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Wildapierresubmission1 Nhs Fpx8040 Assessment 1
Nurse participation in the healthcare system requires the transition from being a student to the practice through precepto ...
Wildapierresubmission1 Nhs Fpx8040 Assessment 1
Nurse participation in the healthcare system requires the transition from being a student to the practice through preceptorship. Preceptors are ...
HC306 Herzing University Online Week 6 Unit 6 Financial Overview Presentation
Unit 6 Assignment 1 - Financial Overview Presentation
Due
...
HC306 Herzing University Online Week 6 Unit 6 Financial Overview Presentation
Unit 6 Assignment 1 - Financial Overview Presentation
Due
Sunday by
11:59pm
Points
50
Submitting
a text entry box or a file upload
Estimated time to complete: 2 hoursInstructionsIn previous units, we discussed the importance and purpose of
maintaining financial statements. In this assignment, you will interpret
those financial statements for a diverse group of stakeholders.You are the Chief Financial Officer of People's Community Clinic. You
are responsible for delivering a financial overview presentation at the
year-end meeting. Your audience will include employees and leadership
team members of PCC, financial donors, and community members (who may be
potential donors, if they are pleased with the information you
present!)People's Community Clinic. (2015). People's Community Clinic Annual Report (Links to an external site.). (Links to an external site.) [PDF]People's Community Clinic (n.d.). People's Community Clinic (Links to an external site.)[Website]Using the content of the attached annual report document, prepare a 10-minute Powerpoint or Prezi presentation.Include a voice-over or written script (in the speaker's notes section)You may include visuals of the important sections of the financial
statements, ensuring the content is easy to read for your audience.Create graphs or charts to illustrate important data.Your closing two slides should summarize the year-end status, and
summarize assumptions for the year in-progress (i.e. do you expect to be
profitable, experience loss, why or why not).Your final slide should include any references, in APA format, used to complete your presentation.Please review the rubric to ensure that your assignment meets criteria. Submit:Financial Overview Presentation - PowerPoint file (.ppt), URL to
your Prezi presentation, or export the PowerPoint to .mp4, upload to
YouTube, and provide the YouTube URLRubric
HC306 Unit 6 Assignment 1 - Financial Overview Presentation
HC306 Unit 6 Assignment 1 - Financial Overview Presentation
Criteria
Ratings
Pts
This criterion is linked to a Learning Outcome
Analysis of Knowledge
PRICE-P
5.0
pts
5
Connects
and extends knowledge (facts, theories, etc.) from one's own academic
study/ field/ discipline to civic engagement and to one's own
participation in civic life, politics, and government.
4.0
pts
4
Analyzes
knowledge (facts, theories, etc.) from one's own academic study/ field/
discipline making relevant connections to civic engagement and to one's
own participation in civic life, politics, and government.
3.0
pts
3
Begins
to connect knowledge (facts, theories, etc.) from one's own academic
study/ field/ discipline to civic engagement and to tone's own
participation in civic life, politics, and government.
2.0
pts
2
Begins
to identify knowledge (facts, theories, etc.) from one's own academic
study/ field/ discipline that is relevant to civic engagement and to
one's own participation in civic life, politics, and government.
1.0
pts
1
There
Is some evidence that knowledge is identified (facts, theories, etc.)
from one's own academic
study/ field/ discipline that is somewhat relevant to civics engagement
and to one's own participation in civic life, politics, and government.
0.0
pts
0
There
is little to no evidence that knowledge is identified (facts, theories,
etc.) from one's own academic study/ field/ discipline that is somewhat
relevant to civics engagement and to one's own participation in civic
life, politics, and government.
5.0 pts
This criterion is linked to a Learning Outcome
Defines Content
20.0
pts
5
Demonstrates
the ability to construct a clear and insightful problem
statement/thesis statement/topic statement with evidence of all relevant
contextual factors.
