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In 2001, the federal government enacted a law that forbade any student with a drug offense from receiving financial aid. Lovenheim and Owens (2014) study the effect of this law on college enrollment behavior by examining how enrollment among those with convictions changes relative to those without convictions in a difference-in-difference analysis. A difference-in- difference analysis takes two successive differences. The first difference is the difference between the pre and post treatment values of a group that underwent treatment and the difference between the pre and post treatment values of area group that did not undergo treatment. Once these two values are calculated, the difference between these differences is computed. 1. Using the provided information, calculate the differencein-difference estimate. ). Does the fact that college enrollment was rising throughout the United States for all students over the period cause a problem for their study? Write the regression formula that will allow you to estimate the difference-in-difference treatment effect. 1. How might selection bias the results?.

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Week 1 Case Study: Foundations of U.S. Health Care Delivery The coordination of care through integrated delivery systems is at the foundation of health care delivery in the United States. Often a primary goal of government officials, public health professionals, and health care administrators, measuring care coordination is a key performance indicator that directly correlates with the overall success of the health system (Johnson & Stokopf, 2010). Northwestern Hospital first opened its doors back 1882 in Minneapolis, Minnesota. Early hospitals were small, often with fewer than 50 beds, unsanitary, and nonscientific compared to their modern counterparts (Allina Health). Moreover, they mainly served the poorest members of the community or patients who were mentally ill or facing life-threating illnesses. Northwestern Hospital was an early pioneer in the establishment of what would eventually become an evidence-based medicine (EBM) practice and featured one of the first schools of nursing in the United States (Allina Health). Introduction For over a century Northwestern Hospital’s use of EBM has enabled clinicians and practitioners to incorporate best treatment practices at the point of patient care in both their hospital and ambulatory organizations. For example, Northwestern’s goal to enhance quality delivery and overall patient care hastened the formation of a new entity, Minneapolis Medical Center Incorporated (MMCI). In 1966, Northwestern Hospital, along with other health care facilities in the Minneapolis area, formed the nucleus of an organization that would significantly master care coordination and delivery in the ensuing decades. Ultimately, an EBM environment created a standard of patient care that enabled MMCI to advance care delivery and medical education and lay the foundations of a modern health care delivery system. Case Report MMCI established a culture of continuous quality improvement (CQI). Wenke, Jongwha, LaClair, and Paz (2013) have linked CQI to better clinical quality and improved patient satisfaction. The best practice in EBM methodology is to ensure that patient care is coordinated and of high quality through the use of objective clinical data from credible sources and references. By the 1980s, a desire to add resources and support services for the coordinated care of patients such as physical rehabilitation helped lead an evolution from Northwestern Hospital to MMCI and then formation of Abbott Northwestern Hospital. Since that time, the hospital’s health services offerings have grown into a primary health system, supporting cardiovascular care, medical education, and health plans. Conclusion MMCI recently went through a merger and is now part of a larger health system called Allina Health that serves patients in locations across the Midwest. It has significantly expanded its portfolio of EBM to include mental health services, neuroscience, orthopedic care, and cancer treatment. Additionally, decision makers ...

