Evaluate the options available to change the payer–patient mix with consideration of related legal and ethical issues.

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Research Paper

Search course materials, including your text and the Internet, to find a spreadsheet program that will assist you in completing this assignment. The spreadsheet and calculations are to be attached at the end of the paper as an appendix after the Reference page.

Case Study: You are assessing the payer–patient mix for a health care organization. Currently, your payer mix is 40% Medicare, 10% Medicaid, 25% traditional indemnity insurance, 20% managed care, and 5% self-pay patients. Complete the following:

  • Using the most common office visit, CPT code 99214, determine the reimbursement from the Centers for Medicare and Medicaid Services (online fee schedule available for Medicare).
  • Using the same CPT code, 99214, determine the reimbursement for Medicaid (fee schedules should be available from the individual state).
  • Using the same CPT code, 99214, create at least 3 other traditional indemnity insurance reimbursements. If possible, use the actual reimbursement from the insurance carrier. It may be possible to obtain actual reimbursement information from your personal insurance carrier. If the information is not available, assume reimbursement by traditional indemnity insurance is usually 200% reimbursed more than Medicare and Medicaid, and managed care is usually 133% more than Medicare and Medicaid.
  • Compose an accounts receivable benchmark from this information showing columns for current, 30–60, 61–90, 90–120, and greater than 120 days.
  • Assess the information for areas of improved reimbursement of at least 20% or more.
  • Evaluate the options available to change the payer–patient mix with consideration of related legal and ethical issues.
  • Propose a best strategy with justification and rationale based on effective decision-making tenets.

The body of the resultant paper should be 10–12 pages. Spreadsheets demonstrating the accounts receivable analysis will be attached as appendices, and there will be at least 7 relevant peer-reviewed academic or professional references published within the past 5 years. Also attach appropriate fee schedules.

Describe your center or school’s philosophy of assessment. Your philosophy must be supported by scholarly or credible sources.

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As early childhood educators, it is our job to ensure that students are learning and developing at an appropriate rate. As we have learned throughout this course, using developmentally appropriate assessment is one of the most efficient ways to be able to ensure that this happens. While it is our responsibility to understand the assessment process and the various strategies, tools, and procedures that are used with young children, the families of the children we work with may not always understand why we are doing what we are doing when it comes to assessment. As the director of an NAEYC-accredited preschool, you have decided to develop a comprehensive strengths-based and family-centered assessment plan where families are included each and every step of the way.

For this assignment you can choose to create your assessment plan in many formats. You could develop a handbook using Word, create a PowerPoint Presentation, or even create an assessment website using a tool such as Weebly. Regardless of which format you choose, your strengths-based and family-centered assessment plan must include the following sections:

Introduction:

  • Describe your center or school’s philosophy of assessment. Your philosophy must be supported by scholarly or credible sources.

Goals, Benefits, and Uses of Assessment:

  • Explain the purpose of assessment. Refer back to your first Week One discussion to assist with this.
  • Discuss the assessment cycle. Refer back to your second Week One discussion to assist with this.
  • Describe the principles of assessment that will guide the use of assessment in your center. Refer back to your second Week One discussion to assist with this.

Types of Assessments: For each of the types of assessment listed below, you will need to define the assessment, provide a rationale for using this type of assessment, share an example, and explain at least one way you use the information from this assessment to inform your instruction.

  • Observations. (Refer back to your work from Week Three to assist with this.)
  • Checklists, rating scales, rubrics. (Refer back to your Week Four discussion to assist with this.)
  • Teacher-designed assessments. (Refer back to your Week Four assignment to assist with this.)
  • Performance-based assessments. (Refer back to your Week Five discussion to assist with this.)
  • Standardized assessments. (Refer back to your work in Week Two to assist with this.)
  • Portfolios. (Refer back to your Week Five assignment to assist with this.)

Using Assessments to Inform Instruction:

  • Analyze how the assessments you are using meet ethical standards
  • Examine how you use these assessments to make decisions; include specific examples
  • Discuss how you will use assessments to help ensure students are meeting their goals on their IEPs and/or IFSPs.

