directions

  1. Read these guidelines including the grading rubrics below.
  2. Download the NR 439 PICOT Worksheet
  3. Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve.
  4. Download the NR 439 PICOT Worksheet Example on how to fill in the worksheet to help you complete your own form.
  5. Submit the completed PICOT Worksheet form. PICOT/Evidence Appraisal Assignment.

Example 1:

What is the PICO(T) question?

Will influenza immunization compliancy rates increase if flu clinics are provided in a Flu PODS and immunization clinics at convenient times covering all shifts?

Define each element of the question below:

P- (Patient, population, or problem): Hospital employees and volunteers required to have the influenza immunization annually

I -(Intervention): Offer multiple Flu “PODS” and immunization clinics to hospital employees and volunteers making it convenient to receive the required immunization. Offer at a variety of times, available to all shifts

C- (Comparison with other treatment/current practice): Compare analytics showing employees and volunteers who received flu shot prior to 2016 when Flu PODS and immunization clinics were not offered compared to 2016 where Flu PODS and immunization clinics are offered to accommodate shifts. Track number of employees/volunteers coming at each hour time frame. PICOT/Evidence Appraisal Assignment.

O- (Desired outcome): Increase of compliance of receiving the annual mandatory flu shot by employees and volunteers

Example 2:

What is the PICO(T) question?

For non-diabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly vs. no observations for signs of hyperglycemia promote improvement of pulmonary complications?

Define each element of the question below:

P- (Patient, population, or problem): Non-diabetic patients on corticosteroid therapy.

I- (Intervention): Monitoring for headache, fatigue, nausea, vomiting, and blurred vision

C- (Comparison with other treatment/current practice): No observations for signs of hyperglycemia

O- (Desired outcome): Improvement of pulmonary complications

T-(Time): 90 days

Academic Integrity Reminder
All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.
By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.
Please see the grading criteria and rubrics on this page.
NOTE: Please use your browser’s File setting to save or print this page.

Rubric

NR439_PICOT_Worksheet
NR439_PICOT_Worksheet
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePICOT question

Question or nursing problem is identified and is an independent nursing decision.

50.0 pts

Outstanding Question or nursing problem identified that is an independent nursing decision

44.0 pts

Very good Question or nursing problem is identified that is an independent nursing decision

40.0 pts

Competent Question or nursing problem is identified that is an independent nursing decision.

19.0 pts

Question or nursing problem is identified but is not an independent nursing decision.

0.0 pts

PICOT question missing.
50.0 pts
This criterion is linked to a Learning OutcomePICOT elements

PICOT elements are correctly identified. Outcomes are measurable.

50.0 pts

PICOT elements are correctly identified. Outcomes are measurable.

44.0 pts

One PICOT element is not correctly identified. Outcomes are measurable. PICOT/Evidence Appraisal Assignment

40.0 pts

Two PICOT elements are not correctly identified. Outcomes are not measurable

19.0 pts

Three or more PICOT elements are not correctly identified. Outcomes are not measurable.

0.0 pts

PICOT elements are missing.
50.0 pts
This criterion is linked to a Learning OutcomePractice issue and scope of the problem

Practice issue/problem is thoroughly described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.

50.0 pts

Practice issue/problem is thoroughly described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.

44.0 pts

Practice issue/problem is partially described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.

40.0 pts

Practice issue/problem is vaguely described. The need for change is not obvious. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.

19.0 pts

Practice issue/problem is vaguely described. The need for change is not obvious. Practice area is not identified. Identification of the practice issue is not clear. Scope of the problem is not identified

0.0 pts

Not answered.
 PICOT/Evidence Appraisal Assignment
PICOT/Evidence Appraisal Assignment
This criterion is linked to a Learning OutcomeEvidence

Appropriately identifies the types of evidences that should be gathered.

20.0 pts

Identifies and documents four types of evidence needed for review.

17.0 pts

Identifies and documents three types of evidence needed for review.

16.0 pts

Identifies and documents two types of evidence needed for review

7.0 pts

Identifies and documents one type of evidence needed for review.

0.0 pts

Does not document types of evidence.
20.0 pts
This criterion is linked to a Learning OutcomeRationale for Evidence

Gives rationale for the types of evidence that is gathered.

20.0 pts

Thoroughly describes rationale for checked types of evidence.

17.0 pts

Good description of rationale for checked types of evidence.

16.0 pts

Partial description of rationale for checked types of evidence.

7.0 pts

Minimal rationale for checked types of evidence.

0.0 pts

Rationale missing.
20.0 pts
This criterion is linked to a Learning OutcomeSearch Terms

Describes search terms that are manageable and will yield good results.

