distinguish the factors that are most important in carrying out a successful health care organization’s merger or acquisition. Defend at least two (2) reasons why health care organization alliances are sometimes necessary. Provide a rationale for your response.

Dispute or defend the idea that a government regulation system should be the main regulating body in health care. Predict two (2) consequences of the alternative regulating system being in control. Provide a rationale for your response.

This is discussion questions just need a paragraph for each question with referance

Q2

A lower percentage of African Americans and Hispanics report being satisfied with the quality of their healthcare than Caucasians. In the light of this, answer the questions that follow: • Discuss at least three factors influencing differences in the rates of satisfaction with quality of healthcare among African Americans and Hispanics. • Explain how differences in the healthcare received by people contribute to disparities in health. • Identify at least three strategies that can overcome these differences in care. Justify your responses by citing at least two scholarly sources. Support your responses with examples. In addition, respond to the following questions: • Explain why health indicators are an important tool in public health. • What are the leading health indicators as identified by Healthy People 2020? • Describe how organizations across the nation are addressing these priority health topics.

INDU 6121: Assignment 2 Submission Deadline: Friday, November 20th. In this assignment, you need to implement and solve the given models by IBM CPLEX Optimization Studio (OPL). You need to consider a maximum time limit of 30 minutes in solving the given problems. For each problem, some data are given in an Excel file. After solving the problem, you need to report these details:
1- Solution time 2- The obtained objective value 3- The obtained solution
Note that for this assignment, you are not allowed to you the Excel Solver.
You need submit the hard and soft copy including this information:
1- Hard/Soft copy: a. OPL codes for each part of each question separately. On the top of each page, specify
the question and its corresponding part (a, b, c, d, etc). b. The outputs (Solution time, The obtained objective value, The obtained solution)
For the soft copy, you need to submit the original OPL files in addition to the report file. Do not just copy and paste the code in word and make it pdf. The marker will check your code. You can submit only one .rar or .zip file including OPl codes and pdf of your report. The name of this file must Your_Student_ID.rar or Your_Student_ID.zip.
 
Question 1- This question is about the Factory Planning problem that is explained in the slides of the course. In the general case of this problem, products 𝐼𝐼 = {1, … , |𝐼𝐼|} must be produced using processes 𝐽𝐽 = {1, … , |𝐽𝐽|}. The following parameters and variable are used by an operations research analyst to formulate the problem:
Parameters: 𝑑𝑑𝑖𝑖 : The market limit for product 𝑖𝑖. 𝑝𝑝𝑖𝑖 : The per-unit profit for selling product 𝑖𝑖. 𝑏𝑏𝑗𝑗 : The total available time for process 𝑗𝑗 (in hour) 𝑎𝑎𝑖𝑖𝑗𝑗 : The required time of process 𝑗𝑗 for one unit of product 𝑖𝑖 (in hour)
 
Variables: 𝑥𝑥𝑖𝑖 : The number of product 𝑖𝑖 produced and sold in the market.
 
Using this notation, the following model is proposed by the operations research analyst.
 
 
𝑚𝑚𝑎𝑎𝑥𝑥 �𝑝𝑝𝑖𝑖𝑥𝑥𝑖𝑖 𝑖𝑖∈𝐼𝐼
(1)
�𝑎𝑎𝑖𝑖𝑗𝑗𝑥𝑥𝑖𝑖 𝑖𝑖∈𝐼𝐼
≤ 𝑏𝑏𝑗𝑗 𝑗𝑗 ∈ 𝐽𝐽 (2)
0 ≤ 𝑥𝑥𝑖𝑖 ≤ 𝑑𝑑𝑖𝑖 𝑖𝑖 ∈ 𝐼𝐼 (3) 𝑥𝑥𝑖𝑖 integer 𝑖𝑖 ∈ 𝐼𝐼 (4)
 
The data for this problem are given in Factory_Planning.xlsx.
Question 1-Part a) Report the Solution time, the obtained objective value, and the obtained solution.
Question 1-Part b) The business owner has realized that she has two options;
1) pay $10,000 to have 10% more available time for the available time of process 1. 2) Stick the available times for processes as in the previous part of the question and do not pay
anything.
Which option do you recommend to the business owner?
 