Assessment Partnerships with Families:

  • Explain how your school will develop an assessment partnership with families. Include specific strategies for involving families and communities in their children’s learning and development. (Refer back to your Week Six discussion to assist with this.)
  • Discuss, using specific examples, how you will use parent conferences to communicate about assessments. (Refer back to your Week Three assignment to assist with this.)
  • Explain how diverse families and community characteristics will be taken into consideration when communicating about assessments.
  • Share at least two professional organizations or assessment based resources you can provide families with to help them better understand the use of assessments.

Research and Resource Expectations:

  • Source Requirement: 
    • At least two scholarly peer-reviewed or credible sources

Writing and Formatting Expectations:

  • Title Page: Must include the following:
    • Title
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Academic Voice: Academic voice is used (avoids casual language, limited use of “I”, it is declarative).
  • Purpose and Organization: Demonstrates logical progression of ideas.
  • APA Formatting: Papers are formatted properly and all sources are cited and referenced in APA style as outlined in the Ashford Writing Center.
  • Assignment Length: Your Assessment Plan Assignment should be eight to ten pages in length (not including title and reference pages).

Next Steps: Review and Submit the Assignment
Review your assignment with the Grading Rubric to ensure you have achieved the distinguished levels of performance for each criterion.  Next, submit the assignment for evaluation no later than Day 7.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

How can technology reinforce learning experiences?

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Adolescent development is broad and wide-ranging, including physical, socioemotional, and cognitive growth.

For this benchmark assignment, consider information learned regarding physical development and integrate it with your understanding of the social/emotional and cognitive changes occurring during adolescence.

Write a 1,000-1,250 word essay addressing the following concerns:

  1. In what ways do cognitive and social development affect learning?
  2. How does individuality, identity development, and personal behavior affect learning differences and development?
  3. How can diverse strengths, interests, and needs of adolescents be accounted for while providing appropriate instruction that advances learning?
  4. Why are school, community, and family supports critical to student learning and overall well-being of adolescents? How can ongoing support from these stakeholders be assured?
  5. How can technology reinforce learning experiences? How can a teacher ensure appropriate use of digital tools in the classroom? In what ways might digital tools support student success and creativity in a collaborative, student-focused classroom environment?

Support your findings with a minimum of three scholarly resources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite.

COE Program Competencies Assessed:

DOMAIN 1: THE LEARNER AND LEARNING

1.1: Candidates create developmentally appropriate instruction that takes into account individual learners’ strengths, interests, and needs and that enables each learner to advance and accelerate his or her learning. (InTASC 1b)

1.2: Candidates design instruction to address each student’s diverse learning strengths and needs, and create opportunities for students to demonstrate their learning in different ways. (InTASC 2a)

DOMAIN 4: PROFESSIONAL RESPONSIBILITY

4.3: Working collaboratively with school colleagues, candidates build ongoing connections with community resources to enhance student learning and well-being. (InTASC 10e)

Determine which of the other program(s) at the multigenerational center could also benefit from the Workshop.  

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Provide a description of your Workshop.
Clients (Owners) will work with their dogs using positive reinforcement to teach them commands and positive behavior.  This should be at least one paragraph.

Objective/Purpose

State your objective or purpose.
The objective of the workshop is for the attending dogs to learn basic manners from their owners.  This should be at least one paragraph.

Target Audience

Describe your target audience. Your audience should be program specific.
BAD, Bachelor of Arts, Dog
The target audience are clients with young dogs who need assistance teaching their dog basic commands and manners.
As a reminder your Target Audience are your clients at the Multigenerational Center.

This should be 2-3 sentences as needed.

Theory

Explain a major theory in your field of study, and include how your chosen theory supports your content choice.

Behaviorism/Classical Conditioning accredited to Pavlov.

The theory states that a conditioned response (behavior) can be triggered in dog when prompted with food (Mcleod, 2013).
This should be 1-2 paragraphs.  You MUST cite at least one source within your explanation to earn credit.

Part 1B: Workshop Flyer

Part 2: Roadblocks

href=”#RoadblocksPart2″  title=”Think about your target audience and anticipate 2 possible issues or roadblocks that may arise. List them in the spaces below.” Roadblocks

Roadblock #1

Solution #1

List Roadblock #1 here
Specific to the Objective

Share Roadblock #1 here.
There is a large variance of abilities between the dos in the class.

