Examination and Treatment for Emergency Medical Conditions and Women in Labor

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A) What is a health policy analysis? Is this a field that attracts you? Why or why not?

 

OR

B) How does product differentiation affect demand for the product? How does product differentiation relate to competition? Provide examples.

 

 

2) Public Health Professionals

Choose a public health profession from Careers in Public Health athttp://www.careersinpublichealth.net/careers that you find interesting. Click on the career field to learn more about it. Briefly describe the career you chose and what a person in this position might do on a day-to-day basis. Go to your state or local health department’s webpage and search for the department where a person in your chosen position might work. What types of programs do they provide to the residents in your community?

 

 

3)Review pages 109–110 of Essentials of Health Policy and Law as well as the following legislation:

 

Examination and Treatment for Emergency Medical Conditions and Women in Labor

 

You are a consultant specializing in policy analysis. Based on the Examination and Treatment for Emergency Medical Conditions and Women in Labor legislation, as well as the situation that follows, you will complete a policy analysis with 3–5 options for your client, Congresswoman Moody, to consider.

Congresswoman Moody represents a state that borders Mexico. She is up for re election next year, and she will seek another term in office.

 

There are many undocumented workers that reside in her district. Congresswoman Moody is vocal about the need to provide health care to all that need it, but she also believes in fiscal restraint and does not support bail-outs for private facilities. She is well aware that her state’s Medicaid budget is almost exhausted for this year, and the state’s unemployment rate remains stubbornly high.

Apart from the voters, other affected constituents include three private regional medical centers trauma units that receive referrals from five or more small facilities that have emergency departments with lesser trauma status. Also, the largest health care corporation that owns two of the three medical centers in her catchment area, and which supported her in her last bid for election with campaign funds at the allowable limit, is threatening to refuse Medicare and Medicaid patients to ensure survival in the bad economy. An increase in unfunded mandates for urgent care may push this corporation into private payer only, and Congresswoman Moody is aware that there are enough affluent families in the area to support two facilities providing only designer medicine and concierge services.

All options must:

 

Be within the power of Congresswoman Moody to do

Be consistent with Congresswoman Moody’s values, and

Address the issue identified in the problem statement

You will:

 

Identify 3–5 options for Congresswoman Moody’s consideration

Identify criteria that will be used to evaluate the options

Identify pros and cons for each option

Use a side-by-side table (MS® Excel® would be appropriate for this) to assist in analyzing the options.

Prepare a paper at least 500 words in length and include at least four references.

What are the positive and negative aspects of managed care?

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In the United States, managed care is becoming an increasingly popular method of administering healthcare. It influences the clinical behavior of providers, as it combines the payment and delivery of healthcare into a single system, the purpose of which is to control the cost, quality, and access of healthcare services for a single bracket of health plan enrollees (Scutchfield, Lee, & Patton, 1997).

Yet, managed care often evokes strong or negative reactions from healthcare providers because they are paid a fixed amount for treating their patients, regardless of the actual cost, which may influence their level of efficiency. This can challenge the relationships between doctors and patients (Claxton, Rae, Panchal, Damico, & Lundy, 2012; Sekhri, 2000).

Research managed care’s inception and study some examples. Be sure to investigate the perspectives about managed care from the vantage of both healthcare providers and patients. You can use the following keywords for your research—United States managed care, history of managed care, and managed care timeline.

Based on your research, answer the following questions in a 8- to 10-page Microsoft Word document:

  • What are the positive and negative aspects of managed care? Analyze the benefits and the risks for both providers and patients, and how providers should choose among managed care contracts. Conclude with your analysis and recommendations for managed care health plans. Your response should include answers to the following questions:
    • Summarize the history of when, how, and why managed care was developed.
    • Define and discuss each type of managed care organization (MCO)—health maintenance organization (HMO), preferred provider organization (PPO), and point of sale (POS).
    • Explain the positive and negative aspects, respectively, of managed care organization from the provider’s point of view—a physician and a healthcare facility—and from a patient’s point of view.
    • Explain the three types of incentives for providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk—the provider, the patient, or the managed care organization.
    • Offer your recommendations, to accept or decline, for patients considering managed care health plans, with your rationale for each.

References:

Claxton, G., Rae, M., Panchal, N., Damico, A., & Lundy, J. (2012). Employer Health

Benefits Annual 2012 Survey. Retrieved from http://ehbs.kff.org/pdf/2012/

8345.pdf

Sekhri, N. K. (2000). Managed care: The US experience. Retrieved from http://www.

who.int/bulletin/archives/78{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}286{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}29830.pdf

Scutchfield F. D., Lee, J., & Patton, D. (1997). Managed care in the United States.

Journal of Public Health Medicine, 19(3), 251–254. Retrieved from http://

jpubhealth.oxfordjournals.org/content/19/3/251.full.pdf

Support your responses with examples.

Evaluate uses for various technology applications in the healthcare business

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4 PAGES APA Style 

The use of health information technology (HIT) has increased dramatically over the past decade, resulting in the federal government enacting several pieces of legislation such as the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009. Continuing to build on your proposal from Weeks 1 and 2, you are assigned to research and discuss the following:

  • Discuss the financial and health benefits that can be realized by implementing an electronic health record (EHR).
  • Research and explain the estimated cost of implementing an EHR and the estimated cost of managing an EHR over the long run.
  • Discuss current security concerns surrounding HIT and the EHR.
  • Choose 1 piece of federal legislation (e.g., HIPAA, HITECH Act, Meaningful Use, etc.), and discuss the requirements that legislation imposes on the use of HIT and the EHR.

Note: You must use at least 4 scholarly references. APA Style

  1. Apply ethical and legal principles to the management of a healthcare organization
  2. Evaluate uses for various technology applications in the healthcare business
  3. Apply business principles to the management of the healthcare organization

Additional Helpful Websites:

 

http://archive.ahrq.gov/news/newsletters/research-activities/oct11/1011RA15.html

 

http://medicaleconomics.modernmedicine.com/medical-economics/news/modernmedicine/modern-medicine-feature-articles/understanding-true-costs-ehr-

factors that affect your particular type of health care system

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The initial step in developing your strategic management plan project is to select a health care organization. For more information on organization options, refer to the course project description. After you have determined an organization you want to use for the project, begin analyzing the following factors that affect your particular type of health care system:

  • Key socioeconomic factors: the demographics of the patient base, employee base, and physician base. These can include references to the aging population, increasingly ethnically diverse population, and staffing or physician surpluses and shortages.
  • Legislative factors: anticipated incremental legislative reforms versus large-scale reforms and legislative agendas aimed at reducing costs. Check both federal and state legislative actions.
  • Policy factors: regulations and policies external to the organization via government agencies and the Joint Council on the Accreditation of Healthcare Organizations.
  • Organizational factors: the overall organizational structure, the emphasis on recruiting and retaining talent, and the emphasis on staff development and competency building.
  • Service delivery factors: causes of change in care delivery due to the evolving practice of medicine, advances in pharmacology and technology, and the emphasis on cost-effective care.
  • Technological factors: medical equipment development, research advances, and information technology systems implementation.
  • Current economic factors: the national and local economies and their effect on planning, reimbursement, and financial stability of the organization.

Write a two-page paper analyzing the factors and their effects on the organization you have selected. Be sure to consider the long-term effects of these factors on the organization. Focus your long-term analysis on five and 10 years from now. You will add to this section as the course progresses.

Resources and citations should be formatted according to APA (6th edition) style and formatting.

Answer