Long-Term Care in the U.S.

Question Description

1. Long-Term Care in the U.S.

Determine the average daily cost of nursing home care in your state. Discuss the funding options (public and private) that exist to pay for long-term care. What policy and financing recommendations would you make to ensure that long-term care is available for everyone who needs the services in the U.S.? Please justify your answer.

2. Rationing of Healthcare Services

Healthcare services can be rationed by governmental rationing or by allowing those who can afford the services to purchase the services. If you were the chairperson of a medical ethics committee faced with the decision concerning which of the following patients would receive a heart transplant, what decision would you make and what justification would you give to the families of each of the patients for making that decision?

  • Patient 1: A seventy-six-year-old nonsmoker with good pulmonary and renal function is a good candidate for a heart transplant, and his life expectancy without the transplant is one month. The patient has the resources to pay cash for the transplant procedure and follow-up care.
  • Patient 2: A forty-six-year-old unemployed auto worker with a history of alcohol use and smoking suffered a heart attack and will die within one month if he does not receive a heart transplant. The patient does not have health insurance, nor does he have the resources to pay for the procedure.

To support your work, use your course and text readings and also use outside sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

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>Computer Science homework help

Mobile devices are always in the workplace and being used for both personal and company business. You have been asked to create an informative poster to display throughout the office that highlights ways to secure mobile devices and safety precautions. This poster will be seen by the entire company in hopes of empowering employees to protect themselves and the company from mobile breaches.
Create a visual poster or infographic to display in the company’s break room.
Include the following information:

  • At least 2 mobile device threats
  • List of ideal mobile security settings to defend against threats
  • Brief instructions for setting up at least 2 security settings
  • An explanation on what happens when mobile devices are not secured from these threats
  • Appropriate images and graphics
  • 2 resources for more information on mobile security with appropriate citations

Format your assignment according to APA guidelines.

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Health Information Governance

To reflect on an information governance issue, inspired by an observation made in practice or on reading around the topic. Maximum 2,000 words

Please also refer to the lecture of reflection and the accompanying PowerPoint slides. 

You can only reflect on your own practice and this must be something related to health information governance (or a parallel issue with relevance to health information governance). It could be an incident from the past, made critical by something we discuss during the taught week or by something you read about governance.

As this is a form of ‘guided reflection’, it is recommended that you use the following headings and prompts for your paper based on Gibbs Reflective Cycle:

Model for academic reflective writing

  1. Describe the situation/event

· Why was it important?

· How does it relate to IG?

  1. Feelings

What were your thoughts and feelings/what were the good and bad points of the situation/event?

· Did it impact on others, and how?

· How did you feel at the time?

· What was your role?

  1. The key issue

On the basis of 1 and 2, what is the main IG related issue emerging?

· Having identified the IG issue, it becomes possible to find suitable literature

  1. Analysis

Making sense of the situation – a) What does the literature say about the issue and the situation? b) What are the legal and ethical perspectives. c) What alternatives were there?

  1. Conclusion 

What have you learned a) about the issue, b) about yourself and c) about the best alternative way to manage the situation/event?

  1. Action Plan

What would you do if the situation arose again ? What do you need to do to further develop yourself/your skills/your knowledge/ your practice?

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Operations Management homework help

Consider the following scenario:
 
Mercy Hospital in rural Southwest Ohio has had problems with patient collections for many years. With increasing deductibles and co-pays, the problem is expected to worsen, and the staff at Mercy Hospital need to find a way to address accounts with balances due to avoid worsening the problem. Mercy is a small hospital system with a limited number of support staff and a small budget dedicated to billing and collections. They have some options for increasing recovery of overdue balances and avoiding further revenue cycle issues. They could hire additional staff who would work exclusively with coding, billing, and recovery, or they could outsource their revenue management to an outside entity.
 
What is the best option for Mercy Hospital? What kind of information is at play in making this decision? As a healthcare management professional, it is important to have an understanding of the different components of the revenue cycle and how those components are interrelated. A properly managed revenue cycle can make or break a healthcare organization, so decisions surrounding it are often of great importance.
 
