REDUCING THE COST BURDEN OF DIABETES: THE POTENTIAL IMPACT OF THE ACCOUNTABLE CARE ORGANIZATION.

REDUCING THE COST BURDEN OF DIABETES: THE POTENTIAL IMPACT OF THE ACCOUNTABLE CARE ORGANIZATION.

Reducing the Cost Burden of Diabetes:

The Potential Impact of the Accountable Care Organization

Provisions of the Patient Protection and Affordable Care Act

Ataa Nyamekye

Innocent Ogbue

Mabel vonGoins

New York Medical College

School of Health Sciences and Practice

Capstone, Spring 2013

Executive Summary

I will not edit this until you are finished with your final draft. This will then be rewritten obviously

In regards to President Obama’s Patient Protection and Affordable Care Act (Public Law 111-148, 2010) or ACA, the goal is to offer all Americans affordable health care, health insurance reform, improve patient resources and reduce hospital and operation cost.

The goal of this project is to ensure that Gotham Hospital continues to operate efficiently while meeting President Obama’s new ACA criteria and continue to provide quality care to its patient community. The team plans to offer several recommendations that will ensure Gotham is in compliance with ACA/ACO, as well as compare and analyze the effects of Pre and Post ACA hospital operations and elaborate on the hospital’s concern about how it can reduce the cost of chronic diseases particularly diabetes using its disease management program.

The project outcome is simple; to increase enrollment/utilization of the diabetes disease management and prevention at Gotham Hospital taking into account its diverse uninsured/underinsured population. The team will assess the current diabetes program at the hospital, offer recommendations and design a proactive program that will help increase utilization of diabetes care services at the Gotham Hospital.


 

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Describe where the intervention will take place. • Identify when your intervention will take place o Will it take place once or multiple times?

SCENARIO
You are a community public health nurse (C/PHN) working with the vulnerable population you identified in Milestone 2. You will choose a specific community health role that would serve this population. You have analyzed the data collected from your windshield survey and vulnerable population assignments (the first two milestones) and identified one community health problem that a nurse can impact. Now, review the scholarly literature or scholarly websites listed below and identify one specific evidence-based nursing intervention that has the potential to improve the health of this group. Then develop a proposal to implement this intervention and a plan to evaluate the outcomes of this intervention. Create a PowerPoint that you could use to present to an organization in your community to request approval for funding and support for this intervention. (You are not required to implement the intervention or present your PowerPoint, though you may want to consider implementing your project in the future).
DIRECTIONS
Watch the Milestone 3 tutorial by clicking this url: https://www.brainshark.com/devry/Milestone3_2016. This tutorial is also available on Course Project page under Course Home.
A. Introduction: (average of 2-3 slides)
• Describe the identified problem
o Include at least two important findings that demonstrate that this is a problem in your community.
• Describe your specific community health role: Some examples of roles are school nurse, parish nurse, home health nurse, occupational nurse, health department nurse etc.
• Identify the purpose of the presentation which is related to proposing a community health intervention and evaluation plan.
B. Identify an evidence based intervention: (average of 2–3 slides).
• Find an evidence-based nursing intervention from a peer-reviewed journal article OR one of the following databases. These databases evaluate research evidence about community health interventions. Be sure that your intervention is one that is recommended. Cite your source on the slide with the author or organization and year.
o Use at least one of the following to identify an evidence based intervention:
? A peer reviewed journal article demonstrating that your intervention has been successful
? The Community Guide (https://www.thecommunityguide.org/) Choose one of the topics in the topic tab to find interventions.
? The CDC Community Health Improvement Navigator Database of Interventions (https://wwwn.cdc.gov/chidatabase)
? Healthy People 2020 evidence-based interventions. Find a relevant topic area at (https://www.healthypeople.gov/2020/topics-objectives), click on that topic area, and then click on the “Interventions and Resources” tab to see the evidence-based interventions list for that topic area
• Provide a brief overview of your intervention.
• Discuss why this intervention is a good fit for your community (why you expect it to be effective in your community).
C. Intervention Implementation: (average of 3–4 slides).
Describe how you would implement your community health nursing intervention in your community
• Discuss the actions will you take as the community health nurse to accomplish this intervention.
o Relate your actions to the Public Health Intervention Wheel (Nies & McEwen, 2015, p. 14, Figure 1-3)
• Identify your target population.
• Describe how you will reach out to your target population.
o Include strategies to engage your target population.
• Describe where the intervention will take place.
• Identify when your intervention will take place
o Will it take place once or multiple times?
• Identify those in the community that you will collaborate with (e.g., physician’s office, church, local resources, etc.).
• Explain what level(s) of prevention is your intervention addressing (primary, secondary, or tertiary prevention)?
D. Proposed Evaluation Methods: (average of 2–3 slides)
Your presentation must include at least one proposed quantitative or qualitative evaluation method that you would use to determine whether your intervention is effective. Outcome measurement is a crucial piece when implementing interventions.
• Describe the method you would use to evaluate whether your intervention was effective. (There is a helpful tool found in Course Resources to assist you with understanding qualitative and quantitative methods of evaluation).
• Identify the outcomes you would track to show whether your intervention works (eg. BMI would be one outcome you could track for a weight loss intervention).
• When would you measure these outcomes?
• Describe the short-term and long-term impact on your community if the intervention is successful.


 

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Myths and Misconceptions

Myths and Misconceptions

In Ancient Greece and Rome, many people believed that all creative ideas originated from the nine muses, deities who delivered inspiration to artists and were the source of all human creativity. While few people believe in these goddesses of creativity anymore, many still believe that creativity is an intangible force, possessed by only a select few people who choose to be artists, writers, or musicians.

This week’s media presentation shows that the opposite is true; there are many different ways to be creative, and all people can generate creative ideas, whether they are laborers, artists, or businesspeople.

For this week’s Shared Practice, consider the myths and popular misconceptions about creativity shown in this week’s media presentation. In your past, have you believed in these myths or perhaps applied them to yourself? Media link http://mym.cdn.laureate-media.com/2dett4d/Walden/WMBA/6020/01/mm/creativity_myths/index.html

Post by Day 3 your analysis of how these myths and misconceptions regarding creativity relate to your own past understandings of creativity or those you have encountered in others. Then, share how these myths and misconceptions have been present in current or past practices where you have worked or at a company with which you are familiar. How has this impacted your creativity? Provide examples.

General Guidance: Your initial Shared Practice Discussion post will typically be 2–3 paragraphs in length as a general expectation/estimate

 

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information technology and organizational learning 7

https://drive.google.com/file/d/1QLM5fgKffpehM86itgK0oxyow2P8GZNw/view

Please review Chapter 3 from the above url to complete the below assignment.

  • Review the strategic integration section.Note what strategic integration is and how it ties to the implementation of technology within an organization. (Must be of 1 full page content)
  • Review the information technology roles and responsibilities section.Note how IT is divided based on operations and why this is important to understand within an organization. (Must be of 1 full page content)

APA Format

No Plagiarism/Spinbot/Synonymic Words

Minimum of 4 Peer Reviewed References

In-Text Citations mandatory

 

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