Hypertension/Cardiovascular

1. 1. Hypertension/Cardiovascular:

      a. Patients who were hospitalized and discharged alive after an acute Myocardial Infarction (heart attack) who received treatment with beta-blockers for six months

      after discharge.

      b. Patients 18-85 with a diagnosis of hypertension whose most recent blood pressure reading was controlled.

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      Age 18-59 whose BP was <140/90

      Age 60-85 with a diagnosis of diabetes whose BP was <140/90

      Age 60-85 without a diagnosis of diabetes whose BP was <150/90

      Smoking Cessation:

      c. Current smokers seen by a physician during the year who were advised to quit, and cessation medications were recommended and discussed. Different

      cessation methods were discussed.

      Weight Assessment:

      d. Patients between the ages of 3-17 who had been examined for body mass index (BMI, received counseling on nutrition. Counseling or referral for physical activity

      or indication physical activity was addressed during an outpatient visit either by a claim or as a medical record entry during the measurement year.

      Mammograms:

      e. Women age 50-74 years, who have had a mammogram during the preceding 24 months. Exclusion of those women who have undergone bilateral mastectomy.

      Prostate Screening:

      f. Male 50 years and greater who have received an annual PSA and/or Digital Rectal Exam.

      Guided Response: Choose two classmates’ posts and respond to the following question: Do you agree or disagree with their choice of CQI Model? Give rationale why you either agree or disagree, and give one example that illustrates your answer. List at least one scholarly source to support your rationale.

1. Mandates and Cost The Department of Health and Human Services has oversight of several agencies (i.e., FDA, CDC, AHRQ, NIH, CMS) that regulate health care in the United States. Regulation encompasses insurance plans, cost, research, safety, all in the name of delivering quality care in a cost effective manner. These agencies are responsible for monitoring compliance and enforcing legislative mandates. However, the debate continues on government regulation and its effect on ensuring quality care. After completing this week’s reading, review the following articles listed below, which were published 11 years apart. Analyze the cost-quality paradigm noted in the articles. Considering the many governmental mandates and regulations to reduce costs and ensure the delivery of quality care that have been implemented over the years, discuss your opinion regarding why costs have continued to rise without improving quality. List two examples that illustrate your point.
   • DHHS Article related to Cost and Quality (2002)
   • Institute of Medicine article (2013)

   Your initial post should be 250-300 words and utilize at least one scholarly source from the Ashford University Library that supports your point. Cite all sources in APA format as outlined in theAshford Writing Center.

   Guided Response: Choose two classmates and respond to this question: Do you agree or disagree with their rationale for the disparity between cost and quality in health care. Explain your answer. List at least one scholarly source that justifies your statements.

DQ2

The Department of Health and Human Services has oversight of several agencies (i.e., FDA, CDC, AHRQ, NIH, CMS) that regulate health care in the United States. Regulation encompasses insurance plans, cost, research, safety, all in the name of delivering quality care in a cost effective manner. These agencies are responsible for monitoring compliance and enforcing legislative mandates. However, the debate continues on government regulation and its effect on ensuring quality care. After completing this week’s reading, review the following articles listed below, which were published 11 years apart. Analyze the cost-quality paradigm noted in the articles. Considering the many governmental mandates and regulations to reduce costs and ensure the delivery of quality care that have been implemented over the years, discuss your opinion regarding why costs have continued to rise without improving quality. List two examples that illustrate your point.

• DHHS Article related to Cost and Quality (2002)
• Institute of Medicine article (2013)

Your initial post should be 250-300