5.0 pts

Thoroughly describes manageable search terms.

4.0 pts

Good description of manageable search terms.

3.0 pts

Partially describes manageable search terms.

2.0 pts

Minimally describes manageable search terms.

0.0 pts

Search terms are absent.
5.0 pts
This criterion is linked to a Learning OutcomeHow to Narrow Search in the Library

Provides a description of how the library search will be narrowed to produce relevant returns.
 PICOT/Evidence Appraisal Assignment

5.0 pts

Thoroughly describes how to narrow searchFull Marks

4.0 pts

Good description how to narrow search.

3.0 pts

Partially describes how to narrow search.

2.0 pts

Minimally describes how to narrow search.

0.0 pts

No description given.
5.0 pts
Total Points: 200.0. PICOT/Evidence Appraisal Assignment

 

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Applied Sciences homework help

This is a Collaborative Learning Community assignment
A  group of seven individuals embarked on a weeklong cruise aboard a  chartered luxury yacht. On the third day, a severe storm caused the  yacht to run aground on a deserted island. Aside from minor scratches  and bruises, all crew and passengers escaped serious injury.  Unfortunately, the yacht was damaged beyond repair. Furthermore, the  yacht’s only radio was damaged. It can receive messages but can no  longer transmit messages. After several days, they hear over the radio  that the effort to locate and rescue them had been abandoned. The group  is presumed dead. The island is uninhabited. There is sufficient  vegetation and fresh water to sustain them indefinitely. Despite the  outside world’s assumption that they are dead, the group has resolved to  find a way to return home. In the meantime, they must prepare for a  life together on the island.
Use the file titled “Selecting a Leader” to complete the following:

  1. Individually  rank the applicants and report your ranking to the group with one to  four sentences explaining how you determined your ranking.
  2. As  a group, come to consensus as to a ranking of the applicants using one  to four sentences for each applicant. Be sure to present your reasoning  based on criteria established by the group.
  • attachment

    COM-222.R.SelectingaLeader_3-31-14.docx
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What biological, psychological, physical environmental, sociocultural, behavioral, and health system factors are influencing this situation?

QUESTION

nursing

  1. Read the scenario below.
  2. Respond to the questions in full sentences. Be sure to use standard English grammar and spelling
    1. What biological, psychological, physical environmental, sociocultural, behavioral, and health system factors are influencing this situation?
    2. Is this a crisis situation? If so, what type of crisis would this be?
    3. What nursing interventions will you employ with this family?
    4. How might your interventions be different if you find that many families in the population are experiencing similar problem?
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For your sixth discussion board, you are going to begin planning for your upcoming argumentative essay, Essay 3. Since you will need to choose a controversial issue in your academic pathway to focus on, research will play a vital role in your argument. Respond to the prompts below in order to create a research proposal that will provide you direction and a strong basis for your writing. In addition, I will have the opportunity to look over your progress and help guide you toward an even stronger writing project. What is the working title for your essay? Explain your interest in this topic. In other words, why did you choose this subject to write on (beyond it simply being in your field of study)? What is the tentative claim/thesis of your essay? You should express this idea in 1-2 sentences, so make sure that your claim is as specific as possible. (Note: This argument may alter in scope and focus as you progress; you are not wholly committed to it.) How will your research and writing help to inform and/or benefit your audience? In other words, what is the larger goal of arguing about this topic? List at least two main sides of your argument (i.e., for and against). Remember that knowing and considering the counterarguments of your claim can help you to write conscientiously about your issue. Describe at least 3 specific sources that you have consulted, including relevant library databases, (credible) websites, popular and/or scholarly periodicals, books, etc. Make sure to provide specific information about your sources like titles, authors, locations, and dates of publication.

For your sixth discussion board, you are going to begin planning for your upcoming argumentative essay, Essay 3. Since you will need to choose a controversial issue in your academic pathway to focus on, research will play a vital role in your argument. Respond to the prompts below in order to create a research proposal that will provide you direction and a strong basis for your writing. In addition, I will have the opportunity to look over your progress and help guide you toward an even stronger writing project.