This week, you will examine the components of the revenue cycle and the different departments that play a part in each. You will also analyze a case study dealing with upcoding, payment error prevention, and the implications of fraud and abuse.
 
 
Assignment: Coding Accuracy Case Study
 
The importance of accuracy in medical coding cannot be overstated. Proper coding leads to proper payment. Unfortunately, some providers and organizations attempt to manipulate revenue by coding for more services at a higher level of complexity in order to get larger reimbursements from insurance companies. This practice is known as “upcoding.” The Healthcare Financing Administration (HCFA) does monitor for upcoding, but its processes are not adequate, and many upcoded claims for diagnosis-related groups (DRG) are overlooked.
In this Assignment, you consider a case study about the HCFA’s monitoring of upcoding and develop an action plan for improving the monitoring process. You also discuss the elements that should be included in a payment error prevention program and the implications of fraud and abuse in healthcare.
 
To prepare for this Assignment:
• Review this week’s Learning Resources.
• Read the document, “Case 9: Coding Accuracy,” located in this week’s Learning Resources.
• Reflect on how DRG upcoding was detected through electronic claims data.
 
The Assignment (2- to 3-page paper):
After reading the case study thoroughly, write a paper in which you respond to the following:
• Propose an action plan outlining what the Healthcare Financing Administration (HCFA) should do to monitor DRG upcoding.
• Recommend key elements to be included in a payment error prevention program.
• Explain the implications of fraud and abuse for this case. Then, discuss the broader implications of fraud and abuse. What are the consequences, and who is impacted?
Provide specific examples in your paper. Support your post with the Learning Resources and at least one current, outside scholarly article (less than 5 years old).
 
Required helpful websites:
 
https://www.canva.com/
 
https://spark.adobe.com/
 
https://oig.hhs.gov/oei/reports/oei-01-98-00420.pdf

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>Nursing homework help

 Some guidelines address the researchers’ obligations not just to do the research but to do a follow up on providing medical care to the participants after the research is completed. There is no clear guide to have ethical answers to what happens to the participants when the research is complete? Or what are the researchers if any obligation toward the participants that were enrolled as untreated in the specific group? Provide examples of vulnerable populations.  Some of the low-income countries and low institutional capacity for data are usually vulnerable to compromising the confidentiality, there is still no consensus of who has the responsibility to report back to the participants and their well-being after the trials. Thoughts about ethics in research?
Instructions:
Use an APA style and a minimum of 100 words. Provide support from scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 year), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply.
• Textbooks are not considered scholarly sources. 
• Wikipedia, Wikis, .com website or blogs should not be used.
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CURRENT TRENDS IN NURSING PRACTICE

TOPIC: CURRENT TRENDS IN NURSING PRACTICE

 NO COMMENTS
Evolving Practice of Nursing and Patient Care Delivery Models
Max Points:150
Details:
As the country focuses on the restructure of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and less will be available in acute care hospitals.
Write a speech of 500-700 words to educate nurses about how the practice of nursing is expected to grow and shift. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Attachments:

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>Management homework help

This week you will begin working on creating a Business Plan for a new health care organization. The work that you do for your original discussion board post will help you with the framework of your upcoming written assignment.  However, what you post to the discussion board is just a framework.  When you write your written assignment, you will need to expand on these ideas.  To make the upcoming written assignment easier, I strongly suggest that you select a business that is easily explained and small in size.
For your original post, please provide the following information about your new health care business:

  1. Name and location
  2. Services offered, including an explanation of what makes your organization special or unique
  3. Number and types of key staff members.  Depending on your business, this might include, managers, medical assistants, psychologists, psychiatrists, physical therapists, etc.
  4. How many patients you plan to see in the first year — and — your anticipated revenue per patient visit.  This will require researching similar organizations. Be sure to provide your references.
  5. A list of annual operating expenses that you anticipate (type and $ amount).  Remember, in an operating budget you do not include the cost of purchasing furniture or major equipment.

