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BHA FPX 4112 Assessment 3 Instructions: National Health Insurance in the United ...

BHA FPX 4112 Assessment 3 Instructions: National Health Insurance in the United States

BHA FPX 4112 Assessment 3 Instructions

Create an 8-12-slide PowerPoint that presents a potential pathway and plan to implement a national health insurance program in the United States.

As you explore the physician services market and the hospital market, you will have an opportunity to explore concepts such as supplier-induced demand and cost shifting. The efficiency of physician and hospital services will be explored, as well as price competition of both physicians and hospitals. Since the price that a hospital or physician charges for services is rarely paid, you will have the opportunity to think about the relevance of price and why we even have prices today.

National health insurance is a highly debated topic in the United States. This assessment focus on creating an outline for a plausible national health insurance program, which will bring into consideration a number of factors, such as financing structure of national health insurance, and think about the advantages and disadvantages of a single-payer system, employee mandates, and refundable tax credits.

You will have an opportunity to look at our neighbor, Canada, and compare the Canadian health system to that of the United States. What are some of the benefits of the Canadian health care system and do those benefits outweigh the costs, such as longer wait times? As you finalize your assessment you will pick a side—for or against—national health insurance.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Analyze historical perspectives and current trends in the health care industry.

Explain how legislation has supported or failed to support national health insurance in the United States.

Competency 2: Assess the United States health care system from an economic perspective.

Analyze the implications of national health insurance on access, utilization, technological advancements, cost, and growth in the United States.

Competency 3: Analyze the evolving economic reimbursement trends, methods, and technology.

Explain the necessary reimbursement changes that would be required to transition to national health insurance in the United States.

Competency 4: Analyze how economic and stakeholder influences affect operational planning and decision making.

Explain the necessary operational changes that would be required to transition to national health insurance in the United States.

Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with expectations for health care professionals.

Write following APA style for in-text citation, quotes, and references.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Context

For almost a century, the U.S. health care system has been a hot topic of debate and a central issue in all political agendas. Many argue that the United States should have national health insurance, similar to Canada, so care is accessible to everyone. Others argue that national health insurance leads to longer wait times and decreased quality.

Instructions

In this assessment, you will consider everything you have learned in this course, including the history of the U.S. health care system, reimbursement methodologies, technology, and operational concerns. Make an argument, grounded in research, for whether or not the United States should implement national health insurance. Reviewing the media piece National Health Care Trade-Offs | Transcript before beginning your assessment may help you to better understand what areas of a national health insurance program you believe are most important, as well as the trade-offs needed to pursue your priorities.

Also, make sure to consult the scoring guide to make sure you are meeting the communication criteria and achieving at your desired rubric level.

Create an 8–12 slide PowerPoint within the context of a brown bag session for colleagues at your current organization or an organization for which you would like to work. The goal of this session is to share innovations and ideas on a truly national health insurance system in the United States, as well as the legislative, economic, and logistical considerations and trade-offs of your plan.

Include the following in your PowerPoint:

  1. Explain how legislation has supported or failed to support national health insurance in the United (Competency 1)
    1. Discuss the impact of Medicare and Medicaid on the health care
    2. Determine the feasibility of expanding Medicare and Medicaid into a national health insurance available for all
  2. Analyze the implications of national health insurance on access, utilization, technological advancements, cost, and growth in the United (Competency 2)
    1. Identify access, utilization, technology, cost, and growth concerns resulting from national health
    2. Analyze the pros and cons of national health insurance in the United States and determine the feasibility of national health insurance in the United States based on the pros and
    3. Explain the necessary reimbursement changes that would be required to transition to national health insurance in the United (Competency 3)
      1. Apply the reimbursement methods of national health insurance to the United States health care
      2. Determine the feasibility of those reimbursement methods in the United States health care

Explain the necessary operational changes that would be required to transition to national health insurance in the United (Competency 4)

  1. Apply the operational practices of national health insurance to the United States health care
  2. Explain how the practices of physicians, hospitals, insurers, patients, and the government would each change to transition to national health
  3. Determine the feasibility of those operational changes in the United States health care
  1. Write following APA style for in-text citation, quotes, and (Competency 5)
    1. Determine the proper application of APA formatting requirements and scholarly writing
    2. Assess the relevance and credibility of information
  2. Write clearly and logically, with correct use of spelling, grammar, punctuation, and (Competency 5)
    1. Apply the principles of effective
    2. Determine the proper application of the rules of grammar and

Submission Requirements

Written and visual communication: Ensure content is clear, with correct spelling, grammar, and syntax, and well organized to support orderly exposition of content. The writing and visuals should enhance the message. Avoid errors that detract from the message.

PowerPoint slide formatting:

Write each slide, except the title and references slides, with a bold headline and up to seven bullet points. Use as few words in each bullet point as needed to convey your message. Think of them as subheadings. Enter all details and supporting information in the Notes area below the slides.

Length: Compose 12–18 slides.

References: Cite at least three current scholarly or professional resources.

APA formatting: Use APA style for references and citations. Remember to use in-text citation just as you would in a paper-style written assignment. You may find it helpful to consult the following resources:

APA Style and Format.


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BHA FPX 4112 Assessment DiscussionsBHA FPX 4112 Assessment 1 Health Production F ...

BHA FPX 4112 Assessment Discussions

BHA FPX 4112 Assessment 1 Health Production Function

The current state of the organization and potential changes that align with trends

University of Pittsburgh Medical Centre (UPMC) is a non-profit organization that provides community healthcare to the Pittsburgh, Pennsylvania,  local community. For more than a decade, the institution has been providing a range of healthcare services for the Pittsburgh community.

The current state of UPMC, regarding its alignment with the historical trends in the healthcare industry, concerns its potential to improve poor customer satisfaction ratings and its currently outdated equipment. Patients are continually expecting more out of their hospital visits. Therefore, health institutions must pay attention to every detail that influences customer satisfaction, from how they are greeted at the main entrance to the length of waiting time at the emergency room and how the service providers interact with them (Gooch, 2019).

According to O’Neill & Cosentino (2020), reduced satisfaction ratings can contribute to reduced insurance reimbursement claims from health insurance schemes, leading to poor hospital reputations and reduced revenue. Consequently, health organizations need to update their services and align themselves with the current trends in the healthcare industry. As per Rapport et al. (2019), this adaptability should be in all the critical areas of healthcare services, including reimbursement regulations, workflow adjustments, tele-pharmacy, telemedicine, and any other areas that can improve patient satisfaction and organizational profitability.

In this regard, Vogenberg and Santilli (2018) argued that healthcare leaders must always be prepared for change and have the skills to implement beneficial changes that come with either advancement in healthcare technology or general industry development. By being on the lookout for change, healthcare leaders secure patients’ health and well-being and employees’ general welfare.

Health organizations must, therefore, be ready for any change that comes by. The other recommendation given by O’Neill and Cosentino (2020) is that healthcare leaders must pay attention to changes in patient behavior and respond to them accordingly. Healthcare leaders must timely, transparently communicate with patients and employees to ensure efficient delivery of satisfactory services. Lastly, the leaders must be engaged, proactive, and committed to future healthcare industry changes.

Current Programs

UPMC department of dialysis center contributes a large percentage of minority communities in Pittsburgh, who can hardly afford good healthcare. The community members experience various health problems, including chronic diseases such as obesity, hypertension, and diabetes. UPMC formed the Diabetes Prevention Support Center at the University of Pittsburgh, whose main objective is to develop strategies for reducing and managing diabetes within the community. Apart from diagnosing and educating community members, the program provides dialysis treatment to both insured and non-insured members of the community.

For the program to effectively operate, some of the inputs required include nurses, physicians, funding to purchase dialysis equipment. Utilizing these outputs will yield various outputs including improved community awareness about diabetes, including the importance of physical exercise and healthy eating. The Diabetes Prevention Support Center University of Pittsburgh has currently impacted hundreds of residences in Pittsburgh.

The second program run by UPMC is UPMC Men’s Healthcare, which is dedicated to diagnosing and treating conditions affecting men’s reproductive health. The program specializes in absent or delayed ejaculation, lower testosterone, male infertility, premature ejaculation, and pyronine’s disease. The program encourages men to live a healthy sexual life through regular sexual health check-ups, a healthy diet, and physical activity. For the program to be successful, the facility requires various inputs, such as funding for equipment, educational resources, and staffing. Many men have benefited from the program (Trent, 2021).

Resource Allocation and Reflection

I would propose an increase in funding for the Diabetes Prevention Support Centre based on Pittsburgh’s projected prevalence rate of diabetes. According to the Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System (2019), there was a slight decrease in diabetes prevalence rate from 10.9% in 2018 to 10.2% in 2019. However, as per the same reports, this decrease is still relatively higher than the benchmark average of 10.1%, meaning that more effort is still needed to fight against diabetes within Pittsburgh. 