Week 1 Case Study Foundations of U.S. Health Care Delivery

nicolleszkyj

Week 2 Discussion 09-04-15 Case Study Analyses A person’s health may be greatly impacted by his or her access to timely, appropriate care. Yet, in the United States, there are marked differences among the quality of services that are available and each individual’s use of those services. The cost of healthcare, for instance, can greatly influence a person’s decision to visit the doctor or fill a prescription. What other factors impact healthcare-related decisions? In this Discussion, you will read three case studies that illustrate dilemmas related to cost, quality, and access to healthcare, and consider the potential influence these can have on a person’s health, financial standing, and quality of life. To prepare for this Discussion: · Read the Week 2 Discussion Case Studies. · Select one case study on which to focus for this Discussion. · Review the information presented in the Resources, including Chapter 12 in the Shi and Singh (2015) course text and the two resources you selected. · Reflect on your selected case study and consider the following questions: · Which barriers in the U.S. healthcare delivery system related to cost, quality, and/or access are evident in the case study? · How could these barriers be addressed? · How does the use of insurance influence concerns or decisions related to cost, quality, and/or access to care for the person in this case study? Required Resources – Please retrieve data from the following sources……. This is not optional · Centers for Medicare and Medicaid Services. (n.d.). Linking quality to payment. Retrieved from http://www.medicare.gov/hospitalcompare/linking-quality-to-payment.html?AspxAutoDetectCookieSupport=1 · Gold, J. (2014). FAQ on ACOs: Accountable Care Organizations, explained. Kaiser Health News. Retrieved from http://kaiserhealthnews.org/news/aco-accountable-care-organization-faq/ · Levi, J., Segal, L. M., Fuchs Miller, A., & Lang, A. (2013). A healthier America 2013: Strategies to move from sick care to health care in the next four years. Retrieved from http://www.kresge.org/sites/default/files/Trust-for-Americas-Health.pdf · U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Healthy People 2020. (2015). Foundation health measures. Retrieved from http://www.healthypeople.gov/2020/about/tracking.aspx input dataHouseholdIDCityStateMSACodeGenderAgeIncomeWealthScoreOccupationMaritalStatusmarial status tLengthOfResidencePresenceOfChildrenNumberOfChildrenMailResponderMailBuyerMailDonorOutdoorsDimensionAthleticDimensionFitnessDimensionDomesticDimensionGoodLifeDimensionNumberOfCarsTruckOwnerCodeNewVehicleCodeStandardRetailLowEndDepartmentMainStreetRetailUpscaleRetailCatalogShowroomComputerElectronicFurnitureHomeOfficeSupplyHomeImprovementMembershipWarehouseSportingGoodsTVMailOrderOwnacatOwnadogDietConcernsVeteraninHouseholdOwnCellularphoneOwnMotorcycleOwnRVOwnSwimmingpoolOnlinePurchaserWealthRatingEstimatedMedianFamilyIncomeMedianSchoolYearsCom.

Week 2 Discussion 09-04-15Case Study AnalysesA person’s health.docx

melbruce90096

COT and Adverse Risk Selection

Paul Coelho, MD

Financial challenges associated with changes to how healthcare organizations are reimbursed for healthcare services, the cost of implementing new technology and professionals to comply with federal requirements for electronic health records, and the increasing numbers of individuals who cannot pay for their healthcare represent only one issue for healthcare executives in the healthcare delivery system. But it has significant consequences for the viability and solvency of healthcare organizations. Healthcare executives don’t have a crystal ball; however, they do engage in forecasting the future based on what is currently known and examination of trends (Lee, 2015). To do this type of forecasting, healthcare executives are demonstrating techniques found in anticipatory management. According to their seminal research, Ashley and Morrison (1997) reported there are severe consequences for not anticipating future trends in a rapidly changing and complex society. The anticipatory management process they describe begins with scanning the environment to identify issues; creating issues briefs to inform stakeholders; prioritizing issues; assembling the team of experts; creating, implementing, and evaluating action plans and outcomes; and adjusting the course when necessary. Last week, you compared healthcare delivery and costs in the United States with those in developed countries. This week, you will focus U.S. healthcare executives and how they prioritize the challenges confronting them to minimize the impact to their organizations. .

