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Value-based care is a healthcare delivery model in which providers, including hospitals and physicians, are paid on the basis of patient health outcomes

Value-based care is a healthcare delivery model in which providers, including hospitals and physicians, are paid on the basis of patient health outcomes. Value-based care includes three key goals: improved population health, increased patient satisfaction, and reduced cost. Each of these goals affects the stakeholders differently. For example, value-based care aims to lower costs across the board, which would result in the insurance companies having to pay lower reimbursements. If insurance companies incur lower costs, they are less likely to raise premiums and deductibles.

Before you begin working on the assignment, review the module learning resources. These resources will help you with additional guidance to complete this assignment.

In this assignment, you will choose two acute care hospitals in your state. Do not select critical access hospitals for comparative analysis. Because critical access hospitals are exempted from sharing information with the Centers for Medicare and Medicaid Services (CMS), you may not get enough information about these hospitals for comparison. You will compare the selected hospitals on the basis of various quality metrics defined by the CMS. Then, you will conduct a comparative analysis of both the hospitals using specific quality metrics: patient survey ratings, complications, and death rates and unplanned hospital visits. This analysis will help you understand how value-based care and quality metrics in healthcare impact stakeholders. Also, this assignment will help you understand how stakeholders influence the decision-making process in healthcare.

Prompt

To complete this assignment, you will submit an analysis report that includes the comparative analysis of two chosen hospitals. In this assignment, you will choose two acute care hospitals from your state and conduct a comparative analysis. Use module resources to understand how to conduct the comparative analysis on selected hospitals. You will use quality metrics and national benchmarks defined by the CMS. You will then create an analysis report that includes the comparative table and a summary of your analysis to demonstrate your findings.

You must cite at least three sources to support your claims. For additional help with completing this assignment, refer to the Shapiro Library Guide: Nursing – Graduate item in the Start Here module. You may also use the Online Writing Center, located in the Academic Support module.

Specifically, you must address the following rubric criteria:

  1. Selection of Hospitals: Justify your selection of two acute care hospitals for comparative analysis.
  2. Analysis of Patient Survey Ratings: Analyze the comparative performance of selected hospitals pertaining to patient survey ratings quality metrics. Consider the following questions in your response:
    1. How does the patient survey quality metric impact the government and private insurance reimbursement?
    2. Why is the patient survey one of the essential quality metrics for value-based care?
    3. Did underserved/vulnerable populations participate in the patient survey? Why is their inclusion essential?
  3. Analysis of Complication and Death Rates: Analyze the comparative performance of selected hospitals pertaining to complication and death rate quality metrics. Consider the following questions in your response:
    1. How do complication and death rate quality metrics impact the government and private insurance reimbursement?
    2. How do the complication and death rates impact value-based care?
  4. Analysis of Unplanned Hospital Visit Ratings: Analyze the comparative performance of selected hospitals pertaining to the unplanned hospital visits quality metric. Consider the following questions in your response:
    1. How does the unplanned hospital visits quality metric impact the government and private insurance reimbursement?
    2. What does the unplanned hospital visits quality metric indicate about value-based care?
  5. Summary of Analysis: Summarize your findings from your comparative analysis of the two hospitals. Include the national benchmarks for the quality metrics you have used for your analyses. Consider the following questions in your response:
    1. How do value-based care quality metrics impact healthcare stakeholders such as insurance providers, hospitals, and patients?
    2. Do the mentioned three quality metrics or any other quality metrics defined by the CMS include underserved/vulnerable populations’ challenges related to value-based care?

What to Submit

Your submission should be a 2- to 3-page Word document. You must also include an APA-style title page. Use 12-point Times New Roman font, double spacing, and 1-inch margins. Sources should be cited according to APA style

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The nurse practitioner’s (NP) role in the health care delivery system has evolved

Reflect on your experience in NP700.  

This is a description of the class – make it positive feedback

The nurse practitioner’s (NP) role in the health care delivery system has evolved.  As healthcare delivery constantly changes, the nurse practitioner must evaluate and adapt accordingly.  This course examines where the NP role started and how the scope of practice has changed. You will examine advanced practice registered nurse (APRN) history, role, and regulatory and professional issues. You will take a close look at professional organizations and current healthcare trends in your own community. In addition, we will begin to explore the world of evidence-based practice, an advanced practice core competency.  Then we will discuss leadership and ethics as they relate to the advanced practice nurse.