Furthermore, as per the CDC (2020), diabetes is currently ranked the sixth leading cause of death in the United States, contributing to an average of 225 deaths yearly. As such, there must be a concerted effort by healthcare institutions towards reducing the prevalence of diabetes, especially among low-income earners. This can be achieved by increasing the funding directed towards the Diabetes Prevention Support Centre University of Pittsburgh program.

Regarding the UPMC Men’s Healthcare program, I propose that the current funding levels should be maintained but with a contingency plan for any future adjustments that may be needed. Currently, reproductive health conditions are among the leading causes of death in the United States De Jonge and Barratt (2019), making it an important area of focus and investment by healthcare organizations.

Moreover, because stakeholders in the UPMC Men’s Healthcare program are focused on positive outcomes, they should maintain the program’s funding to yield consistent results. Otherwise, they should consider reallocating the funds to other healthcare programs that can show reasonable results.

References

Centers for Disease Control and Prevention, Behavioural Risk Factor Surveillance System (2019). Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data (2011 to present). Accessed 17th January 2022 from https://chronicdata.cdc.gov/Behavioral-Risk-Factors/Behavioral-Risk-Factor-Surveillance-System-BRFSS-P/dttw-5yxu

CDC. (2020). National Diabetes Statistics Report, 2020. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/diabetes/library/features/diabetes-statreport.

De Jonge, C., & Barratt, C. L. (2019). The present crisis in male reproductive health: an urgent need for a political, social, and research roadmap. Andrology, 7(6), 762–768. https://doi.org/10.1111/andr.12673

Gooch, K. (2019). Healthcare Leaders Share Daily Habits to Improve Patient Experience. Beckers Review. Retrieved from https://www.beckershospitalreview.com/hospitalmanagement-administration/14-healthcare-leaders-share-tips-for-improving-the-patientexperience.

O’Neill, M., & Cosentino, D. (2020). Healthcare Industry Trends of 2020. ECG. Retrieved from https://www.ecgmc.com/thought-leadership/blog/2020-healthcare-industry-trends

Rapport, F., Hibbert, P., Baysari, M., Long, J. C., Seah, R., Zheng, W. Y., Jones, C., Preece, K., & Braithwaite, J. (2019). What Do Patients Really Want? An in-depth Examination of Patient Experience in Four Australian Hospitals. BMC Health Services Research, 19(1), 38. https://doi.org/10.1186/s12913-019-3881-z

Trent, C. (2021). Enhancing Quality Primary & Specialty Care: Improving The Health Care Experiences of Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Patients at UPMC Community Medicine, Inc (Doctoral dissertation, University of Pittsburgh). http://d-scholarship.pitt.edu/id/eprint/40536

Vogenberg, F. R., & Santilli, J. (2018). Healthcare Trends for 2018. American Health & Drug Benefits, 11(1), 48–54.

BHA FPX 4112 Assessment 1 Instructions: Health Production Function

Write a 2-4-page executive summary recommending resource investment in a program based on its potential to deliver positive health and economic outcomes.

As a health care professional, you must have a foundational, high-level understanding of health care economics:

One part of this foundation comes from understanding:

The basic laws of economics as they apply to the health care industry.

How the health care system creates unique economic challenges and burdens on all stakeholders.

Another part of this foundation comes from understanding:

The history and trends in health care economics around such topics as the role of the government and government programs such as Medicare and Medicaid.

Trends in patient payments.

The resulting changes in health care expenditures, as well as areas for improvement in the health care system (Feldstein, 2012).

Another key is understanding the concepts and processes involved in the production of health care: Multiple inputs influence health and wellness.

Medical care is only one input, although a significant one.

The health production function and decision rules for allocating health care resources is a key component of the first assessment in this course. For this assessment, think about the ways in which health production efficiency, both technical and economical, can help drive decisions on the allocation of resources (inputs) to drive improved patient health and results (outcomes) (Feldstein, 2012).

Reference

Feldstein, P. J. (2012). Health care economics (7th ed.). Clifton Park, NY: Delmar.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Analyze historical perspectives and current trends in the health care industry.

Describe the current state of a health care organization with regards to alignments to historical health care industry trends. Explain how a health care organization needs to change to better align itself with current trends in the health care industry.

Competency 3: Analyze the evolving economic reimbursement trends, methods, and technology.

Analyze two current programs in a health care setting with regards to the inputs required to operate and its outputs with regards to health outcome rates and patients served.

Competency 4: Analyze how economic and stakeholder influences affect operational planning and decision making.

Propose whether to reallocate, maintain, or increase funding for current programs based upon available resources and projects outputs. Explain how opinions and agendas of stakeholders influence decisions related to the funding of programs in a health care setting.

Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with expectations for health care professionals.

Write following APA style for in-text citation, quotes, and references.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Professional Context

The ability to research, examine, and determine the most efficient ways to allocate resources in order to produce to best health outcomes is a key competency for health care economic professionals. In the complex field of health care, there will always be multiple ways and multiple programs in which an organization can invest resources. It is the health care economics professional’s responsibility to examine the cost of the inputs in comparison to the historic or projected output of health and then make recommendations regarding investment.

Looking at investment is not always entirely about the amount of positive outputs—technical efficiency, economic efficiency, and stakeholder priorities will all also play a part (Feldstein, 2012). Being able to not only understand and crunch the numbers, but also navigate these other considerations, is vital in becoming an effective health care economics professional.

Scenario

You are a health care economics professional with specific expertise in using a health production function to allocate resources. A member of the Board of Directors has asked you to prepare an executive summary that will help the board understand the current practices of the organization and where the organization should align itself in light of current and emerging trends. Additionally, you have been asked to analyze the inputs and outputs of two current programs in the organization in order to make allocation recommendations about how to best utilize the available resources to achieve the best possible outputs for the programs.

BHA FPX 4112 Assessment Discussions Instructions

This assessment has three main parts:

The first part is your examination of the organization’s current practices and alignments with historical health care trends, as well as how the organization needs to change to align itself with current and emerging

  1. The second part is your analysis of two existing programs that could be candidates for further investment (Note: You may use two program examples from your textbook, your own research, or your own organization as the context for your analysis and this executive ).
  2. The third part is your proposal on how to allocate resources for the two programs, as well as a brief explanation of how the views of the stakeholders influenced your decision making

If you have not already, it may be helpful to complete the formative activity to check your understanding of the economic concepts relevant to this assessment.

Economic Elements in Health Care | Transcript.

Consult the scoring guide to make sure you are meeting the communication criteria and achieving your desired rubric level.

Part I: Current State of Organization and Potential Changes to Align with Trends

Describe the current state of a health care organization with regards to alignments to historical health care industry trends. (Competency 1)

For this, use either an organization that you currently or previously had worked for, have researched as an organization you would like to work for in the future, or one that was present in the textbook or other research you conducted.

Explain how a health care organization needs to change to better align itself with current trends in the health care industry. (Competency 1)

Continue using the organization that you described to meet the first scoring guide criteria.

Part II: Analysis of Current Programs

Analyze two current programs in a health care setting with regards to the inputs required to operate and its outputs with regards to health outcome rates and patients served. (Competency 3)

As noted in the instructions above, you may use program examples from your textbook, your own research, or your own organization. Be sure you choose examples for which you can report the inputs, outputs, and approximate patients served.

Part III: Resource Allocation and Stakeholder Reflections

Propose whether to reallocate, maintain, or increase funding for current programs based upon available resources and projects outputs. (Competency 4)

Use the two programs you analyzed in Part II. It will be helpful to cite evidence (literature, your textbook, or current health improvement initiatives [like those being pursued via your state’s Department of Health] to help support your proposals.

Explain how opinions and agendas of stakeholders influence decisions related to the funding of programs in a health care setting. (Competency 4) Make explicit reference to the stakeholders and their statements in the Scenario section for this assessment, or to specific examples from your current or former career experiences.

BHA FPX 4112 Assessment Discussions – Assessment 1: Health Production Function Sample Solution

Current state of the organization and potential changes that align with trends

University of Pittsburgh Medical Centre (UPMC) is a non-profit organization that provides community healthcare to the Pittsburgh, Pennsylvania,  local community. For more than a decade, the institution has been providing a range of healthcare services for the Pittsburgh community.

The current state of UPMC with regards to its alignment with the historical trends in the healthcare industry concerns its potential to improve poor customer satisfaction ratings and its currently outdated equipment. Patients are continually expecting more out of their hospital visits. Therefore, health institutions must pay attention to every detail that influences customer satisfaction, from how they are greeted at the main entrance to the length of waiting time at the emergency room and how the service providers interact with them (Gooch, 2019).

According to O’Neill & Cosentino (2020), reduced satisfaction ratings can contribute to reduced insurance reimbursement claims from the health insurance schemes, leading to poor hospital reputations and reduced revenue. Consequently, health organizations need to update their services and align themselves to the current trends in the healthcare industry. As per Rapport et al. (2019), this adaptability should be in all the critical areas of healthcare services, including reimbursement regulations, workflow adjustments, tele-pharmacy, telemedicine, and any other areas that can improve patient satisfaction and organizational profitability.

