the role of the Patient Protection and Affordable Care Act (PPACA) in health care cost control

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What is your opinion on the role of the Patient Protection and Affordable Care Act (PPACA) in health care cost control?

 
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Identify how homeless veterans w/severe mental illness can benefit from a Critical Time intervention group?

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  1. Identify how homeless veterans w/severe mental illness can benefit from a Critical Time intervention group? at least 1 reference

  2. What are three key values or benefits of using a group approach with this population? Examples are feeling normal, opportunity to hide, evoking different and new aspects of ones personality, creating new behavioral norms, imitating behavior, all of us are smarter than any one of us, development of social skills, appreciating diversity, getting the job done, empowerment.

At least 1 reference

  1. Using models and theories of group practice, what type of group approach would you propose? Require 3 references

  2. What are key challenges or obstacles in group interventions with this population? How would you address each of these challenges? At least two references.

A. In the agency context? Department of Veterans Affairs

B. In the community context? Homeless Shelters, Public Housing

C. In the client context?

  1. Identify and briefly discuss three readings from the course that were particularly useful in developing your plan and beginning strategy. 3 references

  2. Discuss your plans for an initial group session or describe how you conducted the first session. What are/were your goals for these initial sessions? Incorporate anticipated statements and anticipated reactions of the group members.

  3. Based on the Skill Inventory in the Standards for Social Work Practice with Groups, discuss three critical skills you used, or expect to use in the beginning stage of the group. The Standards are available at: http://www.aaswg.org/node/377

  4.  What challenges do you anticipate and what are your strategies to address them for a proposed group that has not met. Keep in mind that they are Homeless Veterans with severe mental illness

Paper must be Times New Roman, double space, 1 inch margins,  10 pages not including reference page. The paper reference in the text, citations, and references must be formatted in APA style. Must contain reputable references, scholarly related to Critical Time Intervention with homeless Veterans diagnosed with severe mental illness.

 
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Should the government intervene to control how health care prices are set?

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Should the government intervene to control how health care prices are set?

 
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Examine how healthcare management concepts and theories are applied to critical issues in healthcare organizations.

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Middleville Regional Health Care is one (1) of three (3) hospitals serving a community of 350,000 people. Summary statistics on Middleville and its competitors, from the AHA Guide, are shown below in Table 1. All three organizations are not-for-profit.

 

Table 1: Middleville, Brierfield, and Greystone Health Care Systems

 

Name Beds Admissions Census OP Visits Births Expenses (000) Personnel
Middleville 575 13,000 350 221,000 2,300 $125,000 2,000
Brierfield 380 17,000 260 175,000 1,200 $130,000 1,875
Greystone 350 10,000 180 40,000 900 $80,000 1,200

 

The governing board of Middleville hired a consulting company to evaluate its strategic performance, specifically in the areas of Human Resources, Information Technology, Financing, and Marketing. As part of the consultant’s evaluation, several leaders of Middleville’s units were asked their perspective of the organization’s performance.

 

You are working for the consultant. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without suggesting how the client organization can correct it,” so you must indicate what sort of correction you would recommend as part of your list. Because you know there were about two (2) dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed.

 

Write a six to eight (6-8) page paper in which you:

