Health Insurance Benefits

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Health Insurance Benefits 
Managers need to understand the impact on the financial viability of a health service organization for providing care to the uninsured or underinsured. Review the following case scenario and provide a substantive 150 to 200 word response that thoroughly answers each of the following questions: 
Joe Smith is a 27- year-old Caucasian male who works two part-time jobs for two different construction companies. Joe has been having dizzy spells off and on for the past two months. While driving to work one day, he loses consciousness and is involved in a motor vehicle accident. Joe is admitted to your not-for-profit hospital with a broken leg and multiple lacerations. 

  1. Does Mr. Smith fit the typical profile for an uninsured person in the United States? Justify your answer.
  2. How will your hospital most likely be reimbursed for Mr. Smith’s medical care?
  3. During the recent economic downturn, your community has experienced unemployment rates of approximately 9%.  What can be done to mitigate the effects of the financial impact to your organization?

Utilize at least one scholarly source, cited in correct APA format that supports factual statements and conclusions about the topic.  Review several of your classmates’ posts. Provide a substantive response to at least two of your peers by Day 7.

 

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Managing Financial Budgets

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Managing Financial Budgets
Health care financial management is complex and an effective health care administrator must understand what makes up the foundation to financial operations.  This includes: health insurance (private and social) and reimbursements, private vs. not-for profit entities, costs and expenditures, capital, materials management, and budgeting.   Provide a substantive 150 to 250 word initial post that fully answers the following questions:

  1. Outline and discuss the major categories of reimbursements and costs in a health care organization.  How do they influence each other?
  2. In addition, how do expenses and revenues affect the specific types of budgets outlined?     

Utilize at least one scholarly source, cited in correct APA format that supports factual statements and conclusions about the topic.  Review several of your classmates’ posts. Provide a substantive response to at least two of your peers by Day 7.

THIS TUTORIAL INCLUDES TWO ANSWERS FOR THIS DISCUSSION QUESTION TO HELP YOU SCORE BETTER        

 

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Healthcare Ethics and Law

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Healthcare Ethics and Law
A woman arrives at a suburban emergency room in active labor. Both she and her husband speak very little English. The staff determines that the mother (and baby) is uninsured and unable to pay for healthcare services out-of-pocket. The baby is showing signs of distress and needs to be delivered. The on-call OB-GYN physician refuses to come to the hospital. He recommends that the patient be transferred to another facility.  Provide a substantive 150 to 250 word initial post that fully answers the following questions:  

  1. What ethical principles relate to this case scenario? 
  2. What legal principles relate to this scenario? 
  3. What might the legal consequences be to the health care organization if there is a delay in treatment?

Utilize at least one scholarly source, cited in correct APA format that supports factual statements and conclusions about the topic.  Review several of your classmates’ posts. Provide a substantive response to at least two of your peers by Day 7.

THIS TUTORIAL INCLUDES TWO ANSWERS FOR THIS DISCUSSION QUESTION TO HELP YOU SCORE BETTER       

 

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Final Project Outline/Annotated Bibliography

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Final Project Outline/Annotated Bibliography
Before you begin, review the possible topics and requirements for your Final Project in Week Five.  There are four topics that you may choose from and they are listed at the beginning of the Final Project prompt. Submit the following to your instructor for review:

  1. Identify the topic of your Final Project
    • Describe the issue, why it was selected, the perspective of approach, and the scope of the paper. 
  2. Provide an outline of your project
    • The outline should include a heading for each section of the Research Paper/PowerPoint Presentation (including one for the thesis and the conclusion) as well as heading descriptions. Subheadings should also be used with a description of each subheading. These should demonstrate that you have done significant research, evaluation, and critical thinking on the issues involved and should illustrate the strategies you would incorporate and implement for the scenario you are creating. 
  3. Create an annotated bibliography
    • The annotated bibliography should contain at least five scholarly sources that you intend to use in your project. Each listing must include a paraphrased narrative of the actual research study presented in the article and the studies used should represent the most current research related to the topic area.

Your outline and annotated bibliography must adhere to proper APA style as outlined in the Ashford Writing Center. You may also find samples of each in the Ashford Writing Center, which is located under Learning Resources in the left-hand navigation panel of your classroom.

Your assignment should be four to six pages as follows:

  • Title Page (one page)
  • Outline (two to three pages)
  • Annotated Bibliography (one to two pages) 

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

 

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Managing Multidisciplinary Professionals by Combining Assets and Activities

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Managing Multidisciplinary Professionals by Combining Assets and Activities
For this assignment, review the Combining Assets and Activities case study in Section 7.3 of your course text.  Then, thoroughly address the following points in your paper:

  1. Describe the vertical and horizontal dimensions of this organization. Describe the authority/responsibility relationships that will present in this organization.
  2. Should this practice become centralized, decentralized, mechanistic, or organic in its design? Defend your answer.
  3. Explain the importance of differentiation, integration, and managing complexity, interdependence, and boundary spanning activities for this organization.
  4. Draw an organization chart for this organization and explain why form of departmentalization you chose believe best fits the unit.