In this regard, Vogenberg and Santilli (2018) argued that healthcare leaders must always be prepared for change and have the skills for implementing beneficial changes that come with either advancement in healthcare technology or general industry development. By being on the lookout for change, healthcare leaders secure the health and well-being of patients and the general welfare of employees.

Health organizations must therefore be ready for any change that comes by. The other recommendation given by O’Neill & Cosentino (2020) is that healthcare leaders must pay attention to changes in patient behavior and respond to them accordingly. Healthcare leaders must timely, transparently communicate with both patients and employees to ensure efficient delivery of satisfactory services. Lastly, the leaders must be engaged, proactive, and committed to any future changes within the healthcare industry.

Current Programs

UPMC department of dialysis center contributes a large percentage of minority communities in Pittsburgh, who can hardly afford good healthcare. The community members experience various health problems including chronic diseases such as obesity, hypertension, and diabetes. UPMC formed the Diabetes Prevention Support Center University of Pittsburgh, whose main objective is to develop strategies for reducing and managing diabetes within the community. Apart from diagnosing and educating community members, the program provides dialysis treatment to both insured and non-insured members of the community.

For the program to effectively operate, some of the inputs required include nurses, physicians, funding to purchase dialysis equipment. Utilizing these outputs will yield various outputs including improved community awareness about diabetes, including the importance of physical exercise and healthy eating. The Diabetes Prevention Support Center University of Pittsburgh has currently impacted hundreds of residences in Pittsburgh.

The second program run by UPMC is the UPMC Men’s Healthcare, which is dedicated to the diagnosis and treatment of conditions affecting men’s reproductive health. The program specializes in absent or delayed ejaculation, lower testosterone, male infertility, premature ejaculation, and pyronine’s disease. The program encourages men to live a healthy sexual life through regular sexual health check-ups, a healthy diet, and physical activity. For the program to be successful, the facility requires various inputs such as funding for equipment, educational resources, and staffing. Many men have benefited from the program (Trent, 2021).

Resource Allocation and Reflection

I would propose an increase in funding for the Diabetes Prevention Support Centre based on Pittsburgh’s projected prevalence rate of diabetes. According to the Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System (2019), there was a slight decrease in diabetes prevalence rate from 10.9% in 2018 to 10.2% in 2019. However, as per the same reports, this decrease is still relatively higher than the benchmark average of 10.1%, meaning that more effort is still needed in the fight against diabetes within Pittsburgh.

Furthermore, as per the CDC (2020), diabetes is currently ranked the sixth leading cause of death in the United States, contributing to an average of 225 deaths yearly. As such, there must be a concerted effort by healthcare institutions towards reducing the prevalence of diabetes, especially among low-income earners. This can be achieved by increasing the funding directed towards the Diabetes Prevention Support Centre University of Pittsburgh program.

Regarding UPMC Men’s Healthcare program, I propose that the current funding levels should be maintained but with a contingency plan for any future adjustments that may be needed. Currently, reproductive health conditions are among the leading causes of death in the United States De Jonge and Barratt (2019), making it an important area of focus and investment by healthcare organizations. Moreover, because stakeholders in the UPMC Men’s Healthcare program are focused on positive outcomes, they should maintain the program’s funding to yield consistent results. Otherwise, they should consider reallocating the funds to other healthcare programs that can show reasonable results.

BHA FPX 4112 Assessment Discussions References

Centers for Disease Control and Prevention, Behavioural Risk Factor Surveillance System (2019). Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data (2011 to present). Accessed 17th January 2022 from https://chronicdata.cdc.gov/Behavioral-Risk-Factors/Behavioral-Risk-Factor-Surveillance-System-BRFSS-P/dttw-5yxu

CDC. (2020). National Diabetes Statistics Report, 2020. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/diabetes/library/features/diabetes-statreport.

De Jonge, C., & Barratt, C. L. (2019). The present crisis in male reproductive health: an urgent need for a political, social, and research roadmap. Andrology, 7(6), 762-768. https://doi.org/10.1111/andr.12673

Gooch, K. (2019). Healthcare Leaders Share Daily Habits to Improve Patient Experience. Beckers Review. Retrieved from https://www.beckershospitalreview.com/hospitalmanagement-administration/14-healthcare-leaders-share-tips-for-improving-the-patientexperience.

O’Neill, M., & Cosentino, D. (2020). Healthcare Industry Trends of 2020. ECG. Retrieved from https://www.ecgmc.com/thought-leadership/blog/2020-healthcare-industry-trends

Rapport, F., Hibbert, P., Baysari, M., Long, J. C., Seah, R., Zheng, W. Y., Jones, C., Preece, K., & Braithwaite, J. (2019). What Do Patients Really Want? An in-depth Examination of Patient Experience in Four Australian Hospitals. BMC Health Services Research, 19(1), 38. https://doi.org/10.1186/s12913-019-3881-z

Trent, C. (2021). Enhancing Quality Primary & Specialty Care: Improving The Health Care Experiences of Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Patients at UPMC Community Medicine, Inc (Doctoral dissertation, University of Pittsburgh). http://d-scholarship.pitt.edu/id/eprint/40536

Vogenberg, F. R., & Santilli, J. (2018). Healthcare Trends for 2018. American Health & Drug Benefits, 11(1), 48–54.

BHA FPX 4112 Assessment 2 Instructions: The Supply and Demand of Health Care

Write 7-9 pages that compare different models of supply and demand, as well as analyze how legislation and reimbursement methods impact supply and demand for health care.

As we take a closer look at the demand side of economics, we will consider how need versus demand is different and how this impacts planning and policy in the health care environment. Demand is typically initiated by the patient; however, provider involvement significantly impacts demand. Since the patient is dependent on the provider for expertise and medical opinion, there is a risk that demand will be increased. This is unique to the health care industry since consumers are not typically as dependent on the supplier of a service in other industries when making a purchase.

Another important driver of demand is the insurance company. Patients initiate the health care service but are not responsible to pay the bill—and this has the potential to skew the demand curve. This is one of the ideas behind high-deductible health care and the effort to control the consumption of services by making the patient responsible for a higher percentage of the overall bill. Finally, you will be offered an opportunity to think about the implications of free medical care and how that may impact the demand for health care services.

Like the demand curve, the health care field presents unique and interesting challenges to the supply of health care. You will be introduced to the concept of economic efficiency and the impact of inefficiencies on cost. The production function will be further explored, which is the relationship between the output of a product or service compared to the resources used to produce it (Feldstein, 2012). Competition, market structure, market performance, and public policies as they relate to the supply of health care services will be discussed as well.

The evolution of health care insurance has impact aspects health care economics such as price competition, medical loss ratios, and risk. As you prepare to complete the assessment consider the role that copays, coinsurance, and deductibles play on the demand curve and reflect on your opinions related to the effectiveness of high-deductible health plans in controlling the demand of health care services.

Reference

Feldstein, P. J. (2012). Health care economics (7th ed.). Clifton Park, NY: Delmar.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Analyze historical perspectives and current trends in the health care industry.

Explain current legislative trends that influence the supply and demand of health care. Competency 2: Assess the United States health care system from an economic perspective.

Compare and contrast the demand of health care services with the demand of an automobile.

Compare and contrast the supply of health care services with the supply of an automobile. Competency 3: Analyze the evolving economic reimbursement trends, methods, and technology.

Analyze reimbursement methods that influence the supply and demand of health care services.

Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with expectations for health care professionals.

Write following APA style for in-text citation, quotes, and references.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. BHA FPX 4112 Assessment 2 Instructions: The Supply and Demand of Health Care

Context

The basic economic laws of supply and demand do not work the same way in the health care industry as they do in other industries. A few of the contributing issues include: demand cannot be restricted to only those with an ability to pay since health care is considered a basic human right (need versus demand), demand is increased due to a third party (insurance or government) that pays for the service, and our supply is limited based on a highly skilled human resource variable (physicians).

Instructions

In this assessment, you will consider these contributing issues and others that you identify in your research as they relate to the free market. Compare and contrast the laws of supply and demand of the health care industry with that of the automobile industry and explain how the economic structure of the health care industry is different from other industries. Reviewing the following media pieces may help to solidify your understanding of the economic concepts and industries relevant to this assessment.

Health Care Supply and Demand | Transcript. Supply, Demand, & Reimbursement | Transcript.

Also, make sure to consult the scoring guide to make sure you are meeting the communication criteria and achieving at your desired rubric level.

  1. Compare and contrast the demand of health care services with the demand of an automobile (Competency 2).
    1. Identify the key contributing factors that determine demand of health care
    2. Identify the key contributing factors that determine demand of an
    3. Compare and contrast the similarities and differences of the demand curve of these two
  2. Compare and contrast the supply of health care services with the supply of an automobile (Competency 2).

