Define the challenges in designing a Pay for Performance (P4P) program.

The U.S. healthcare system has been criticized for high-cost, inefficacy, and issues on quality.  P4P is an approach used to provide incentives to physicians and health care provider organizations to achieve improved performance by increasing quality of care and reducing costs.

Write a three- to five-page double-spaced paper (excluding title and reference pages), addressing the following:

Define the challenges in designing a Pay for Performance (P4P) program.
Discuss the impacts of P4P on provider payment reform.
Describe the health care providers’ reactions to Value-Based Purchasing Programs.
Determine the benefits of P4P on patients.

The Pay for Performance (P4P) assignment

Must be three to five double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center. (Links to an external site.)Links to an external site.
Must include a separate title page with the following:

Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted

Must include an introduction and conclusion (Links to an external site.)Links to an external site. paragraph.
Must use at least three scholarly, peer-reviewed, and/or other credible sources in addition to the course text.

The Scholarly, Peer Reviewed, and Other Credible Sources (Links to an external site.)Links to an external site. table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment. Be sure to integrate your research (Links to an external site.)Links to an external site. rather than simply inserting it.

Must document all sources in APA style as outlined here (Links to an external site.)Links to an external site. and here (Links to an external site.)Links to an external site..

Must include a separate references page (Links to an external site.)Links to an external site. that is formatted according to APA style as outlined in the Ashford Writing Center. 

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analyze the quality outcomes and/or patient safety measures of a health care entity to determine its successes and failures, identify potential obstacles to the implementation of the measures, and determine what collaborative efforts are needed to create sustainability.

Question Description

Details:

The Quality and Sustainability Paper is a practice immersion assignment designed to be completed in three sections. This is part two of the assignment. Learners are required to analyze the quality outcomes and/or patient safety measures of a health care entity to determine its successes and failures, identify potential obstacles to the implementation of the measures, and determine what collaborative efforts are needed to create sustainability.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that you support your position by referencing at least six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.
  • You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Directions:

Write a 1,250-1,500 word paper that provides the following:

  1. Identify or create a health care entity. (Provide an overall description of this entity without using the real name; i.e. location, size, profit or nonprofit, years in operation). Do not give the real name of any entity or person you are describing.
  2. Using defined quality outcomes and/or patient safety measures, describe the health care entity’s successes and failures. Include identified criteria and data that demonstrate why this entity is successful and in what areas.
  3. Using the quality outcomes data, identify a quality or safety area that nursing science can impact. Describe the specific variables.
  4. Identify potential obstacles that may hinder the implementation of the quality or safety measure.
  5. Identify those groups or leadership roles within the entity with whom you may need to collaborate.
Quality and Sustainability Paper Part Two – Analysis and Application 

1
Unsatisfactory
0.00%2
Less than Satisfactory
74.00%3
Satisfactory
79.00%4
Good
87.00%5
Excellent
100.00%70.0 %Content5.0 %Completed Changes and Corrected Errors to Subsequent Paper, Including Transitions for a Scholarly PaperLearner did not attach previous paper and did not make changes as indicated.N/ALearner attached previous paper and has made changes as indicated. Learner needs to incorporate transitions to connect the ideas between the papersLearner attached previous paper and has made changes as indicated. Learner needs to incorporate better transitions to connect the ideas between the papers.Learner attached previous paper and has made changes as indicated. Learner has includes all necessary transitions to create a scholarly paper.15.0 %Description of Health Care Entity and Identification of Successes and FailuresA heath care entity is not described; the success and failures are not identified.A heath care entity is identified, but a description is not provided. Quality outcomes or patient safety measures are not utilized to identify the success and failures. Criteria and data are not used to substantiate why the entity is successful.A heath care entity is identified and an overall description is provided, but many significant details are missing. The quality measures or patient safety measures utilized fail to accurately identify the successes and failures for the health care entity. Criteria and data do not fully substantiate why the entity is successful, or in what areas.A heath care entity is identified and described, including relevant details. Quality outcomes and /or patient safety measures are utilized to identify the success and failures. Criteria and data are presented that help substantiate why the entity is successful in certain areas.A heath care entity is identified with details that provide insight into the organization. Quality outcomes or patient safety measures clearly define its success and failures. Very detailed criteria and data are presented to substantiate why the entity is successful, and in what areas.20.0 %Identification of Quality or Safety Measure That Nursing Science Can Improve, and Analysis of Supporting DataQuality or safety measure that nursing science can improve is not identified. Analysis of data is not performed.Quality or safety measure that nursing science can improve is suggested, but analysis of data is not performed.Quality or safety measure that nursing science can improve is presented, but analysis of data does not completely support claim.Quality or safety measure that nursing science can improve is presented. Analysis offers support, but more explanation is required to fully demonstrate how data supports claim.Quality or safety measure that nursing science can improve is presented. Analysis is thorough and the data presented supports claim. A very good explanation of the how the data supports the claim is provided.10.0 %Identification of Potential Obstacles to Implementation of Quality or Safety MeasuresPotential obstacles that may hinder implementation of quality or safety measures are not identified.Potential obstacles are identified, but a correlation to how these obstacles will hinder the implication of quality or safety measures is not established.Potential obstacles are identified, but a correlation to how these obstacles will hinder the implication of quality or safety measures is unclear.Potential obstacles are identified. A correlation to how these obstacles will hinder the implication of quality or safety measures is generally established.Potential obstacles are identified. A correlation of how these obstacles will hinder the implication of quality or safety measures is clearly established and shows insight.10.0 %Identification of Stakeholders and Leaders Needed for CollaborationStakeholders needed for collaboration are not identified.Stakeholders needed for collaboration are referenced, but no groups or leaders are identified.Stakeholders needed for collaboration are identified, but the roles of the groups or leaders in the implementation are unclear.Stakeholders needed for collaboration are identified, and the roles of the groups or leaders in the implementation are generally discussed.Stakeholders needed for collaboration are identified, and the roles of the groups or leaders in the implementation are generally discussed.10.0 %Six to Eight Additional Scholarly Research Sources With In-Text CitationsNone of the required elements (minimum of six topic-related scholarly research sources and six in-text citations) are present.Not all required elements are present. One or more elements are missing, or included sources are not scholarly research or topic-related.All required elements are present. Scholarly research sources are topic-related, but the source and quality of one or more references is questionable.All required elements are present. Scholarly research sources are topic-related, and obtained from reputable professional sources.All required elements are present. Scholarly research sources are topic-related, and obtained from highly respected, professional, original sources.20.0 %Organization and Effectiveness7.0 %Thesis Development and PurposePaper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.8.0 %Argument Logic and ConstructionStatement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.10.0 %Format5.0 %Paper Format (use of appropriate style for the major and assignment)Template is not used appropriately or documentation format is rarely followed correctly.Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present.Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct.5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.100 %Total Weightage
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Family Genetic History Guidelines