Requirement:  One original post (200 word minimum).

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Write 3–5 pages in which you describe a nursing informatics best practices policy for effective and safe data use in a nursing practice setting or organization.

Write 3–5 pages in which you describe a nursing informatics best practices policy for effective and safe data use in a nursing practice setting or organization. 

Imagine an organization asks you to contribute to the development of an information system best-practices policy to help maintain patient safety and patient confidentiality in their practice setting. The organization wants you to create a document to help the group better understand why an informatics policy is needed and the practices that should be included in the policy.

A nursing informatics best-practices document can serve multiple purposes, such as a handout for new-hire orientation or as a background report given to a committee tasked with creating or updating a nursing informatics best-practices policy.

Preparation

To expand your understanding of nursing informatics best practices within the industry, research the most current information about the topics of nursing best-practices documents and nursing informatics best practices.

 Locate 4–6 scholarly articles related to best practices designed to support positive patient outcomes related to the following areas:

  • The meaning of secure data practices.
  • Ethical standards needed to promote and support data security.
  • Patient confidentiality.
  • Regulatory requirements.
  • Behaviors and skills nurse leaders need to guide the use of information technology and research for improved patient-care outcomes.

Directions

Create a description of a nursing informatics best-practices policy document designed to define and encourage effective and safe data use in a practice setting or organization.

  • Purpose Statement: Statement of why an organization would create the policy. Include any reasons and intent that supports the creation of an informatics best-practices policy.
  • Best Practices Definitions and Descriptions:
    • Definitions of secure practices, data security, and patient confidentiality.
    • Ethical standards.
    • Regulatory requirements.
  • Implementation:
    • Behaviors – describe the behaviors nurse leaders will need to demonstrate that will guide implementation of the policy.
    • Skills required – describe the skills needed to ensure policy adherence.

Format your document using the professional format and style (corporate identity) used in your organization or practice setting. Note: If you are not currently working in an organizational setting, follow the formatting instructions below.

Additional Requirements

  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • APA formatting: Format resources and citations according to current APA style and formatting guidelines.
  • Number of resources: Cite a minimum of four peer-reviewed resources.
  • Length: Submit 3–5 typed, double-spaced pages.
  • Font and font size: Use Times New Roman, 12 point.

Scoring guide attached

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SOCIAL ANXIETY DISORDER

TOPIC: SOCIAL ANXIETY DISORDER

Neuropsychological Disorder

This week, you will analyze a neuropsychological disorder that is different from the topic you chose for your Final Project. Select a neuropsychological disorder from the following list, which is based on the DSM-5:

  1. Schizophrenia
  2. Major depressive disorder
  3. Bipolar disorder
  4. Anxiety
    • Choose and focus on one of the anxiety disorders, e.g., generalized anxiety disorder or social anxiety disorder.
  5. Post-traumatic stress disorder
  6. Obsessive-compulsive disorder
  7. Substance use disorder (substance abuse and addiction)
    • Provide both an overview of this topic plus a focus on a single drug of your choice.
  8. Neurodevelopmental disorder (autism spectrum disorder or attention-deficit hyperactivity disorder)
  9. Neurocognitive disorder
    • Choose and focus on one of the neurocognitive disorders, e.g., one of the dementias.
  10. Neurological disorder
    • Choose and focus on one neurological disorder, e.g., multiple sclerosis, spina bifida.
  11. Sleep-wake disorder
    • Choose and focus on one of the sleep-wake disorders.
  12. Feeding and eating disorder
    • Choose and focus on one of the feeding and eating disorders.
  13. Sexual dysfunction or gender dysphoria
    • Choose and focus on one of the conditions in these categories.
  14. Other neuropsychosocial disorder
    • This option must be approved in advance by the instructor before your assignment is submitted.

