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"Angel, Thank you for your video contribution, you bring up an excellent issue- funding nursing education. I was so surprised that this is still an unresolved issue considering the fact that nurses make up the largest segment of the healthcare workforce. Going through the history of nursing education funding dating back to 1965 when Medicare legislated Social Security Act- Title XVIII as a healthcare safety net for older Americans to 2020 is so complex and very difficult to follow. The government wanted to fund education of future medical and nursing professionals to provide care to the aging baby boomers contributing to the increasing elderly population. Title VIII programs safeguard the public providing a sustainable nursing workforce by providing opportunities for nurses to further education. Congress believed that the cost of patient care should encompass the educational activities of healthcare professionals increasing quality of care in an institution. In medical education, Graduate medical education (GME) money pays the salaries of interns and residents employed by the hospital to provide patient care and teach medical students. Originally GME money paid hospital employees in charge of teaching nursing students, student expenses, salaries of nursing faculty when nursing was a hospital-based diploma program. Federal policy specified that costs be covered by the hospital insurance program until the community is able to take on the educational cost burden utilizing a different approach. With the closure of hospital-based diploma programs, responsibility for the costs of college operated nursing and allied health programs are being borne by “the community” rather than the federal government. Thus, the cost for educating nurses has been shifted to academic rather than health care institutions as a matter of public policy. Three key concepts must be addressed: the cost of nursing education for both service and educational institutions, defining nursing education in federal rules and regulations, and the community’s role in supporting nursing education. Responsibility for producing an educated and skilled nursing workforce must be shared by the community of academic, health care, professional and government institutions, and organizations, a policy supported by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) (Thies & Harper, 2004)." References Thies, K. M., & Harper, D. (2004). Medicare funding for nursing education: proposal for a coherent policy agenda. Nursing Outlook, 52(6), 297-303. .

Education

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THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my post. Hope this helps Ryan, Inadequate levels of nursing professionals were first discussed more than 80 years ago (Whelan, n.d.). Recently, scholars have opined many reasons for the shortage of nurses. Factors such as work stress, burnout, violence against healthcare professionals, a lack of qualified nursing instructors, and nurses unable to adapt to changing technology or clinical environments have been addressed (Haddad & Toney-Butler, 2019). As many nurses may attest, doing more with less can lead to mistakes and dissatisfaction with a nursing career. Ultimately, patient care suffers. Organizations employ various tactics to help strengthen nurse retention. Halter et al. (2017) suggest strong nursing leadership and assigning preceptors to new nurses can help minimize nursing resignation rates. At the writer’s employment, hospital administrators use several ways to retain nurses. Each quarter, a nurse is recognized for outstanding achievement by receiving a certificate, gift card, and editorial mention on the hospital’s intranet. Moreover, the hospital caters lunch for all employees, dayside and nighttime staff, twice a year for meeting quality targets. Also, the hospital uses various national celebration days such as ice cream, donuts, coffee, bagels, and candy to reward all employees. Creating a level of goodwill and institutional collaboration can help retain nurses and improve job satisfaction (Kurnat-Thoma et al., 2017). Reference Haddad, L.M., & Toney-Butler, T.J. (2019). Nursing shortage. StatPearls Publishing. Halter, M., Pelone, F., Boiko, O., Beighton, C., Harris, R., Gale, J., Gourlay, S., & Drennan, V. (2017). Interventions to reduce adult nursing turnover: A systematic review of systematic reviews. The Open Nursing Journal, 11, 108-123. https://doi.org/10.2174/1874434601711010108 Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover: A 10-element onboarding program intervention. SAGE Open Nursing, 3. https://doi.org/10.1177/2377960817697712 Whelan, J.C. (n.d.). Where did all the nurses go? Retrieved from https://www.nursing.upenn.edu/nhhc/workforce-issues/where-did-all-the-nurses-go/ By Thomas C. Ricketts and Erin P. Fraher Reconfiguring Health Workforce Policy So That Education, Training, And Actual Delivery Of Care Are Closely Connected ABSTRACT There is growing consensus that the health care workforce in the United States needs to be reconfigured to meet the needs of a health care system that is being rapidly and permanently redesigned. Accountable care organizations and patient-centered medical homes, for instance, will greatly alter the mix of caregivers needed and create new roles for existing health care workers. The focus of health system innovation, however, has largely been on reorganizing care delivery processes, reengineering workflows, and adopting electronic technolo ...

THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my.docx

juliennehar

SOCW 6351 Wk 9 Discussion 1. Need Responses. Respond in one of the following ways: · Describe two factors that might make minority groups especially vulnerable in the Medicaid policy your colleague cited. Explain why these groups may not have a voice in the policy-making process. · Offer examples of organized self-help and citizens’ groups as both support mechanisms and potentially powerful lobbies. Describe how these lobbying bodies can help in amending the policy your colleague described. Support your response with specific references to the resources. Be sure to provide full APA citations for your references. NA: Top of Form Medicaid is a medical assistance program developed specifically for low income individuals of any age, unlike Medicare, which is designed for those over 65 and have no income requirements (“Difference between Medicare and Medicaid”, n.d.). When health care policies are change, they affect programs such as Medicaid and Medicare. For example, when the ACA (Affordable Care Act) was implemented, it led to an increase of enrollment as it made the process easier and reached more individuals and it expanded Medicaid eligibility to low-income adults (Wachino, Artiga & Rudowitz, 2014). In the state of Pennsylvania, a Medicaid policy that I would amend would be the Healthy PA policy, which was a Medicaid expansion that included drug and alcohol services (IRETA, 2015). The issue is the length of time it takes for someone to be admitted into a program. Whether it’s getting into an inpatient or outpatient program, the process needs to be expedited and more streamlined. Many who are suffering from substance abuse disorders struggle with finally getting themselves into a program and delaying the process could result in someone hesitating and deciding not to move forward with treatment that is crucial (IRETA, 2015). In Pennsylvania, stakeholders include a steering committee, which is made up of hospitals, health care providers, consumers, foundations and academic institutions (“HIP”, 2019). This committee comes up with ways to improve population health and control health cost including Medicaid and Medicare. They developed a plan for heathcare delivery that will improve the quality of life for everyone, without limitations on income or background (“HIP”, 2019). This committee has 5 work groups that develop implementation plans for the goals that were developed by the committee and focus on specific aspects such as payment, price and quality transparency, population health, healthcare transformation and health information technology (“HIP”, 2019). References: HIP stakeholders. (2019). Retrieved from https://www.health.pa.gov/topics/Health-Innovation/Pages/Stakeholders.aspx IRETA. (2015). Pennsylvania’s Medicaid expansion smooths the road to addiction treatment, but barriers remain. Retrieved from https://ireta.org/resources/pennsylvanias-medicaid-expansion-smooths-the-road-to-addiction-treatment-but-barriers-remain/ Wachino, V., A.

SOCW 6351 Wk 9 Discussion 1. Need Responses.Respond in one of t.docx

rosemariebrayshaw

Answer the following questions on Health Care Workforce/Personnel: The majority of schools of medicine, dentistry, nursing, and other professions and their teaching hospitals are heavily subsidized by federal and state funds. Many of those graduates, when they become health practitioners, feel no obligation to society for their publicly supported education. Do health care providers who reap the benefits of high compensation and social position have an ethical responsibility to repay taxpayers by meeting the needs of the medically underserved? Technical advances in health care have spawned an ever-increasing number of specialty- trained personnel. More recently, however, hospitals and other institutions are promoting the cross-training of personnel so that they can perform multiple tasks and work more flexibly, based on institution needs. What are the implications of cross training, in terms of quality of care, costs, and efficiency? Men comprise a small segment of the nurse population, although their numbers are increasing. Given the good income potential of the nursing profession and continuing demand, what is your opinion about why nursing does not attract more males? Answer the following questions on Health Care Financing: Name one (1) way each of the following has affected the costs of health care in the US? § The health insurance industry § Advances in medical care technology § Changes in U.S. demographics § Government support for health care § Consumer expectations If we accept the premises that resources available to meet the costs of health care are finite, and that continuing to increase dollars allocated for health care expenses carries “opportunity costs“ for the nation and society, discuss your position on the following: As a national policy should we allocate a set level of resources and apply them to achieving “the greatest good for the greatest number” (necessarily leaving some out) OR should we adopt the individualist approach of “those who can pay get, those who can’t pay, don’t?” From the patient perspective, what might be some of the positive and negative aspects of “disease management programs?” .

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Due Tomorrow At 1:00 PM Discussion Board #6 HCA 340 Discussion Board Assignment #6 Chapter 7--The Health Care Workforce and Chapter 8—Financing Health Answer the following questions on Health Care Workforce/Personnel: The majority of schools of medicine, dentistry, nursing, and other professions and their teaching hospitals are heavily subsidized by federal and state funds. Many of those graduates, when they become health practitioners, feel no obligation to society for their publicly supported education. Do health care providers who reap the benefits of high compensation and social position have an ethical responsibility to repay taxpayers by meeting the needs of the medically underserved? Technical advances in health care have spawned an ever-increasing number of specialty- trained personnel. More recently, however, hospitals and other institutions are promoting the cross-training of personnel so that they can perform multiple tasks and work more flexibly, based on institution needs. What are the implications of cross training, in terms of quality of care, costs, and efficiency? Men comprise a small segment of the nurse population, although their numbers are increasing. Given the good income potential of the nursing profession and continuing demand, what is your opinion about why nursing does not attract more males? Answer the following questions on Health Care Financing: Name one (1) way each of the following has affected the costs of health care in the US? The health insurance industry Advances in medical care technology Changes in U.S. demographics Government support for health care Consumer expectations If we accept the premises that resources available to meet the costs of health care are finite, and that continuing to increase dollars allocated for health care expenses carries “opportunity costs“ for the nation and society, discuss your position on the following: As a national policy should we allocate a set level of resources and apply them to achieving “the greatest good for the greatest number” (necessarily leaving some out) OR should we adopt the individualist approach of “those who can pay get, those who can’t pay, don’t?” From the patient perspective, what might be some of the positive and negative aspects of “disease management programs?” .