Identify the key contributing factors that determine supply of health care

  1. Identify the key contributing factors that determine supply of an
  2. Compare and contrast the similarities and differences of the supply curve of these two
  1. Explain current legislative trends that influence the supply and demand of health care (Competency 1).
    1. Explain how Medicare and Medicaid impact supply and demand of health care
    2. Discuss the impact of the uninsured population on the supply and demand of health care
  2. Analyze reimbursement methods that influence the supply and demand of health care services (Competency 3).
    1. Identify the stakeholders who pay for health care
    2. Analyze the impact of different reimbursement methodologies and payment models on the supply and demand of health care
  3. Write following APA style for in-text citation, quotes, and references (Competency 5).
    1. Determine the proper application of APA formatting requirements and scholarly writing
    2. Assess the relevance and credibility of information
  4. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics (Competency 5).
    1. Apply the principles of effective
    2. Determine the proper application of the rules of grammar and mechanics

BHA FPX 4112 Assessment 3 Instructions: National Health Insurance in the United States

As you explore the physician services market and the hospital market, you will have an opportunity to explore concepts such as supplier-induced demand and cost shifting. The efficiency of physician and hospital services will be explored, as well as price competition of both physicians and hospitals. Since the price that a hospital or physician charges for services is rarely paid, you will have the opportunity to think about the relevance of price and why we even have prices today.

National health insurance is a highly debated topic in the United States. This assessment focus on creating an outline for a plausible national health insurance program, which will bring into consideration a number of factors, such as financing structure of national health insurance, and think about the advantages and disadvantages of a single-payer system, employee mandates, and refundable tax credits.

You will have an opportunity to look at our neighbor, Canada, and c


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BHA-FPX4108 Assessment 1 Instructions: Vila Health: Pacemaker InventoryCreate a ...

BHA-FPX4108 Assessment 1 Instructions: Vila Health: Pacemaker Inventory

Create a 7-10 slide PowerPoint presentation that explains basic inventory management concepts and analyzes the current state of an organization’s inventory of pacemakers.

Introduction

Health care operations is a complex topic, encompassing many aspects including (but not limited to) service locations, personnel, policy, leadership, finance, strategy, and quality. While the industry is generally viewed as a service industry, its systems are faced with complex operational challenges including supply chain, strategy, quality and project management, and service delivery. Given the changing landscape from a health reform and financial perspective, health care organizations must focus on improving their operations and improving efficiencies to remain competitive.

A component of the health care delivery process is the procurement, stocking, and dispensing of supplies. Within this process, opportunities exist to add value, reduce waste, and create standardization throughout the organization (Kros & Brown, 2013). Effective management of health care operations creates value for all stakeholders.

One way to potentially create value in operations is through inventory management. Whether you realize it or not, you are most likely familiar with the concept of inventory. For example, when you visit the grocery store perhaps they are out of your favorite ice cream, or, before you left home, maybe you took stock of your cupboards to determine what items you need to pick up on the grocery store trip. Both of these are everyday examples of the concept of inventory.

In health care, inventory management is vital for many reasons, including regulatory compliance and investment protection. When we think about the inventory of a health care organization, we must take into consideration items ranging from pots and pans to medical devices and surgical instruments (Kros & Brown, 2013).

Finance and accounting principles in health care operations and supply chain management are key concepts to understand, at least at a foundational level. At a minimum, health care professionals should be familiar with the basic components of financial statements and financial ratios utilized by health care organizations, as well as concepts related to the value of money. Over the years, the health care industry has been subject to several changes in reimbursement methodologies. Each methodology was implemented with the intent of addressing the concerns facing the industry at the time (fraud, quality, utilization, et cetera).

Current methodologies regulate the payment amount or payment rate that organizations will receive in return for treating each patient. Changes to these payment methods have had major financial implications for health care organizations (Kros & Brown, 2013). To remain fiscally responsible, health care professionals must streamline operations to ensure costs are managed, productivity is maximized, and resources are optimized (Kros & Brown, 2013). Outside of payroll and benefits, supplies and materials are close contenders for health care organizations’ highest expenses.

Regardless of whether you work in a clinical or non-clinical unit, it is imperative to understand how to read and understand the organization’s financial statements. In addition to financial statements, each department operates off of an annual budget. These budgets are established as financial guidelines for the department’s operations and always contain line items for materials and supplies.

Reference

Kros, J. F., & Brown, E. C. (2013). Health care operations and supply chain management: Operations, planning, and control. San Francisco, CA: Jossey-Bass.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Describe when and how the senior leader would directly impact health care operations.

Analyze leaders’ responsibilities in addressing the identified inventory recommendations. Competency 2: Analyze the impact of the various success factors of a health care organization.

Explain inventory control.

Competency 3: Analyze the concept of competitive strength by considering efficiency and effectiveness of organizational processes.

Describe options for inventory ordering.

Analyze the implications of having inventory control.

Competency 4: Apply management concepts to lead an efficient health care system.

Present findings based upon review of the EOQ and organizational data.

Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.

Write following APA style for in-text citations, quotes, and references.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Preparation

This assessment is based on the Vila Health: Pacemaker Inventory media simulation, which is linked in the Vila Health: Pacemaker Inventory section of Assessment 1. Go to that section to complete the scenario at this time. You will use the information you gather in this scenario, in which you assume the role of an inventory analyst, to provide context and information necessary for the assessment.

If you have questions about or would like to review tips on using PowerPoint, the following resources may be useful as you prepare to complete this assessment:

Guidelines for Effective PowerPoint Presentations [PPTX].

Microsoft Office Software Tutorials.

Instructions

Based on the media simulation you completed, one of the directors has asked you to examine the the ordering, stocking, and use of pacemakers at the Peta King Heart Institute at St. Anthony Medical Center. In addition to your inventory investigation, you have been encouraged to research additional topics, such as inventory management, inventory control, inventory ordering systems, economic order quantity (EOQ) calculations, and inventory stocking techniques.

As you research, consider industries outside of health care, as techniques utilized in other industries may apply. After you have concluded your investigation and research, you have been asked to prepare a PowerPoint for the director to help them communicate with other stakeholders the basics of inventory control, the importance of having inventory control strategies, and the current state of the Peta King Heart Institute’s pacemaker inventory.

Your PowerPoint needs to address the following criteria. (Note: The questions under each criterion are there to help you think through each.)

  1. Explain what inventory control
    1. Why are EOQs conducted?
    2. What is impact of the heart institute’s volumes (past, present, and projected) from a strategic perspective (related to pacemaker use) on the overall success of the organization?
  2. Describe options for inventory
    1. What are quantities to order?
    2. What are potential inventory ordering systems?
    3. What are the pros and cons of the identified systems?
    4. When should other products be considered?
    5. When should alternative stocking be considered (ordering inventory consignment)?
  3. Analyze leaders’ responsibilities in addressing the identified inventory
    1. What should leaders address related to inventory?
    2. What are the consequences of leaders not addressing inventory needs?
    3. What are the implications of not adhering to the recommended inventory purchase?
    4. Analyze the implications of having inventory
      1. How does efficient inventory control impact the organization’s effectiveness?
      2. What are the implications for an organization’s effectiveness if inventory control is absent or sub-standard?
    5. Present your findings based upon your review of the EOQ and organizational
      1. How does product use this year compare to that of the previous year, as well as the projected budget year?
      2. What are your finding and recommendations?

You might want to (but do not have to) organize your presentation using the following outline:

Slide 1: Title of the presentation.

Slide 2: Overview of inventory control. Slide 3: Review of EOQ purpose and data.

Slide 4: Recommendations for inventory ordering. Slide 5: Leadership.

Slide 6: Implications.

Slide 7: Conclusions. Slide 8: Reference list.

General PowerPoint Guidelines

Keep the design simple. Use Arial or Verdana font, size 24 point, at minimum.

Keep the slides concise. Use 5–7 bullet points per slide and 5–7 words per bullet. Use speaker notes to explicate the bullets. For best color contrast, use light text on dark background (for example, yellow on black, white on dark blue).

Use the proper slide layout. For example, if a slide has a title and text, create it using the correct Title and Text layout.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics

Related Assignments:

BHA-FPX4108 Assessment 2 Instructions: Potential Community Health Interventions

BHA-FPX4108 Assessment 3 Instructions: Recommend a Strategy

BHA-FPX4108 Assessment 4 Instructions: Community Health Action Plan


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BHA-FPX4108 Assessment 2 Instructions: Potential Community Health Interventions ...

BHA-FPX4108 Assessment 2 Instructions: Potential Community Health Interventions Sample Paper

Coronavirus (COVID-19) is a global health issue that has and is still threatening the health and well-being of communities globally, including Missouri City, Texas. While currently there is no treatment for COVID-19, different strategies exist that can be used to control the pandemic and minimize its impact on the community.

This essay evaluates some of those strategies that can be used to mitigate the impact of COVID-19 on the Missouri City community by exploring several aspects of the intervention, such as the social determinants affecting the people of Missouri City in relation to COVID-19, the appropriate treatment model for the disease and the wellness model suitable for the Missouri City community.

