Read the following case study: The Triple Aim Journey: Improving Population Health and Patients’ Experience of Care, While Reducing Costs

Assignment Required Reading:

http://www.commonwealthfund.org/~/media/files/publications/case-study/2010/jul/triple-aim-v2/1421_mccarthy_triple_aim_journey_overview.pdf

Prepare a paper that discusses the following questions.

• What is the Triple Aim and why is it so difficult to implement?

• Why should health care organizations deliver health care with a focus on population health? (make sure you define population health)

• Explain how the Triple Aim attempts to “bend the cost curve” as it relates to the case study.

• Provide an example of an organization that is successfully implementing the Triple Aim in their community. What were the measures they used to define success? Are these models replicable to all communities throughout the United States? Why or Why not?

Requirements:

• Your paper should be 14-15 double-spaced pages including introduction and conclusion.

• A minimum of 7 peer-reviewed references cited in the assignment. Additional references articles from the popular press such as the WSJ and Washington Post should also be considered.)

• Remember, you must support your thinking/opinions and prior knowledge with references.; all facts must be supported.

• In-text citation used throughout the assignment and APA-formatted reference list.

• Please no plagiarism and sources should be no more than 4 years old.

• Include headings organize the content in your work.

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1. Heroin is 3, 6-diacetylmorphine. Heroin is 2-3 times more potent than morphine.

Heroin rapidly metabolizes to 6-acetylmorphine. Explain why Heroin preferentially metabolizes to 6-acetylmorphine instead of 3-acetylmorphine.

Hint: What are the acidic pKa values of the respective hydroxyl products? Look up the structures on the internet or use the UF library online e-journals.

2. The Claisen-Schmidt type reaction is a variant of the aldol condensation and an example of an addition-elimination where carbon acids function as nucleophiles reacting with unsaturated carbon centered electrophiles. Consider the acid catalyzed reaction of the two reactants below. Describe the mechanism and products of such a reaction.

(CH3)3C-C()-CH2 + C6C5

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