Share a solution to Roadblock #1.  Instructor will differentiate instruction to meet the needs of each client (owner) and dog.

Share a second solution to Roadblock #1.

This should be at least one paragraph.

Roadblocks

Roadblock #2

Solution #2

List Roadblock #2 here
Specific to the Objective

Share Roadblock #2 here. Clients (owners) The clients (owners) and/or dogs are not engaged in instruction.

Share a solution to Roadblock #2. Remind clients (owners) of the objective.  Use a variety of instructional strategies to keep both clients (owners) and dogs engaged in the workshop.
Share a second solution to Roadblock #2.
This should be at least one paragraph.

href=”#ProfessionalStandards1″  title=”The Professional Standards for your Field of Study are included in the classroom.” Professional Standards

Professional Standard #1
Explain how it supports the solution to Roadblock #1.

Choose a standard from the Professional Standards for your Field of Study, list it here, and explain how it represents the solutions to Roadblock #1.

INTASC Standard #1: Learner Development

The teacher understands how learners grow and develop, recognizing that patterns of learning and development vary individually within and across the cognitive, linguistic, social, emotional, and physical areas, and designs and implements developmentally appropriate and challenging learning experiences.

You must cite your chosen Standard.

The Instructor will need to quickly asses each client (owner) and dog to determine ability and understanding.  The Instructor will offer additional support and strategies for those in need.  The Instructor will encourage those who master commands to move on to more challenging tasks.  The Instructor will be prepared with these commands and support material if necessary.

You must include the Standard.  You must include at least one paragraph explaining how this Standard supports your objective.

Professional Standard #2
how it supports the solution to Roadblock #2.

Choose a standard from the Professional Standards for your Field of Study, list it here, and explain how it represents the solution to Roadblock #2.
INTASC
Standard #8: Instructional Strategies The teacher understands and uses a variety of instructional strategies to encourage learners to develop deep understanding of content areas and their connections, and to build skills to apply knowledge in meaningful ways.
You must cite your chosen Standard.

The instructor must use a variety of strategies to keep the dog and the client (owner) engaged and on task.  This can include; tone, inflection, movement, a variety of games, positive reinforcement, and treats.

You must include the Standard.  You must include at least one paragraph explaining how this Standard supports your objective.

Part 3: Environment and Materials

Environment

Describe the environment or the space needed to deliver your workshop.

The ideal environment for this workshop would be outside, in a fenced in (smaller) area.  Complete with chairs for the clients and platforms for the dogs.  The area would need to be large enough for 8 clients and dogs.  The area should be shaded and well maintained.
This should be at least one paragraph.

Needs and/or Supplies

List your needs and/or supplies for the Workshop.

Chairs, platforms, handouts, extra leashes, extra collars, extra treats, filled water bowls, tunnels, balls, buckets, and other obstacles.

href=”#RoadblocksPart3″  title=”Think about your target audience and anticipate 2 possible issues or roadblocks that may arise. List them in the spaces below.” Roadblocks

Roadblocks

Solutions

List Roadblock #1 here

Specific to the Environment or Needs/Supplies

Share Roadblock #1 here.
Environment – the outside area is not large enough for 8 clients and 8 dogs.

Share a solution to Roadblock #1.  Limit the number of participants by offering 2 classes back to back, separating dogs by ability level and age.
Share a second solution to Roadblock #1.

This should be at least one paragraph.

List Roadblock #2 here
Specific to the Environment or Needs/Supplies

Share Roadblock #2 here.
The age differences between the dogs is upsetting to the older dogs who are beyond puppy behavior.  In addition, some breeds are less tolerant of other breeds in small spaces.

Share a solution to Roadblock #2.  The Instructor must realize that the puppies will need additional attention and support as well as awareness of proximity to other dogs.  Understand that not all dogs enjoy socialization allow space as needed.
Share a second solution to Roadblock #2.
This should be at least one paragraph.

href=”#ProfessionalStandards2″  title=”The Professional Standards for your Field of Study are included in the classroom.” Professional Standards

Professional Standard #1
Specific to the Environment or Needs/Supplies

Choose a standard from the Professional Standards for your Field of Study, list it here, and explain how it supports the solution to Roadblock #1 specific to the Environment or Needs/Supplies.
INTASC Standard #3- Learning Environments

The teacher works with others to create environments that support individual and collaborative learning, and that encourage positive social interaction, active engagement in learning, and self-motivation.
You must cite your chosen Standard.

