Assignment: Testing Hypotheses for MeansThis week you have explored three different approaches to t tests. By this point, you know that each test has assumptions about the data and type of research questions it can answer. For this Assignment, you will be provided with three scenarios. As you read the scenarios, be sure and think about aligning the appropriate t test with the question. Consider whether the data are independent samples and if two samples are being compared.To prepare for this Assignment:Review the Learning Resources and the media programs related to t tests.For additional support, review the Skill Builder: Research Design and Statistical Design and the Skill Builder: Hypothesis Testing for Independent Samples t-test, which you can find by navigating back to your Blackboard Course Home Page. From there, locate the Skill Builder link in the left navigation pane.Also, review the t test scenarios found in this week’s Learning Resources and consider the three different approaches of t tests:Independent sample t testPaired sample t testOne sample t testBased on each of the three research scenarios provided, open the High School Longitudinal Study dataset or the Afrobarometer dataset from this week’s Learning Resources using SPSS software, then choose and run the appropriate t test.Once you perform your t test analyses, review Chapter 11 of the Wagner text to understand how to copy and paste your output into your Word document.For this Assignment:Write a 2 to 3-paragraph analysis of your t test results for each research scenario and include the SPSS syntax and output. Do not forget to evaluate if the t test assumptions are met, justify the selection of type of t test, and report the effect size. Based on your results, provide an explanation of what the implications of social change might be.Use proper APA format, citations, and referencing for your analysis, research questions, and output.

I am working on a team project that consists of 4 papers that I need to be consolidated into one professionally and on a Masters degree level. I will attach all of the papers with references. The paper needs to have fluidity and cohesion. There is a set of question we answered and we each wrote a paper for each question. Please combine all the papers into one to make it one large paper that we can use in our presentation as well. Everything is already written, you may need to add transition sentences add words, take out words, etc but the papers are mainly done. There is no minimum requirement for papers so please disregard. Please use as many or less as it take to combine papers. Each paper is labeled by questions, The paper that says Part 1 should be the beginning of the paper. I will also upload the questions because I do need a conclusion and recommendations.Part 1Explain the concepts behind the Patient Centered Medical Home (PCMH) model, also known as the medical home model.Conduct systematic analysis of this model, breaking it down to components.What are the PCMH reimbursement models, incentives, economic, quality of care, legislative, staffing, and technology considerations?What approaches are working better? What is not working?Look at it from a critical point of view. What would you recommend, how to implement the PCMH model more efficiently?Part 2CareFirst BlueCross BlueShield of Maryland implemented a voluntary Patient-Centered Medical Home (PCMH) program in 2011 to improve quality of care and care coordination in small primary care practices.In the geographic area where CareFirst PCMH operates, describe demographics, population health status, risk factors, access to care, health care workforce, health care quality, and health ethical issues.Examine CareFirst PCMH Program history, partnership model, funding, payment model, patient population, care model, care coordination, workforce to meet patient needs, market share, competitors, and achievements. CareFirst Patient-Centered Medical Home Program reported the following implementation challenges:Nurse care coordinators (or “local care coordinators” LCCs) are perceived as a key element of the PCMH program; however, attitudes were mixed or unfavorable when some LCCs changed during the first year of program implementation because of turnover. Some practices were initially reluctant to welcome LCCs because they were perceived to be disruptive to the practice’s existing workflow. Several providers noted that more clarification of the role of the LCC within the PCMH team, as well as defined expectations and responsibilities, were needed.The second challenge was related to limited provider awareness of external data portal. In a qualitative study, published in 2016, only a few CareFirst PCMH clinicians and office staff members were active users of the Searchlight information portal, which identified the top 50 patients with chronic conditions who had the highest total cost of care within a panel. In some cases LCCs would prepare reports with summary information on patients across an entire medical care panel. While some providers viewed the information as helpful, most providers were not aware of the portal or noted that it was cumbersome to access. In addition, some providers wished that the Searchlight portal could interface directly with electronic medical record systems already in place, rather than be accessed as a separate system.Trust issue remained a barrier for some providers. For many providers, an external program that is implemented and funded by a payer elicits concerns about hidden motives to save costs rather than improve the quality of patient care. In addition, providers viewed CareFirst as using an “arm’s length” approach that did not fully embrace physicians as collaborating partners to improve quality of care for patients. Because many primary care practices have traditionally viewed health insurance companies as adversaries, trust continued to be a barrier to full implementation of an external PCMH program.Assess the situation, research best practices, and develop a proposal for the key decision makers in CareFirst Patient-Centered Medical Home addressing the business problems, opportunities, and a possible course of action.