Due Tomorrow At 100 PMDiscussion Board #6HCA 340Discu.docx

sleeperharwell

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Headnote Governments with universal healthcare systems are increasingly bemoaning the costs of their systems and the need to contain these costs if affordable healthcare services are to be sustained into the future. In a bid to reduce the costs of healthcare, politicians and bureaucrats have championed the need for reform. Although avoiding the language of rationing, the kinds of 'reforms' being championed (eg. greater government regulation of universal health coverage, reducing reimbursement for medical costs, cutting funding to public hospitals) seem however, to be more concerned with restricting universal healthcare coverage, rather than reforming it. The rhetoric of healthcare reforms has also had a political ideological objective shifting the provision of and accountability for public healthcare services to private sector providers. This objective has been pursued despite experts warning that such a shift will ultimately lead (and in some cases has already led) to inequities and unjust disparities in access to healthcare and related health outcomes, especially in vulnerable populations who cannot afford private health insurance. Australia has not been immune from ideologically driven machinations about the sustainability of its universal healthcare scheme, ie. Medicare. Despite health expenditure in Australia reportedly reaching a record low for the period 2012-2013, there has been a political campaign of spreading false and misleading information about Medicare's sustainability (Keast 2015).This misinformation has included 'blaming' vulnerable populations (eg. an ageing demographic, the 'undeserving poor') for their allegedly disproportionate over-utilisation of public healthcare services and the need to curb this costly 'wanton' demand. What has been overlooked in this situation, however, is that a key driver of the spiraling costs of healthcare is not the over-utilisation of services by people in need, but rather 'the use of wasteful tests and treatments' prescribed by doctors (Tilburt & Cassel, 2013) together with the rising costs of drugs (driven by the business behaviours of the pharmaceutical industry) and medical technology, particularly in hospitals. Also overlooked is the problem of language and the tendency to treat the terms 'healthcare', 'hospital care', and 'medical care' as being synonymous, when they are not. Failure to distinguish what each of these terms refers to unnecessarily muddles debate about what healthcare reforms are needed as well as where and how these should occur. Question of nursing ethics The ethics of healthcare rationing has been the subject of debate for decades. This debate has primarily rested on the issue of whether it is ever acceptable to ration healthcare and, if so, on what grounds. It has also prompted unresolved controversies about the interests of individuals versus the collective interests of society in accessing limited healthcare resources and how best to balance these competing inter.

HeadnoteGovernments with universal healthcare systems are increa.docx

isaachwrensch

Book The United States Health Care System: Combining Business, Health, and Delivery Third Edition Austin, Anne and Wetle, Victoria 2017.0 Pearson Healthcare Workforce Q.1 What do you see as the biggest workforce challenge(s) for hospitals today? Are the issues any different for other types of healthcare organizations? What strategies are being used by hospitals for recruiting and retaining staff? Government Programs Q.2 What are the roles of government-sponsored healthcare programs such as Medicare, Medicaid, Veterans Affairs (VA), Indian Health Services (IHS), and Prison Health Services? How do they impact access, cost, and quality? Do these government programs do a good job of meeting the healthcare needs of the populations they are intended to serve? Q.3 Write reply for below articles. Professor and classmates, the roles of the government sponsored healthcare programs is to ensure that more than $500 billion invested annually in these programs is used wisely to reduce the burden of illness, injury and disability and to improve the health and functioning of the population. Their role is to also make sure that access to all these programs is available for the entire US in a low cost while offering high quality care. The government controls the prices through negotiation and regulation, it lowers administrative costs and forces hospitals and doctors to provide the same standard of service at a low cost. I believe that the government’s role is one that is changing over time due to it focusing on patient centered care. It basically means that access, cost and quality is respectful and responsive to individual patient preferences, needs and values. Its funding changes as the needs of patients care changes. We see that now money might be saved by telemedicine starting to become more and more popular. Before you would need to take your parent or a senior person to the doctor for a check up for example, but now you can do a virtual visit over the computer if it isn't something urgent and thus it saves more money than having to go into the clinic, it also reduces exposure to other people who might be sick if they go into the clinic. Q.4 Write reply for the below articles. What are the roles of government-sponsored healthcare programs such as Medicare, Medicaid, Veterans Affairs (VA), Indian Health Services (IHS), and Prison Health Services? How do they impact access, cost, and quality? Do these government programs do a good job of meeting the healthcare needs of the populations they are intended to serve? The government sponsored health care programs such as Medicare, medicaid, Veteran's Affairs ,Indian health services all of the health care services to provide the health care services to injury, accident, illness ,disability and to improve the population of reputed country with a healthy population. This services provides the health services by the paying the insurance policy from patients, the patient this provides the health to one third Ameri ...