Financial challenges associated with changes to how healthcare organ.docx

ericn8

Perception of Child Abuse 2 COLLEGE STUDENTS’ AND PROFESSIONALS’ PERCEPTION OF CHILD ABUSE IN CORRELATION TO STRESS Introduction Throughout the growth and development of society, child abuse and maltreatment has expanded into many different aspects; it occurs within socioeconomic levels, ethnic and cultural lines, all religions and all levels of education. Within the United States children are suffering from a hidden epidemic of child abuse and neglect. Every year 3.3 million reports of child abuse are made in the United States involving nearly 6 million children (a report can include multiple children). The United States has the worst record in the industrialized nation – losing five children every day due to abuse-related deaths (U.S. Department of HHS, 2011). The estimated cost of child abuse and neglect in the United States for 2008 is $124 billion (Fang, 2012). The Department of Children and Families (DCF) defines child maltreatment as any act or series of acts of commission or omission by a parent, guardian, or other caregiver that results in harm, potential for harm, or threat of harm to a child (Leeb, Paulozzi, Melanson, Simon, & Arias, 2008). There are four major categories of childhood abuse and maltreatment: physical abuse, psychological and emotional abuse, sexual abuse, and neglect (Goldman, Salus, Wolcott, & Kennedy, 2003). According to Brian H. Bornstein, Debra L. Kaplan, and Andrea R. Perry (2007), people have stereotypes about the circumstances and consequences of child abuse, and these expectancies can influence their judgments about individuals involved in abuse cases. Heim (2000) reported that participants with a history of abuse experience greater levels of perceived stress than participants without a history of abuse. They often perceive daily stressors more severely and longer in duration than their counterparts. It is also suggested that their history of abuse compromises these participants’ abilities to cope with stress, but the researchers noted that the data from their study is inconclusive, making it difficult for them to either support or refute this claim. The perception of child abuse is very influential to students and upcoming professionals. Society’s definition and perception will guide current social work students into practice, which is a very important factor within the professional realm of social work. Research Question The purpose of this study is to examine college students and professionals’ perception of child abuse and how it relates to stress. The independent variable is the college students and professionals’ perception of child abuse and the dependent variable is how it relates to stress. The operational definition of perception remains closely allied to the continually developing behavioral theory of discrimination (Schoenfeld, 1962). The operational definition of child abuse is as any act or series of acts of commission or omission by a parent, guardian, or other caregiver that results.

Perception of Child Abuse 2COLLEGE STUDENTS’ AND PROFESSIO.docx

herbertwilson5999

MedicalResearch.com: Medical Research Exclusive Interviews March 5 2015

Marie Benz MD FAAD

Growing evidence shows that unequal distribution of wealth and power across race, class, and gender produces the differences in living conditions that are “upstream” drivers of health inequalities. Health educators and other public health professionals, however, still develop interventions that focus mainly on “downstream” behavioral risks. Three factors explain the difficulty in translating this knowledge into practice. First, in their allegiance to the status quo, powerful elites often resist upstream policies and programs that redistribute wealth and power. Second, public health practice is often grounded in dominant biomedical and behavioral paradigms, and health departments also face legal and political limits on expanding their scope of activities. Finally, the evidence for the impact of upstream interventions is limited, in part because methodologies for evaluating upstream interventions are less developed. To illustrate strategies to overcome these obstacles, we profile recent campaigns in the United States to enact living wages, prevent mortgage foreclosures, and reduce exposure to air pollution. We then examine how health educators working in state and local health departments can transform their practice to contribute to campaigns that reallocate the wealth and power that shape the living conditions that determine health and health inequalities. We also consider health educators’ role in producing the evidence that can guide transformative expansion of upstream interventions to reduce health inequalities.

New approaches for moving upstream how state and local health departments can...