18.0
pts
4
Demonstrates
the ability to construct a problem statement, thesis statement/topic
statement with evidence of most relevant contextual factors, and problem
statement is adequately detailed
16.0
pts
3
Begins
to demonstrate the ability to construct a problem statement/thesis
statement/topic statement with evidence of most relevant contextual
factors, but problem statement is superficial.
14.0
pts
2
Demonstrates
a limited ability in identifying a problem statement/thesis
statement/topic statement or related contextual factors.
12.0
pts
1
Demonstrates the ability to explain contextual facts but does not provide a defined statement.
0.0
pts
0
There is no evidence of a defined statement.
20.0 pts
This criterion is linked to a Learning Outcome
Relationship to research
10.0
pts
5
Evaluates
materials for scholarly significance and relevance within and/or across
the various disciplines, evaluating them according to their
contributions and consequences.
9.0
pts
4
Examines
materials for scholarly significance within and/or across the various
disciplines to explore contributions in relation to important questions.
8.0
pts
3
Uses
materials in the context of scholarship to develop a foundation of
disciplinary knowledge and to raise and explore important questions.
7.0
pts
2
Engages materials with the intention and expectation of building topical and world knowledge.
6.0
pts
1
Approaches
materials in the context of assignments with the intention and
expectation of finding right answers and learning facts and concepts to
display for credit.
0.0
pts
0
There is little to no evidence of engagement with outside materials used in a scholarly manner.
10.0 pts
This criterion is linked to a Learning Outcome
Conclusion and related Outcomes
5.0
pts
5
Conclusions
(consequences and implications) are logical and reflect informed
evaluation and the ability to place evidence and perspectives discussed
in priority order.
4.0
pts
4
Conclusions are logically tied to and reflect student’s informed evaluation in priority order and are clearly identified.
3.0
pts
3
Conclusion is logically tied to a range of information and are identified clearly.
2.0
pts
2
Conclusion is logically tied to information (because information is chosen to fit the desired conclusion).
1.0
pts
1
Conclusion is inconsistently tied to some of the information discussed and oversimplified.
0.0
pts
0
Conclusion is either not present, unclear, or does not reflect the information presented.
5.0 pts
This criterion is linked to a Learning Outcome
Writing
5.0
pts
5
The
paper exhibits an excellent command of written English language
conventions. The paper has no errors in mechanics, grammar, or spelling.
4.0
pts
4
The
paper exhibits a good command of written English language conventions.
The paper has no errors in mechanics, or spelling and minor error do
not impair the flow of communication.
3.0
pts
3
The
paper exhibits an acceptable command of written English language
conventions. The paper has minor errors in mechanics, grammar, or
spelling that impact the flow of communication.
2.0
pts
2
The
paper exhibits a limited command of written English language
conventions. The paper has frequent errors in mechanics, grammar, or
spelling that impede the flow of communication.
1.0
pts
1
The
paper exhibits little command of written English language conventions.
The paper has errors in mechanics, grammar, or spelling that cause the
reader to stop and reread parts of the writing to discern meaning.
0.0
pts
0
The
paper does not demonstrate command of written English language
conventions. The paper has multiple errors in mechanics, grammar, or
spelling that cause the reader difficulty discerning the meaning.
5.0 pts
This criterion is linked to a Learning Outcome
APA
PRICE-I
5.0
pts
5
The required APA elements are all included with correct formatting, including in-text citations and references.
4.0
pts
4
The required APA elements are all included with minor formatting errors, including in-text citations and references.
3.0
pts
3
The required APA elements are all included with multiple formatting errors, including in-text citations and references.
2.0
pts
2
The
required APA elements are not all included. AND/OR there are major
formatting errors, including in-text citations and references.
1.0
pts
1
Several
APA elements are missing. The errors in formatting demonstrate limited
understanding of APA guidelines, in-text-citations, and references.
0.0
pts
0
There is little to no evidence of APA formatting. AND/OR there are no in-text citations AND/OR references.
5.0 pts
Total Points:
50.0
Affordable Care Act (ACA) Case study 3-4 pages, health and medicine homework help
1. Introduction (25%) Provide a
brief synopsis of the meaning (not a description) of each Chapter and articles
you r ...
