Since P4P has been around for a number of years, one would think that its effectiveness should be clearly documented. However, Peter Kongstvedt says that results have been mixed. He concludes that "positive results remain ambiguous, at least on a broad basis."Review various P4P program results and effectiveness on the Internet or through your college's Online Library, which you can access in the Resources tab.Write a 2-page report of your findings. Specifically, address strengths and weaknesses of this compensation method, both from the point of view of the health plan and the physician. Cite at least two sources. List sources in APA format.

For this assignment, you will work on setting goals for yourself using the SMART method. You will find an explanation of this method in the module that will guide you in your goal-setting process. You will list a minimum of five professional goals that you would like to accomplish during the clinical experience of PMHNP as a Psychotherapist. For each goal, you must provide an explanation of how the goal is representative of each of the SMART characteristics: Specific, Measurable, Attainable, Realistic, Timely. Be sure to answer the following questions for each goal summary: Can you measure it? Is it attainable? Is it realistic? What is the time frame you have set for completing that goal? Format: Each goal summary should be at least 100 words – totaling 500 words for this assignment. The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references. The presentation should consist of 10-15 slides (excluding the introduction and reference page). What are SMART Goals?SMART is an acronym to help you set positive and achievable goals.SpecificGoals should be straightforward and emphasize what you want to happen. Specifics help us to focus our efforts and define what we are going to do.To set a specific goal you must answer the 6 Ws:Who? Who is involved?What?What would I like to accomplish?Where? Where is this happening?When? When do I start/finish?Which? Identify requirements and constraintsWhy? Why am I doing this? Specific reasons, purpose or benefits!MeasurableIf you can’t measure it, you can’t manage it! If you can’t measure it you will not be able to define whether you have achieved your goal or not. Goals usually have several short-term and on-going measurements so that you can see how you are doing in your aim to achieve your goal.A non-measurable goal: I want to learn how to line dance.A measurable goal: I want to learn 5 breakdance moves by Friday November 2nd.AttainableIf your goal is important to you, you’ll figure out ways to make it come true! After identifying your goal, you’ll begin to see previously overlooked opportunities and seize them to bring you closer to the achievement of your goal.A goal should stretch you slightly so you feel you can do it, and it will need a real commitment from you. Think about what is achievable and what you want to do. If a goal is set too far out of your reach, you may not commit to it, or complete it.Feeling successful as you move to achieve your goal will help you to remain motivated!RealisticDoing what’s ‘do-able.’ This doesn’t mean it's easy. Realistic goals should have you push you, but not break you! It is important to have a plan to make achieving your goal realistic. Set the bar high enough for a satisfying achievement!TimelyWhat is your time frame? Putting an end to your goal, or target dates to work towards, gives you a sense of accomplishment as you move toward achieving your goal. With a time frame comes more commitment to achievement!The time you set should be measurable, attainable and realistic.Submission Instructions:The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.The paper should be formatted per current APA and 8-10 pages in length, excluding the title, abstract and references page. Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.Complete and submit the assignment by 11:59 PM ET on Sunday.Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.Grading Rubric Your assignment will be graded according to the grading rubric.SMART Goals RubricCriteriaRatingsPointsSpecificExcellent - 8-9 pointsClearly focused on the desired outcome.Good - 6-7 pointsPartially focused on the desired outcome.Fair - 1-5 pointsDesired outcome is unclear.Poor - 0 pointsGoal is unrelated to the assignment – there is no stated outcome.9 pointsMeasurableExcellent - 8-9 pointsWill be measurable because the evidence to be provided will clearly indicate progress.Good - 6-7 pointsWill be only partly measurable because the evidence to be provided will not clearly indicate progress.Fair - 1-5 pointsEvidence of progress will be provided, but will not indicate progress.Poor - 0 pointsNot at all measurable – no method of measurement indicated.9 pointsAchievable/AmbitiousExcellent - 8-9 pointsThe goal is within reason of the student’s abilities and can be achieved.Good - 6-7 pointsThe goal is mostly reasonable given the student’s abilities and can probably be achieved.Fair - 1-5 pointsThe goal is only partially reasonable given the student’s abilities and will likely not be achieved.Poor - 0 pointsThe goal is not at all within reason and cannot be achieved.9 pointsRelevantExcellent - 8-9 pointsThe goal has a strong connection to the student’s history, current interests and/or demonstrated abilities. The student has expressed this often.Good - 6-7 pointsThe goal has some connection to the student’s history, current interests and/or demonstrated abilities. The student has expressed a few times.Fair - 1-5 pointsThe goal has only a slight connection to the student’s history, current interests and/or demonstrated abilities. The student has expressed rarely.Poor - 0 pointsThe goal has no connection to the student’s life because the student has no history or interest in or demonstrated ability to the goal. The student never expressed this.9 pointsTimelyExcellent - 8-9 pointsHas a definite date of what will be accomplished by this date. Is within the time frame of this term.Good - 6-7 pointsHas an indefinite date of what will be accomplished by this date yet is within the time frame of this term.Fair - 1-5 pointsHas an indefinite date of what will be accomplished by this date AND has an unclear time frame by which the goal should be accomplished.Poor - 0 pointsHas no dates and/or is over a period far beyond this term.9 pointsUse of Citations, Writing Mechanics and APA Formatting GuidelinesExcellent - 5 pointsEffectively uses literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.Good - 4 pointsEffectively uses literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.Fair - 1-5 pointsIneffectively uses literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail..Poor - 0 pointsUnacceptable or missing.5 pointsTotal Points 50