Question 2- This question is about the Production planning problem with setup cost that is already discussed in the slides of the course. In the general case of this problem that we discussed in Quiz 1, different types of products 𝐾𝐾 = {1, … , |𝐾𝐾|} must be produced to cover the demands over a planning horizon 𝑇𝑇 = {1, … , |𝑇𝑇|} . The following parameters and variable are used by an operations research analyst to formulate the problem:
Parameters: 𝑑𝑑𝑘𝑘𝑘𝑘 : The demand of product 𝑘𝑘 in period 𝑡𝑡. 𝑝𝑝𝑘𝑘𝑘𝑘 : The per-unit production cost of product 𝑘𝑘 in period 𝑡𝑡. 𝑞𝑞𝑘𝑘𝑘𝑘 : The setup cost of producing product 𝑘𝑘 in period 𝑡𝑡. ℎ𝑘𝑘𝑘𝑘 : The per-unit holding cost of product 𝑘𝑘 in period 𝑡𝑡. 𝑎𝑎𝑘𝑘 : The initial inventory of product k at the beginning of planning horizon. 𝐶𝐶 : The limited capacity of the warehouse (in terms of m³). 𝑒𝑒𝑘𝑘 : The required space for one unit of product 𝑘𝑘 (in terms of m³).
 
Variables: 𝑥𝑥𝑘𝑘𝑘𝑘 : The amount of product 𝑘𝑘 to be produced in period 𝑡𝑡. 𝑠𝑠𝑘𝑘𝑘𝑘 : The inventory level of product 𝑘𝑘 at the end of period 𝑡𝑡. 𝑦𝑦𝑘𝑘𝑘𝑘 : 1 if product k is produced in period t, 0 otherwise.
Using this notation, the following model is proposed by the operations research analyst.
𝑚𝑚𝑖𝑖𝑚𝑚��𝑝𝑝𝑘𝑘𝑘𝑘𝑥𝑥𝑘𝑘𝑘𝑘 𝑘𝑘∈𝑇𝑇𝑘𝑘∈𝐾𝐾
+ ��𝑞𝑞𝑘𝑘𝑘𝑘𝑦𝑦𝑘𝑘𝑘𝑘 𝑘𝑘∈𝑇𝑇𝑘𝑘∈𝐾𝐾
+ ��ℎ𝑘𝑘𝑘𝑘𝑠𝑠𝑘𝑘𝑘𝑘 𝑘𝑘∈𝑇𝑇𝑘𝑘∈𝐾𝐾
(1)
𝑠𝑠𝑘𝑘(𝑘𝑘−1) + 𝑥𝑥𝑘𝑘𝑘𝑘 = 𝑑𝑑𝑘𝑘𝑘𝑘 + 𝑠𝑠𝑘𝑘𝑘𝑘 𝑡𝑡 ∈ 𝑇𝑇,𝑘𝑘 ∈ 𝐾𝐾 (2)
𝑠𝑠𝑘𝑘0 = 𝑎𝑎𝑘𝑘 𝑘𝑘 ∈ 𝐾𝐾 (3)
 
 
𝑥𝑥𝑘𝑘𝑘𝑘 ≤ 𝑀𝑀𝑘𝑘𝑘𝑘𝑦𝑦𝑘𝑘𝑘𝑘 𝑡𝑡 ∈ 𝑇𝑇,𝑘𝑘 ∈ 𝐾𝐾 (4) �𝑒𝑒𝑘𝑘𝑠𝑠𝑘𝑘𝑘𝑘 𝑘𝑘∈𝐾𝐾
≤ 𝐶𝐶 𝑡𝑡 ∈ 𝑇𝑇 (5)
𝑦𝑦𝑘𝑘𝑘𝑘 ∈ {0,1}
𝑡𝑡 ∈ 𝑇𝑇,𝑘𝑘 ∈ 𝐾𝐾 (6)
𝑥𝑥𝑘𝑘𝑘𝑘 , 𝑠𝑠𝑘𝑘𝑘𝑘 ≥ 0
𝑡𝑡 ∈ 𝑇𝑇,𝑘𝑘 ∈ 𝐾𝐾 (7)
In the above model, 𝑀𝑀𝑘𝑘𝑘𝑘 is the big-M value (9999999999).
The data for this problem are given in Inventory_problem.xlsx.
Question 2-Part a) Considering 𝑀𝑀𝑘𝑘𝑘𝑘 = 9999999999, report the Solution time, the obtained objective value, and the obtained solution.
Question 2-Part b) Considering 𝑀𝑀𝑘𝑘𝑘𝑘 = ∑ 𝑑𝑑𝑘𝑘𝑘𝑘′𝑘𝑘′∈𝑇𝑇:𝑘𝑘′≥𝑘𝑘 , report the Solution time, the obtained objective value, and the obtained solution. Note that 𝑀𝑀𝑘𝑘𝑘𝑘 = ∑ 𝑑𝑑𝑘𝑘𝑘𝑘′𝑘𝑘′∈𝑇𝑇:𝑘𝑘′≥𝑘𝑘 is not a constraint in the model. In fact, here we are tuning the values of 𝑀𝑀𝑘𝑘𝑘𝑘 with the hope that the model finds the solution faster. Question 2-Part c) The business owner has realized that he has two options;
1) pay $100,000 to increase the capacity of the warehouse by 10%. So, if he chooses this option the new capacity will be 1.1𝐶𝐶.
2) Does not pay this extra cost and stick the current warehouse and the obtained solution.
Which option do you recommend to the business owner?
 