Affordable Care Act (ACA) Case study 3-4 pages, health and medicine homework help
1. Introduction (25%) Provide a
brief synopsis of the meaning (not a description) of each Chapter and articles
you read, in your own words that will apply to the case study presented.
2. Your Critique (50%): Case Study
This is the first of a two-part series about
the impact of health care reform on a Texas-based small business, Software
Advice, and how the CEO, Don Fornes, plans to keep providing quality benefits
while controlling costs.
When the Affordable Care Act (ACA) was passed,
I thought it was just a watered-down version of health care reform. However,
our health insurance broker recently briefed me on how it will impact our business
when we renew our coverage. The majority of the ACA's provisions go into effect
in 2014 -- and they are much more onerous than I expected.
The bottom line: We are expecting price
increases of anywhere from six percent to 40 percent per employee next year.
That's a big variation, right? I'll explain why we're facing such uncertainty.
Dramatic changes to health insurance pricing
The ACA's first major impact is a shift toward
"community rating." Starting in 2014, insurance carriers will no
longer be able to price small group coverage based on employees' health status
and claims history. They will use only four factors: age, gender, tobacco use
and ZIP code. That means other employee populations in your area will affect
your insurance rates.
Community rating is a dramatic change, and it
will result in substantial inflation for small groups that had previously
enjoyed low rates based on younger, exceptionally healthy employee populations
-- like ours.
Expanded coverage requirements
The ACA introduces broader requirements on
what an employer's health care plan must cover. For example, small groups'
coverage must now provide for essential health benefits, such as pediatric
services, maternity care and substance abuse treatment, and is subject to
maximum deductible and out-of-pocket limits. Large groups' plans must provide
"affordable coverage" -- that is, the employer must cover at least 60
percent of the actuarial value of health care costs, and employee contributions
must not exceed 9.5 percent of their income, whereas previously there was no
such coverage quota.
Because our business has always been
relatively healthy, we've been able to provide coverage that meets or exceeds
these requirements, but I empathize with employers whose profit margins don't easily
afford the provision of high-quality coverage. They will be the most
significantly impacted by the new requirements.
As I examined all this information, I came to
a conundrum: Are we a small group, or not? Under current Texas law, a small
group is one with two to 50 employees. However, pending legislation -- Texas
State Senate Bill 85 -- could expand that to companies of up to 100, if passed.
We just hired our fifty-fifth employee.
Large group pros and cons
Many companies have been fearful of the "large
group" label when it comes to health care reform, carefully keeping their
staff numbers under 50. But we found that being a large group is actually
beneficial to us. As a large group, we are exempt from community ratings and
maximum deductible limits. We also don't have to provide essential health
benefits -- though we already do. And the expected increase in health care
costs for large groups in 2014 is relatively low -- six to eight percent.
Potential drawbacks of being a large group: We
are subject to the "pay or play" rule -- provide coverage that meets
the requirements, or pay a penalty-- as well as automatic employee enrollment
upon hire and at renewal. For companies with a tighter bottom line, these rules
may prove challenging. For our business, they are less relevant; we are already
providing quality coverage, and we want everyone to have it.
Small group pros and cons
Small groups are exempt from pay or play. They
don't have to provide coverage to their employees. If we were, say, a small
pizza shop, this would be a relief. But we're not. We want to remain
competitive in hiring -- and can afford to keep doing so.
The requirement to provide for essential
health benefits could be problematic for cash-strapped companies and might
raise carrier costs.
The biggest downsides if we're a small group:
we'd be subject to detrimental community ratings, and maximum deductible and
out-of-pocket limits would drive up costs across the board. As a small group,
we would face a whopping 30 to 40 percent increase in health care costs for
2014.
The outcome
One thing we will do is push our renewal date
out to December 2013, so that our new plan won't take effect until January
2014. That's because the government may actually change or delay implementation
of some ACA provisions. Pushing out our renewal delays the new requirements as
long as possible and allows us to keep a plan we like, while giving us a chance
to see if the government backpedals.
