Describe how hospitals have used vertical and horizontal integration to respond to changes in the health care environment.

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HSA 405

Please answer all questions.

  1. (15 points). In the years following World War II the number of hospital beds in the United States increased. Recently the total number of beds has been declining each year. Explain the reason for the increase and then explain factors causing the current decline.

 

  1. (10 points). List the market forces that caused the large increase in ambulatory services. Consider the view of both consumers and health care organizations.
  1. (5 points). From a physician’s point of view list four advantages of a group practice compared to a solo practice.
  1. (10 points). Define these three terms frequently used in the field of health insurance:
    1. Deductible
  1. Co-payment
    1. Co-Insurance
  2. (10 points). The text points out that medical insurance does not cover mental health as well as general health services. Discuss the issue of the lack of parity for mental health and suggest the causes of the problem.

 

  1. (10 points). Today in most countries long-term care is considered to cover more than just nursing homes. Describe the meaning of our textbook chapter title, “The Continuum of Long-term Care”. Currently what is considered “long-term care”?
  1. Traditional nursing home care can cost over $8,000 per month. Discuss alternatives to traditional nursing home care. Discuss the payment sources for “traditional nursing homes” and the alternatives.

 

  1. Briefly discuss the history of hospitals. Based upon this history and current trends in medical systems, how do you think hospital will change in the next 10 years.

 

  1. Describe how hospitals have used vertical and horizontal integration to respond to changes in the health care environment.

 

  1. Why has there been a large increase in ambulatory services, and how has this affected other parts of the health care delivery system?

 

  1. Discuss the current role of the federal government in public health activities.

Discuss how collaboration can lead to improved patient outcomes

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This assignment is a formal paper. This includes: APA format, title page, headings, literature review, proper citation per APA, logical sequence, conclusions, clarity, understanding of the topic, and reference list. The paper should be 5 pages in length excluding the title page and reference page. The paper must demonstrate independent ideas and conclusions. At a minimum, the following topics must be well articulated in the paper. Remember that discussion of each topic requires citations that are current (less than 4 years old) and relevant. Please refer to the grading rubric for how your paper will be graded.

  • Explain how multidisciplinary collaboration can affect clinical decision making.
  • Discuss how collaboration can lead to improved patient outcomes.
  • Discuss how lack of collaboration can lead to poor patient outcomes.
  • Identify three barriers to professional collaboration among healthcare professionals and patients?
  • What are the five best ways to promote professional collaboration in pediatric primary care?
  • How can the nurse practitioner encourage and support collaboration among the patient, family, caregivers, and healthcare professionals?

I HAD ATTACHED THIS ASSIGNMENT ALREADY DONE, HOWEVER ITS TO GIVE U AN IDEA AND FOLLOW IT. ALSO GRADING RUBRIC IS ATTACHED.

How can healthcare standards be standardised

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Prepare a summary brief (10-12 pages) for senior leaders on how Joint Commission accreditation helps the organization comply with regulatory requirements, improve quality, and meet stakeholder needs. Include a recommendation about other accrediting bodies that might benefit the organization.

SCORING GUIDE MUST BE FOLLOWED TO THE LETTER

APA FORMAT

Resources:

Standards

  • Shaw, C. D. (2015). How can healthcare standards be standardised? BMJ Quality & Safety, 24(10), 615–619.

Voluntary Accredidation

  • Wickersham, M. E., & Basey, S. (2016). Is accreditation sufficient? A case study and argument for transparency when government regulatory authority is delegated. Journal of Health and Human Services Administration, 39(2), 245.

Joint Commission Standards

  • CMS reg in limbo, but Joint Commission standard kicks in. (2018). Hospital Infection Control & Prevention, 45(1).
  • Murray, K. (2016). Leadership Q&A.; The Joint Commission patient safety standards. Nursing Management, 47(1), 56.
  • Murray, K. (2016). The Joint Commission patient safety standards. Nursing Management, 47(1), 56.
  • Stern, G. (2017). Using a scientific approach to meet Joint Commission AEM standards. Biomedical Instrumentation & Technology, 51(2), 157–162.

Analyze two or more defining characteristics of the U.S. health care system

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International Comparison of Health System Characteristics

Note: Before completing this Discussion, please familiarize yourself with the Week 6 Discussion Rubric located in the Course Information area of the course navigation menu.

How does the U.S. health care delivery system compare with other countries’ health care delivery systems? What is the relationship of a country’s economic resources to health outcomes? How does the funding of services influence access to care? How does government involvement in health care delivery inform the patient/consumer experience?

There are no simple answers to the questions above. Yet, health care administrators must engage in thoughtful, ongoing inquiry into questions such as these in order to gain a well-rounded perspective on health care delivery. In this week’s Assignment, you will analyze and compare data to deepen your understanding of the U.S. health care delivery system, as well as other health care delivery systems around the world. Your examination of data can provide valuable insights, but it is also important to consider the context surrounding health care expenditures and outcomes. In this Discussion, you will examine health system characteristics, such as government involvement and funding of health care delivery in the United States and other nations.

For this Discussion and this week’s Assignment, select two countries to compare with the United States in terms of health care (i.e., compare the samecountries in both the Discussion and Assignment). One country must be a developed country, and the other must be considered a developing (low- or middle-income) country: as much as possible, select countries that are of similar size. To identify the development level of countries, use the following resources found in this week’s Learning Resources:

  • The International Statistical Institute: Developing Countries
  • World Bank: Country and Lending Groups

Next, review the information in the Learning Resources related to health system characteristics, particularly Chapter 1 in the Shi and Singh textbook. Research the characteristics of the U.S. health care delivery system and the systems of your selected countries using  credible websites, such as the Organisation for Economic Co-operation and Development (OECD) site, found in this week’s Learning Resources.

Consider the following questions as you research each country:

  • How is the health system organized? Is there a central governing agency?
  • How does an individual gain access to needed services, including specialized care?
  • How are health care services paid for? For example, does the country have a national health system with tax-funded coverage, a health insurance system with a single payer, a health insurance system with multiple insurers, or something else?
  • What benefits do people in this country experience because of the health system’s characteristics? For instance, are people guaranteed access to health care services? Do patients receive well-coordinated care because their health information is readily available to providers through an integrated technology system? Do they have a great deal of choice when selecting physicians?
  • What challenges do people in this country encounter? For instance, is there typically a long wait to see a specialist? Do patients encounter adverse effects because medical supplies are not readily available? Are health care services prohibitively expensive for most people?

Post by Day 3 a substantive and cohesive response to the following:

  • Analyze two or more defining characteristics of the U.S. health care system.
  • Provide an analysis of how these characteristics compare to the characteristics of the health care systems of your selected countries. (Be sure to identify the countries in your posting.)
  • Evaluate potential benefits and challenges for people in your selected countries based on the health system characteristics you have identified.

General Guidance on Discussion Posts: Your original post, due by Day 3, will typically be 3–4 paragraphs in length (not including references) as a general expectation/estimate. Refer to the Week 6 Discussion Rubric for grading elements and criteria. Your Instructor will use the rubric to assess your work.

Read a selection of your colleagues’ postings. Begin engaging with at least two of your colleagues. (Try to select individuals who chose different countries than you did.)