This assignment is to help you gain insight regarding the influence of genetics on an individual’s health and risk for disease. You are to obtain a family genetic history on a willing, nonrelated, adult participant.

Please only original work will be put in turnitin. NO PLAGIARISM.
Please use the form to fill out the required information and Be sure to read all the criteria for full credit
Family Genetic History Guidelines
Updated 7/2018
Purpose
This assignment is to help you gain insight regarding the influence of genetics on an individual’s health and risk for disease. You are to obtain a family genetic history on a willing, nonrelated, adult participant. NOTE: failing to complete this assignment using an adult participant other than yourself will result in a 20% penalty deduction being applied.
Due Date
The Family Genetic History Assignment is to be submitted at the end of Week 2.
Disclaimer
When taking a family genetic history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do not need to disclose information that they wish to keep confidential. If the adult participant decides not to share information, please write, “Does not want to disclose.” If the client fails to disclose answers to several items, you will need to find another client who is willing to share.
 
Directions
Refer to the examples in Chapter 4 of your textbook that discuss development of a genogram. https://lms.courselearn.net/lms/CourseExport/files/bc33e3e5-a473-47e1-b4e5-8e710be36e74/NR305_Textbook.jpg
Jarvis, C. (2016). Physical examination & health assessment (7th ed.). St. Louis, MO: Elsevier
1. Download the required NR305_Family_Genetic_History_Form (Links to an external site.)Links to an external site.. You will document the adult participant’s family genetic history using this MS Word document.
2. Complete the family genetic history using the information that the adult participant is willing to share with you. The focus of this course is on the normal healthy individual so your paper does not need to contain much medical/nursing detail. Refer to your textbook or the Internet to learn what impact the family’s health history may have on the adult participant’s personal state of wellness both now and in the future. This paper does not require APA formatting, but you are expected to write clearly and use proper grammar and spelling. Developing a pictorial genogram using symbols to identify certain relationships (e.g., divorced, sibling, deceased, etc.), may provide more insight, however, drawing may be difficult to accomplish with MS Word, therefore you are not expected to use symbols, lines, or other drawing elements. Instead, describe the relationships among the various people in the adult participant’s family’s genetic history. Remember, the goal is not to learn how to draw with Word, but to gather information about the family and recognize its significance to the adult participant and that person’s health.
3. You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format.
4. Save the completed form by clicking on Save as and add your last name to the file name, for example, NR305_Family_Genetic_History_Form_Smith.
5. Submit the completed form to the Family Genetic History form by friday, 11:59 p.m. MT at the end of Week 2. Please post questions about this assignment to the weekly Q & A Forums so the entire class may view the answers.
Rubric
NR305_Family_Genetic_History