Missouri City is a city in Texas, USA, and exists within Houston-The Woodlands metropolitan area. It is mostly in Fort Bend County, with part of its area within Harris County. As of 2019, the city had a population of 74,557 people, residing within 78.72 square kilometers (United States Census Bureau, 2019)

Social Determinants

Social determinants of health are either social or economic conditions that influence the health and wellbeing of a community (Darcis et al. 2020). Social determinants of health exist in two types, namely the physical environment and the social environment. While the COVID-19 disease always includes social determinants, some economic determinants are also available.

For instance, the people of Missouri City are outgoing – they engage in various social gathering activities such as church worships, music concerts, and family gatherings. Furthermore, the vibrant city of Missouri has several social places where people gather to engage in different activities such as shopping, drinking and partying. Since COVID-19 is an infectious disease, social distancing is important. However, maintaining social distance is problematic in Missouri City considering humans’ heavy reliance on social interaction.

But considering modern technology, people have different ways of achieving social interaction, such as social media chat and texting. Therefore, peoples’ interaction is limited to virtual interaction. However, various precautions have been made in a physical setting, the most common one being the six-meter rule. This encourages people to keep at least 1.5 meters distance from each other at any given time, thus minimizing the chance of the virus’ transmission (Word Health Organization, 2020).

Apart from the social distancing rule, other basic hygiene measures can be used to minimize the spread of COVID-19. These measures include regular hand cleaning with either hand washing or alcoholic hand rubbing agents, regular cleaning of surfaces, and covering one’s mouth when sneezing or coughing.

Moreover, potentially infected individuals are encouraged to test for COVID-19. Early testing is essential because it enables immediate treatment delivery and separation from the rest of the population (Wilder-Smith & Freedman, 2020). Unfortunately, though, some individuals are asymptomatic, and therefore it would be difficult to tell the potentiality of transmitting the disease to others. Typically, asymptomatic individuals are those who have been infected but do not exhibit any symptoms (Afzal et al., 2021). This explains why it is important to maintain social distance.

Apart from being a socially vibrant population, a high proportion of Missourians are affected by various chronic diseases that increase their risk of getting COVID-19 infection. For instance, according to 2011 statistics, 30.2% of   Missourians were obese while 34.3% of them had hypertension. Moreover, as per Yun et al. (2013), 39.7% of the Missouri population were diagnosed with high cholesterol, while 1.7% were diagnosed with diabetes.

These statistics reveal the extent to which some members of the Missouri community are not only exposed to COVID-19 infection but also experience healthcare burdens that would worsen their health outcomes. The duty of care for those with underlying conditions would worsen if they contract COVID-19, affecting their ability to afford healthcare. There needs to be a COVID-19 prevention model that protects this population from COVID-19.

Treatment Model

Treatment models are useful in treating infections based on the patient’s current situation (Indini et al. 2020). They represent an actual treatment for the disease and are often executed with the consideration of the patient’s current condition. Because the main COVID-19 symptom is fever, most locations conduct a temperature check on people before accessing the premises.

This is useful in containing the virus from spreading in public places (Darcis et al. 2020). However, temperature check as a treatment model is not the most efficient way of handling COVID-19. With the increasing number of infections in Missouri City, there needs to be a constant revision of the treatment models to facilitate rapid containment of the disease.

Wellness Model

Wellness models seek to help communities and individuals avoid disease transmission before their health is compromised. As per Wilder-Smith and Freedman (2020), this includes creating public awareness and policy guidelines. Nonetheless, the treatment and wellness models must be integrated and coordinated for the disease to be effectively contained.   

Fundamentally, the wellness model seeks to enable community members to take proper actions and precautions towards protecting their health and wellbeing. One of the most critical components of this public awareness, whereby the public is sensitized on the various ways of preventing infection. Furthermore, public awareness encourages people to follow the set guidelines to stay healthy – for example, encouraging people to get tested in case they suspect an infection.

But the strategy of early testing is not always effective because, in some cases, an individual may test negative but later get exposed to the virus. Another disadvantage of early testing model is that many testing facilities will not test individuals unless they display symptoms. This is especially an issue because some people are asymptomatic. As such, according to Darcis et al. (2020), the asymptomatic individuals remain untested but go ahead to infect others.

Conclusion

The application of treatment and wellness models is a common and essential strategy for dealing with infectious diseases that threaten the lives of individuals. The models are fundamentally designed and executed to protect the health and wellbeing of both local and international communities. However, as governments and healthcare organizations coordinate to develop treatment and wellness models, the responsibility of containing the diseases ultimately lies on the people – based on their actions and response to the developed models.

Social distancing and basic hygiene practices are some of the most common actions that can help contain the spread of COVID-19 in Missouri City. Fortunately, technology has enabled communities and individuals to interact even without being together physically. Most importantly, the community must work together to prevent COVID-19 from causing a decline in their health condition.

References

Afzal, I., Abdul Raheem, R., Rafeeq, N., & Moosa, S. (2021). Contact tracing for containment of novel coronavirus disease (COVID-19) in the early phase of the epidemic in the Maldives. Asia Pacific Journal of Public Health, 33(1), 131-133. https://doi.org/10.1177/1010539520956447

Darcis, G., Vaira, D., & Moutschen, M. (2020). Impact of coronavirus pandemic and containment measures on HIV diagnosis. Epidemiology & Infection, 148. https://doi.org/10.1017/S0950268820001867

Indini, A., Aschele, C., Cavanna, L., Clerico, M., Daniele, B., Fiorentini, G., … & Grossi, F. (2020). Reorganisation of medical oncology departments during the novel coronavirus disease-19 pandemic: a nationwide Italian survey. European Journal of Cancer, 132, 17-23. https://doi.org/10.1016/j.ejca.2020.03.024

Indini, A., Aschele, C., Cavanna, L., Clerico, M., Daniele, B., Fiorentini, G., Fioretto, L., Giordano, M., Montesarchio, V., Ortega, C., Pinotti, G., Scanni, A., Zamagni, C., Blasi, L. & Grossi, F. (2020). Reorganisation of medical oncology departments during the novel coronavirus disease-19 pandemic: a nationwide Italian survey. European Journal of Cancer, 132(), 17–23.

United States Census Bureau (2019). 2019 U.S. Gazetteer Files. Retrieved January 4, 2022

Wilder-Smith, A., & Freedman, D. O. (2020). Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. Journal of travel medicine. https://academic.oup.com/jtm/article/27/2/taaa020/5735321

World Health Organization. (2020). Considerations for quarantine of individuals in the context of containment for coronavirus disease (?? COVID-19)??: interim guidance, 19 March 2020 (No. WHO/2019-nCoV/IHR_Quarantine/2020.2). World Health Organization. https://apps.who.int/iris/handle/10665/331497

Yun, S., Kayani, N., Homan, S., Li, J., Pashi, A., McBride, D., & Wilson, J. (2013). The burden of chronic diseases in Missouri: progress and challenges. Missouri medicine, 110(6), 505–511. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6179805/

BHA-FPX4108 Assessment 2 Instructions: Potential Community Health Interventions Instructions

Create a 4-6-page analysis for two potential approaches to address a specific health problem in a community of your choosing.

Introduction

Medical education in the United States has been deemed inadequate to properly train health care professionals in public health and prevention (Nash, Fabius, Skoufalos, & Clarke, 2016). Current medical education systems focus on the treatment of acute medical conditions versus the prevention of diseases (Nash, Fabius, Skoufalos, & Clarke, 2016). Experts agree that, to improve population health in our country, medical education programs must be redesigned to include new skills and approaches in preventative care; however, the same experts disagree on the best way to do this (Nash, Fabius, Skoufalos, & Clarke, 2016).

The Institute of Medicine (IOM) has developed and proposed a set of core competencies for all health care providers to ensure adequate care and address the health care needs of our communities. These competencies include: providing patient-centered care, working in interdisciplinary teams, employing evidence-based practices, applying quality improvement, and utilizing informatics (Nash, Fabius, Skoufalos, & Clarke, 2016). Other recommendations have been put forward; however, adoption of these recommendations has been slow to emerge.

In the past, the typical patient care model comprised:

A patient seeking services.

A provider diagnosing and treating an acute concern.

The patient complying with the treatment recommendations or not.

Today, patient engagement and advocacy are increasing in focus. As provider reimbursement methodologies shift to pay for performance and the Affordable Care Act (ACA), and patients demand higher-quality services at a lower cost, patient engagement is a critical variable to improved patient outcomes.

