Question Description

generate, designate, Organize, investigate and, present a Manage Care Control Cost Plan: Under traditional indemnity insurance, the money follows the patient. Patients select health care providers and visit them as they choose. Providers then bill the private insurer or public payer and are reimbursed on a fee-for-service or per case basis

. Introduction (30%) Provide a short-lived outline of the meaning (not a description) of Chapter 9 and 10 and articles you read, in your own words. Types and classifications of managed care models.

2. Manage Care Control Cost Plan: (50%)

a. Cost savings

‘‘Structural changes centered around the expansion of managed care have been the major transformative force in health markets in recent years and have played a major role in restraining growth in health spending’’

b. Provider reimbursement

This complaint has two dimensions: hospital profitability, and physician compensation. As far as hospitals are concerned, administrators are worried about profitability or surplus for reinvestment, and consumers are worried about the threat of hospital closures. Few things stir as much public outcry as the prospect of closing a community hospital.

c. Quality of care

Much recent legislation and many legal reforms havebeen aimed at preventing managed care’s perceivedquality abuses. The Patient Bill of Rights, which hasbeen heavily debated in Congress, defines, amongother things, the rights of consumers with complexconditions to access directly a qualified specialist,continuity of provider for patients who are underregular treatment, and self-referral to certain types ofspecialists.

3. Conclusion (20%)

Quickly recapitulate your thoughts & statement to your critique of the articles and Chapter you read.  How did these articles and Chapters impact your thoughts about Manage Care? What did you learn about manage care and how you will apply all these knowledge?

Evaluation will be based on how clearly you respond to the above, in particular:

a) The precision with which you analyses the articles;

b) The complexity, possibility, and organization of your paper; and,

c) Your conclusions, including a description of the impact of these articles and Chapters on any Health Care Setting.

Assignment: 
Reading 1 material: See attached File
Reading 2 material: go to the links below.
1. https://www.mckinsey.com/business-functions/organization/our-insights/motivating-people-getting-beyond-money
2. https://www.athenahealth.com/insight/when-money-isnt-enough-motivate-doctors
After carefully completing reading 1 and reading 2 materials, use the knowledge to address the following two parts of this assignment.

Part 1 (300 words with APA citations from readings, No new references are needed)
Assume that you are the CHRO of a 450 bed, metropolitan full-service hospital with over 1,800 employees. In spite of ranking at the 50th percentile for wages in the area (there are 3 other hospitals within 10 miles of your facility), morale among employees is at an all-time low. A recent employee survey revealed the poor morale as well as a high rate of burnout. (In fact, 30% of the nursing staff admitted to looking at other jobs.) Staff turnover during the past 2 years has been about twice the previous rate and absenteeism was up 50% over the same time period. The last COO introduced an employee “flex time” plan that saved the hospital 15% on wage costs by sending employees home when the patient census was low. (Of note, 65% of nurses managed to work a 40-hour week last quarter.) 
Employee benefits include a small life insurance policy, a 401k plan (no matching) and health insurance for employees, but not dependents. No other insurance or benefits are currently offered. (80% of employees have a “significant other” and 55% have at least one child between 1 and 12 years old.)
Formulate and discuss a comprehensive plan to improve morale, productivity, and reduce burnout among staff nurses. The CEO has allowed you to address all aspects of employment, including working hours, conditions, compensation and benefits, etc. 

Part 2 (250 words with APA citations from readings, No new references are needed)
Physicians make decisions for (and with!) their patients that account for 75% of all healthcare expenditures. Physicians order diagnostic tests, admit patients to and discharge them from the hospital, perform surgery and other procedures and decide on which treatments/medications are best for their patients. Therefore, managing physician behavior is critical to curbing healthcare costs. Creating incentives to modify physician behavior continues to be the subject of much research (some of it pretty poor, btw).
Do you think money motivates physician behavior as powerfully as it does other healthcare employees? Would it matter if the physician is employed by the hospital or is an independent practitioner? Does fee-for-service reimbursement increase or decrease the motivation money provides to physicians? Support your opinions.

Question Description

PURPOSE

The purpose of this paper is to describe the community health nursing role of the home health nursing in the community setting of your choice. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined.

COURSE OUTCOMES

This assignment enables the student to meet the following Course Outcomes.

• CO5: Analyze the nursing roles in providing comprehensive care in a variety of community health settings. (PO 1)
• CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2)

DUE DATE

Submit by 11:59 p.m. MT Sunday of Week 4.

Points: 200 Points

DIRECTIONS

Watch the tutorial on tips for completing the NR443 Community Settings and Community Health Nursing Roles assignment.

This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the recommended APA Template linked below, which incorporates the following categories as the first level headings on your paper. APA formatting helps you to organize your paper in a professional manner and provides consistent methods for citing your sources and completing your reference page. See the documents in the APA category in Course Resources for assistance with APA formatting. The Student Success Strategies resource has great sections on writing scholarly papers and APA formatting.