CASE STUDY CHALLENGE
1.
Describe hoe some changes in the health
service delivery system have led to a decline in hospital inpatient days and
growth in ambulatory services.
2.
All primary care is ambulatory, but not
all ambulatory services represent primary care. Discuss.
3.
As hospital evolved from rudimentary
custodial and quarantine facilities to their current state, how their purpose
did and function changes.
3. Conclusion (15%)
Briefly summarize your thoughts &
conclusion to your critique of the case study and provide a possible outcome
for the Health Care Center. How did
these articles and Chapters influence your opinions about Health Care and new
reform act?
Evaluation
will be based on how clearly you respond to the above, in particular:
ST Thomas University Week 3 Advance FNP Adult Discussion
The House Painter Patient Evaluation & Management Plan
A 52-year-old male patient who is a house painter presents to t ...
ST Thomas University Week 3 Advance FNP Adult Discussion
The House Painter Patient Evaluation & Management Plan
A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife. Discuss the following:
What additional information should you obtain about the pain the patient is experiencing?
What additional physical assessment needs to be performed with this patient?
What considerations are important to remember if the patient’s CRP level is elevated?
What differential diagnoses should be considered for the patient?
What patient teaching will be incorporated into the visit to modify the patient’s risk factors?
How will you respond to the patient’s statement that he does not have time to “be sick” and needs to take care of everything during this visit?
UOP Wk 2 Importance of Mission & Vision Statements in Strategic Planning Essay
Wk 2 Individual Assignment: Importance of Mission and Vision Statements in Strategic Planning [Due Day#]
Assignment Conten ...
UOP Wk 2 Importance of Mission & Vision Statements in Strategic Planning Essay
Wk 2 Individual Assignment: Importance of Mission and Vision Statements in Strategic Planning [Due Day#]
Assignment Content
Resources:
Stevens District Hospital Strategic Planning Scenario
Importance of Mission and Vision Statements in Strategic Planning Grading Criteria
Review the following mission and vision statements:
1.
Mission: To improve health by providing high-quality care.
Vision: Provide the highest level of service in the county.
2.
Mission: To improve health by providing high-quality care.
Vision: Provide the broadest range of services in the county.
3.
Mission: To be deeply committed to the communities we serve, we enhance population health and well-being.
Vision: Deliver an exceptional experience with every encounter.
Select the most appropriate mission and vision statement for the hospital described in your Week 1 assignment.
Write a 700- to 1,050-word executive summary in which you:
Identify the mission and vision selected.
Explain the rationale for why you selected the mission and vision statements.
Identify the specific strengths of the mission and vision statement selected.
Identify the weaknesses of the mission and vision statements not selected.
Explain how the mission and vision drive the strategic plan for the health care organization.
Cite 2 peer-reviewed, scholarly, or similar references to support your summary.
Format your assignment according to APA guidelines.
Submit your assignment.
Resources
Center for Writing Excellence
Reference and Citation Generator
Grammar and Writing Guides
Social Work Question
Explore the Arizona state and local laws on the State of Arizona Board of Behavioral Health Examiners Rules and Laws websi ...
Social Work Question
Explore the Arizona state and local laws on the State of Arizona Board of Behavioral Health Examiners Rules and Laws website and the American Counseling Association Code of Ethics Resources website.Write a 750-1,000-word essay including the following:Are these two resources complementary or adversarial? What makes you think so?Analyze the importance of three state laws or statutes and three ethics codes related to privacy, security, and confidentiality of patient medical and mental health records, including any pertinent issues related to electronic records.Support your opinions with two or more scholarly resources.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Benchmark InformationThis benchmark assignment assesses the following programmatic competencies:BS Behavioral Health Science2.5: Evaluate the Code of Ethics and specific state laws and rules for behavioral health.4.3: Analyze the importance of privacy, security, and confidentiality with patient medical and health records.