The patient engagement framework was developed to assist in the study of patient engagement. The framework consists of five steps and will be examined in this unit (Nash, Fabius, Skoufalos, & Clarke, 2016):

Inform Me: providers educate patients and help them understand care
Engage Me: providers interact with patients to improve
Empower Me: patients become a part of the care
Partner with Me: the provider and patient partner in shared care
Support my E-Community: the community is included in the network of patient

The above framework illustrates one way in which population health strives to shift our focus from a reactive treatment model to a proactive wellness model (Nash, Fabius, Skoufalos, & Clarke, 2016). For your future reference, each type of model can be briefly defined as:

Treatment models provide care to patients who exhibit a problem.

Wellness models take proactive steps to prevent development of a problem.

Reference

Nash, D. B., Fabius, R. J., Skoufalos, A., & Clarke, J. L. (2016). Population health: Creating a culture of wellness (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Demonstration of Proficiency

Competency 1: Integrate principles of epidemiology, population health, and community engagement to plan interventions.

Assess how social determinants affect individuals in relation to a specific health problem.

Competency 2: Differentiate and evaluate evidence-based treatment models and prevention models designed to promote wellness and disease management for population health.

Assess an evidence-based treatment model that addresses a health need.

Assess an evidence-based wellness model for preventing development of a future health problem.

Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with expectations for health care professionals.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. Write following APA style for in-text citation, quotes, and references.

Note: It is recommended that you complete the assessments in this course in the order they are presented.

Preparation

For this assessment, select one of the three specific health-improvement needs you identified in the Analyze Community Health Needs assessment. Once you have selected the health-improvement need you want to focus on, complete the following:

Conduct research on your chosen health improvement need and identify two possible approaches to address the problem in your community

One approach may be the same one that you identified in your Analyze Community Health Needs assessment, or you can select two new approaches.

Research how other communities are addressing your chosen need and locate relevant data.

The Centers for Disease Control and Prevention (CDC) may be a good place to start.

Complete the suggested Community Health Strategies activity if you want to check your knowledge about specific models and strategies for community health initiatives such as education, intervention, prevention, and treatment.

Instructions

Examine potential interventions for the health-improvement need you selected during your preparation and compile a 4–6-page analysis. As previously stated, you must report on two possible approaches, one of which may be from those you identified in your Analyze Community Health Needs assessment.

For the purposes of this assessment, each intervention approach must be evidence based. Also, one intervention must be based on a treatment model and the other, a wellness model. For the purposes of this assessment, use these brief definitions when determining which model an intervention would be categorized as:

Treatment models provide care to patients who exhibit a problem.

Wellness models take proactive steps to prevent development of a problem.

Consult the scoring guide to ensure that you are addressing all criteria at the level to which you desire. Include the following in your analysis:

Assess how social determinants affect individuals in relation to a specific health problem.

Restate the specific health-improvement need that you are researching.

Restate the relevant characteristics of the affected community with regards to your chosen health improvement need. Identify the most relevant social determinants with regards to your chosen health need.

How do they impact individuals in the community?

How do these impacts affect the health and ability to seek out treatment of individuals?

What inequities with regards to social determinants exist between specific populations in the community?

Why is it important to acknowledge these inequities when determining interventions to improve a population health issue?

Assess an evidence-based treatment model that addresses a population health need.

Describe an evidence-based treatment model to address the health need.

Be explicit in your descriptions, pointing out the identifying characteristics of the model.

How can you tell that the model belongs in the treatment model category?

Explain why the treatment-based model is a potentially effective intervention for your identified health need. Comment on advantages and disadvantages of the treatment model.

Assess an evidence-based wellness model for preventing development of a future population-health problem.

Describe an evidence-based wellness model to prevent future development of the health problem. Be explicit in your descriptions, pointing out the identifying characteristics of the model.

How can you tell that the model belongs in the wellness model category?

Explain why the wellness-based model is a potentially effective intervention for your identified health need. Comment on advantages and disadvantages of the wellness mode.


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Alamance BIO 111 Genetics of Corn Experiment 1 A Monohybrid CrossBIO 111 – Gen ...

Alamance BIO 111 Genetics of Corn Experiment 1 A Monohybrid Cross

BIO 111 – Genetics of Corn Experiment 1 A Monohybrid Cross

Late Nite Labs

Genetics of Corn

SHORT ANSWER

Experiment 1: A Monohybrid Cross

Directions for BIO 111 – Genetics of Corn Experiment 1 A Monohybrid Cross :

  • Use complete sentences and bold the answers and have them in a different color. Failure
    to do so will result in points being deducted.

Lab Results

  1. What proportion of purple kernels is expected in the progeny of the monohybrid cross in Experiment 1?
  2. Fill in the table below with the data you collected during Experiment 1
  • Purple Kernels
  • Yellow Kernels
  • Row 1
  • Row 2
  • Row 3
  • Row 4
  • Row 5

Total

Data Analysis

BIO 111 – Genetics of Corn Experiment 1 A Monohybrid Cross

ORDER COMPREHENSIVE BIO 111 SOLUTIONS NOW

3. Use the data you collected in Experiment 1 to calculate the percentage of each phenotype.

4. Suppose you observed 240 progeny that resulted from a monohybrid cross and involved genes that obeyed Mendelian
inheritance, how many heterozygous progeny would you expect to observe?

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Experiment 2: A Dihybrid Cross

Lab Results

Fill in the table below with the data you collected during Experiment 2.

  • Purple, Smooth Kernels
  • Purple, Wrinkled Kernels
  • Yellow, Smooth Kernels
  • Yellow, Wrinkled Kernels
  • Row 1
  • Row 2
  • Row 3
  • Row 4
  • Row 5

Total

Data Analysis

Fill in the following table with the percentage of each type of kernel.

Phenotype

Purple, Smooth
https://labs.latenitelabs.com/api/assessment/shortAnswer/109379/56736

Proportion of Progeny

1/4

3/19/2016

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  • Purple, Wrinkled
  • Yellow, Smooth
  • Yellow, Wrinkled

According to your results in Experiment 2, what would be the correct hypothesis to test to see if the traits were inherited through Mendelian genetics? Record this answer for use in a later question BIO 111 – Genetics of Corn Experiment 1 A Monohybrid Cross.

For the cross in Experiment 2, how many degrees of freedom are there? Record this answer for use in a later question.

Determine the ?2 value for Experiment 2 using the following equation. Record your answer for use in a later question.
Phenotype

  • Observed
  • Expected

(O­E) 2

(O­E)

(O­E) 2/E

  • Purple, smooth
  • Purple, winkled
  • Yellow, smooth
  • Yellow, wrinkled

Sum

Use the degrees of freedom and ?2 value from earlier questions to determine the p value for Experiment 2 using the table of critical values for ?2 . Record your answer for use in a later question. BIO 111 – Genetics of Corn Experiment 1 A Monohybrid Cross

Conclusions

1. Use the hypothesis, degrees of freedom, ?2 , and p value determined in earlier questions to conclude whether corn #2 is
following Mendelian genetics. Explain your reasoning.

2. If you crossed Cat #1 and Cat #2 and observed two unlinked traits that follow Mendelian genetics, what must the genotype
and phenotype of Cat #2 be?

Hair length:

  • Dominant = long hair (L)
  • Recessive = short hair (l)

https://labs.latenitelabs.com/api/assessment/shortAnswer/109379/56736

2/4

3/19/2016

Late Nite Labs

Coat color:

  • Dominant = white (W)
    Recessive = some color (w)

In a test population of 1000 people, 200 display albinism. You hypothesize that this trait follows Mendelian genetics with a 3:1 ratio of non­albinism to albinism. Use the ?2 test to determine whether the data support the hypothesis or not. Show your steps and explain your reasoning.
?2 = ? [(O – E)2 /E where O is the observed number of individuals in a defined class, and E is the expected number of individuals in a defined class based on the hypothesis. The ? symbol indicates that you should sum the results for each defined class.

BIO 111 – Genetics of Corn Experiment 1 A Monohybrid Cross Sources

Pierce et al., Genetics 2nd Edition.

https://labs.latenitelabs.com/api/assessment/shortAnswer/109379/56736

3/4

3/19/2016

https://labs.latenitelabs.com/api/assessment/shortAnswer/109379/56736

Late Nite Labs

  • 4/4

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BIO 111 – Genetics of Corn Experiment 1 A Monohybrid Cross


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BHA-FPX4108 Assessment 3 Instructions: Recommend a StrategyCreate a 12-18-slide ...

BHA-FPX4108 Assessment 3 Instructions: Recommend a Strategy

Create a 12-18-slide presentation for community stakeholders in which you recommend a strategy to address a community health need.

Introduction

As the needs of the patient population change, the United States health care system remains relatively unchanged. Episodes of care are still relatively low in frequency and high in acuity (Nash, Fabius, Skoufalos, & Clarke, 2016). Models of care must be changed. Treatments of chronic health conditions and preventative strategies require more frequent visits at a lower intensity (Nash, Fabius, Skoufalos, & Clarke, 2016). Continuity of care and care transitions maintain an ongoing, consistent contact with patients throughout their lives, not only when they are ill (Nash, Fabius, Skoufalos, & Clarke, 2016).