Jim Bloyd, DrPH, MPH

Causal relationships between risk estimates and alcohol consumption must be made cautiously as most studies have used a cross-sectional methodology, poor definitions of alcohol use, and inadequate assessments of risk perceptions. Despite a lack of evidence, the concept of adolescent “invulnerability” remains pervasive in both scientific and lay circles, is used to explain adolescents' decisions to engage in a potentially harmful behavior and is incorporated into many intervention programs (Fell, et al., 2015). Longitudinal, prospective studies are needed to understand fully the extent to which perceptions of low risk predict and motivate alcohol use. I. Perceptions of Alcohol-Related Benefits: An emphasis on perceived risk alone may be inadequate to predict or change behavior because a risk is only part of the behavioral decision-making equation. What is missing knows the extent to which adolescents perceive benefits of risky behaviors. The decision literature has argued that individuals should consider both the risks and benefits when making decisions. In addition, alcohol expectancy researchers have found that perceived benefits, in addition to perceived risks, are significant predictors of drinking behavior. More recently, Goldberg and colleagues (2002) concluded that, regardless of age, participants with more drinking experience perceived benefits to be more likely to occur, and risks less likely (Grube & Voas, 2014). Indeed, adolescents' reasons for drinking alcohol often include an acknowledgment or identification of alcohol-related benefits, such as alcohol being used in social interactions to help them to reduce inhibitions, feel more relaxed reduce tension, foster courage, and reduce worry. Attachment theories are based on the view that human beings have an intrinsic and universal desire to be accepted by others. Parent attachment is broadly conceptualized as the overall level of parental responsiveness toward the offspring. The youth’s internalization of the security of attachment is expected to be imprinted heuristically through interaction with the caregiver, in time becoming relatively resistant to change, showing enduring effects across the lifespan (Miller, et al., 2010). Through the formation of secure bonds to parents, children acquire a robust internal working model of themselves and others. Youth with secure attachment to parents develop the skills necessary to regulate their Attachment emotional theories are based on the view that human beings have an intrinsic and universal desire to be accepted by others. Parent attachment is broadly conceptualized as the overall level of parental responsiveness toward the offspring (Foster, et al., 2013). The youth’s internalization of the security of attachment is expected to be imprinted heuristically through interaction with the caregiver, in time becoming relatively resistant to change, showing enduring effects across the lifespan. Through the formation of ...

Causal relationships between risk estimates and alcohol consumptio.docx

cravennichole326

CHAPTER NINE Medicating Children This chapter is divided into seven sections. Section One is an overview that discusses current trends in medicating children, problems the trends cause, and directions for the future. It also discusses developmental issues. Section Two focuses on stimulant medication and the diagnosis of attention deficit hyperactivity disorder (ADHD). Section Three focuses on research on combined interventions and particularly the Multimodal Treatment Study (MTA study) of Children with ADHD. Section Four focuses on children taking mood stabilizers. Section Five focuses on antipsychotics and children. Sections Six and Seven focus on anxiolytics and antidepressants in children, respectively. SECTION ONE: PERSPECTIVES, DILEMMAS, AND FUTURE PARADIGMS Learning Objectives • Understand the problematic increase in psychotropic medications for children despite a dearth of evidence of the effectiveness of these drugs. • Have a general understanding of the impact of the FDA Modernization Act and the Best Pharmaceuticals Act for Children. • Be able to state the “developmental unknowns” associated with giving kids psychotropic medications. Thus far, we have explored the medical model and psychological, cultural, and social perspectives as they relate to psychopharmacology. In this chapter, we demonstrate that using psychotropic medications with children and adolescents raises particular problems and concerns from several perspectives. As discussed in Chapter Three, we frequently see explanations and justifications from the medical model perspective used to reduce childhood disorders to chemical and genetic problems, excluding crucial consideration of environmental traumas, developmental foreclosures, or life stressors. We explore child and adolescent psychopharmacology primarily from the medical model perspective but complement this approach with information from the other perspectives (psychological, cultural, and social). We set the stage by exploring the current status of the treatment of children and adolescents with mental and emotional disorders. This chapter is structured differently from the others in this book. We begin by discussing the context from the social and cultural perspectives and the problems with prescribing psychotropic medications to children. Then we cover an introduction to stimulants used to treat symptoms of ADHD. Finally, we give the status of their current use since the last edition of the book if that is possible. THE COMPLEX STATE OF THERAPY Dr. Frank O'Dell, Professor Emeritus of Counseling in the College of Education and Human Services at Cleveland State University, has argued in all his lectures on counseling children and adolescents that the United States is an “anti-kid” society (Personal Communication, 2001). By that he means fewer and fewer therapists and psychiatrists choose to treat or continue to work with children in counseling. To support his argument, O'Dell points out that resources for childre.

CHAPTER NINEMedicating ChildrenThis chapter is divided into se.docx

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