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Wildapierresubmission1 Nhs Fpx8040 Assessment 1
Nurse participation in the healthcare system requires the transition from being a student to the practice through precepto ...
Wildapierresubmission1 Nhs Fpx8040 Assessment 1
Nurse participation in the healthcare system requires the transition from being a student to the practice through preceptorship. Preceptors are ...
HC306 Herzing University Online Week 6 Unit 6 Financial Overview Presentation
Unit 6 Assignment 1 - Financial Overview Presentation
Due
...
HC306 Herzing University Online Week 6 Unit 6 Financial Overview Presentation
Unit 6 Assignment 1 - Financial Overview Presentation
Due
Sunday by
11:59pm
Points
50
Submitting
a text entry box or a file upload
Estimated time to complete: 2 hoursInstructionsIn previous units, we discussed the importance and purpose of
maintaining financial statements. In this assignment, you will interpret
those financial statements for a diverse group of stakeholders.You are the Chief Financial Officer of People's Community Clinic. You
are responsible for delivering a financial overview presentation at the
year-end meeting. Your audience will include employees and leadership
team members of PCC, financial donors, and community members (who may be
potential donors, if they are pleased with the information you
present!)People's Community Clinic. (2015). People's Community Clinic Annual Report (Links to an external site.). (Links to an external site.) [PDF]People's Community Clinic (n.d.). People's Community Clinic (Links to an external site.)[Website]Using the content of the attached annual report document, prepare a 10-minute Powerpoint or Prezi presentation.Include a voice-over or written script (in the speaker's notes section)You may include visuals of the important sections of the financial
statements, ensuring the content is easy to read for your audience.Create graphs or charts to illustrate important data.Your closing two slides should summarize the year-end status, and
summarize assumptions for the year in-progress (i.e. do you expect to be
profitable, experience loss, why or why not).Your final slide should include any references, in APA format, used to complete your presentation.Please review the rubric to ensure that your assignment meets criteria. Submit:Financial Overview Presentation - PowerPoint file (.ppt), URL to
your Prezi presentation, or export the PowerPoint to .mp4, upload to
YouTube, and provide the YouTube URLRubric
HC306 Unit 6 Assignment 1 - Financial Overview Presentation
HC306 Unit 6 Assignment 1 - Financial Overview Presentation
Criteria
Ratings
Pts
This criterion is linked to a Learning Outcome
Analysis of Knowledge
PRICE-P
5.0
pts
5
Connects
and extends knowledge (facts, theories, etc.) from one's own academic
study/ field/ discipline to civic engagement and to one's own
participation in civic life, politics, and government.
4.0
pts
4
Analyzes
knowledge (facts, theories, etc.) from one's own academic study/ field/
discipline making relevant connections to civic engagement and to one's
own participation in civic life, politics, and government.
3.0
pts
3
Begins
to connect knowledge (facts, theories, etc.) from one's own academic
study/ field/ discipline to civic engagement and to tone's own
participation in civic life, politics, and government.
2.0
pts
2
Begins
to identify knowledge (facts, theories, etc.) from one's own academic
study/ field/ discipline that is relevant to civic engagement and to
one's own participation in civic life, politics, and government.
1.0
pts
1
There
Is some evidence that knowledge is identified (facts, theories, etc.)
from one's own academic
study/ field/ discipline that is somewhat relevant to civics engagement
and to one's own participation in civic life, politics, and government.
0.0
pts
0
There
is little to no evidence that knowledge is identified (facts, theories,
etc.) from one's own academic study/ field/ discipline that is somewhat
relevant to civics engagement and to one's own participation in civic
life, politics, and government.
5.0 pts
This criterion is linked to a Learning Outcome
Defines Content
20.0
pts
5
Demonstrates
the ability to construct a clear and insightful problem
statement/thesis statement/topic statement with evidence of all relevant
contextual factors.
