Description
- Read/view the following:
- Select a recent (less than 3 years old) health policy from the American Public Health Association (APHA) at: http://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy-database
Complete the following:
- Summarize the policy and describe its type and current status.
- Describe the provision (description) in the Code of Ethics for Nursing that would guide your actions pertaining to this policy.
- How can nurses advocate with target groups/community members to help make sure this policy becomes law or is optimally implemented?
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Explanation & Answer
Attached.
The Community as Client
Institutional affiliation
Date
Policy statement on Housing and homelessness as a public health issue
Most of the families, as well as individuals faced with homelessness, are vulnerable to health
inequalities and the outcome of their health is poor. The World Health organization speculates
that improving social determinants of health is a critical approach to achieve health equity within
a generation. With homelessness continues to be a public health issue in the U.S and
understanding that people experiencing homelessness struggle ...
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MHA 540 TUI Utilization Management Utilization Review and Case Management Essentials Paper
Assignment Overview With the consistently rising costs of health care services, utilization management and utilization rev ...
MHA 540 TUI Utilization Management Utilization Review and Case Management Essentials Paper
Assignment Overview With the consistently rising costs of health care services, utilization management and utilization review are routinely used in the vast majority of current health care settings. How are they evolving over time, and what is involved in these processes? What do health care managers need to be aware of as the processes play out? In the absence of sweeping policy change (or the complete restructuring of the United States health care system), utilization management and utilization review are much more moderate processes to attempt to preserve the quality of care provided while controlling overall health care expenditures. Let’s learn a bit about each of these processes, and how they are implemented in our current health care environment. Case Assignment Using the information in the required readings as well as some additional research in peerreviewed sources, complete your Case Assignment by answering the following:
Compare and contrast utilization review and utilization management in health care. What are the similarities and the differences between each type of assessment? (Hint: One is generally a prospective process, and the other is generally a retrospective process).
Explain the specific role of each method in providing value-based health care. Who benefits from the method—the health care system, the insurance company, and/or the patient?
Articulate how individual case management is critical to a hospital’s long-term survival. In what way does this practice protect your patients while keeping your doors open for business?
What are the ethical pitfalls to be aware of in performing these types of quality reviews? What must health care managers be aware of in terms of ethical pitfalls and also potential unintended negative consequences?
Assignment Expectations
Conduct additional research to gather sufficient information to support your analysis.
Provide a response of 3-5 pages, not including title page and references.
As we have multiple required items to be addressed herein, please use subheadings to show where you’re responding to each required item and to ensure that none are omitted.
Support your paper with peer-reviewed articles and reliable sources. Use at least three references, and a minimum of two of these from peer-reviewed sources. For additional information on how to recognize peer-reviewed journals, see:Angelo State University Library. (n.d.). Library Guides: How to recognize peer-reviewed (refereed) journals. Retrieved from https://www.angelo.edu/services/library/handouts/peerrev.php and for evaluating internet sources:Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
You may use the following source to assist in your formatting your assignment:Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from https://owl.english.purdue.edu/owl/resource/560/01/.
Paraphrase all source information into your own words carefully, and use in-text citations.Module 2 - BackgroundUtilization Management, Utilization Review, and Case Management EssentialsRequired Reading/ViewingView: Baker, J. (2018). Improving quality of care through utilization management [Video file]. Retrieved from https://youtu.be/g-T-YeP53nY Carasso, S. (2017). Is that test necessary? The key to laboratory utilization management.The Journal of Medical Practice Management: MPM, 33(3), 160-164. Retrieved from theTrident Online Library.Desai, S., Gruber, P. F., Eiting, E., Seabury, S. A., Mack, W. J., Voyageur, C., . . . Terp, S. (2017). The effect of utilization review on emergency department operations. Annals of Emergency Medicine, 70(5), 623-631.e1. Retrieved from the Trident Online Library.El-Othmani, M. M., Sayeed, Z., Ramsey, J. A., Abaab, L., Little, B. E., & Saleh, K. J. (2019).The joint utilization management program: Implementation of a bundle payment model and comparison between year 1 and 2 results. The Journal of Arthroplasty, 34(11), 2532-2537.Retrieved from the Trident Online Library.Parast, M. M., & Golmohammadi, D. (2019). Quality management in healthcareorganizations: Empirical evidence from the Baldrige data. International Journal of ProductionEconomics, 216, 133-144. Retrieved from the Trident Online Library.Suklar, S. (2018). Quality assurance system at primary level of healthcare. Izzivi Prihodnosti, 3(1), 21-53. Retrieved from the Trident Online Library.Wakefield, E., Keller, H., Mianzo, H., Nagaraj, C. B., Tawde, S., & Ulm, E. (2018). Reductionof health care costs and improved appropriateness of incoming test orders: The impact ofgenetic counselor review in an academic genetic testing laboratory. Journal of GeneticCounseling, 27(5), 1067-1073. Retrieved from the Trident Online Library.Optional ReadingInstitute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Available at https://www.ncbi.nlm.nih.gov/books/NBK222274/ (Use this link for free full text .pdf download).
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MHA 540 TUI Utilization Management Utilization Review and Case Management Essentials Paper
Assignment Overview With the consistently rising costs of health care services, utilization management and utilization rev ...
