Identify strengths and weaknesses of managed care

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Question description

Assignment: Critical Thinking:

Managed Care refers to the cost management of healthcare services by controlling who the consumer sees and how much the service costs.

Providers and consumers are concerned with the quality of care when the insurance companies are focused on cost control.

Explain the strengths and weaknesses of managed care system in the US healthcare system.

After watching “High Price of Health” https://www.pbs.org/wgbh/pages/frontline/shows/hmo…

and reading Chapter 9, “Impact of Managed Care on Healthcare Delivery”, both outline the strengths and weaknesses of this type of practice. Using examples from these sources (and/or any of your own sources of information) write if you believe that using an assembly line approach to providing healthcare is the best model.

Criteria Points Score
Introduction/ opening statement:

  • Healthcare is considered a business in the US, as part of our economy
 2
Discussion/ description of issue

  • Identify strengths and weaknesses of managed care
  • What are the priorities of HMOs?
  • What are the priorities of providers?
  • What are the priorities of consumers?
  • Who is watching or regulating quality of care?
  • Cite evidence (facts and examples) to support your view
 4
Concluding statement

  • How this is relevant to understanding healthcare and healthcare reform
  • Summarize your professional response and thoughts
 2
Grammar/ Syntax/ Spelling

  • Well written and well organized
 2
Total 10

Explain the principles and concepts of disease prevention and health promotion for diverse and vulnerable populations

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Question description

Develop a 3–5-page report that explains how an organization serves the health care concerns and needs of a population. The report should identify gaps in the health care service, explain strategies to bridge the gaps, and describe potential barriers to those strategies.

Note: The assessments in this course build upon each other. You are strongly encouraged to complete them in sequence.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria

  • Competency 1: Explain the principles and concepts of disease prevention and health promotion for diverse and vulnerable populations.
    • Identify barriers to implementing evidence-based strategies to bridge gaps in the health care service provided by an organization to a vulnerable or diverse population.
  • Competency 2: Develop evidence-based health promotion and disease prevention initiatives for diverse and vulnerable populations.
    • Describe the primary health concern for a vulnerable or diverse population.
    • Identify gaps in the health care service provided by an organization to a vulnerable or diverse population.
    • Explain evidence-based strategies to bridge gaps in the health care service provided by an organization to a vulnerable or diverse population.
  • Competency 3: Apply basic epidemiological concepts, data analysis methods, tools, and databases to determine the effectiveness of health promotion and disease prevention initiatives for diverse and vulnerable populations.
    • Explain how a health care organization serves the primary health care concerns of a vulnerable or diverse population.

    Pérez and Luquis (2014) stated, “Integrating cultural proficiency practices into the individual practices of health educators and public health organizational policies is a call to action” (p. 50). It is important for those in health care to be aware of the methods used to identify and evaluate the specific health care needs of individuals, communities, and populations, and to understand the meaning of health literacy as it pertains to the needs of a multicultural population or group. With a growing diverse population, the incorporation of cultural and linguistic competence should be included into the planning, implementation, and evaluation of health education and promotion programs. “In this process, it is essential to employ theoretical models that describe and explain culture and related concepts(Pérez & Luquis, 2014, p. 165). Cultural constructs need to be applied to all health education, promotion, and prevention interventions targeting diverse communities (Pérez & Luquis, 2014)

  • Reference

    Pérez, M. A., & Luquis, R. R. (2014). Cultural competence in health education and health promotion (2nd ed.). San Francisco, CA: Jossey-Bass.

  • QUESTIONS TO CONSIDER

    To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

    • What factors are most likely to affect health promotion and wellness for vulnerable and diverse populations?
    • How would you assess your own cultural competence?

  • ASSESSMENT INSTRUCTIONS

    PREPARATION

    Now that your team has a better understanding of the population served by the organization, you need to evaluate how able the organization is to serve the specific health care needs of the population identified in the Windshield Survey assessment.

    • Use the Internet and the Capella library to locate at least three academic or professional resources to use in this assessment.
    • Follow the same formatting instructions that you used in the Windshield Survey assessment. Your assessment should be done as a report for your team, using APA formatting for in-text citations and references.

    REQUIREMENTS

    In your organizational evaluation, complete the following:

    • Describe the primary health concern for a vulnerable or diverse population.
    • Explain how the organization currently serves this health care concern. Be sure you include information on how the organization communicates to the population.
    • Identify gaps in the health care service provided to the population.
    • Explain evidence-based strategies to bridge the gaps in health care service provided to the population.
    • Identify any possible barriers to implementing your strategies.

