The Potential Impact of the Accountable Care Organization

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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.

Table of Contents

Executive Summary Page 2

Introduction Page 4-35

Methodology Page 35-55

Recommendation Page 55-70

Conclusion Page 70-72

References Page 72-82

Appendix Page 83-92

 Discuss mercury in fish and what problems they can cause to human health

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chemistry take-home exam, Mostly about water quality and its properties. 617 335 6444 you can call me any time 24/7.

Please write a reference for each answer.
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2012 SU1 NASE 328 Water Quality                                                                             Name _____________________________May Intensive   email final exam                                                                                                               Date ___________________ Select 20 out of the following 25 short questions to answer. They are worth 5 points each. Only the first 20 answered will be graded. Read through all 25 and answer the questions you are most comfortable with first.  You may use class notes, discussions, or the web.  But each question must be given a specific reference.  The reference may be class notes, the field trips or give the specific web site you visited. Points will be deducted if there is no reference.1.  Explain with a diagram how reverse osmosis works.2.   What is the process of biomagnification? Give the cause and an example.3.   Discuss mercury in fish and what problems they can cause to human health. What fish are most dangerous and which are safe?4.  Compare the cost of Cambridge tap water with that of bottled water. Give an advantages and disadvantage of each.5.  Why was it necessary to use both distillation and charcoal filtration to remove the contaminants from drinking water?6.  Describe what is meant by a watershed. Name the two types and give an example.7.  What is GAC?  How is GAC prepared and why?8.  What is the composition of fertilizers and how can they destroy water quality?9.   Describe the acids found in acid rain and their source.  What is the acidity of normal rain?10.  Heavy metals are a serious threat to human health. Describe one heavy metal and the health problems associated with it as well as the source of this metal.11.  What does the US Department of Public Health consider the MOST serious threat to drinking water? What causes this problem?12.  What was used in the field to measure the turbidity of the Sudbury River?  How did this work?13.  What is the difference between a…

Malnutrition among the elderly in care homes in the UK

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Is it possible for you to rewrite this paper for me . I have attached the paper I wrote and the comments from my professor.

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Student: Mwila Mulenga Module: MDM83 Submission Date: 03/12/2012 Presentation Title : Malnutrition among the elderly in care homes in the UK – how can it be tackled. You have selected an appropriate public health nutrition problem to work on, used sub headings to structure your work and your lengthy reference list suggests you have read around the subject. However, there is considerable repetition in your work and the word length is taken up with repetition rather than in-depth analysis. The work is overall descriptive and reads as a sequence of relevant information, including listing, with no clear strand of argument, narrativet or ‘plot’. You might want to consult with student services to access support to develop your academic writing Demonstration of understanding & knowledge You describe the problem of malnutrition in the elderly, but a) should define your terms at the start of the assignment – how old is elderly?, how malnourished – low BMI, clinical micronutrient deficiencies? You appear to focus on malnutrition in terms of lack of calories, but vitamin deficiencies eg B12 and Vitamin D are also common amongst institutionalised adults and people over 65 years and this is not mentioned. Interpretation & application (if applicable) You have referred to nutritional screening using MUST and NICE guidelines. You needed to go one stage further and consider effective interventions to ensure that NICE guidelines are implemented in practice. Your discussion on barriers and opportunities for change was limited to the red tray initiative and the protected meal times, and issues are around oral health and dentures. Broader issues about rates of pay/status and training of care home workers, commercial concerns in care home provision and any evidence of different approaches between for profit and not for profit homes, how catering or organised could also have been mentioned to demonstrate awareness of the wider economic, cultural and psycho social determinants of food…

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How Does the United States Compare in Key Determinants of Health?

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Exposing the Gaps—How Does the United States Compare in Key Determinants of Health?
When the health of a population is measured by various mortality indicators such as life expectancy, infant or child mortality, or the chances of surviving to retirement, surprising trends emerge. Health, as measured by longevity, appears to be declining in substantial segments of the U.S. population, especially for women. These findings receive little attention in most public health efforts or in the mainstream media, at least in the United States.
Convenient or not, a startling truth becomes clear—despite having access to what is arguably the best medical care in the world, Americans lag behind much of the developed world in many important health indices. In other words, better health care does not necessarily guarantee better health.
To prepare for this Discussion, complete the readings and view the media in your Learning Resources. Install the free Gapminder Desktop tool and experiment plotting different health outcomes against various determinants already loaded along the two axes. Using the various health ranking resources provided, select two key health indicators for which the United States ranks lower than other nations.
By Day 4, post a brief description of the two indicators you selected, citing specific sources. Explain how the U.S. ranks on these indicators compared to three developing countries. Next, explain two factors that might influence those rankings and the relative standing of the U.S. compared to the other nations. Then, determine which two states rank the best and which two states rank the worst for those indicators. Describe factors you believe might contribute to those relative rankings among the states. Finally, share any insights you gained or conclusions you drew as a result of making these comparisons.
Use APA formatting for your discussion and to cite your resources.

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