18.0
pts
4
Demonstrates
the ability to construct a problem statement, thesis statement/topic
statement with evidence of most relevant contextual factors, and problem
statement is adequately detailed
16.0
pts
3
Begins
to demonstrate the ability to construct a problem statement/thesis
statement/topic statement with evidence of most relevant contextual
factors, but problem statement is superficial.
14.0
pts
2
Demonstrates
a limited ability in identifying a problem statement/thesis
statement/topic statement or related contextual factors.
12.0
pts
1
Demonstrates the ability to explain contextual facts but does not provide a defined statement.
0.0
pts
0
There is no evidence of a defined statement.
20.0 pts
This criterion is linked to a Learning Outcome
Relationship to research
10.0
pts
5
Evaluates
materials for scholarly significance and relevance within and/or across
the various disciplines, evaluating them according to their
contributions and consequences.
9.0
pts
4
Examines
materials for scholarly significance within and/or across the various
disciplines to explore contributions in relation to important questions.
8.0
pts
3
Uses
materials in the context of scholarship to develop a foundation of
disciplinary knowledge and to raise and explore important questions.
7.0
pts
2
Engages materials with the intention and expectation of building topical and world knowledge.
6.0
pts
1
Approaches
materials in the context of assignments with the intention and
expectation of finding right answers and learning facts and concepts to
display for credit.
0.0
pts
0
There is little to no evidence of engagement with outside materials used in a scholarly manner.
10.0 pts
This criterion is linked to a Learning Outcome
Conclusion and related Outcomes
5.0
pts
5
Conclusions
(consequences and implications) are logical and reflect informed
evaluation and the ability to place evidence and perspectives discussed
in priority order.
4.0
pts
4
Conclusions are logically tied to and reflect student’s informed evaluation in priority order and are clearly identified.
3.0
pts
3
Conclusion is logically tied to a range of information and are identified clearly.
2.0
pts
2
Conclusion is logically tied to information (because information is chosen to fit the desired conclusion).
1.0
pts
1
Conclusion is inconsistently tied to some of the information discussed and oversimplified.
0.0
pts
0
Conclusion is either not present, unclear, or does not reflect the information presented.
5.0 pts
This criterion is linked to a Learning Outcome
Writing
5.0
pts
5
The
paper exhibits an excellent command of written English language
conventions. The paper has no errors in mechanics, grammar, or spelling.
4.0
pts
4
The
paper exhibits a good command of written English language conventions.
The paper has no errors in mechanics, or spelling and minor error do
not impair the flow of communication.
3.0
pts
3
The
paper exhibits an acceptable command of written English language
conventions. The paper has minor errors in mechanics, grammar, or
spelling that impact the flow of communication.
2.0
pts
2
The
paper exhibits a limited command of written English language
conventions. The paper has frequent errors in mechanics, grammar, or
spelling that impede the flow of communication.
1.0
pts
1
The
paper exhibits little command of written English language conventions.
The paper has errors in mechanics, grammar, or spelling that cause the
reader to stop and reread parts of the writing to discern meaning.
0.0
pts
0
The
paper does not demonstrate command of written English language
conventions. The paper has multiple errors in mechanics, grammar, or
spelling that cause the reader difficulty discerning the meaning.
5.0 pts
This criterion is linked to a Learning Outcome
APA
PRICE-I
5.0
pts
5
The required APA elements are all included with correct formatting, including in-text citations and references.
4.0
pts
4
The required APA elements are all included with minor formatting errors, including in-text citations and references.
3.0
pts
3
The required APA elements are all included with multiple formatting errors, including in-text citations and references.
2.0
pts
2
The
required APA elements are not all included. AND/OR there are major
formatting errors, including in-text citations and references.
1.0
pts
1
Several
APA elements are missing. The errors in formatting demonstrate limited
understanding of APA guidelines, in-text-citations, and references.
0.0
pts
0
There is little to no evidence of APA formatting. AND/OR there are no in-text citations AND/OR references.
5.0 pts
Total Points:
50.0
Affordable Care Act (ACA) Case study 3-4 pages, health and medicine homework help
1. Introduction (25%) Provide a
brief synopsis of the meaning (not a description) of each Chapter and articles
you r ...