  1. Explain the governing board’s role in these strategic initiatives, determining its responsibility and involvement.
  2. Evidence-based management means that operational and strategic decisions are made based upon the evidence that goals and objectives are actually being met. Quantitative measurements must be identified and measured. This data is then used to evaluate the HCO’s performance. Name three (3) performances Middleville can use to measure its success in providing quality healthcare to the community, and identify quantifiable, measureable indicators that can be used to do so. Explain the importance of each performance measurement.
  3. Given the statistics of Middleville and its two (2) competitors provided in Table 1, recommend to the HCO what areas it should focus on to maintain its competitive market share as well as continue to provide healthcare to the community in the 21st century.
  4. Some of Middleville’s Board members are very interested in pursuing advanced technology systems over the next five (5) years, while others are concerned about the enormous expense and need assurance that the investment in technology will be worthwhile. In both monetary and process terms, describe the costs and benefits associated with implementing EMR and associated health data systems. Lay out a plan for how various systems can be implemented.
  5. Middleville has faced many challenges in recruiting and retaining nurses and other clinical employees. The economy has hit the area very hard and budgetary limitations have reduced the amount of money available for salary increases. The Board knows it needs to provide other benefits to their valued employees. Provide at least two (2) suggestions to Human Resources to promote employee satisfaction and, therefore, retain experienced personnel.
  6. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
  7. Format your assignment according to the following formatting requirements:
  1. Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
  2. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.
  3. Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.

 

The specific course learning outcomes associated with this assignment are:

 

  • Examine how healthcare management concepts and theories are applied to critical issues in healthcare organizations.
  • Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations.
  • Explain how public policy has shaped the development of the U.S. healthcare system.
  • Use technology and information resources to research issues in health services organization management.
  • Write clearly and concisely about health services organization management using proper writing mechanics.
 
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A stressor is defined as

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  1.   What statement is most accurate regarding the relationship between marriage and        homelessness?

 

a. There is no relationship between marriage status and homelessness.

 

b. Being single (i.e., never married or divorced) may be a risk factor the homelessness and it may influence duration of homelessness.

 

c. Marriage may be a resource or protector against homelessness, perhaps due to increased social support, sharing responsibilities, and pooling of resources.

 

d. Both b and c

 

 

  1.    ________ is to psychological empowerment, as _______ is to social alienation.

 

a. Self-efficacy, learned helplessness b. Hope, locus of control c. Locus of control, emotion-focused coping d. Self-efficacy, problem-focused coping

 

 

  1.   Which of the following psychological concepts is the most general and incorporates all of the         others listed?

 

a. Self-efficacy b. Psychological empowerment c. Locus of control d. Agency

 

 

  1.   Powerlessness, meaninglessness, normlessness, self-estrangement, and cultural estrangement        are aspects of _______, which seems to be a characteristic of some homeless individuals.

 

a. social alienation b. learned helplessness c. low self-esteem d. none of the above

 

 

  1.   Jim is a homeless man.  During his childhood and adolescence, he was neglected and the        family environment was unresponsive to his own efforts to improve it.  His work history         consists of negative work environments where employees had very little control.  At present,        Jim generally believes that he does not have control to better his life situation.  In other        words, Jim may have…

 

a. a sense of learned helplessness b. PTSD c. an internal locus of control d. both a and c

 

 

 

 

  1.   A homeless woman learns that he weather forecast for tonight is that it is will be extremely        cold.  She interprets this as being dangerous to her well-being.  She has just engaged in        _______.

 

a. problem-focused coping b. emotion-focused coping c. primary appraisal d. secondary appraisal

 

 

  1.   A stressor is defined as…

 

a. any negative life event. b. any stimulus that requires adaptation. c. any traumatic event. d. any event that is not under one’s control.

 

 

  1.   Homeless people face a great deal of stressors, some of which are ongoing in a chronic        fashion.  They are also at a greater risk for health problems when compared to other        individuals regardless of SES background.  To explain how stress may contribute to health        problems in homeless individuals, an expert in the area may focus on…

 

a. maladaptive coping b. autonomic nervous system (especially reactivity of the sympathetic division) c. stress hormones (cortisol) and the immune system d. all of the above

 

 

  1.   Which of the following statements is accurate regarding poverty?

 

a. Unemployment, declining value of minimum wage, increasing housing costs, insufficient housing availability, and increasing costs of health care are factors that contribute to poverty.

 

b. Poverty is a risk for homelessness, and discrimination may exacerbate this risk.

 

c. Poverty is a major risk factor for homelessness, and in this sense it may resemble a serious mental illness, physical dependency, or any other factor that reduces one’s resiliency and ability to cope.

