Activity 8 Regulatory Environment  Explain how healthcare exchanges change the concept of outpatient treatment.  Many clinical information systems now embed practice guidelines and clinical pathways into their electronic medical record systems.  Discuss some of the advantages and disadvantages of this.  Describe demand management and how it can increase consumer involvement in care.  Compare and contrast disease management and case management.  Reading and Resources Ferrier, G. D., & Trivitt, J. S. (2013). Incorporating quality into the measurement of hospital efficiency: A double DEA approach. Journal of Productivity Analysis, 40(3), 337-355. https://search.proquest.com/docview/1448800469?accountid=169658 Search the site for US Department of Health and Human Services “Hospital Compare” and use the interactive database to compare and contrast health plans, hospitals, etc. How might you use this site with patients as a case manager? Chapter 16 pages 297-316, Chapter 23 pages 395-404, Chapter 20 pages 367-375, Chapter 26 pages 439-447 in Fundamentals of Case Management Practice. Review clinical guidelines of the AHRQ Pizzi, Michael A,PhD., O.T.R./L. (2014). Promoting health, wellness, and quality of life at the end of life: Hospice interdisciplinary perspectives on creating a good death. Journal of Allied Health, 43(4), 212-20. Annicka G M van der,Plas, Vissers, K. C., Francke, A. L., Donker, G. A., Jansen, W. J. J., Deliens, L., & Onwuteaka-Philipsen, B. (2015). Involvement of a case manager in palliative care reduces hospitalisations at the end of life in cancer patients; A mortality follow-back study in primary care. PLoS One, 10(7) Meyer, Star,R.N., B.S.N. (2012). Care management role in end-of-life discussions. Care Management Journals, 13(4), 180-3. Review the National Committee for Quality Assurance certification criteria. Additional Instructions: All 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: Choose One: Instructions: Paper 4 to 6-page paper. Include title and reference pages. Microsoft PowerPoint Presentation 8 to 10 slides. Add title and reference slides. Follow Rules of 7. Other media (Prezi, etc.) presentation 8 to 10 slides with speaker notes. Add title and reference slides. Follow Rules of 7. Video Presentation 5 to 8-minute video presentation. Attach reference page or include in video. Professional appearance and background. Video submissions must include a script in Word format, submitted through Turnitin for an Originality Report. Table Table with appropriate columns and headers. Include title and reference pages. Graphs or other illustrations Graphs or illustrations with appropriate labels. Include title and reference pages. Poster Poster utilizing any applicable poster template. Include visual graphics/images/other formats for visual appeal. Include appropriate title and references on poster.

ObjectiveDescribe the composition and functions of bloodAssignment OverviewThis practice exercise assesses the student's understanding of the specialized cells found in the human blood.DeliverablesStudent-developed questions and answers Step 1 Develop assessment questions. Using the information from your textbook and the lesson presentation, create 20 questions that will effectively assess a student's understanding of the specialized cells found in the human blood. Include 10 multiple choice, 8 true or false, and 2 essay questions. Provide an answer key for the questions.A PowerPoint presentation and an assessment tool Step 1 Develop a presentation. Imagine that you have been asked to develop an in-service training about blood pressure. Develop a PowerPoint presentation that: Explains the different blood vessels in the body and their function Explains how to take a blood pressure Includes a brief discussion of hypertension and shock The presentation should be about 15 minutes long and should contain no more than 10 slides. You can use any teaching tool, animation, video, or other media from the Internet that you think would fit well into your presentation. Cite your sources. Step 2 Write a quiz.Write a 10-question quiz to check comprehension of the material contained in your presentation. Create an answer key to the quiz as well.

Now complete LAB 9Simulation Results. Briefly describe what your fabric 'meadow' looked like. Which colors of rabbits were left at the end of your simulation and how many of each color remained? (5 points)Why did the results come out the way they did? Explain why all of the colors of rabbits did not end up with the same final numbers in the simulated population. The explanation here should demonstrate an understanding of natural selection. (5 points)What would have happened to the simulated rabbit population's size if there had been no predation? (3 points)If we were looking at a real rabbit population, what other factors might control the population of the rabbits if no predators had been in the area? (2 points)Given our simulation rules, if Coyotus predacious and Rabbiticus hopquickus are both nocturnal (so the simulation was re-done, but this time in the dark), would color play a more important role or a less important role in determining fitness? (2 points)Given our simulation parameters, if hunters trapped all the coyotes, what would happen to the diversity of colors within the surviving rabbit population? (3 points)Would all colors of rabbits have equal survival rates? Explain. (3 points)What is the relationship between the chance to survive and reproduce and the traits an organism possesses? (5 points)What does it mean to say that "the driving force behind evolution is the environment"? (5 points) Given our simulation parameters, how would the results differ if ONE particular color of rabbit was able to produce six offspring in each litter while all of the other colors still only produced three per litter? (5 points)Given our simulation parameters, how would the results differ if coyotes had learned that all white rabbits tasted bad or made them ill when eaten? How would you expect the rabbit survival results to turn-out? (5 points)Did any individual rabbit adapt to its environment? (2 points)How is the idea of individual adaptation different from the biological concept of population adaptation? (5 points)Give at least three examples of an environmental change that could change which traits are selected for in a population. (6 points)Given the same simulation starting with 100 rabbits, again with 10 rabbits of each of the 10 original colors and following the same simulation rules. But this time the environment is a yellow-flowered cloth 'meadow.' If you followed the same simulation rules, what do you predict that this population would look like after 3 generations? (2 points)Explain your answer. (5 points)Given the same simulation, but this time all 100 starting rabbits are yellow an,d in this instance, the 'meadow' is a red cloth.If you followed the same simulation rules, what do you predict that this population would look like after 3 generations? (2 points) Explain your answer. (5 points)Assume the rabbit population can undergo sexual reproduction, and that rabbits with a muskier scent are more sexually attractive than rabbits without the scent. Would this affect the characteristics of a population? Explain and justify the reasoning behind this. (5 points)How might the rate at which a species is able to reproduce impact its ability to evolutionarily adapt by natural selection? Explain your response. (5 points) (Application) How might the information pertaining to evolution by natural selection gained from this lab be useful to you, or how can you apply this knowledge to your everyday life as a non-scientist? The application will be graded according to the rubric below. (20 points)Key components of critical thinking and application include the following:Demonstrates application and comprehension of the scientific principles. (40%)Displays competence in applying scientific knowledge to your personal or professional life. Relevant content is supported by facts, data, and detailed examples. (40%)The application paragraph is organized and structured. (10%)Use of accurate scientific terminology. (10%)