Affordable Care Act (ACA) Case study 3-4 pages, health and medicine homework help
1. Introduction (25%) Provide a
brief synopsis of the meaning (not a description) of each Chapter and articles
you read, in your own words that will apply to the case study presented.
2. Your Critique (50%): Case Study
This is the first of a two-part series about
the impact of health care reform on a Texas-based small business, Software
Advice, and how the CEO, Don Fornes, plans to keep providing quality benefits
while controlling costs.
When the Affordable Care Act (ACA) was passed,
I thought it was just a watered-down version of health care reform. However,
our health insurance broker recently briefed me on how it will impact our business
when we renew our coverage. The majority of the ACA's provisions go into effect
in 2014 -- and they are much more onerous than I expected.
The bottom line: We are expecting price
increases of anywhere from six percent to 40 percent per employee next year.
That's a big variation, right? I'll explain why we're facing such uncertainty.
Dramatic changes to health insurance pricing
The ACA's first major impact is a shift toward
"community rating." Starting in 2014, insurance carriers will no
longer be able to price small group coverage based on employees' health status
and claims history. They will use only four factors: age, gender, tobacco use
and ZIP code. That means other employee populations in your area will affect
your insurance rates.
Community rating is a dramatic change, and it
will result in substantial inflation for small groups that had previously
enjoyed low rates based on younger, exceptionally healthy employee populations
-- like ours.
Expanded coverage requirements
The ACA introduces broader requirements on
what an employer's health care plan must cover. For example, small groups'
coverage must now provide for essential health benefits, such as pediatric
services, maternity care and substance abuse treatment, and is subject to
maximum deductible and out-of-pocket limits. Large groups' plans must provide
"affordable coverage" -- that is, the employer must cover at least 60
percent of the actuarial value of health care costs, and employee contributions
must not exceed 9.5 percent of their income, whereas previously there was no
such coverage quota.
Because our business has always been
relatively healthy, we've been able to provide coverage that meets or exceeds
these requirements, but I empathize with employers whose profit margins don't easily
afford the provision of high-quality coverage. They will be the most
significantly impacted by the new requirements.
As I examined all this information, I came to
a conundrum: Are we a small group, or not? Under current Texas law, a small
group is one with two to 50 employees. However, pending legislation -- Texas
State Senate Bill 85 -- could expand that to companies of up to 100, if passed.
We just hired our fifty-fifth employee.
Large group pros and cons
Many companies have been fearful of the "large
group" label when it comes to health care reform, carefully keeping their
staff numbers under 50. But we found that being a large group is actually
beneficial to us. As a large group, we are exempt from community ratings and
maximum deductible limits. We also don't have to provide essential health
benefits -- though we already do. And the expected increase in health care
costs for large groups in 2014 is relatively low -- six to eight percent.
Potential drawbacks of being a large group: We
are subject to the "pay or play" rule -- provide coverage that meets
the requirements, or pay a penalty-- as well as automatic employee enrollment
upon hire and at renewal. For companies with a tighter bottom line, these rules
may prove challenging. For our business, they are less relevant; we are already
providing quality coverage, and we want everyone to have it.
Small group pros and cons
Small groups are exempt from pay or play. They
don't have to provide coverage to their employees. If we were, say, a small
pizza shop, this would be a relief. But we're not. We want to remain
competitive in hiring -- and can afford to keep doing so.
The requirement to provide for essential
health benefits could be problematic for cash-strapped companies and might
raise carrier costs.
The biggest downsides if we're a small group:
we'd be subject to detrimental community ratings, and maximum deductible and
out-of-pocket limits would drive up costs across the board. As a small group,
we would face a whopping 30 to 40 percent increase in health care costs for
2014.
The outcome
One thing we will do is push our renewal date
out to December 2013, so that our new plan won't take effect until January
2014. That's because the government may actually change or delay implementation
of some ACA provisions. Pushing out our renewal delays the new requirements as
long as possible and allows us to keep a plan we like, while giving us a chance
to see if the government backpedals.