1. The role for this paper must be on Home Health Nursing (not including hospice).
2. Click to view and download the NR443 Community Settings APA Template (Links to an external site.)Links to an external site. to complete your paper. The template is formatted with the appropriate running head, title page, page numbers, paragraph formatting, and most of the headings. Please edit the headers and title page with your specific information. You are also encouraged to view the Week 4 assignment tutorial found at the end of the Academic Integrity Reminder.
3. Read the chapter of your textbook on the role and take notes based on the outline below.
4. Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the Chamberlain library at http:/library.chamberlain.edu (Links to an external site.)Links to an external site.. Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).
5. Thoroughly address the following categories using the APA Template that is provided.

• Introduction (one paragraph):

• The introduction should be interesting and capture the reader’s attention.
• Introduce the assigned community health nurse role and a community setting where this nurse may work.
• Introduce your community and where/how this CHN role is utilized in your community
• Identify population(s) served by this role in your community
• Include a purpose statement
• Community Setting (two to three paragraphs)

• Describe a practice setting for the assigned CHN role.
• Describe the population(s) served in this setting.
• Discuss three health services provided by the assigned CHN role in this setting.
• You may use your textbook or an outside scholarly source to address these sub-points.
• Health Promotion Nursing Intervention (two to three paragraphs)

• Describe in detail health promotion intervention(s) of the assigned CHN role specific to the community setting identified.
• Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.
• Include one peer-reviewed journal article discussed that clearly relates to nursing health promotion intervention.
• Professional Nursing Organization (two paragraphs)

• Provide a detailed description of a professional nursing organization that supports nurses in this role in your own words. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.
• Discuss one professional issue that this organization is addressing related to this CHN role.
• Summary (one paragraph)

The summary reiterates key points about:

• The CHN role and community setting
• Health promotion intervention
• Professional organization
• Includes a concluding statement.
• Reference Page:The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Course Resources for examples of properly formatted references.

Guidelines

The setting for this paper must be on Home Health Nursing (Not including hospice).

• Application: Use Microsoft Word 2010™ or later to create this assignment on the template provided.
• We highly recommend that you used the specific APA paper template for this assignment linked above as the headings are already included.
• Scholarly Writing: APA format is required. Review APA documents Course Resources, and use the free resources of tutor.com for writing tutors.
• Length: This paper is expected to be no more than 4 pages in length (not including the title page and reference list).
• Quotations should be minimal—please paraphrase your sources. A maximum of one quotation should be used for this paper.
• Save your paper with your last name in the document title (e.g., Smith Community Settings).
• Submission: Submit your paper by 11:59 p.m. MT Sunday of Week 4.
• Late Submission: See the course policy on late submissions.

Best Practices in Preparing the Paper

The following are best practices in preparing this project.

• Follow the guidelines above carefully.
• Use only the assigned CHN role
• Complete you own work.
• Use the provided APA assignment specific template.
• Ask you instructor if you have any questions.
• Visit the SSPRNBSN Student Success resource for help with writing a scholarly paper, APA formatting, and library navigation. This should be one of your course tiles.
• Use the 1st column of the grading rubric to make sure all elements of the paper are addressed.
• Cite all sources within the paper as well as on the reference page.
• Proofread prior to final submission.
• Check for spelling and grammar errors prior to final submission with Grammarly.com or the free tutor available through the Tutoring link in the course.

nursing leadership

• Reflect on your personal current sense of power within your organization and the profession;
• Do a self–assessment of your leadership skills by doing the How Good are your Leadership Skills? assessment at http://www.mindtools.com/pages/article/newLDR_50.htm
  • How did you score? You do need not to reveal this in your paper, but hopefully it will guide you in how to apply the concepts to your own situation.
• Reflect on your motivation for increasing your power within your organization and/or within the nursing profession.
• Do a self–assessment of your leadership motivation by doing the assessment The Leadership Motivation Assessment found at http://www.mindtools.com/pages/article/newLDR_01.htm
  • Again, it is not necessary to post your score but hopefully it will guide you in how to discuss your motivation at this point in time.
• Review the information on power in the Learning Resources and conduct additional research on your own to examine strategies that seem relevant and worthwhile for helping to enrich your power as a nurse leader.
• Identify specific strategies you can use to develop and leverage sources and types of power to achieve desired outcomes.

To Complete

Write a 2– to 3–page paper, not including the cover and Reference page, describing:

• A self–assessment of your current sense of power within your organization and the profession;
• A self–assessment of your motivation for increasing your power base;
• Write a detailed plan for enhancing your power as a nurse and a leader–manager, including specific strategies for achieving that plan.  Be sure to include strategies for mobilizing the power of nursing for social change, empowering others, and building a personal power base.