Your assignment must be one to two pages in length (excluding title and reference pages).  Utilize your course textbook and at least one additional scholarly source to support your conclusions and leadership considerations.  Your paper and all sources must be formatted according to APA style as outlined in the Ashford Writing Center.  

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

 

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Human Resources: Debbie’s Dilemma

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Human Resources: Debbie’s Dilemma 
For this assignment, review the Debbie’s Dilemma case study and complete the interactive module in Section 12.4 of your course text.  Then, thoroughly address the following points in your paper:

  1. Use Herzberg’s two factor theory to explain Debbie’s level of motivation.
  2. Use Adams’ equity theory to explain Debbie’s decision to look for work elsewhere.
  3. Use Vroom’s expectancy theory to explain this situation.
  4. If you were advising the three physicians in the organization, what would you tell them they should have done when confronted by the two LPNs? Defend your advice.

Your assignment must be one to two pages in length (excluding title and reference pages).  Utilize your course textbook and at least one additional scholarly source to support your conclusions and responses to the questions.  Your paper and all sources must be formatted according to APA style as outlined in the Ashford Writing Center.  
Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment. 

 

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S.W.O.T. (Strengths, Weaknesses, Opportunities, Threats)

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S.W.O.T. (Strengths, Weaknesses, Opportunities, Threats)
For this assignment, using the situation given below, apply the S.W.O.T. Situational Planning Strategy which was described in Chapters 4 and 7 of your course text:

Situation:  You are the C.E.O. of Community South Medical Center, a large, urban for-profit healthcare facility.  This institution has comprehensive health services including acute care, residential care, independent living, in-home nursing, hospice, neonatal, and pediatric services, advanced cardiac services, a major trauma center, a center of excellence for pulmonary services, and a neurosurgery center.

Community South Medical Center has a positive bottom line and is striving to enhance health services for the population it serves.  The patient care mix has shifted in the last three years and its reimbursement source is currently:  25% Medicaid (up 20%); 35% Medicare (down 12 %); 25% employer sponsored health insurance (unchanged), 8% managed care (down 20 percent), 4% private pay (unchanged) and 4% no-pay (up 25%).

The Medical Center is in an older urban area.  Businesses with well-paying jobs have gradually been replaced by smaller shops and other small businesses.  Overall, the community is trending towards a predominantly elderly population. 

The Medical Center has an excellent reputation and has been recognized in the past by receiving a Baldrige Center of Excellence evaluation and a The Joint Commission (T.J.C.) approval for their quality of services; however, recent self-inspections indicated a slight decline in compliance with T.J.C. standards.  Patient satisfaction survey results have an overall mean of 95 percent.  The medical staff strongly supports new program development and there is an abundant supply of physicians.

Currently, the major issues confronting the Community South Medical Center are: an identified shortage of clinical staff including registered nurses, respiratory therapists, and medical technologists; non-interfacing information technology systems; antiquated facilities and infrastructure; decline in T.J.C. compliance on internal audits; and a shift to its financial mix. 

Action:  As the C.E.O., it is time to embark on the annual updating of the organization’s strategic plan.  The last major revision to the strategic direction was completed three years ago.   
In a four- to six-page (excluding title and reference pages) double-spaced paper, consider and respond to the following points:    

o    Select one of the needs of Community South Medical Center and identify at least one strength, one weakness, one opportunity, and one threat (S.W.O.T.) for that need.  How do each of these (e.g., the strength, the weakness, the opportunity, and the threat) correlate to the overarching issues confronting Community South Medical Center?

o    Is it time to revise the strategic mission and plan of the organization from three years ago or continue as originally planned with a yearly assessment? Should the C.E.O. address the issues confronting Community South Medical Center or wait another year? If so, what should the strategic plan be? If not, why?

o    What leadership positions would be a part of your strategic management team? Why? What would each of their responsibilities entail?

o    What are some of the market trends you can identify in this area? How might they affect Community South Medical Center? How would you prepare for them?

You must use a minimum of four scholarly sources, excluding the course text, cited according to APA format as outlined in the Ashford Writing Center. Your paper and all sources must be formatted according to APA style.  

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

 

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Focus of the Final Project

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Focus of the Final Project
The Final Project should demonstrate an understanding of the reading assignments, class discussions, your own research and the application of new knowledge.  It should utilize previous skills developed in foundational health care courses and apply them within the context and viewpoint of  a health care administrator and their role in managing health and human services.
For the Final Project, select one of the following topics and conduct scholarly and professional research while integrating the course’s learning outcomes to address a selected topic:

  • Research specific leadership and management traits and theories necessary for managing a multidisciplinary and multicultural health care organization to promote organizational effectiveness.  
  • Present how strategic planning, performance improvement, and information systems are interrelated and fundamental to the delivery of quality health care. 
  • Examine the financial characteristics of health care delivery along with managing costs, revenues, and human resources. 
  • Analyze ethical and legal concepts, including specific federal regulations, required of health care organizations to ensure the delivery of high quality health care that protects patient safety.  