Question 3- This question is about the Capacitated Facility Location Problem that is explained in the slides of the course. In a general case of this problem, different types of products 𝐾𝐾 = {1, … , |𝐾𝐾|} must be produced in facilities 𝐼𝐼 = {1, … , |𝐼𝐼|} and shipped to customers 𝐽𝐽 = {1, … , |𝐽𝐽|}. The following parameters and variable are used by an operations research analyst to formulate the problem:
Parameters: 𝑓𝑓𝑖𝑖 : The fixed cost of opening a facility at location 𝑖𝑖 ∈ 𝐼𝐼. 𝑐𝑐𝑘𝑘𝑖𝑖𝑗𝑗 The per-unit transportation cost of product 𝑘𝑘 from facility 𝑖𝑖 to customer 𝑗𝑗. 𝑑𝑑𝑘𝑘𝑗𝑗 : The demand of product 𝑘𝑘 by customer 𝑗𝑗. 𝑢𝑢𝑖𝑖 : The production capacity of facility 𝑖𝑖. 𝑎𝑎𝑘𝑘𝑖𝑖 : Amount of production capacity usage for one unit of product k in facility 𝑖𝑖.
 
Variables: 𝑧𝑧𝑖𝑖 : 1 if a facility is open at location 𝑖𝑖, 0 otherwise. 𝑥𝑥𝑘𝑘𝑖𝑖𝑗𝑗 : The amount of product 𝑘𝑘 shipped from facility 𝑖𝑖 to customer 𝑗𝑗.
Using this notation, the following model is proposed by the operations research analyst.
𝑚𝑚𝑖𝑖𝑚𝑚���𝑐𝑐𝑖𝑖𝑗𝑗𝑘𝑘𝑥𝑥𝑘𝑘𝑖𝑖𝑗𝑗 𝑗𝑗∈𝐽𝐽𝑖𝑖∈𝐼𝐼𝑘𝑘∈𝐾𝐾
+ �𝑓𝑓𝑖𝑖𝑧𝑧𝑖𝑖 𝑖𝑖∈𝐼𝐼
(1)
 
 
�𝑥𝑥𝑘𝑘𝑖𝑖𝑗𝑗 𝑖𝑖∈𝐼𝐼
= 𝑑𝑑𝑘𝑘𝑗𝑗 𝑗𝑗 ∈ 𝐽𝐽,𝑘𝑘 ∈ 𝐾𝐾
(2)
��𝑎𝑎𝑘𝑘𝑖𝑖𝑥𝑥𝑘𝑘𝑖𝑖𝑗𝑗 𝑗𝑗∈𝐽𝐽𝑘𝑘∈𝐾𝐾
≤ 𝑢𝑢𝑖𝑖 𝑖𝑖 ∈ 𝐼𝐼 (3)
𝑥𝑥𝑘𝑘𝑖𝑖𝑗𝑗 ≤ 𝑀𝑀𝑘𝑘𝑖𝑖𝑗𝑗𝑧𝑧𝑖𝑖 𝑡𝑡 ∈ 𝑇𝑇,𝑘𝑘 ∈ 𝐾𝐾 (4) 0 ≤ 𝑥𝑥𝑘𝑘𝑖𝑖𝑗𝑗 ≤ 𝑑𝑑𝑘𝑘𝑗𝑗 𝑘𝑘 ∈ 𝐾𝐾, 𝑖𝑖 ∈ 𝐼𝐼, 𝑗𝑗 ∈ 𝐽𝐽 (5) 𝑧𝑧𝑖𝑖 ∈ {0,1}
𝑡𝑡 ∈ 𝑇𝑇,𝑘𝑘 ∈ 𝐾𝐾 (6)
In (1), the objective function minimizes the total transportation of products plus the opening cost of facilities. Constraint (2) implies that demand of customer 𝑖𝑖 for product 𝑘𝑘 must be satisfied by the shipments from different facilities. Constraint (3) implies that the total production capacity in each facility is limited. Constraint (4) ensures that we can have production in a facility if that facility is open.
In the above model, 𝑀𝑀𝑘𝑘𝑖𝑖𝑗𝑗 is the big-M value (9999999999).
The data for this problem are given in Extended_CFLP.xlsx.
Question 3-Part a) Considering 𝑀𝑀𝑘𝑘𝑖𝑖𝑗𝑗 = 9999999999, report the Solution time, the obtained objective value, and the obtained solution.
Question 3-Part b) Considering 𝑀𝑀𝑘𝑘𝑖𝑖𝑗𝑗 = min ( 𝑢𝑢𝑖𝑖 𝑎𝑎𝑘𝑘𝑖𝑖
,𝑑𝑑𝑘𝑘𝑗𝑗), report the Solution time, the obtained objective
value, and the obtained solution. Note that 𝑀𝑀𝑘𝑘𝑖𝑖𝑗𝑗 = min ( 𝑢𝑢𝑖𝑖 𝑎𝑎𝑘𝑘𝑖𝑖
,𝑑𝑑𝑘𝑘𝑗𝑗) is not a constraint in the model. In
fact, here we are tuning the values of 𝑀𝑀𝑘𝑘𝑖𝑖𝑗𝑗 hoping that the model finds the solution faster.
Question 3-Part c) The business owner has realized that he has two options;
1) pay $300,000 to another company to satisfy the demands of all customers for product type 5. In this case, the business owner is not responsible to the transportation cost of that product, but must still minimize the total transportation cost of other products and also the opening of the facilities.
2) Does not pay this extra cost and stick the current plan and the obtained solution.
Which option do you recommend to the business owner?
 