After choosing a disorder, your assignment should include an examination of the following factors as they relate to your selected disorder:

  • A description of the pathological features and clinical criteria for diagnosis
  • The biopsychological theories of the pathology
  • Nervous system structure(s), neurotransmitter(s), receptor(s), and pathways implicated in the disorder
  • Possible causes (etiology), including genetic, environmental, familial, lifestyle, and other identifiable risk factors
  • Epidemiology of the disorder (demographics of those affected)
  • Clinical presentation and natural history of the condition
  • Potential complications (neurologic, psychiatric, and other medical or nonmedical)
  • Current treatment options (pharmacologic and nonpharmacologic)
  • Future directions for research and clinical management

In keeping with the focus of this class, the emphasis of your paper will be on the following neuroscience aspects of the disorder:

  • Theories of etiology (causes)
  • Associated factors in development of the disorder (genetic, environmental, familial, lifestyle)
  • Pathology (abnormalities of physical structure and function, including genetic and biochemical aspects)
  • Treatment options (pharmacologic and nonpharmacologic, with rationales for use based on current understanding of the disorder)
  • Diagnostic and research technologies employed in clinical diagnosis, care, and basic science research

Your assignment must include an introductory paragraph that has a succinct thesis statement as well as a conclusion summarizing your synthesis of the above issues relating to the disorder. Your paper must be three to four double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Utilize a minimum of three to four scholarly sources that are documented in APA style, as outlined in the Ashford Writing Center. Your research will be used to provide references that contribute evidence-based information regarding the biologic and psychological features of the disorder. You may cite and reference your textbook and other course materials; however, these will not fulfill the resource requirement.

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>English homework help

Essay 2: Analysis of Colonization in “Whereas” and from Unincorporated Territories: [guma’] and at least one reading of your choice assigned during weeks 1, 2, 3, 4, 5 or 6.
Worth 100 points
Word Count 1,250-2,500 words; not counting works cited
Formula   MLA
Requirements:
Select one of the following five prompts to complete your essay. You must include in the upper left hand corner of your paper, where your name and the date go, that this is Analytical Essay #2 and the letter of which prompt you have chosen to attempt. This could be written like “Analytical Essay #2B”
a. In both “Whereas” and from Unincorporated Territories: [guma’], we can see that there is engagement and resistance to writings of and by the US Federal Government—a colonizing force if there ever was one—as well as from interaction with individuals who are colonizers, whether they want or mean to be. How do Long Soldier and Perez and a poet of your choice who has been assigned to you during weeks 1-6 engage with the conventions of the contemporary and ancient colonial style and frameworks of writing in their own artistic writing?
And in no more than a page, explain how you might attempt your own resistance and why. If you have space, you may provide a brief example—no longer than a page.
b. We understand that the meaning of any given word or text is established through a continuing process of social interaction, negotiation, consensus, and dissent, so: how do Long Soldier, Perez and a poet of your choice who we’ve read during weeks 1-6 participate in this social construction of meaning under the restrictions of colonialism?
c. Long Solder, Perez and several other writers we’ve read so far allude to or discuss outright Generational Trauma, an atypical neurological disability related to Post Traumatic Stress Disorder—what is Generational Trauma, and analyze the discussion of it in these texts.
d. Analyze “Whereas” and from Unincorporated Territories: [guma’] and a poem of your choice from the work assigned to you during weeks 1-6 through a Post-colonial theoretical lens, define that lens with one or more of the nonfiction texts we’ve read on the subject of colonialism, decolonialization, postcolonialism, or sovereignty.
e. If you found a way to talk about “Whereas” and from Unincorporated Territories: [guma’] and another poem of your choice that I’ve assigned throughout week 1,2,3,4,5, or 6—you may do so.
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    week-4-ColonialismPowerPoint2.pptx
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    week-4-ColonialContexts-TribalSoverigntyinWesternandU.S.IndianLawbyDr.DavidJCarlsoninhisbookImaginingSovereignty.pdf
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    week-4-EdwardSaid-s-fromCultureamdImperialism-inTNAoTaC2nded.pdf
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