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 Cost and Quality in U.S. Health Care

Within the Discussion Board area, write 500–700 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

From 1998–2003, the following important reports were published:

The Urgent Need to Improve Healthcare Quality by M. R. Chassin and R. W. Galvin.

To Err Is Human: Building a Safer Health System by L. T. Kohn, J. M. Corrigan, and M. S. Donaldson.

Crossing the Quality Chasm: A New Health System for the 21st Century by the Committee on Quality Health Care in America

National Healthcare Quality Report by the Agency for Healthcare Research and Quality

Complete the following for this assignment:

  1. Choose 1 of those reports, and describe its impact on the quality of health care in the United States.
  2. How could you use the concepts of the report that you chose to assess and subsequently improve the quality of health care in your health care organization?

Note: Use APA style to cite at least 2 scholarly sources from the last 5 years in addition to the chosen report.. 500-700 words APA Format…

Install the Easycpu ENIAC package on a Windows platform. It can be installed on a Windows 10 VM.
You can download the file from here:
https://sourceforge.net/projects/eniac/
Or, you could download the attached file: fattoriable.eniac.
Click <File>, <New> and point to the folder that contains the assembly code fattoriable.eniac.
You may need to download JAVA, and then run the command listed in the readme file (from the zip file you downloaded).
https://www.java.com/en/download/win10.jsp
Click <File>, <New> and point to the folder <example> that contains the assembly code fattoriable.eniac.
The program should be loaded in ASCII. If not, click the menu <cpu>, <address format>, then <symbol>. It should look as below.
Hexadecimal              ASCII
===========          ===== ===
200003                     JUMP 3
6                                6
1                                1
a02001                      LOAD @1
b88001                      STORE BX
c02002                      SUB @2
2b000c                      JZ 12
b88006                     STORE CX
f08001                      MUL BX
b88001                     STORE BX
a08006                     LOAD CX
200005                    JMP 5
10000                      HLT
Explanation:
(0) address starts at 0x2000, but PC=3 (address 0x2003)
(1) stack 1 (@1) has value 6
(2) stack 2 (@2) has value 1
(3) command load (0xa0) from 0x2001 to register AX (AX=6), PC=4 (address 0x2004)
(4) command store (0xb8) the value in 0x2001 to register BX at 0x8001 (BX=6), PC=5(address 0x2005)
(5) command substract (0xc0) the value 1 in 0x2002 from the register AX, PC=6 (address 0x2006)
(6) command jump (0x2b) to 0xC=12 if the result in AX is zero, PC=7 (address 0x2007)
(7) command store (0xb8) the value into register CX at 0x8006 (CX=5), PC=8 (address 0x2008)
(8) command mul (0xf0) the value of register AX by the value in register Bx at 0x8001, AX=5*6=30, PC=9 (address 0x2009)
(9) command store (0xb8) the value of register AX in register BX at 0x8001 (Bx=30),
PC=10 (address 0x200a)
(10) command load (0xa0) the value in register CX at 0x8006 to register AX (AX=CX=5), PC=11 (address 0x200b)
(11) command jump (0x20) to address 0x5 (0x2005), PC=5 (address 0x2005)
(12) command halt (0x1) is exit. The program looped 6 times to exit.
When exit, AX=0, BX=720, CX=1, DX=0, PC=12,
CA = SI= OV = 0, ZE = EV = 1
Lab exercise:
Q1. Click menu <CPU>, then select <step by step>. Use this function to step through the assembly code.
After the statement in address 11 is first executed, what are the value of registers AX, BX, CX,
DX, and PC? Explain the function of AX, BX, CX, DX, and PC.
A1:
Q2. After statement 11 is first executed, what is the next statement to be executed? Can you tell
what statements 5 through 11 are doing in a simple statement?
A2:
Q3: How many times are statements 5 and 6 executed before statement 12 is executed?
How can you tell, if you don’t step through it? Which register or memory location can allow you to determine that value without stepping through all codes till exit?
A3:
Please review Chapter 4’s section concerning Porter’s 5 Forces, read the Forbes article Porter or Mintzberg: Whose View of Strategy Is the Most Relevant Today? (Links to an external site.) (Moore, 2011) and view the required You Tube video Five Competitive Forces That Shape Strategy (Links to an external site.), regarding Porter’s five forces. In the video, Mr. Porter discusses how Porter’s Five Forces Analysis is an important tool for assessing the potential for profitability in an industry. As an example, Mr. Porter applied these five forces to the airline industry. Think of another industry where profitability is low. In an initial post of at least 250 words, apply the five forces to your chosen industry and demonstrate how those forces can lower profitability.