Question 4- This question is about the Budgeted maximum coverage problem that is already explained in the slides of the course. The following parameters and variable are used by an operations research analyst to formulate the problem:
Sets: 𝐽𝐽 : The set of fire stations. 𝐼𝐼 : The set of communities.
 
Parameters: 𝑐𝑐𝑗𝑗 : The cost of opening fire station 𝑗𝑗.
 
 
𝐵𝐵 : The total available budget for opening fire stations. 𝑎𝑎𝑖𝑖𝑗𝑗 : 1 if fire station 𝑗𝑗 covers community 𝑖𝑖.
 
Variables: 𝑥𝑥𝑗𝑗 : 1 if fire station 𝑗𝑗 is opened; 0 otherwise. 𝑦𝑦𝑖𝑖 : 1 if community 𝑖𝑖 is covered, 0 otherwise.
Using this notation, the following model is proposed by the operations research analyst.
𝑚𝑚𝑎𝑎𝑥𝑥�𝑦𝑦𝑖𝑖 𝑖𝑖∈𝐼𝐼
(1)
�𝑐𝑐𝑗𝑗𝑥𝑥𝑗𝑗 𝑗𝑗∈𝐽𝐽
≤ 𝐵𝐵 (2)
𝑦𝑦𝑖𝑖 ≤�𝑎𝑎𝑖𝑖𝑗𝑗𝑥𝑥𝑗𝑗 𝑗𝑗∈𝐽𝐽
𝑖𝑖 ∈ 𝐼𝐼
(3)
𝑥𝑥𝑗𝑗 ∈ {0,1} 𝑗𝑗 ∈ 𝐽𝐽 (4) 𝑦𝑦𝑖𝑖 ∈ {0,1} 𝑖𝑖 ∈ 𝐼𝐼 (5)
 
The data for this problem are given in Budgeted_maximum_coverage_problem.xlsx.
What are the optimal solution and the optimal objective value?

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/
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:

  1. Identify the key audit objectives for a client’s payroll function. Comment on objectives related to tests of controls and substantive audit procedures.
  2. What internal control weaknesses were evident in the Dodgers’ payroll system?
  3. Identify audit procedures that might have led to the discovery of the fraudulent scheme masterminded by Campos.

RUBRIC ATTACHED.

  • attachment

    Acct573Week2CaseAnalysisRubric.docx

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:

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 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)

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. 

 600 words Response Paper. Due in 2 days. MLA format

Instructions

First, make sure to review the information about response papers in the module before week 6, which includes the following materials:

Then, Read:

  1. Nash, “The Tricolored American Revolution” Ch. 11 in Red, White and Black, (pp. 221-242)
  2. Abigail Adams, John Adams, and Mercy Otis Warren Discuss ‘Remembering the Ladies,’ 1776Preview the document

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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    WritingaThesisinaHistoryPaper_UnitedStatesHistoryto1877.pdf
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    AbigailAdamsJohnAdamsandMercyOtisWarrenDiscussRememberingtheLadies1776.pdf
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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 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).
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