A population health perspective that focuses on chronic health conditions and prevention is needed to improve care transitions (Nash, Fabius, Skoufalos, & Clarke, 2016). Accountable Care Organizations (ACOs) and Patient-Centered Medical Homes (PCMHs) are two models emerging from the Affordable Care Act (ACA) that help focus on chronic diseases and population health (Nash, Fabius, Skoufalos, & Clarke, 2016).

An underlying assumption in version population and patient-centered models is that patients will adhere to the plan they develop with their provider; however, some behaviors may be difficult for patients to change. Unhealthy behaviors such as poor diet, lack of exercise, smoking, and drug use have negative implications for health.

Although many patients want to change their diet and exercise behaviors, many find it extremely difficult to do so. Health care providers must work with patients to understand what causes patients to exhibit certain behaviors and how they can be motivated to change these behaviors (Nash, Fabius, Skoufalos, & Clarke, 2016).

The American Marketing Association (AMA) (2017) defines marketing as the processes for creating, communicating, delivering, and exchanging products and services for key stakeholders and society in general. The “4 Ps”—product, place, price, and promotion—are the primarily elements of marketing. Unlike a traditional consumer product such as an automobile, a health care “product” is more difficult to define.

In population health, an example of a product could be training health care providers to reduce obesity across the population. The place refers to where the health care service will be provided, such as an office, the home of a patient, or a community health center.

The price consists of two components: 1) the actual out-of-pocket price the consumer must pay for the service and 2) the opportunity cost, such as convenience. Finally, promotion refers to the method that is used to disseminate the message such as radio, TV, print and, most recently, social media and the Internet (Nash, Fabius, Skoufalos, & Clarke, 2016). To achieve the goals of population health, community needs must first be assessed and the health care “marketing mix” tailored to the needs of that community.

BHA-FPX4108 Assessment 3 Reference

American Marketing Association (AMA). (2017). About AMA: Definition of marketing. Retrieved from https://www.ama.org/AboutAMA/Pages/Definition-of- Marketing.aspx

Nash, D. B., Fabius, R. J., Skoufalos, A., & Clarke, J. L. (2016). Population health: Creating a culture of wellness (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Demonstration of Proficiency

Competency 1: Integrate principles of epidemiology, population health, and community engagement to plan interventions.

Assess the target audience for recommended community health strategies.

Recommend strategies to mobilize community engagement including a promotion strategy and use of social media and information technology.

Competency 3: Create an action plan to promote wellness and disease management in a diverse population.

Define SMART goals for implementation of a community health need intervention. Analyze collaboration required to implement a community health strategy.

Recommend potential sources of funding and other resources.

Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with expectations for health care professionals.

Employ appropriate written and visual communication to convey content to an intended audience. Write following APA style for in-text citation, quotes, and references.

Note: It is recommended that you complete the assessments in this course in the order they are presented.

Preparation

In this assessment, you will be creating a PowerPoint presentation to deliver to one or more groups of community stakeholders. You will recommend

a strategy to address the community health need you have been working with throughout the Analyze Community Health Needs and Potential Community Health Interventions assessments. You will focus on the strategy that best fits the needs of the target population within the context of the community and organization you have been using as the setting for your assessments.

To help prepare yourself to be successful when creating your PowerPoint, it is recommended that you complete the following:

Determine the single, best strategy to implement in your community. This should be one of the two interventions you identified and wrote about for your Potential Community Health Interventions assessment.

Determine which community stakeholders would be the best target audience for the PowerPoint.

Think about which populations or groups within the community will be receiving the intervention. Think about which stakeholders are vital for successful implementation of your chosen intervention.

Ensure you have an understanding on how to create a quality PowerPoint presentation. Capella’s Microsoft Office Software help page offers a number of guides and resources.

Contact Disability Services to request accommodations if you require the use of assistive technology or alternative communication methods to participate in these activities.

BHA-FPX4108 Assessment 3 Instructions

Create an 8–12 slide PowerPoint to inform and create buy-in from the stakeholder groups you have determined are key to your chosen intervention’s success. These groups include those who influence decisions for funding and implementation, as well as those who would take direct roles in implementation.

As you work to determine the single, best strategy to implement for your chosen health need in the identified population (or populations) in your community, focus on how this presentation can narrow the focus from a broad population need to specific, actionable tasks that community stakeholders must consider before creating an action plan. In your presentation, be sure to consider factors such as educational outreach, financial considerations, and information technology.

Consult the scoring guide to ensure that you are addressing all criteria at the level to which you desire. In your PowerPoint, be sure to complete the following.

Assess the target audience for recommended community-health strategies. Define SMART goals for implementation of a community-health need intervention.

You may wish work through the Evidence-Based Strategies and SMART Goals activity to check your understanding about the various characteristics of well-written SMART goals.

Analyze collaboration required to implement a community-health strategy.

Recommend strategies to mobilize community engagement, including a promotion strategy and use of social media and information technology. Recommend potential sources of funding and other resources.

Employ appropriate written and visual communication to convey content to an intended audience. Apply proper APA formatting and style.

One potential way you could organize your PowerPoint would be as follows:

Title slide: On the first slide of the PowerPoint, include:

A descriptive title of approximately 5–15 words. Stir interest while maintaining professional decorum. Professional Development for [enter the institutional context for your presentation].

Your name.

Your specialization. Course number and title. Capella University.

Instructor’s name.

Your Stakeholder Analysis in the notes section below.

Note: If this presentation were made in a professional context, the entries under your name would be replaced by your job title, the name of your organization, and (perhaps) your contact information.


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BIOL101 Principles of Biology Individual Assignment 1Many of you have spent hou ...

BIOL101 Principles of Biology Individual Assignment 1

Many of you have spent hours thinking about why human beings exist. Most of you are very satisfied with the biblical answers to that question. However, entertain this question for a few moments: Why do all the life forms other than man exist? Why are they all here? Our experienced nursing essay writers will handle all your writing needs including

Evaluate and analyze the arguments in the presentation “Biblical Basis of Life’s Significance,” found in the Reading & Study folder of Module/Week 1. Construct a single sentence of 40 words or less. Include within it 4 carefully crafted and concise phrases that argue that life forms other than man are significant—they were worth creating. Start your sentence with the words:

“Life forms are significant because…”

Then add the 4 phrases, separating each with a comma. Order your phrases such that the most significant comes first and the least significant comes last.

Your assignment:

1.          Write out your masterful sentence.

2.          The sentence must be submitted through the appropriate assignment link and must not be submitted as an attached document, but entered into the text box provided.

Bibliography

Liberty University. (n.d.). Life is significant [Presentation]. Retrieved from https://learnadmin.liberty.edu/bbcswebdav/pid-12568742-dt-content-rid-101909912_1/xid-101909912_1.

Submit this assignment by 11:59 p.m. (ET) on Monday of Module/Week 1.BIOL101 Principles of Biology INDIVIDUAL ASSIGNMENT 1

ORDER COMPREHENSIVE BIOL101 SOLUTIONS NOW


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Bipolar I Disorder in Children and Adolescents Sample PaperThe prevalence of Bip ...

Bipolar I Disorder in Children and Adolescents Sample Paper

The prevalence of Bipolar I disorder among children and adolescents is about 1 in 200 globally, with no significant difference in U.S. population rates compared to other countries (Findling et al., 2018). The disease causes high impairment rates among the affected children and adolescents. Bipolar I disorder is a mental illness characterized by manic behavior and severe depression. Treatment of bipolar involves both pharmacological and non-pharmacological methods. In children and adolescents, treatment and management of the condition requires several considerations as explored in this paper.

The FDA’s recommended pharmacologic method for managing bipolar I disorder in children and adolescents is the olanzapine fluoxetine combo. This drug belongs to the group of atypical antipsychotics. This medication is the first-line choice by the FDA in managing symptoms of acute mania and mixed episodes of bipolar I disorder experienced by children and adolescents (Findling et al., 2018). Moreover, this medication is proven to help in the prevention of the reoccurrence of bipolar I disorder.

An off-label medication that is used in managing Bipolar I disorder is the use of Olanzapine. This drug belongs to a second-generation antipsychotic agent. A lot of trials have been conducted to prove the efficacy of Olanzapine in managing bipolar one disorder, and the results show that Olanzapine (Zyprexa) is a viable option in managing bipolar I disorder (O’Brien & Mark, 2017). Despite these trials showing that this medication is optional for Bipolar I, many controversies have emerged about its safety and tolerability in managing Bipolar I in children and adolescents. Therefore, more research needs to be done to provide more knowledge about the use of this medication.

A non-pharmacologic intervention used in managing Bipolar I disorder is the use of cognitive and behavioral therapy. According to Lynch et al. (2021), this is psychotherapy whereby negative aspects of thoughts and a patient’s views of events surrounding them are challenged and altered to influence mania and mixed episodes’ behavior patterns. This method helps children recognize their negative thoughts and feelings, thus developing skills to combat these detrimental behaviors.