  1. What is the working title for your essay?
  2. Explain your interest in this topic. In other words, why did you choose this subject to write on (beyond it simply being in your field of study)?
  3. What is the tentative claim/thesis of your essay? You should express this idea in 1-2 sentences, so make sure that your claim is as specific as possible. (Note: This argument may alter in scope and focus as you progress; you are not wholly committed to it.)
  4. How will your research and writing help to inform and/or benefit your audience? In other words, what is the larger goal of arguing about this topic?
  5. List at least two main sides of your argument (i.e., for and against). Remember that knowing and considering the counterarguments of your claim can help you to write conscientiously about your issue.
  6. Describe at least 3 specific sources that you have consulted, including relevant library databases, (credible) websites, popular and/or scholarly periodicals, books, etc. Make sure to provide specific information about your sources like titles, authors, locations, and dates of publication.
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Information Systems homework help

Overview
Refer to the functional model you verified and validated for ABS in the Week 4 assignment to complete this assignment.
Based on your performance, ABS management was so satisfied that it wants you to develop both the structural and behavior models. This way, ABS can fully understand both the interaction that would take place between the users and the system and the system itself in greater detail.
Note: You may create and/or assume all necessary assumptions needed for the completion of this assignment.

Instructions

Write a 4–5 page paper in which you:

  1. Create Class-Responsibility-Collaboration (CRC) cards and a class diagram based on the functional models through the use of graphical tools in Microsoft Word or Visio, or an open-source alternative such as Dia. Note: The graphically depicted solution is not included in the required page length.
  2. Identify each use case in the functional model and create a sequence and communication diagram for each scenario of each use case identified through the use of graphical tools in Microsoft Word or Visio, or an open-source alternative such as Dia. Note: The graphically depicted solution is not included in the required page length.
  3. Create a behavioral state machine for each of the complex classes in the class diagram.
  4. Perform a CRUDE analysis to show the interactivity of the objects in the system.
  5. Perform a verification and validation walk-through of each: Revise the requirements document created in Week 4 assignment, Business Process and Functional Modeling, with additional information found in this assignment and document the assumptions.
    1. Functional model.
    2. Structural model.
    3. Behavioral model.
  6. Use at least three quality resources in this assignment. Note: Wikipedia and similar websites do not qualify as quality resources.
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Accounting homework help

Annotated Bibliography
Assignment Requirements:
1.A minimum of 10 references from reputable sources.
2.Proper APA format for each reference
3.A short summary (one or two sentences) for each source
4.A short description (one or two sentences) of how you plan on using the source in your final persuasive research essay.
For this assignment, an annotated bibliography consists of three parts:
1) A list of all the sources you’ve either used or consulted, like for background information, in the writing of your research essay
2) A brief summary of each source, like an abstract.
3) A brief description of how or why you plan on using each particular source in your final persuasive research essay.
See the example attached for format guidance.
The purpose of the annotated bibliography is to demonstrate not only research skill, but to show others the variety and relevance of all sources consulted or used. These types of documents help to establish an author’s credibility as an expert on his or her essay’s topic.
Finally, source reputability is very important for this assignment and for research writing in general. If you use as source that does not come from a reputable publication it will not be counted toward your minimum of ten.
Assessment Criteria:
In order for an annotated bibliography to earn an “A” it must:
Provide references in proper APA format
Include a minimum of ten sources from reputable locations
Include concise, well-written summaries of each source.
Include clear descriptions of how or why you plan on using each of those sources in your final persuasive research essay.
Produce a document with few to no minor grammatical and punctuation errors
Learning Outcomes Met:
Researching Phase:
• Identify scholarly articles and journals. Know the difference between primary and secondary sources, and scholarly journals and magazines or other non-academic sources.
• Use library databases and services to obtain sources to complete the project.
• Assess sources for usability and credibility.
• Read, analyze, synthesize, and summarize complex sources, challenging the assumptions, evidence, and fairness of the content. (Partially met.)
• Create an annotated working bibliography.
Drafting and Editing/Revising Phases:
• Use appropriate tone, level of formality, person, and tense
https://writingcenter.unc.edu/tips-and-tools/annotated-bibliographies/apa-examples/
https://owl.purdue.edu/
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Geology homework help

TRANS/REGRESS LAB INSTRUCTIONS

 
In the experiment you will explore how topography affects the rate of sea level rise and the effects of sea ice versus glacial ice on sea level rise.
 

  1. Make marks up the side of the mold, each 0.5 inches apart.

Let one inch = 200 feet
 

  1. Form the modeling clay into two flat-topped mountains.

One mountain should have relatively steep sides.
The other mountain should have gently sloping sides.
 
The mountain should be at least one inch high, one inch wide at the top, and two inches wide at the bottom.
 