The objective is for dogs to learn basic commands from their owners, therefore the teacher must offer an environment that is conducive to learning.  There cannot be extensive distractions (other dogs) to keep the dogs from learning the command, therefore a smaller class will be more conducive to learning.  The teacher must model for the clients (owners) how to command the dog, how to reward the dog, and how to follow up to ensure mastery in a positive, engaging environment.  The teacher must guide the clients (owners) the proper way to socialize their dogs within the group.

You must include the Standard.  You must include at least one paragraph explaining how this Standard supports your objective.

Professional Standard #2
Specific to the Environment or Needs/Supplies

Choose a standard from the Professional Standards for your Field of Study, list it here, and explain how it supports the solution to Roadblock #2 specific to the Environment or Needs/Supplies .

INTASC Standard #2- Learning Differences

The teacher uses understanding of individual differences and diverse cultures and communities to ensure inclusive learning environments that enable each learner to meet high standards.
You must cite your chosen Standard.

The Instructor needs to know as much as possible about the dogs before the Workshop begins.  Knowing this will allow proper placement in the Workshop space.  Assessing the dogs upon arrival will allow the instructor to understand the personality of each dog.  This will lead to differentiated commands and support as needed.

You must include the Standard.  You must include at least one paragraph explaining how this Standard supports your objective.

Part 4: Strategies

Partnerships

· Determine which of the other program(s) at the multigenerational center could also benefit from the Workshop.

· You must choose at least one additional program.

Chose from:
BA Child Development (BACD)

· BA Cognitive Studies (BACS)

· BA Early Childhood Education (BAECE)

· BA Early Childhood Administration (BAECEA)

· BA Education Studies (BAES)

· BA English Language Learner Studies (BAELLS)

· BA Instructional Design (BAID)

· BA Library Science and Media (BALS)

Explain why they would benefit.
BACS
BAECE
BACD
BAES
BAELLS

BACS

If shelter dog were brought in to be trained, all the above groups would benefit.
I would suggest the BACS works with the Senior Center to find willing participants to help train.  I would specifically suggest bringing in small dogs who are beyond the puppy stage, so they are more manageable.  My intent would be that one or more of the senior would chose to adopt a dog and have a new companion.  Also, those that have had dogs in the past would be patient and understanding with dogs who did not have owners.  A friendship could blossom.

BAECE, BACD, BAES
I would suggest for the child-centered groups that the children work with an adult to help train the dogs.  This would offer the child more responsibility which would lead to increased confidence.  According to the American Academy of Child & Adolescent Psychiatry (2013), A child who learns to care for an animal learn to treat their peers with the same kindness.

This should be at least one paragraph.

href=”#Strategies”  title=”Include 2 strategies you can use to deliver the Workshop objective. Use your text as a guide.” Strategies
You will find multiple strategies to present your Workshop in your Week Five Required Reading.

List Strategy #1 here
Grouping
The instructor should group dogs who are of similar ability together, so that specific instruction, at their specific level can be shared.
This should be at least one paragraph.

List Strategy #2 here
Timed Learning Centers

After the dogs have practiced a few commands, the Instructor should create specific learning centers were clients (owners) can move with their dog for reinforcement of commands.  Clients (owners) can spend as much time at each learning center as needed to practice the previously taught command.
This should be at least one paragraph.

References

Use APA style to reference any sources used in your proposal. Remember, you must include in-text citations throughout your document to show your reader what information you used from outside sources. For help with the reference page, please see this resource.
* Must use at least three scholarly sources.

References
American Academy of Child & Adolescent Psychiatry. (2013, May). Pets And Children. Retrieved from https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Pets-And-Children-075.aspx

Council of Chief State School Officers. (2011, April). Interstate Teacher Assessment and Support Consortium (InTASC) Model Core Teaching Standards: A Resource for State Dialogue. Washington, DC: Author.

McLeod, S. A. (2013). Pavlov’s Dogs. Retrieved from www.simplypsychology.org/pavlov.html