 

d. All of the above.

 

 

 

 

 

  1.  Which of the following statements is not accurate?

 

a. Minorities have experienced discrimination with regard to wages and housing availability and, in some cases, this may increase the risk for homelessness.

 

b. Minorities are more likely to be poor and, thus, at greater risk for homelessness.

 

c. According to research, minority status and discrimination are unrelated to homelessness.

 

d. The homeless population is disproportionally black (45%), compared to 12% of the U.S. population.

 

 

  1.  Which of the following statements is not accurate regarding the relationship between         trauma/PTSD and homelessness?

 

a. While trauma and PTSD are relevant in explaining how military veterans can become homeless, research indicates that trauma and PTSD are rarely involved in other cases of homelessness.

 

b. Some research suggests that over 90% of homeless people (men and women) reported one or more PTSD symptom in their lifetime.

 

c. Some research suggests that, among homeless adults, approximately 40% experienced at least one violent trauma, often before becoming homeless.

 

d. According to some research, approximately 30% of homeless women and 20% of homeless men actually met criteria for PTSD.

 

 

  1.  Approximately _______ of homeless men are veterans, compared to 34% in the general         population.

 

a. 11% b. 21% c. 41% d. 61%

 

 

  1.  The immune system becomes activated when…

 

a. an antibody is detected. b. a suppressor T-cell is detected. c. a B-cell is detected. d. an antigen is detected.

 

 

 

  1.  When an individual is under chronic stress (e.g., homelessness), the hypothalamic-Pituitary         Adrenal (HPA) Axis becomes activated, and this…

 

a. …causes secretion of cortisol (stress hormone), which elevates blood sugar and increases metabolid rate throughout the body.

 

b. …may increase the fuel supply to the cells and allow them to sustain high levels of activity in the face of prolonged stress.

 

c. …process may shift energy away from the synthesis of protein, including proteins necessary for a healthy immune system.

 

d. all of the above.

 

 

  1.  When a homeless person is threatened by another homeless person on the street, his/er         __________ (a division of the autonomic nervous system) becomes activated and prepares         him/her for a “fight or flight” reaction.

 

a. sympathetic nervous system b. parasympathetic nervous system c. HPA Axis d. none of the above

 

 

  1.  As a homeless person copes with the many stressors that he or she faces, __________ is         most effective for stressors that are controllable, whereas __________ is most effective for         stressors that are not under his or her control.

 

a. emotion-focused coping, problem-focused coping b. problem-focused coping, emotion-focused coping c. primary appraisal, secondary appraisal d. secondary appraisal, primary appraisal

 

 

  1.  __________ is defined as generalized beliefs about one’s competence, efforts to exert         control, and an understanding of the sociopolitical environment.

 

a. Self-efficacy b. Psychological empowerment c. Locus of control d. Resiliency

 

 

  1.  If a community intervention managed to __________, then the community intervention is         said to have psychopolitical validity.

 

a. increased the number of soup kitchens b. enhanced agency in homeless individuals c. change local laws in ways that increased available housing for people at risk for homelessness d. both b and c

 

 

 

  1.  High levels of hope, self-efficacy, and psychological empowerment in a homeless person         would be considered __________; in contrast, learned helplessness, social alienation, and         low self-esteem in a homeless person would be considered  __________.

 

a. resiliency factors, vulnerability factors b. risk factors, resource or protective factors c. problem-focused coping, emotion-focused coping d. none of the above

 

 

  1.  Social stigma can have a negative effect on a homeless person’s __________, which         involves judgments of self-worth, stemming from evaluations of one’s own personal         competence or possession of attributes that are culturally invested with positive value.

 

a. self-efficacy b. psychological empowerment c. self-esteem  d. locus of control

 

 

  1.  Based on the readings on deinstitutionalization and homelessness, which of the following         is/are accurate?

 

a. Deinstitutionalization is a contributing factor but not a sole cause of homelessness.