Name two different methods for evaluating evidence. Compare and contrast these two methods.

Assignment:
Financing Healthcare
Consider how compensation for healthcare services shape delivery of care and reflects policy and policy changes and write a paper that addresses the bullets below. Be sure to completely address each bullet point. There should be four (4) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Include a “Conclusion” section that summarizes all topics. This assignment will be at least 1250 words.
This week you will reflect upon accountability in healthcare finance to address the following:
· Discuss the history of private health insurance and manage care and how it involved into a healthcare industry?
· Identify the key federal laws that protect individuals who are enrolled in private insurance.
· Briefly discuss consumer-driven healthcare and the empowerment of the healthcare consumer.
· Explore the opportunities which have emerged for nurses within the private insurance market.
Assignment Expectations
Length: 1250-1500 words in length
Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment. Your essay must include an introduction and a conclusion.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

Policy Analysis Paper
Purpose: To investigate & integrate knowledge of advanced nursing practice, scholarly
inquiry, & leadership by examining a policy at the level of clinical practice, health care
systems, or public/social health policy. Submit a paper between 7-10 pages
long excluding title page and reference pages. Paper must be organized according to the
guidelines below and should include all the identified sections as required. Paper must be
completed in APA format and contain current scholarly sources dated from 2010 until
current.
Introduction
3 points

▪

 Generally define & describe the policy issue to be addressed.

▪

 Identify the purpose of analysis, the targeted level of policy (i.e., clinical
practice, health care systems, or public/social health) & significance of topic.

▪

 Identify questions the policy analysis is intended to address.
Background
3 points

▪

 Provide details of the issue or problem, including its nature/scope, relevant
literature & history, & the context within which the issue exists.

▪

 Describe existing policy addressing the issue, if any.

▪

 Discuss strengths & shortcomings in existing policy.

▪

 Identify & describe key stakeholders (individuals & groups) that are or will
be affected by the policy & why.
Analysis
9 points

▪

 Identify alternative policies to achieve objectives.

▪

 Establish/identify criteria that will be used for selection of “best” policy.

▪

 Evaluate each alternative & its potential impact relative to the healthcare &
patient outcomes.

▪

 Assess the trade-offs between alternatives.
Recommendations
6 points

▪

 Based on the analysis, identify the “best” alternative to address the current
issue & policy situation.

▪

 Provide rationale forselection.

▪

 Describe possible strategies to implement selected alternative.

▪

 Identify barriers to implementation of selected alternative.

▪

 Describe methods to evaluate policy implementation.
Discussion
6 points

▪

 Discuss analysis & recommendations relative to the original questions
identified, & the level of policy it is intended to address (i.e., clinical
practice, health care systems, or public).

▪

 Identify limitations of analysis.

▪

 Discuss implications for practice, education, research, & policy-making.
Conclusion
1.5 points

▪

 Summarize findings & recommendations of analysis

▪

 Identify questions to be addressed in future studies or policy analyses.
References
1.5 points

▪

 List all references cited in paper. Must be completed in APA format.
Appendices 

▪

 Table displaying results of analysis, including, for example, a list of
alternatives & the degree to which each alternative may be most
effective. Other tables & appendices as needed to support analysis.
Must pass through TURNIT IN

In a paper of 700+ words, describe the relationship between health care cost and quality. Address the following:

1. Select one public agency (Agency for Healthcare Research and Quality) and one private agency (The Joint Commission) and differentiate their roles and major activities in addressing cost and quality in health care. 

2. Analyze current and projected initiatives to improve quality while simultaneously controlling costs. Describe any unintended consequences.

3. Synthesize implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality.

 APA Format 2+ references

Research fixed and growth mindsets in scholarly peer reviewed journals. Write 500 words explaining what each is.  Evaluate yourself, do you think you have a growth mindset or fixed?  This assignment allows you to use first person.  You can say things like “I have a fixed mindset because I focus on grades rather than on mastering the material.” If you find that you are in a fixed mindset, what can you do to shift to a growth mindset?
For all paragraphs that do not include your opinion, self-assessment, or steps that you plan to take to shift your mindset, you must use references and citations.
Ensure you use citations and references to avoid plagiarism. Do use any sources other than those which you include in your references.  Ensure that all references are cited.
Use APA 7th edition.
Be aware that if you plagiarize during this assignment it will be dealt with as outlined in UC’s policies.