  1. Place the steep-sloped mountain in the plastic mold.

 

  1. Fill the plastic mold with enough water to reach the first mark (0.5 inches from the bottom). Examples are shown for the steep-sloped mountain:

Steep-sloped Mountain
 
 
 
 
and the shallow-sloped mountain:
Shallow-sloped Mountain
 

  1. Place four ice cube in the water.

 

  1. Using a permanent marker, mark where the water intersects the mountains.

 

  1. After the ice melts, record how the water level changed in Data Table 1.

 

  1. Once the ice has completely melted, empty the mold.

 

  1. Repeat steps 3 – 8, except instead of placing the ice cubes in the water, place them on top of the steep-sloped mountain.

 

  1. Repeat steps 3 – 8, except instead of placing the ice cubes in the water, place them on top of the shallow-sloped mountain.

 

  1. Repeat steps 3 – 8, except instead of placing the ice cubes on top of the shallow-sloped mountain, place them in the water.

 

  1. Complete the Data Table 1 on the next page and submit it.

 
.
 
 
 
 
You can submit Data Table 1 in any form you like: handwritten, screenshot, whatever works for you.
 

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Post-Traumatic Stress Disorder (PTSD)

Project
As you complete this project, think about the following:

  • What do we know about psychological disorders and their treatment?
  • What does research tell us about the most effective treatment for disorders?

At the end of this activity, you will:

  • Submit your course project dealing with psychological disorders and their treatment.

At the end of this module you will be required to submit a course project on psychological disorders and their treatment. You will be asked to choose one of the following:

  1. Post-Traumatic Stress Disorder (PTSD)

After choosing the one disorder on which to focus, make sure to:

  • Describe key features of the disorder, including its symptoms
  • Address the biopsychosocial explanations that could account for the development of that disorder

After choosing a disorder, read the associated module in the textbook and choose an appropriate therapy or therapies for that disorder from the following choices:

  1. Behavioral Therapy (you may choose combined Cognitive-Behavioral Therapy)
  2. Cognitive Therapy (you may choose combined Cognitive-Behavioral Therapy)

When applying your chosen therapy or therapies (i.e. an eclectic approach), make sure to:

  • Discuss and explain the specific methods of that therapy that would be utilized in the treatment of your chosen disorder.
  • Provide a rationale for the effectiveness of your type of treatment (i.e. present evidence that supports the effectiveness of that therapy for your chosen disorder.

From the information presented in the Psychology webtext and from your research in the library or onthe Web (i.e. make sure to incorporate what psychological research and studies have shown that would support your points raised in the paper), present your position and support it with credible sources of information using APA style citations and references. You are required to use at least three (3) references, to include the course webtext; the other references should come from psychological journal articles or from relevant psychologyspecific websites. Before submitting your paper, use the CourseProject page in chapter 5 of the webtext to check your paper against the rubric.
You are expected to present a minimum 750 word response. The paper should be submitted in a WORD document in 12 point; Times New Roman font. Given this guideline, your paper should be 3 – 4 pages in length; excluding the title page, abstract, and reference page. Refer to the APA Style guidelines document for information on the title page, abstract, and reference page.

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Visiting a social work agency

In order to function as change agents, social workers interact with others in a wide variety of organizations. Visiting a social work agency allows students of social work to get a glimpse of the form that these interactions may take.
For this Assignment, visit a social service agency in your area and interview a MSW-level social worker there. The agency cannot be a private practice.
By Day 7 of this week, you identify your agency and the social worker you will collaborate with. Your Final Project, submitted in Week 6 of the course, should focus on the following.
Submission and Grading Information
To submit your Project, do the following:
Save your Project as a “.doc” file with the filename “WK3Proj+last name+first initial.doc”. For example, Sally Ride’s filename would be “WK3ProjRideS.doc”.
To upload your Project information, click on Projects on the course navigation menu, and then click the “Project – Week 3” link.
Looking Ahead: Your Final Project, submitted in Week 6 of the course will be a 4- to 5-page written account of your agency visit, reflection on the experience, and analysis of course topics as related to your experience. Make sure to support ideas with evidence from course resources and additional research.
The final project should:
Describe the agency. Including:
Services offered
Mission of the agency
Clientele or population served
Describe the social worker’s job activities and professional roles
Explain what brought the social worker to the field and their work history
Explain opportunities for advancement and what the social worker does for professional development
Describe the social worker’s overall job satisfaction and strategies they use for self-care
Analyze your experience. Specifically,
Discuss your thoughts and feelings related to the agency, clientele, and type of work.
Reflect on why you may have experienced these reactions to the agency, clientele, and type of work.
Explain which social work values and ethics were evident (or not evident) during the interview.
Explain how social and economic justice relates to the services provided or population served by this agency.
Explain how cultural competence was demonstrated (or not demonstrated) within the agency or by the social worker.
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