Week 5 Discussion Prompt 2

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Evidence-based practice is extremely important in nursing. Throughout your master’s program, you will complete research on various topics. Knowing how to construct a strong problem statement and complete a critical analysis of the available information to write a literature review is essential. Follow the instructions in the bullets below to direct you where to find resources on problem statements and literature reviews.

This week, you will write a problem statement and perform a literature review in preparation for your ethical issues debate presentation. Share your problem statement in this discussion so that you can review each other’s work and provide peer-to-peer feedback. Also, describe what you think are the most important learning takeaways from the literature review resources you reviewed.

 

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Determine a focused a topic

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Instructions

This is a very important assignment, as you will be determining the topic you will use for the rest of the course—to both research and write about. And it could be a topic related to your eventual capstone project at the end of your program. While seemingly simple, it is a challenge to determine a specific, focused topic with clearly related subtopics. At the same time, this is an essential skill that will relate to all future assignments leading up to your capstone project. Use the resources that have been provided to help you with this task.

This week, you will provide a summary of how you went about taking a general area of interest (your degree program) and narrowed that down to a topic of interest, along with two to three specific related subtopics. These will be used in Week 5’s Develop an Introduction exercise, and they will become the main sections of the Week 8 Signature Assignment paper.

Then find peer-reviewed scholarly research articles, at least one scholarly resource to support each of your subtopics. Use these as references (citations) when composing your summary. It may be a good idea to start by considering an outline related to the topic. Remember to include an introduction, APA-style headings (and subheadings if needed), a conclusion, and a references section.

First, reflect on the process you went through to focus your main topic and then how you determined the related subtopics (1 page). 

Second, (2-3 pages)

  • What is the main topic, and why is it important?
    • What is the first related subtopic, and how does it relate to the main topic?
    • What is the second related subtopic, and how does it relate to the main topic?
    • What is the third related subtopic, and how does it relate to the main topic?
  • Consider how you will go about further discussing these topics.

Total length: 3-4 pages, not including title and reference pages

References: Include a minimum of 3 peer-reviewed scholarly resources to support your topic 

Per member per month (PMPM)

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Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.
Consider the following data and make your best analysis of per member per month (PMPM) rates, considering reductions in utilization or pricing. Bay Pines Medical Center estimates that a capitated population of 50,000 would have the following base case utilization and total cost characteristics:
 Service Category
 Inpatient Days per 1,000 Enrollees
 Average Cost per Day
 General
 150
 $1,500
 Surgical
 125
 $1,800
 Psychiatric 
 70
 $700
 Alcohol/Drug Abuse
 38
 $500
 Maternity
 42
 $1,500
 Total
 425
 $1,367
In addition to medical costs, Bay Pines allocates 10 percent of the total premium for administration/reserves.
On the basis of your data analysis, respond to the following:

What is the PMPM rate that Bay Pines must set to cover medical costs plus administrative expenses?
What would be the rate if a utilization management program were to reduce utilization within each patient service category by 10 percent? And by 20 percent?
Consider the initial base case utilization assumption. What rate would be set if the average cost on each service were reduced by 10 percent?
Assume that both utilization and cost reductions were made. What would the premium be?

As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Submission Details:

 Your assignment should be addressed in an 8- to 10-page document.

 
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Per member per month (PMPM)

/in /by

Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.

Consider the following data and make your best analysis of per member per month (PMPM) rates, considering reductions in utilization or pricing. Bay Pines Medical Center estimates that a capitated population of 50,000 would have the following base case utilization and total cost characteristics:

 Service Category

 Inpatient Days
 per 1,000 Enrollees

 Average Cost
 per Day

 General

 150

 $1,500

 Surgical

 125

 $1,800

 Psychiatric 

 70

 $700

 Alcohol/Drug Abuse

 38

 $500

 Maternity

 42

 $1,500

 Total

 425

 $1,367

In addition to medical costs, Bay Pines allocates 10 percent of the total premium for administration/reserves.

On the basis of your data analysis, respond to the following:

  • What is the PMPM rate that Bay Pines must set to cover medical costs plus administrative expenses?
  • What would be the rate if a utilization management program were to reduce utilization within each patient service category by 10 percent? And by 20 percent?
  • Consider the initial base case utilization assumption. What rate would be set if the average cost on each service were reduced by 10 percent?
  • Assume that both utilization and cost reductions were made. What would the premium be?

As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Submission Details:

  •  Your assignment should be addressed in an 8- to 10-page document.

 

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