This is the assignment –

A reflection is similar to other essays or discussions in that it needs to be easily understood and well structured. Still, the content is more akin to something personal, like a diary entry.  In a reflection, the person primarily examines his or her life experiences, hence the term ‘reflective’. The purpose of composing a reflection is to provide a platform for the author to not only recount a particular life experience but also explore how he or she has changed or learned from those experiences.

As you decide on the content of your reflection, you need to remember that a reflective essay is highly personal and aimed at engaging the reader or target audience. And there’s much more to a reflection than just recounting a story. You need to be able to reflect on your experience by showing how it influenced your subsequent behaviors and how your life, as a student, has been particularly changed as a result.

An excellent way to get started is to pick out some reflective questions which will help you think deeper about the impact and lasting effects of your experience.  Here are some examples:

· What have you learned about yourself as a result of the experience?

· Have you developed because of it? How?

· Did it have any positive or negative bearing on your life?

· Looking back, what would you have done differently?– What are your thoughts on the experience in general?

·  Was it a valuable learning experience? —   What specific skills or perspectives did you acquire as a result?

· Please demonstrate thoughtfulness and reflection in your response.  

· Please be professional in your grammar and language.  

APA is not required because this is your original thought.   However, proper grammar and spelling are expected.

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Health care delivery and clinical systems

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

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On-Time Delivery, has the proportion of on-time deliveries in 2018 significantly improved since 2014?

BUSINESS ANALYTICS 

 EXCEL WORKSHEETS AND WORD DOCUMENT

Files Link:  https://www.mediafire.com/folder/br4smc2ed77ba/Case_Study

Performance Lawn Equipment (PLE) – Read the file description in pages 31-32 and answer the following questions.Your manager, Elizabeth Burke, has received several questions from other managers regarding On-time delivery, Process costs, and employee retention. Using statistical tools and analysis, she would like you to provide her with some answers using the Performance Lawn Equipment Database File 

  1. In the worksheet, On-Time Delivery, has the proportion of on-time deliveries in 2018 significantly improved since 2014?
  2. Although engineering has collected data on alternative process costs for building transmissions in the worksheet Transmission Costs, why didn’t they reach a conclusion as to whether one of the proposed processes is better than the current process?
  3. Are there differences in employee retention due to gender, or whether the employee is from the local area in the data in the worksheet Employee Retention?

Conduct appropriate statistical analyses and hypothesis tests to answer these questions and summarize your results in a formal report to your (fictional) manager, Ms. Burke.

  • To answer the questions, you must use the statistical techniques discussed in this course.
  • There is no unique solution to this case study. The statistical techniques used should appropriately answer the questions.
  • This is not group work. The submitted work should be unique and your own. The percentage of plagiarism will be checked with Safeassign; it shouldn’t exceed 35%. You have access to that percentage after submitting your work.
  • Your report should be a word document. You must also submit the Excel file showing your own work.
  • Don’t focus on describing the techniques you used; the core of the report should be on what your numbers mean (interpretations) for the firm PLE. Keep in mind that your manager may not be a technical person and may only be interested in the insights provided in order to make a strategic decision about the company and its activities. Your detailed technical work will be shown in the Excel file in case your manager has some technical background. However, you should show the most useful results and interpret them in your report (the word document).
  • Present a professional report with an introduction summarizing what PLE is about and the aim of your task/report. The main part of the document should be on providing interpretations, insights, and recommendations for the different issues. Your conclusion should summarize your findings and recommendations.

EXAMPLE OF A CASE STUDY REPORT PROVIDED

This is an example of a case study report submitted by a former student. The topic is not the same as yours but this should give you a pretty good understanding of how to write a technically sound report. The alignment/organization doesn’t need to be exactly the same. Your work will be checked for plagiarism with SafeAssign. Make sure that the percentage given by SafeAssign doesn’t exceed 35%

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    Collaborate in healthcare delivery systems settings for improved patient outcomes.