 

b. Deinstitutionalization is definitely the primary cause of homelessness.

 

c. Homelessness, like other stressors, may exacerbate mental illness.

 

d. Both a and c

 

 

  1.  When a homeless person encounters a stressor on the street or in a shelter, and he or she          interprets the stressor as being a threat to his/her wellbeing, this is referred to as…

 

a. coping b. primary appraisal c. secondary appraisal d. emotion-focused coping

  1.  When a health psychologist is discussing the physiological mechanisms that underlie the          relationship between stress and illness, he or she is likely to focus on…

 

a. the autonomic nervous system b. the hypothalamic-pituitary adrenal (HPA) axis and the immune system c. emotion-focused coping d. both a and b

 

  1.  Some research suggests that, on average, homeless people tend to live about _____ years          less than those in the general population.

 

a. 28 to 30  b. 6 to 9 c. 2-to 3 d. 38 to 40

 

 

  1.   Homeless individuals often have difficulty obtaining food.  In the homeless population, obesity is…

 

a. about three times higher than it is in the general population

b. about two times higher than it is in the general population

c. about three times lower than it is in the general population

d. about half of what is found in the general population

 

 

  1.   __________ refers to the deprivation of basic human needs, which commonly includes         food, water, sanitation, clothing, shelter, health care, and education.

 

a. Poverty b. Absolute poverty c. Relative poverty d. Inequity

 

 

  1.  While the United States represents about 4.4 percent of the world’s population, it houses         around _____ percent of the world’s prisoners.

 

a. 1 to 3 b. 10 to 15 c. 15 to 20 d. 20 to 25

 

 

  1.  The book __________ is pertinent to the disproportionate percentage of African Americans incarcerated in America.

 

a. “Social Stigma, Homelessness, and Prisons” b. “Slavery by Another Name” c. “The New Jim Crow” d. Both b and c

  1.  The concept of “Community Policing” promotes which of the following ideas:

 

a. All homeless people should be rounded up and institutionalized (i.e., confined in a prison, a psychiatric hospital, or a shelter of some kind).

 

b. Homelessness should be criminalized in order to get homeless people off the streets. c. We need to promote organizational strategies that utilize community partnerships and problem-solving to proactively address immediate concerns that are pertinent to public safety.

 

d. The vast majority of homeless people are criminals or violent people and the police in any given community must take forceful action to control them.

 
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Describe an experience with a bill that you received at a hospital or doctor’s office.

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Describe an experience with a bill that you received at a hospital or doctor’s office.

 
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Examine some of the causes and symptoms of employee burnout. Propose steps that management can take to reduce the possibility of employee burnout

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I have four different questions that need to be answered apa format with references.

 

Q1.

 

“Training Assessment” Please respond to the following:

 

 

 

Imagine you are a new employee in a human resource (HR) department. Your first task is to develop a stress management seminar for the employees. Determine the topics that should be covered in the seminar. Support your selection of the topics.

 

 

 

Develop criteria to assist in selecting the vendor to use for the training.

 

 

 

 

 

Q2.

 

Training Effectiveness” Please respond to the following:

 

Go to the Chief Learning Officer’s (CLO) Website and read the article titled “Southwest Airlines: Employee Education Takes Flight”. Next, determine if Southwest’s method of training is an effective way to conduct training. Support your position. Provide one recommendation for improvement.

 

 

 

Compare the following training methods: presentations, case studies, simulations, and discussions. Determine which training method you believe to be the most effective and explain why.

 

 

 

 

 

Q3.

 

“Employee Development” Please respond to the following:

 

 

 

Propose three ways that a mentor and a new employee orientation can assist employees with their career development.

 

 

 

Evaluate the following criteria, in order of importance to you, in regard to the workplace: material wealth, success, career satisfaction, and work-life. Determine whether or not you believe there is a way to balance them. Provide two suggestions on how this could be done. Support your position.