Research Requirements

Academic research and papers must meet certain standards of quality that are recognized by the academic community.  What constitutes quality academic research?

  • The use of primary (original), credible sources written by experts in the field of study.
  • Ensuring secondary sources are supported by research in primary sources.
  • Making sure all research is relevant and that material used is pertinent to the area of study.
  • In graduate work, the use of peer-reviewed journal articles (journal articles reviewed by recognized experts in the relevant field of study) is required.
  • Keep in mind that educational websites may be appropriate, in some cases, but should be evaluated carefully.

The Ashford University Library offers many excellent databases and other resources to assist you in conducting scholarly research.
What sources are not acceptable for academic research and referencing?

  • Encyclopedias
  • Dictionaries
  • Wikipedia, other wikis, or blogs
  • Websites and other sources that do not provide quality researched materials (e.g., they do not use credible sources to support the information in the document).

All research must reflect professional academic protocol and must be documented according to APA standards as outlined in the Ashford Writing Center.
Creating the Final Project
You may choose to present your research is the form of an eight- to ten-page research paper (excluding title and reference pages) or a comprehensive 10- to 15-slide PowerPoint presentation (excluding title and reference slides) with detailed speaker notes.  In either case, the content of the assignment must include each of the elements listed below:

  1. Introduction 
    Describe the issue.  Include why it was selected, the perspective of your approach to the issue, and the scope of the paper or presentation.  In essence, describe in this area what is being covered.  Be specific and to the point.  This is an important part of the project as it engages the reader and sets the scope of the research. 
  2. Statement of the Issue to be Investigated 
    Describe why the topic is a relevant problem or issue.  It is important to provide literature sources in support of the importance of the need/issue/topic.  For example, if you are interested in researching the issue of nutrition in early childhood brain development among American children – cite literature identifying the scope of the problem (for example:  the number of malnourished children, the implications of malnourishment on learning and brain development; and long term implications).  Overall, this section should detail what makes this topic or issue so important that you are spending time and energy researching it.  What is the impact of the problem if nothing is done to correct the situation? 
  3. Research Sources 
    This section documents the relevant research reflecting the topic of the Final Project.  In this section, paraphrased narratives of the actual research studies are reported and should represent the current research related to the topic area.  In general, your research should:
    1. Identify your chosen topic and what has happened in the specific research of the topic (describe the study, sample, findings, important points from the discussion in the research article, and any variables that may influence the findings of the research).
    2. Discuss any key elements of the topic that may be instructional, legal, ethical, social, etc. (what is projected if nothing is done? what has been tried?).  Support this section with relevant resource citations.
    3. Provide an analysis of the research articles used, including: explaining what was done in the study, what the target population was, information about who did the research (the author), what was found with the study, and any implications of the findings to your topic or issue. 
  4. Conclusion 
    In this section, provide a general, but thorough summary reviewing:  why the topic was selected; the problem or issue briefly stated; the approach that was used; findings; and solutions.  In this section, the reader or audience should have a good idea of what the researcher did and what was found.   
  5. References
    The references should be listed on a new page or slide and must be formatted according to APA requirements as outlined in the Ashford Writing Center.  You must use a minimum of six to eight scholarly sources. 

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

 

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Explain a political philosophy with supporting citations to the textbook and online lectures in correct APA format

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The purpose of this assignment is to reflect upon the role of the state. In a 2–3-page paper, address the following:

  1. Explain a political philosophy with supporting citations to the textbook and online lectures in correct APA format. For example, you might discuss social contract theory or feminism. Use this APA Citation Helper as a convenient reference for properly citing resources.
  2. Explain some human rights that you think should be protected by the government. Discuss whether the particular rights you discuss are better understood as “positive” or “negative” rights.
  3. Explain how the ideas associated with the theory you explained might be related to the rights you identified. For example, if your essay primarily focuses on negative rights, you might discuss natural law and the social contract. If you included positive rights, one of the critiques of natural law might be relevant.
  4. Discussions of political beliefs can often generate a great deal of emotion. Your participation grade for all discussion assignments is based in part on your ability to respond to your peers in a respectful and mature fashion, and this assignment is no exception. You are encouraged to present the arguments in favor of your own views and to challenge the arguments made by your peers (in fact, the critical thinking method we discussed last week is an excellent guide for how to present an argument about the role of the government), but please do not engage in personal attacks or other inappropriate communication.  
 

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