Competencies
Assess the causes and consequences of historical events on the U.S. healthcare system.
Evaluate the current financing and reimbursement models within the U.S. healthcare delivery system.
Analyze the challenges of economic and noneconomic barriers to improving quality, reducing costs, and increasing access to healthcare.
Assess the roles and impacts of various stakeholders within U.S. healthcare systems.
Appraise the efficiency of primary, secondary, and tertiary care in the U.S. healthcare delivery system.
Compare and contrast the major characteristics of the U.S. healthcare delivery system with the systems of other developed countries.

Scenario
After working in the healthcare industry for many years as an expert consultant, you have decided to make the leap and open your own healthcare consulting firm. Based on your reputation and the recommendations of others, you have landed a major first clientThe White House! Your company has been hired to conduct research and develop a solution to healthcare reform by creating a model of what healthcare delivery should resemble in the United States. You have also been appointed as a top advisor to the Health, Education, Labor, and Pensions U.S. Senate Committee and must present the model over a three day summit.

Instructions
Create a healthcare delivery model for the U.S. healthcare system. When creating the model, ask yourself these questions: What is included? How does it look? Who does it serve? How is it financed? Is it sustainable?
Include the following in your project:
A memo that explains the proposed model and what it hopes to achieve, including information on the changing dynamics of healthcare reimbursement and the associated funding sources.
In a report outlining the model, you should include:
An executive summary
The model itself (i.e., what’s included in the model, who the model serves, description of how the model will be financed and sustained)
Timeline of major events in healthcare that have transpired over the past 10 years that have impacted this new model
A list of the current financing and reimbursement models within the U.S. healthcare delivery system and a statement of how each will change or remain the same under this new model
A synopsis of the major challenges of economic and noneconomic barriers to improving quality, reducing costs, and increasing access to healthcare
A list and description of stakeholders within U.S. healthcare system under this new model
A SWOT analysis of the current U.S. healthcare system
A trends forecast outlining the possible changes in healthcare that may affect the model over the next 5 years
A voiceover PowerPoint presentation to the Senate committee to layout/describe the model in detail

Resources
For assistance with writing executive summaries, please visit the Rasmussen College Answers page.
APA formatting for the reference list, and proper grammar, punctuation, and form are required. APA help is available here.
Click this link for help on writing a memo.
Click this link for help on creating an executive summary.
Click this link for help on creating a SWOT analysis.
Click this link for help on creating a PowerPoint presentation.
Click this link for help on creating an audio recording for a PowerPoint presentation.

Competency
Appraise the efficiency of primary, secondary, and tertiary care in the U.S. healthcare delivery system.

Scenario
You are the newly appointed director of the Center for Medicare and Medicaid Services (CMS). With healthcare costs continuing to soar, the Medicare Modernization Act (MMA) rollout and Medicare Prescription Drug Improvement Plan in place, and the possible changes of the Affordable Care Act in progress, you are confronted with potential increases in payments for Medicare and Medicaid programs.
You are trying to understand how to best prepare the agency for the changes so that the efficiency of healthcare delivery is not compromised. As a courtesy, the Director for the Administration on Aging continues to send you data about the predicted rise in the number of older people and those with disabilities. Data is also sent on the forecasted needs of such persons for comprehensive care, not just acute care.
Instructions
Create a trends forecast outlining the possible changes (trends) that may affect efficiency and delivery in primary, secondary, and tertiary care in the U.S. healthcare delivery system over the next 10 years.
The trends forecast should be in the form of a report used by such agencies as CMS, OIG, DHHS and include a Table of Contents, Introduction/Background, Appendices (if applicable), Executive Summary, Charts/Graphs (if applicable), and References. Be sure to include at least 5 references (e.g., government websites or scholarly articles) and cite your sources using APA format. Your trends forecast should include (at a minimum, but not limited to) the criteria below:
Outline the organizations and institutions that deliver care across the continuum including primary, secondary, and tertiary care providers that will be impacted over the next 10 years by changes in the U.S healthcare delivery system.
Appraise and describe how well primary, secondary and tertiary care providers deliver care to patients using preventative medicine, based on the current climate in healthcare.
Detail the impact of the changing consumer demographics will have on long-term care.
Explain how this focus will impact providers operationally.
Detail how CMS can expect facilities to focus on quality and outcomes relating to long-term care, based on the statistics from the Director of Administration on Aging.
Describe how these changes will impact the delivery of long-term care.
Explain what policies you would develop and/or consider using as the Director of CMS to address the predicted changes.
Detail what regulatory measures you would create and/or enforce as the Director of CMS to address the predicted changes.
Detail what additional long-term strategies you would pursue to make national resources meet the nation’s need for chronic care.
Resources
For writing assistance, please visit the Rasmussen College Writing Guide.
APA formatting for the reference list, and proper grammar, punctuation, and form are required. APA help is available here.
Below are resources for you to review to understand the type of information that is presented in a forecasting report. There is no standard format, but you can gather ideas from these resources:
U.S. Department of Health and Human Services Semiannual Report to Congress
OIG Work Plan
ASPE Issue Brief
HHS OIG Data Brief