 

 

 

 

 

Q4.

 

HR Certifications” Please respond to the following:

 

Go to the Society for Human Resource Management’s (SHRM) Website and review the information regarding HR certifications. You can also go to the HR Certification Institute’s Website and review information regarding HR certifications. Next, examine the benefits of obtaining a Professional in Human Resources (PHR) certification and / or a Senior Professional in Human Resources (SPHR) certification. Rate the importance of these certifications in regard to an HR employee’s career.

 

 

 

Examine some of the causes and symptoms of employee burnout. Propose steps that management can take to reduce the possibility of employee burnout.

 

 
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principles that health care providers rely on when set the rates for their services

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There are two principles that health care providers rely on when set the rates for their services. The first principle is cost, and the second is based on third-party reimbursements, especially from Medicare.  As the chief operations officer of your hospital, you have been asked by the board to make a presentation on how the hospital sets the price for the services that it provides.

Create a PowerPoint presentation of 6 slides with speaker notes that analyzes the different services provided by the hospital and the rationale for charging patients for them. In your presentation, consider the following:

•Who are the stakeholders in this scenario, and what are their roles?

•Describe the practice of price discrimination and its objectives.

•What role does the cost of the doctor’s education and malpractice insurance play in costing health care services?

•What is the role of third-party payers such as Medicare and Medicaid in pricing health care services?

•How does the uninsured population impact pricing?

•How does the use of emergency services for nonemergency situations impact pricing?

•Document recommendations for improvement based on your economic analysis.  Ensure that you integrate economic terms, frameworks, and models throughout the review.  As a guideline, do not have more than 16 words on each slide. Your speaker notes should explain the slide in detail.

Be sure to follow APA style page formatting, and provide at least 4 peer-reviewed references from health care journals published in the past 5 years.

 
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How can a company use change management to minimize user resistance and maximize acceptance of such changes? Give 5 examples.

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What are some of the issues or bottlenecks that make it difficult for companies to move forward with changes in business and technology?
What are some of the issues or bottlenecks that make it difficult for companies to move forward with changes in business and technology?
How can a company use change management to minimize user resistance and maximize acceptance of such changes? Give 5 examples.
What strategies would you recommend management use to encourage user acceptance of these types of changes? Name 3 and explain your recommendations.

 
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Develop a training and Organizational Development (OD) proposal and presentation to senior management targeted at improving diversity training within an organization of your choice.

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Need some help.  Project due midnight tonight.  No extension. The last one that I received did not meet the requirements. Please pay close attention to the instructions. This is not only an information presentation, but also a develped proposal for improving diversity training.

Instructions: The Final Project requires you to develop a training and Organizational Development (OD) proposal and presentation to senior management targeted  at improving diversity training within an organization of your choice. Many organizations have extended managing diversity programs beyond HRD programs and processes by changing human resource management (HRM) policies and programs to meet the special needs of the new workforce. A growing number of organizations are holding managers formally accountable for diversity goals, for example, incorporating such goals into their performance evaluation process. As the HRD manager of your organization what new training programs and processes would you propose to senior management to develop effective recruiting methods to attract more minorities and women to your organization? Explain how HRD methods can be used to help manage a culturally diverse workforce. How will you overcome language and discrimination issues that will ultimately lead to a climate in which all employees can thrive within the organization and contribute to its success?

Submission Instructions: Submit your work as an MS Powerpoint (.ppt) presentation. Your presentation should include at least 8 presentation slides in addition to a title slide, introduction slide, and references at the end of your presentation. Your grade will based upon research conducted, effectiveness of the training, critical thought, and APA format.

Please support your ideas, arguments, and opinions with independent research, include at least three (3) supporting references or sources (NOT Wikipedia, unknown, or anonymous sources), include a reference section, and cite all listed references properly in text in accordance with the 6th edition of the APA manual, chapters 6 & 7.

 
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