Directions:Course CompetencyDesign multidimensional strategies of care considering the health determinants of vulnerable populations.InstructionsFor this discussion, you will need to select one vulnerable population from below.Vulnerable Populations:Homeless populationEthnic or minority groupElderlyPregnant woman and children in low socioeconomic areasIn your initial post:Describe the health determinants affecting the selected vulnerable population, including:Social and economic environmentPhysical environmentIndividual characteristicsBehaviorsIdentify a health determinant that you think negatively impacts your selected vulnerable population the most and explain why you think this.In your reply posts, review your peers’ posts and reply to two peers by:Explaining whether you agree or disagree with their chosen health determinant for their selected vulnerable population.Describe a strategy to reduce social determinants of their selected vulnerable population.Visit Course Materials - Research and Resources to use for this assignment.

Ethics and Evidence-Based Research Write a 1250-1500-word APA essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) current sources (< 5 years) using citations in your essay. The essay must include an introduction and conclusion.  Part 1: Describe why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects. Part 2:  Review the section headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles. Part 3: Identify which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved. This is a list of required materials, please download the required text book, and let me know when you find it. Thanks Learning Materials Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.). Wolters Kluwer Health. ISBN: 978-1-4511-9094-6 Chapters 22 Additional Resources: The World Medical Association, Inc. (2013). Declaration of Helsinki. University of Maine at Farmington. (2017). The Belmont Report | Institutional Review Board. Department of Health and Human Services | National Institutes of Health. (n.d.). Policy and procedures: The Intramural NIH Human Research Protection Program (HRPP). American Nurses Association. (n.d.) ANA Official Position Statements: Ethics and Human Rights. 

Activity 3Collaboration for Improving Outcomes- Continuum of CareExplain how the continuum of care concept is used in case management and within your organization. What new services/programs are your organization currently evaluating or performing that are assisting patients to reach their health goals? How do these services/programs impact the bottom line of the organization? Quality indicators, such as accessibility, appropriateness, continuity, effectiveness, efficacy, efficiency, timeliness, patient perspective issues, and safety, can influence quality of care. Choose one indicator and discuss its influence on care. Discuss the practice of linking hospital reimbursement to performance outcomes. Reading and ResourcesWatch Video Case Management Rubric Tips for AssignmentsChapter 2 in Fundamentals of Case Management Practice.De Regge, M., Pourcq, K. D., Meijboom, B., Trybou, J., Mortier, E., & Eeckloo, K. (2017). The role of hospitals in bridging the care continuum: A systematic review of coordination of care and follow-up for adults with chronic conditions. BMC Health Services Research, 17Sadarangani, T. R., Salcedo, V., Chodosh, J., Simona, K., Trinh-Shevrin Chau, & Yi, S. (2020). Redefining the Care Continuum to Create a Pipeline to Dementia Care for Minority Populations. Journal of Primary Care & Community Health, 11. http://dx.doi.org/10.1177/2150132720921680.Janet, P. B., Thoumi, A., Marquevich, V., De Groote, W., Linamara, R. B., Imamura, M., Vinicius, D. R., Wang, N., Dreinhoefer, K. E., Mangar, A., Ghandi, D. B. C., Ng, Y. S., Kheng, H. L., Tan Wei Ming, J., Yong, H. P., Inzitari, M., Mmbaga, B. T., Shayo, M. J., Brown, D. A., . . . Stein, J. (2020). COVID-19: maintaining essential rehabilitation services across the care continuum. BMJ Global Health, 5(5)http://dx.doi.org/10.1136/bmjgh-2020-002670.Prasad, V. L, Fay, K., & Mora, C. (2020). Complex Care Center: A Tool for the Care Continuum Conundrum. The Journal of Medical Practice Management, 35(6), 314-320.Swan, B. A., Haas, S., & Jessie, A. T. (2019). Care Coordination: Roles of Registered Nurses Across the Care Continuum. Nursing Economics, 37(6), 317-323.Sauro, K., Maini, A., Machan, M., Lorenzetti, D., Chandarana, S., & Dort, J. (2021). Are there opportunities to improve care as patients transition through the cancer care continuum? A scoping review protocol. BMJ Open, 11(1)http://dx.doi.org/10.1136/bmjopen-2020-043374Review American Association of Managed Care Nurses to explore information related to finance and payment structuring.Additional InstructionsAll submissions should have a title page and reference page.Utilize a minimum of two scholarly resources.Adhere to grammar, spelling and punctuation criteria.Adhere to APA compliance guidelines.Adhere to the chosen Submission Option for Delivery of Activity guidelines.Submission Options for Delivery of Activity*Choose one optionInstructionsPaper4 to 6-page paper. Include title and reference pages.