Analyze one horizontally integrated health system in your area and share details about its size, settings/locations, and the services it provides.

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Vertical and Horizontal Integration of Health Systems in Various Regions

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).

A 58-year-old man needs to have his blood tested on a regular basis so his physician can monitor the effects of the anticoagulant (blood thinner) medication he is currently taking. He usually has his blood drawn at his local lab in San Francisco, California. While traveling on business in Portland, Oregon, he is able to have his blood drawn on the specified day at another Labcorp location. Labcorp operates an extensive network of 1,700 laboratories across the United States, so lab results can be communicated to the patient’s physician from any location.

Geisinger Health System serves an area with 2.6 million people in northeastern and central Pennsylvania. As an integrated health system, it provides coordinated care to meet the wide-ranging needs of patients. The advanced use of information technology has been critical for facilitating communication, reducing duplication of services, and improving the patient experience along the care continuum. Consisting of numerous clinical facilities and a health insurance company, Geisinger Health System offers an innovative approach to care delivery that it hopes will become a national model.

Integration is an organizing principle for care delivery intended to promote better health outcomes and greater clinical and financial accountability. Labcorp’s horizontal integration is a growth strategy that reduces competition from other companies. Geisinger’s vertical integration is a diversification strategy that links a continuum of services to increase the comprehensiveness of care.

In Module 3, you examined the varied services a patient may need and researched health care organizations that provide those services in your geographic area. In this Discussion, you will examine how integration affects the delivery of care in your community.

To prepare for this Discussion, review the information related to horizontal and vertical integration in the Learning Resources, including the information in the Shi and Singh (2015) textbook and the journal articles.

Next, research integrated health systems in your geographic area. If you find that one or more of the settings you identified for your Module 3 Assignment are part of an integrated system, you may further research the setting(s) for this Discussion.

Select one vertically integrated health system and one horizontally integrated health system in your geographic area on which to focus for this Discussion.

Continue researching these two health systems, noting important information about each health system, including its size, settings/locations, and the services it provides. Investigate how the integration of each system has affected, or is expected to affect, issues related to cost, quality, and access to health care services in your area. Consider implications of integration for the management of the organization, as well as the patient/consumer experience.

If you are an international student, you may examine a specific geographic area in the United States or research two integrated health systems identified in the Learning Resources that are not the same ones you address in your Assignment.

Note: In the Assignment for this module, you are required to select and analyze one vertically integrated health system and one horizontally integrated health system from a provided list. Do not select the same health systems for this Discussion.

Post by Day 5 of Week 6 a substantive and cohesive response to the following:

• Analyze one vertically integrated health system in your area and share details about its size, settings/locations, and the services it provides.
• Analyze one horizontally integrated health system in your area and share details about its size, settings/locations, and the services it provides.
• Assess the impact of integration on issues related to cost and access to care, including implications for the management of the organization and the patient/consumer experience.

Chronic Illness.

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Disaster in the Community.
Chronic Illness.

Read chapter 19 and 28 of the class textbook and review the attached Power Point presentations. Once done answer the following questions;
1. Define natural and man-made disaster and give to example of disasters that occurred during this past 2017 year. How the disasters you choose affect the delivery of community health nursing.
2. Following the levels of prevention; do you think that the above mention disaster could be prevented. Why?
3. In your own words define the term chronic illness and mention the three must common chronic illnesses in your community.
4. Please discuss the economic impact of the three chronic illnesses that you mention in question number 3 and how the levels of prevention can be apply to prevent the mention illnesses.

Identify and describe the immediate- and long-term emergency response plans and efforts to the disaster you have selected.

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Recent environmental disasters have significantly impacted the human population in multiple ways. In this assignment, you will identify a recent environmental disaster and discuss potential correlated health impacts.
Begin this assignment by identifying one recent example of an environmental disaster. For example, the BP oil spill or the earthquakes in Haiti or Japan.

Using the readings for this module, the Argosy University online resources, and the Internet, write a research paper including the following:
• Provide a description of the environmental event/disaster you have identified.

Include the following points:
o Consider if the event was caused by humans or natural.
o Examine the direct and indirect impact on immediate- and long-term public health.
o Identify data regarding mortality and/or morbidity outcomes, if available.
o Explain the geographical impact with respect to health. Also consider the number of lives lost, environmental damage, economic fallout, and long-term repercussions or impact.
o Examine the research on the likelihood of this event recurring.
• Identify and describe the immediate- and long-term emergency response plans and efforts to the disaster you have selected. Be sure to identify which groups, organizations, and/or governments led or are leading the response efforts and the various players who participated or are participating in this response.
• Examine the lessons learned from previous responses to similar disasters. List at least three recommendations for protecting public health from a recurrence and/or the aftermath of similar disasters in the future.
Be sure to use a minimum of four external, peer-reviewed journal articles or reliable Internet resources.

Write a 2-3page paper in Word format. Apply APA standards to citation of sources.

Write a critical evaluation of current research about adverse events in the acute environment.

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1. Choose ONE of the following preventable adverse events options that may occur whilst a patient is in hospital:
a. Medications errors
b. Clinical management- failure to act
c. Hospital acquired infection

2. Write a critical evaluation of current research about adverse events in the acute environment. Note that the term critically evaluate “sometimes called critically analyse or review means to show the essence of something by breaking it down into it is components parts, examining each part in detail and explaining issues…”. It also means making connections and seeing relationships between information. The term critically evaluate also implies to weigh up strengths and weaknesses and judge the worth of the argument or position

3. Your essay MUST include the following components:
a. An opening paragraph that identifies the aim of the assignment (including ONE chosen adverse event from the list below)
b. A definition of an adverse event
c. A discussion of the prevalence of your chosen adverse event in an Australian hospital setting
d. An analysis of the identified topic’s effects or consequences on the patient, patient’s family and health care system
e. A critical evaluation ofTWO nursing strategies involving inter-professional practice that may be used to prevent the chosen adverse event

f. A discussion ofthe potential barriers in achieving the chosen identified strategies in a hospital setting
g. A discussion about how the nurse may overcome the potential barriers in a hospital setting to promote patient safety
h. A conclusion with a final paragraph summarising the central points of your essay.
i. A Reference list formatted to APA6 style.
j. Reference to a minimum of 10 journal articles no more than five years old.

Other elements:
● Word limits for all assignments needs to be strictly adhered to. The word limit for an assessment item includes in text citations, tables and quotations. The word limit does not include the reference list. Please note the marker will cease marking your submitted work once they have reached the allocated word limit.
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● Ensure that you use scholarly literature(digitised readings, research articles, relevant Government reports and text books) that have been published in in the last 5 years.

Write in the third person and use academic languagethroughout