    ADDITIONAL REQUIREMENTS

    • Include a title page and reference page. The completed assessment should be 3–5 pages in length, not including the title page and reference page.
    • Reference at least three current scholarly or professional resources.
    • Use current APA format for citations and references.
    • Use Times New Roman font, 12 point.
    • Double space.

Competitiveness and Performance Effectiveness for Health Care IT Systems

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Question description

Assignment 2: Competitiveness and Performance Effectiveness for Health Care IT Systems

Due Week 8 and worth 250 points

Write a six to eight (6–8) page paper in which you:

  1. Define the fundamental responsibilities and key characteristics of the Chief Information Officer (CIO) and Chief Technology Officer (CTO) within health care organizations. Make one (1) recommendation where they can utilize their expertise to assist with employee and patient satisfaction. Support your response with related examples of such expertise in use.
  2. Suggest two (2) developing technologies that health care systems should use in order to improve health care processes and thus increase the quality and lower the cost of health services. Provide a rationale to support your response.
  3. Determine two (2) significant methods that health care systems should use in order to prevent misuse of information and protect data privacy and thus achieve a high level of security of health information. Provide a rationale to support your response.
  4. Suggest one (1) strategy for health care organizations to train providers in using technology in health care. Provide a rationale to support your response.
  5. Provide three (3) best practices for effective IT alignment and strategic planning initiatives. Justify your response.
  6. Use at least three (3) quality academic resources in this assignment. Note:Wikipedia and similar type websites do not qualify as academic resources.

Your assignment must follow these formatting guidelines:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length.

The specific course learning outcomes associated with this assignment are:

  • Examine the impact technologies have on health care information systems.
  • Describe the basic components of a strategic information system plan.
  • Describe the major types and classifications of health care information standards and the specific organizations that develop and regulate these standards.
  • Discuss the need for, and identify methods of, accomplishing the security of information systems.
  • Evaluate the impact of strategic information system plans on organizational competitiveness and performance.
  • Use technology and information resources to research issues in health information systems.
  • Write clearly and concisely about health information systems using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using this rubric.

Diane Mathis’ experience with non-English-speaking patients

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Question description

For this assignment, read the background information and then learn about Diane Mathis’ experience with non-English-speaking patients.

MODULE OVERVIEW

America has long been a nation of immigrants. Consider where your family originated from; think about the racial and ethnic backgrounds of your friends and colleagues.

California’s “minority” populations became the majority in 1999. Racially and ethnically diverse newcomers arrive in other states that have not historically been thought of as being culturally diverse. This presents challenges and opportunities for health professionals.

In health care management or as a health care provider, you will be responsible for adhering to or implementing the U.S. Department of Health and Human Services’ Office of Minority Health (OMH) Culturally and Linguistically Appropriate Services (CLAS) standards.

The CLAS standards serve as a guide to quality health care for diverse populations, and many health care organizations are following their guidance. The 14 standards are divided into three sections — Culturally Competent Care, Language Access Services, and Organizational Supports for Cultural Competence. The CLAS Standards are available at http://minorityhealth.hhs.gov/templates/browse.asp…

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and other accreditation organizations require that health care professionals receive training in delivery of services to diverse populations. The Centers for Medicare and Medicaid Services (CMS) have recommended that health care organizations they contract with will demonstrate they provide culturally and linguistically appropriate care.

Read the Intro and the Case Story. Then listen to the Lecture. http://support.mchtraining.net/national_ccce/case2…

Before you begin your paper, review the Critical Thinking Rubric linked below. Refer to it as you develop your paper. It will be used to assess and grade your paper.

In a paper:

  1. Compare and contrast the range of medical language interpretation and describe what is considered “best practice.”
  2. Consider and describe at least two scenarios in situations in which patients are non-English speaking and qualified language interpretation is not provided. What are the key ethical principles to be considered? What are the implications for the patient in each alternative?
  3. How would the scenario relate to your own health profession’s code of ethics? If you are not currently working in health care, you should use the code of ethics for the profession you plan to pursue upon graduation.

ASSIGNMENT EXPECTATIONS

Length: 3 pages

REQUIRED READING

Ascension Health. (2012). Key Ethical Principles. Retrieved January 1, 2013 from http://www.ascensionhealth.org/index.php?option=co…

Office of Minority Health (2007). National Standards on Culturally and Linguistically Appropriate Services (CLAS). Retrieved January 1, 2013 from http://minorityhealth.hhs.gov/templates/browse.asp…