When selecting the best treatment intervention, the best risk assessment method is the fundamental clinical approach to risk management. In this, the nature of the presenting disorder, the current form of the disease is scrutinized before deciding which intervention to use (Findling et al., 2017). More information from family and friends regarding the patient’s condition is also gathered before deciding which intervention to take.

Recently, there has been an allegation that FDA drugs are not safe due to insufficient regulations and a lack of systems that ensures the safety of medications in the market, thereby risking the release of counterfeit medicines. However, FDA medications are proven to be most effective and safe compared to off-label, whose efficacy and side effects have not been established. Although research that demonstrates the safety of off-label medicines is not available, these medications are proven to effectively manage conditions whereby all the available treatment options fail to work.

Clinical practice guidelines for managing bipolar I in adolescents and children are available. The available guideline indicates that bipolar I disorder in children aged above ten years is managed using combined Olanzapine and fluoxetine (Shah & Rao, 2017). Moreover, the guideline recommends psychotherapy as one of the most effective methods of managing Bipolar I disorder.

Bipolar I disorder is one of the severe mental disorders affecting children and adolescents. Although the disease rarely occurs in children, the condition is more detrimental when it develops. The choice of treatment of treatment for the condition remain limited compared to bipolar II disorder. For this reason, FDA needs to conduct more research to determine other medications for managing bipolar I in children and adolescents.

References

  • Findling, R. L., Stepanova, E., Youngstrom, E. A., & Young, A. S. (2018). Progress in diagnosis and treatment of bipolar disorder among children and adolescents: an international perspective. Evidence Based Mental Health, 21(4), ebmental-2018-102912–. doi:10.1136/eb-2018-102912
  • O’Brien, P. L., Cummings, N., & Mark, T. L. (2017). Off-label prescribing of psychotropic medication, 2005–2013: an examination of potential influences. Psychiatric Services, 68(6), 549-558. https://doi.org/10.1176/appi.ps.201500482
  • Shah, N., Grover, S., & Rao, G. P. (2017). Clinical practice guidelines for the management of the bipolar disorder. Indian Journal of Psychiatry, 59(Suppl 1), S51. https://dx.doi.org/10.4103%2F0019-5545.196974
  • Lynch, F. L., Dickerson, J. F., Rozenman, M. S., Gonzalez, A., Schwartz, K. T., Porta, G., … & Weersing, V. R. (2021). Cost-effectiveness of Brief Behavioral Therapy for Pediatric Anxiety and Depression in Primary Care. JAMA Network Open, 4(3), e211778-e211778. doi:10.1001/jamanetworkopen.2021.1778

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BIPOLAR I SAMPLE CASE STUDYIntroductionBipolar is a chronic psychiatric diagnosi ...

BIPOLAR I SAMPLE CASE STUDY

Introduction

Bipolar is a chronic psychiatric diagnosis characterised by alternative episodes of depression with mania or hypomania. Mania is a mood elevation characterised by excessive energy to overwork and perform. The number of recurrent episodes in each phase as well as the duration varies between patients. Bipolar disorders are classified into three categories, namely Bipolar 1, 2 and cyclothymic disorder (Yatham et al, 2018). Type 1 bipolar presents with a major depressive episode and complete manic episodes, while type 2 has only hypomanic level of excitement. The depressive phase is however chronic. Cyclothymic causes mild episodes of hypomania and depression and is less severe than bipolar 1 and 2.

Decision 1

Probable diagnosis for the patient is depressive phase of bipolar I. Major depressive episode in Bipolar 1 is attributable to persistent changes functionality, characterised by changes in mood and loss of interest in pleasure and five additional symptoms. These could be suicidal thoughts, inappropriate guilt, psychomotor agitation, weight loss or gain and insomnia (Bobo, 2017). Stefanie reports to have experienced depressed episodes in which she feels empty and sad. She also endorses feelings of fatigue and reduced ability to concentrate. She has also lived with this for long, hence aligned to fit the diagnosis of major depressive disorder upon admission. Her self-reported mood is sad with an affect consistent with dysphoria. She also has difficulty in sleeping. This diagnosis corresponds to Stefanie’s current medical history, and also relates with her past medical history of disturbed sleep, reduced concentration alternating with episodes of bursting energy to address piled-up responsibilities after days of sleep. Depression diagnosis could define her current mood but is overlapped by bipolar mood disorder due to bursts of energy and activity.

Decision 2

Episodes of mania and depression among bipolar patients have different triggers, among them family conflicts, turbulent relationships and significant life events and disturbed sleep/wake cycle. This makes it ineffective to manage using only pharmacological means. Regular psychotherapy sessions alongside medication management has showed better recovery and reduced episode relapse. Effective methods of psychotherapy include cognitive behaviour, family-focused therapy (FFT) and group psychoeducation. FFT is inclusive of the patient, relatives, friends and partner, in caring for the patient (Miklowitz et al, 2020). The sessions focus on preparing the caregivers to identify early signs, identify triggers and promptly support the patient in self-care. Further sessions focus on communication skills, problem solving skills and conflict resolving skills. Cognitive behavioural therapy addresses the client’s thoughts, feelings and behaviours and their relationship. It also teaches the clients to rehearse and apply adaptive behaviours to address environment triggers and negative thinking patterns. It also enforces the clients to identify with rewarding behaviours especially when depressed, which are not overstretched. Application of both CBT and FFT prepares the client and his environment for further prevention of triggers and reduced occurrence of relapses.

Decision 3

Maniac episodes are considered medical emergencies due to their severity. Emergency medications are used to stabilize the moods and reverse the psychotic features. Olanzapine 5mg BD is the recommended as first line drug, combined with a mood stabilizer for patients with severe psychotic features. Stefanie presents with mild manic symptoms, besides being a new case. As such, the intervening practitioner should initiate her on Olanzapine as a monotherapy, which can be adjusted based on mood changes (Gitlin, 2018). The clinician will regulate dosage adjustment during follow-up visits to maintain optimal effectiveness. Fluoxetine is the most recommended antidepressant for bipolar depression, in combination with only olanzapine. Fluoxetine is a selective serotonin reuptake inhibitor often used to uplift mood status such as in depression and bulimia. The recommended start dose is 20mg in adults, with gradual increase, to a maximum of 60mg a day. With the absence of signs of self-injury and suicide, a low dosage of fluoxetine is recommended to reduce chances of hyper toxicity.

Additional tests

Stefanie would benefit from a follow-up head CT. The test seeks to identify signs of head injury, atrophy or oedema that would disrupt release of the mood hormones, or their uptake on the postsynaptic membrane. Confusion, visualised brain atrophy and reduced brain activity are among the evident signs of head injury. The test will help to rule out any possible damage to the brain that could be missed, hence causing chronic damages. Thyroid function test will also help assess production of thyroid hormones that regulate moods, hence possible cause of depression and/or mania. This can be corrected by stimulating optimal thyroid functions.

Conclusion

Bipolar I is characterised by hypomanic episodes with major depression. Hypomania presents with high level of energy to work and act, while depressive phases equally hit in. Depressive symptoms will fulfil the depressive disorders criteria of DSM V, of which it could be less intense. Effective management of Bipolar I should include psychotherapy and psychopharmacology for optimal success. A combined therapy of olanzapine and fluoxetine is evidently effective as first line treatment therapy. The doses are adjusted during follow up to achieve the desired therapeutic effects. Cognitive behavioural therapy and family-focused therapy are both effective in instilling adaptive behaviours for the client.

References

  • Gitlin, M.J (2018). Antidepressants in bipolar depression: an enduring controversy. International Journal of Bipolar Disorders, 6, 25. https://doi.org/10.1186/s40345-018-0133-9
  • Bobo, W. V. (2017). The Diagnosis and Management of Bipolar I and II Disorders: Clinical Practice Update. Mayo Clinic Proceedings, 92(10), 1532-1551. doi: 10.1016/j.mayocp.2017.06.022.
  • Miklowitz, D. J., Schneck, C. D., Walshaw, P. D., Sigh, M. K., Sullivan, A. E., Suddath, R. L., Borlik, M. F., Sugar, C. A., & Chang, K.D. (2020). Effects of Family-Focused Therapy vs Enhanced Usual Care for Symptomatic Youths at High Risk for Bipolar Disorder: A Randomized Clinical Trial. JAMA Psychiatry, 77(5), 455–463. doi:10.1001/jamapsychiatry.2019.4520
  • Yatham, L. N., Kennedy, S. H., Parikh, S. V., Schaffer, A., Bond, D. J., Frey, B. N., Sharma, V., Goldstein, B. I., Rej, S., Beaulieu, S., Alda, M., MacQueen, G., Milev, R. V., Ravindran, A., O’Donovan, C., McIntosh, D., Lam, R. W., Vazquez, G., Kapczinski, F., … Berk, M. (2018). Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder. Bipolar Disorders, 20(2), 97–170. https://doi.org/10.1111/bdi.12609

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