NR305_Family_Genetic_History
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeFamily Genetic History
Develop a family genetic history that includes the adult participant’s grandparents, parents, the adult participant, the adult participant’s spouse or significant other, and any children that the adult participant may have. You do not need to use symbols or other drawing elements, but instead describe each person mentioned and their relationships. *Please note any areas left blank will be considered missing information and will result in loss of points*
60.0 pts
All required criteria on form included; no errors		 53.0 pts
Three or four generations included in the history; information is provided about each person but lacks detail about relationships and/or health information		 48.0 pts
Two generations included; no relationships described or no health information provided		 23.0 pts
Only one generation included; no relationships described or no health information provided		 0.0 pts
No history; no relationships described or no health information provided
60.0 pts
This criterion is linked to a Learning OutcomeEvaluation of Family Genetic History
Evaluate the impact of the family’s history on the adult participant’s health. For example, if the mother and both her sisters have diabetes, hypertension or cancer, what might that mean for the future health of the adult participant?
30.0 pts
Evaluation complete; thoroughly covers all required elements		 26.0 pts
Evaluation addresses most but not all apparent health risks within the history		 24.0 pts
Evaluation addresses the most apparent health risks within the history.		 11.0 pts
Evaluation address some risks, but not the most apparent ones		 0.0 pts
Evaluation is missing
30.0 pts
This criterion is linked to a Learning OutcomePlanning for Future Wellness
Plan changes based on the evaluation of the adult participant’s family genetic history that will promote an optimal level of wellness both now and in the future.
45.0 pts
Plan for wellness incorporates all areas of risk within the family genetic history, demonstrating critical thinking; addressed all issues identified in the evaluation		 40.0 pts
Plan for wellness demonstrates basic understanding of the family genetic history; addressed all but one of the issues identified in the evaluation		 36.0 pts
Plan for wellness demonstrates basic understanding of the family genetic history; does not address two of the issues identified in the evaluation		 17.0 pts
Plan for wellness exists but does not demonstrate a basic understanding of the family genetic history.		 0.0 pts
Plan for wellness is missing
45.0 pts
This criterion is linked to a Learning OutcomeScholarly Writing
Use proper grammar, spelling, and medical language.
15.0 pts
No grammar, spelling, or syntax errors. Writes in complete sentences.		 13.0 pts
One or two errors of any type		 12.0 pts
Three or four errors of any type		 6.0 pts
More than four errors, but the content can be understood		 0.0 pts
Errors are so great, and the writing so poor, that the content cannot be understood.
15.0 pts
Total Points: 150.0

 

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Summarize the issues facing rural health care providers' efforts to deliver quality care.

Preparation

Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on medical technology used to manage patients post-hospitalization. You will need at least three articles to use as support for your work on this assessment.

Directions

Assume you work in a rural health care center. The facility just received a generous grant from a health care foundation. The funds from this grant must be used to acquire new technologies to foster better health outcomes for residents who live in remote areas. The Director of Nursing has formed a committee to research types of patient care technologies that are available to manage and monitor patients upon their release from care. You have been asked to look into the different types of technologies available for patients who are discharged from the hospital and cannot travel hundreds of miles for frequent follow-up appointments. You were also asked to provide evidence-based research to support your selections.

Write a 3–4 page report for the committee that provides your findings:

  • Summarize the issues facing rural health care providers’ efforts to deliver quality care.
  • Explain the use of information management tools and technologies to monitor and improve outcomes.
  • Recommend three new technologies that improve patient outcomes post-hospitalization, in rural settings.
  • Support your recommendations for new technologies with evidence-based research.

Format this report following current APA style, paying close attention to headings and subheadings, paragraph structure, and proper grammar, spelling, and punctuation.

Additional Requirements

Your report should meet the following criteria:

  • Contain between 750–1000 words (3–4 pages).
  • Include a minimum of 3 references. (These must be recent, from within the past five years.)
  • Be double-spaced in Times New Roman font, 12 point. 
  • apa format
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Nursing Homes Journal Entries Paper

Nursing Homes Journal Entries Paper
Write a one page only. NO APA format. About nursing homes.

  1. What are your upcoming week’s specific learning goals and objectives?
  2. What is your upcoming week’s detailed schedule at your community practice experience placement?
  3. Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates?
  4. Give a brief description of an objective you worked on this week. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you’ve studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices. Nursing Homes Journal Entries Paper.

ORDER A PLAGIARISM-FREE PAPER NOW
Remember, your journal entries are an important aspect of clinical learning as they serve to help you reflect upon and get the most out of your community practice experience. Therefore, your Nursing Homes Journal Entries Paper should include the who, what, where, and when of your community practice experience. Remember, this should simulate a dialogue that would normally take place face-to-face with your community practice experience instructor.

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Give a breif policy analysis of mental health care under he ACA as well as description of how mental health care/services are organized inder the ACA from federal to local levels. (1 page)

This paper is both a policy analysis (Module 1 of the course) and a paper about the organization of health services in the U.S. (Module 2). 1) Give a breif policy analysis of mental health care under he ACA as well as description of how mental health care/services are organized inder the ACA from federal to local levels. (1 page) 2
This paper is both a policy analysis (Module 1 of the course) and a paper about the organization of health services in the U.S. (Module 2). 1) Give a breif policy analysis of mental health care under he ACA as well as description of how mental health care/services are organized inder the ACA from federal to local levels. (1 page) 2) How would you innovatively organize efforts to more fully address depression in your community? (2 pages or more)
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