    Module 05 Assignment – Scheduling and Staffing

    Module 05 Content

    1. Scheduling and Staffing
      Competency
      Collaborate in healthcare delivery systems settings for improved patient outcomes.
      Scenario
      You are making a staffing assignment knowing that you are short-staffed. You have five registered nurses (RNs), two licensed practical nurses (LPNs), and two nursing assistants. Those nine employees need to provide a 12-hour shift of services to 30 clients with a high acuity required to a ratio of nurse to client at 1:3.
      Client acuity level
      • Six acuity level 1
      • Eight acuity level 2
      • Nine acuity level 3
      • Seven acuity level 4
      • You will use the acuity-based staffing model to develop the staffing assignment based on the needs of the clients. You will use the created template.


        NUR2832_Staffing

        Instructions
        As you create this assignment, include the following in an email to your manager to justify your short-staffing plan:
      • Complete the staffing assignment based on the acuity level.
      • Defend how you would direct the staff to their assigned roles for this shift and provide a rationale for the staffing assignment.
      • Describe how you would communicate with each level of care provider to assure the best outcomes possible.
      • Address how you would ensure client equity in the delivery of services.
      • Provide stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.
      • Resources
        For assistance completing this assignment, review the article titled Patient Acuity Model.
        Submit your completed assignment by following the directions linked below. Please check the

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    How can external initiatives such as Healthy People 2020 assist health care delivery systems to implement quality-based measures to improve clinical outcome

    How can external initiatives such as Healthy People 2020 assist health care delivery systems to implement quality-based measures to improve clinical outcomes. Research previous Health People initiatives from 2000 to 2010. Track one of the initiatives and monitor its progress over the 10 year period.  Prepare a SWOT analysis and discuss your findings.

    • 600 word count
    • 2 references 
    • No references over 10 years old

    Please follow instructions. If you don’t understand please don’t hesitate to reach me.

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    Implementing Policy In the Health Care Delivery System

    Assignment Details: Implementing Policy In the Health Care Delivery System In this episode, you are the Director of Quality Improvement for a Health Care System. Your team is in the process of establishing policies and procedures to ensure health law compliance. You must work with team members to create policies and procedures that address the requirements, determine who the changes impact the most, and work with those people to develop a comprehensive communication strategy.Based on the policy and law changes, hospitals are now required to:

    • Monitor and report medical errors to the DHHS.
    • Use root cause analysis on a certain percentage of errors
    • Track and report patient outcomes focused on the clinical problems identified in the National Health Care Quality Report (http://www.ahrq.gov/qual/qrdr10.htm).
    • Integrate the 5 health care profession core competencies into staff education and track outcomes.
    • Establish a no-blame culture.

    You will submit policy and procedure points that address each of the changes, and a communication strategy for the changes.

    • Work through the simulation.
    • Answer all questions.
    • Submit your points.
    • Save as “ImplementingPolicy_YourName” word document.
    • Click on the assignment link to submit your word document.

    The images on the left are screen shots similar to what you will see in your own Learnscape course.

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    Shi & Singh (2017), “some features of the U.S. health care delivery have remained stable

    According to Shi & Singh (2017), “some features of the U.S. health care delivery have remained stable, but the future will be determined by how certain forces of change interact… serious challenges lie ahead unless the nation can control rising consumption of health care resources, the costs associated with them, and mend an economy that has not meaningfully improved in several years” (pg. 358).

    Based on your learnings in this course, discuss 2 or 3 improvement recommendations (eliminating political preference) for the current U.S. health care delivery system. Support your recommendations with scholarly references.

    Your posts will be graded on how well they meet the Discussion Requirements posted in the “Before You Begin” section. Please review this section as well as the discussion scoring rubric.

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    Challenge affecting health care delivery is the growing shortage of health care personnel

    Another challenge affecting health care delivery is the growing shortage of health care personnel. Quality, a major concern of health care, is directly impacted by understaffing. For your Module 4 SLP, conduct research on the need for health care personnel in your state, city/town, or a location that you are familiar with. Based on your research, compose a 2-page memorandum to your local/state representative identifying your findings. In your memorandum, include the following:

    • Detailed statistics on the shortage of health care personnel in your selected geographical area.
    • Comparative statistics to the national shortage of health care personnel.
    • Explain how health care personnel shortage is affecting health care delivery currently and within the next 10 years.