BookThe United States Health Care System Combining Business, He

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SHIVA101531

Answer the following in at least 100 words minimum each: 1.Often times we will see data that goes up and down and doesn’t appear to be moving at a steady rate in either direction. Can we draw any conclusion from data like that? 2. Time series and future prediction of value is something that many of you likely deal with at work. You may see the type of future prediction in a retirement or investment account on a personal level. When would this type of analysis be important in your industry? .

Answer the following in at least 100 words minimum each1.Of.docx

SHIVA101531

Answer the following questions(at least 200 words) and responses 2 p.docx

SHIVA101531

Answer the following questions in a Word document and upload it by March 19. Answers should be one paragraph each. 1. What arguments can you provide to show there is or is not political bias in the media? 2. Do you feel that the existence of Wikileaks helps or undermines America's national security? 3. Why do you feel that polling errors occur in gathering data on Presidential elections? 4. Do you feel the Fairness Doctrine was justified, or do you feel it was right to repeal it? 5. Is the rise of digital citizenship a good or bad thing for the media? .

Answer the following questions in a Word document and upload it by M.docx

SHIVA101531

Answer the following questions in complete sentences. Each answer should be roughly one or two paragraphs. Use examples and/or quotes from the textbook to support your answers. Type in the answers directly below each question. 1. How did communism emerge in Russia and China? What were the similarities and differences between these two processes? 2. What were the main economic policies pursued by communist regimes? In what ways were they successful and in what ways did they fail? .

Answer the following questions in complete sentences. Each answer sh.docx

SHIVA101531

**ANSWER THE DISCUSSION QUESTION 250 WORDS MIN** Discussion Questions: How should the United States government deal with the heightened concern about homegrown violent extremism and the growing concern for the preservation of civil liberties? What are the political and constitutional consequences of counter-terrorism? Lastly, how do we assess the tradeoffs between freedom and security? ***REPLY TO EACH POST 100 WORDS MIN EACH*** 1. The United States government will always have to face the homegrown violent extremist because with the internet alone people are able to research just about anything and find their answers. The civil liberties are being violated because you have FBI and CIA looking into what people on doing on the webs. I personally believe that you gave up the right when you decided to goggle whatever it is you’re looking up. It’s also like social media site take Facebook for example people are willing to give up their rights so they can be on Facebook and be able to look or post whatever they want. But just like ever website the owner of that site has a right to delete what they don’t want on it as well. So why can’t the FBI/CIA look into and potentially stop a homegrown extremist from attacking the nation or even just attacking schools, churches, and retail stores like the mall or Wal-Mart. All these locations have had attacks from violent extremist when if they were being watched or monitored those attacks could have been stopped or at least less death could have occurred. From a political and constitutional stand point, consequences of counter-terrorism can vary. I political stand is to protect and preserve the freedom for the people. Protecting one’s Constitutional rights depends on what the politician’s plans on policies and procedures that could begin to take away those civil rights that were granted and give people the sense of freedom that the nation is built on. Policies and procedures can change everything take the mask wearing and social distancing for Covid-19, you have the people that are okay with it all and are following the rules but then you have the ones that have been protesting or fighting people over the fact that they don’t want to wear a mask. To me personally it’s simple to wear a mask but to others it’s a reason of rights being taken away by mandating it. Working for the military and DHS I personally don’t see freedom and security as a tradeoff. If agencies do their jobs correctly and protect the United States and National Security then freedom wouldn’t be at stake. I believe in freedom but the security measures in place are to help protect that freedom, without the security measures the nation would be under attack like 9/11 or worse. 2. The internal terrorist threat in the United States is operational and complicated, with continuing threats from extreme left- and right-wing extremist groups and radicalization and recruitment efforts by international terrorist groups. Since Sept/11, our.

ANSWER THE DISCUSSION QUESTION 250 WORDS MINDiscussion Q.docx

SHIVA101531

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