CASE STUDY CHALLENGE
1.
Describe hoe some changes in the health
service delivery system have led to a decline in hospital inpatient days and
growth in ambulatory services.
2.
All primary care is ambulatory, but not
all ambulatory services represent primary care. Discuss.
3.
As hospital evolved from rudimentary
custodial and quarantine facilities to their current state, how their purpose
did and function changes.
3. Conclusion (15%)
Briefly summarize your thoughts &
conclusion to your critique of the case study and provide a possible outcome
for the Health Care Center. How did
these articles and Chapters influence your opinions about Health Care and new
reform act?
Evaluation
will be based on how clearly you respond to the above, in particular:
ST Thomas University Week 3 Advance FNP Adult Discussion
The House Painter Patient Evaluation & Management Plan
A 52-year-old male patient who is a house painter presents to t ...
ST Thomas University Week 3 Advance FNP Adult Discussion
The House Painter Patient Evaluation & Management Plan
A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife. Discuss the following:
What additional information should you obtain about the pain the patient is experiencing?
What additional physical assessment needs to be performed with this patient?
What considerations are important to remember if the patient’s CRP level is elevated?
What differential diagnoses should be considered for the patient?
What patient teaching will be incorporated into the visit to modify the patient’s risk factors?
How will you respond to the patient’s statement that he does not have time to “be sick” and needs to take care of everything during this visit?
UOP Wk 2 Importance of Mission & Vision Statements in Strategic Planning Essay
Wk 2 Individual Assignment: Importance of Mission and Vision Statements in Strategic Planning [Due Day#]
Assignment Conten ...
UOP Wk 2 Importance of Mission & Vision Statements in Strategic Planning Essay
Wk 2 Individual Assignment: Importance of Mission and Vision Statements in Strategic Planning [Due Day#]
Assignment Content
Resources:
Stevens District Hospital Strategic Planning Scenario
Importance of Mission and Vision Statements in Strategic Planning Grading Criteria
Review the following mission and vision statements:
1.
Mission: To improve health by providing high-quality care.
Vision: Provide the highest level of service in the county.
2.
Mission: To improve health by providing high-quality care.
Vision: Provide the broadest range of services in the county.
3.
Mission: To be deeply committed to the communities we serve, we enhance population health and well-being.
Vision: Deliver an exceptional experience with every encounter.
Select the most appropriate mission and vision statement for the hospital described in your Week 1 assignment.
Write a 700- to 1,050-word executive summary in which you:
Identify the mission and vision selected.
Explain the rationale for why you selected the mission and vision statements.
Identify the specific strengths of the mission and vision statement selected.
Identify the weaknesses of the mission and vision statements not selected.
Explain how the mission and vision drive the strategic plan for the health care organization.
Cite 2 peer-reviewed, scholarly, or similar references to support your summary.
Format your assignment according to APA guidelines.
Submit your assignment.
Resources
Center for Writing Excellence
Reference and Citation Generator
Grammar and Writing Guides
Social Work Question
Explore the Arizona state and local laws on the State of Arizona Board of Behavioral Health Examiners Rules and Laws websi ...
Social Work Question
Explore the Arizona state and local laws on the State of Arizona Board of Behavioral Health Examiners Rules and Laws website and the American Counseling Association Code of Ethics Resources website.Write a 750-1,000-word essay including the following:Are these two resources complementary or adversarial? What makes you think so?Analyze the importance of three state laws or statutes and three ethics codes related to privacy, security, and confidentiality of patient medical and mental health records, including any pertinent issues related to electronic records.Support your opinions with two or more scholarly resources.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Benchmark InformationThis benchmark assignment assesses the following programmatic competencies:BS Behavioral Health Science2.5: Evaluate the Code of Ethics and specific state laws and rules for behavioral health.4.3: Analyze the importance of privacy, security, and confidentiality with patient medical and health records.
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