Behavior change theories

Health behavior change theories suggest behavior change as a “process,” not an “event.” How can you put this into action for developing an intervention for practice or research? Discuss how you would apply this in planning your DNP project.

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Partnering in care

Discuss how the use of the theories and framework/s underpinning the ‘partnering in care’ strategies can improve the patient experience within the chosen case scenario. Support your discussion with reference to literature.

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A project management plan

You have been assigned the role of project manager for a facility development project in your fire department. The community has been growing dramatically over the last decade and there is a section of town where response times have begun to slip above the NFPA recommended first unit on scene and first alarm on scene times. The Fire Chief is concerned that there is a need to build a new facility in this area. Draw up a project management plan that utilizes the four steps of project management. Make sure you identify stakeholders, sponsor, etc. Create a generalized work breakdown structure and explain how you as project manager would shepherd this project to completion. Make sure you explain how each of the 4 steps relates to each other and the action you would take to keep the project on time.

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Financing of Health Care

For this Discussion, you will focus on the policy decision-making process that determines what types of care are covered by public and private insurers and the ethical aspects of such financial decisions.

To prepare:

Read the following case study, “Hard Economic and Finance Choices in US Healthcare” (Milstead):
Case Study 1: Hard Economic and Finance Choices in US Healthcare

Applied economics is all about managing scarce resources. Economics is an amoral field of study: it is neither moral nor immoral. Morality and values are determined by individuals at the personal level and by group consensus or majority opinion at the national level. State and federal governments determine the ‘will of the people’ about how to use scarce resources for the good of a nation.

The U.S. health care system is an exemplar of scarcity: primary care physicians, substance abuse treatment centers, trauma centers, registered nurses, and the money to pay for goods and services. Finance is all about how to pay for goods and services. The Medicare Payment Advisory Commission (MedPAC) is appointed by the Executive branch of the federal government to make decisions about what the Medicare program will and will not pay for. In this role, MedPAC makes decisions about medications, procedures and treatments. Examples of MedPAC decisions include coverage for left ventricular assistive devices as a destination therapy, coverage for bariatric surgery, and in 2010, coverage of the drug Provengeâ„¢. By law, MedPAC is not allowed to use price or cost of any treatment in its decision-making processes.
Review the information in the Washington Post article “Review of Prostate Cancer Drugs Provenge Renews Medical Cost-Benefit Debate” in the Learning Resources.
Consider how policy decisions currently are made about what will and will not be paid for and what changes, if any, could improve the process.
Reflect on how the Washington Post example illustrates the tension between cost and care.

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