MHA 540 TUI Utilization Management Utilization Review and Case Management Essentials Paper
Assignment Overview With the consistently rising costs of health care services, utilization management and utilization review are routinely used in the vast majority of current health care settings. How are they evolving over time, and what is involved in these processes? What do health care managers need to be aware of as the processes play out? In the absence of sweeping policy change (or the complete restructuring of the United States health care system), utilization management and utilization review are much more moderate processes to attempt to preserve the quality of care provided while controlling overall health care expenditures. Let’s learn a bit about each of these processes, and how they are implemented in our current health care environment. Case Assignment Using the information in the required readings as well as some additional research in peerreviewed sources, complete your Case Assignment by answering the following:
Compare and contrast utilization review and utilization management in health care. What are the similarities and the differences between each type of assessment? (Hint: One is generally a prospective process, and the other is generally a retrospective process).
Explain the specific role of each method in providing value-based health care. Who benefits from the method—the health care system, the insurance company, and/or the patient?
Articulate how individual case management is critical to a hospital’s long-term survival. In what way does this practice protect your patients while keeping your doors open for business?
What are the ethical pitfalls to be aware of in performing these types of quality reviews? What must health care managers be aware of in terms of ethical pitfalls and also potential unintended negative consequences?
Assignment Expectations
Conduct additional research to gather sufficient information to support your analysis.
Provide a response of 3-5 pages, not including title page and references.
As we have multiple required items to be addressed herein, please use subheadings to show where you’re responding to each required item and to ensure that none are omitted.
Support your paper with peer-reviewed articles and reliable sources. Use at least three references, and a minimum of two of these from peer-reviewed sources. For additional information on how to recognize peer-reviewed journals, see:Angelo State University Library. (n.d.). Library Guides: How to recognize peer-reviewed (refereed) journals. Retrieved from https://www.angelo.edu/services/library/handouts/peerrev.php and for evaluating internet sources:Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
You may use the following source to assist in your formatting your assignment:Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from https://owl.english.purdue.edu/owl/resource/560/01/.
Paraphrase all source information into your own words carefully, and use in-text citations.Module 2 - BackgroundUtilization Management, Utilization Review, and Case Management EssentialsRequired Reading/ViewingView: Baker, J. (2018). Improving quality of care through utilization management [Video file]. Retrieved from https://youtu.be/g-T-YeP53nY Carasso, S. (2017). Is that test necessary? The key to laboratory utilization management.The Journal of Medical Practice Management: MPM, 33(3), 160-164. Retrieved from theTrident Online Library.Desai, S., Gruber, P. F., Eiting, E., Seabury, S. A., Mack, W. J., Voyageur, C., . . . Terp, S. (2017). The effect of utilization review on emergency department operations. Annals of Emergency Medicine, 70(5), 623-631.e1. Retrieved from the Trident Online Library.El-Othmani, M. M., Sayeed, Z., Ramsey, J. A., Abaab, L., Little, B. E., & Saleh, K. J. (2019).The joint utilization management program: Implementation of a bundle payment model and comparison between year 1 and 2 results. The Journal of Arthroplasty, 34(11), 2532-2537.Retrieved from the Trident Online Library.Parast, M. M., & Golmohammadi, D. (2019). Quality management in healthcareorganizations: Empirical evidence from the Baldrige data. International Journal of ProductionEconomics, 216, 133-144. Retrieved from the Trident Online Library.Suklar, S. (2018). Quality assurance system at primary level of healthcare. Izzivi Prihodnosti, 3(1), 21-53. Retrieved from the Trident Online Library.Wakefield, E., Keller, H., Mianzo, H., Nagaraj, C. B., Tawde, S., & Ulm, E. (2018). Reductionof health care costs and improved appropriateness of incoming test orders: The impact ofgenetic counselor review in an academic genetic testing laboratory. Journal of GeneticCounseling, 27(5), 1067-1073. Retrieved from the Trident Online Library.Optional ReadingInstitute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Available at https://www.ncbi.nlm.nih.gov/books/NBK222274/ (Use this link for free full text .pdf download).
NR 341 CUCN Adult Health Interdisciplinary Management of Healthcare Technology Essay
I have attached Rubric, Sample and "Edit/Write this" documents. Using "Rubric" and "Sample 1" as guidelines and references ...
NR 341 CUCN Adult Health Interdisciplinary Management of Healthcare Technology Essay
I have attached Rubric, Sample and "Edit/Write this" documents. Using "Rubric" and "Sample 1" as guidelines and references, please ADD SECTION D. Interdisciplinary Teams Roles and Responsibilities in the document titled "Edit/Write This ...". Do NOT change or edit other sections! All Parts of section D. Interdisciplinary team’s Roles and Responsibilities, must be related to a patient who has received a Permanent pacemaker, and all Healthcare Team members involved in the care for the Pacemaker patient and What Role and Responsibilities Each Team Member Must Do To Take Care of a Pacemaker Patient. For Further Reference , you may refer to the first paragraph of page 2 of the "Edit Write this" document I sent you, there is a case Study of a patient who received a Pacemaker.
For example, what orders should a physician in charge of a pacemaker patient perform, what assessments should a nurse taking care of a pacemaker patient do, etc.
5 pages
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