    You may use the following source to review a sample memorandum:

    https://owl.purdue.edu/owl/subject_specific_writing/professional_technical_writing/memos/sample_memo.html

    SLP Assignment Expectations

    1. Conduct additional research to gather sufficient information to justify/support your memorandum.
    2. Limit your response to a maximum of 2 pages, not including the title or reference page.
    3. Support your report with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals. Angelo State University Library (n.d.) Library guide: How to recognize peer reviewed (refereed journals). Retrieved from: Link:https://www.angelo.edu/services/library/handouts/peerrev.php
    4. You may use the following source to assist in formatting your assignment. Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from: Link:https://owl.english.purdue.edu/owl/resource/560/01/.
    5. For additional information on reliability of sources review the following source. Georgetown University Library (n.d.) Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content

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    Future of Managed Health Care Delivery Systems

    You will select a topic for your Final Paper related to the Future of Managed Health Care Delivery Systems, which will be submitted to your instructor for approval during Week Two.  The 10-15 page paper (excluding title and reference pages) must follow APA guidelines for written assignments and contain eight to ten scholarly and/ or peer-reviewed sources, excluding the course textbook.  

    Your paper must address the following bolded topics, which should be titled appropriately in your paper:

    1. Include an Abstract which is a synopsis of the overall paper.  
    2. Managed Health Care Quality should address such factors as whether or not patient health care needs and even preferences are being met; the care is right for the illness, care is timely, and unnecessary test and procedures are not ordered.
    3. Provider Contracting is when doctors and health care practitioners have a contract agreement through a third party payer to accept a specified payment for services provided to patients.
    4. Cost Containment deals with managing the costs of doing business within a specified budget while restraining expenditures to meet a specified financial target.
    5. Effects on Medicare and Medicaid in managed health care appear to be moving in a direction where both types of recipients will be enrolled in some type of managed health care plan in the near future.  
    6. The Future Role of Government Regulations, to include ERISA and HIPAA health care policies.
    7. Include Three Recommendations each, related to quality and change in Medicare and Medicaid managed health care plans.


    Writing the Final Paper

    1. Must be ten- to fifteen double-spaced pages in length and formatted according to APA style as outlined in the Ashford Writing Center.
    2. Must have a cover page that includes: 
      1. Title of paper
      2. Student’s name
      3. Course name and number
      4. Instructor’s name
      5. Date submitted
    3. Must include an introductory paragraph with a succinct thesis statement.
    4. Must address the topic of the paper with critical thought.
    5. Must end with a conclusion that reaffirms your thesis.
    6. Must use at least eight scholarly and /or peer-reviewed sources, published within the last five years, including a minimum of three from the Ashford University Online Library.
    7. Must document all sources in APA style, as outlined in the Ashford Writing Center.
    8. Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.

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    Abstract

                This thesis present the achievement of the managed health care delivery systems, lessons for policy makers from different parts of the world and the reforms needed to improve the quality of service delivery, reduce the cost of health care provision, increase efficiency of Medicare and Medicaid as well as the future role of government in enactment of policies and regulations. Due to dynamics in health care industry related to backlash by providers and consumers, the future of the managed health care delivery systems is uncertain in United States of America. However, proper policies and regulations in place have proved to contain the increasing health care spending without affecting the quality of service delivery.

                Some innovative technologies applied in other parts of the world that does not necessarily relied on the US market environment have shown to be more appropriate when applied in private and public health care system. For instance, placement of incentives between health care providers and acquirers, use of performance measurement report cards and continuous acquisition of equipment that integrate disease management programs address the key challenges affecting the future of the managed health care delivery systems in most parts of the world. This paper recommends for selective adoption of voluntary US insurance market and single payer systems which allows for precise monitoring of their effects and systematic lower transaction costs. In addition, pharmaceutical and………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

    ………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

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