Health Decisions Webinar: Obamacare Compliance: How it Helps Self-funded PlansSi Nahra
Here’s the “dirty little secret” about the new “pay-or-play” requirements:
Most plans will pass easily and few plans will have any problems with penalties.
Here’s the less obvious part of compliance:
The steps called for by the new regulations make good sense for a plan to do.
Inventorying enrollees to confirm coverage, adopting uniform plan definitions and approaches to calculating cost-sharing, and engaging benefit “consumers” are all steps that can benefit a self-funded plan. This webinar, the third in our series, explores these themes and presents the positive side to “Obamacare” compliance.
For more information, please visit: http://www.healthdecisions.com
Access HealthColumbus - Jeff Biehl, as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
Russell Westacott describes how Positive Life and ACON are working together on positive health promotion strategies. This presentation was given at the AFAO 2008 HIV Educators' Conference.
Health Decisions Webinar: Obamacare Compliance: How it Helps Self-funded PlansSi Nahra
Here’s the “dirty little secret” about the new “pay-or-play” requirements:
Most plans will pass easily and few plans will have any problems with penalties.
Here’s the less obvious part of compliance:
The steps called for by the new regulations make good sense for a plan to do.
Inventorying enrollees to confirm coverage, adopting uniform plan definitions and approaches to calculating cost-sharing, and engaging benefit “consumers” are all steps that can benefit a self-funded plan. This webinar, the third in our series, explores these themes and presents the positive side to “Obamacare” compliance.
For more information, please visit: http://www.healthdecisions.com
Access HealthColumbus - Jeff Biehl, as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
Russell Westacott describes how Positive Life and ACON are working together on positive health promotion strategies. This presentation was given at the AFAO 2008 HIV Educators' Conference.
Brainstorming: How to make the case for health’s “Slice of the Pie”HFG Project
The Health Finance and Governance (HFG) Project organized a multi-country workshop to support policymakers from public health and finance agencies in developing concrete action plans for mobilizing domestic resources for health. The objective of this presentation was for participants to reflect on the challenges identified during the workshop, and brainstorm ideas for bridging these gaps.
Imagine a healthcare system where people live long, healthy lives, receiving quality, affordable care, with clinicians nationwide collaborating to improve outcomes. That's Accountable Care! Learn the benefits of becoming an ACO in this insightful eBook.
Health and finance are more and more interconnected. Medical expenses are the number one reason for bankruptcy in the US and health is noted as the highest expense in retirement. We know that over half of Americans can’t afford a $400 emergency and yet more and more consumers have high deductible health plans which require more cash out of their pocket than before. The lack of transparency in the system can lead people to be unaware of expenses coming their way, not understand the bills when they come, and not understand their plan and their ultimate financial responsibility. This can lead people to fund medical debt on credit cards and even avoid treatment because they can’t afford the expense. Financial products like HSAs are designed to support consumers in planning for and affording health expenses and can even reduce their taxable income and provide a long-term savings and investment vehicle, but many people are not aware or do not use them as they are designed. In addition, the stress associated with financial volatility can add to an individual’s stress and can actually cause or exacerbate the health problems they face.
This area is a crucial one to be aware of and to address in the work we do across the design and innovation community in health. There are many opportunities for those across the health system from payer to provider to benefits administrator and employer to help people understand and manage the financial aspects of health. This panel will help us to explore the concept of financial wellbeing as it pertains to health planning and navigation, opening our eyes to the obstacles and opportunities present.
Unleashing Data: The Key To Driving Massive ImprovementsHealth Catalyst
Tom shares how investing in analytics training and infrastructure will help prepare for massive improvements in healthcare outcomes leading to sustained and distributed improvements throughout entire organizations.
Attendees will learn:
1. The key team roles and skillsets required for driving and sustaining massive improvements.
2. How to assess improvement opportunities from an effort and value perspective.
3. The most common mistakes in leveraging analytics and how to avoid them.
Implementing a Population Health Model (Hon Pak)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Health and finance are more and more interconnected. Medical expenses are the number one reason for bankruptcy in the US and health is noted as the highest expense in retirement. We know that over half of Americans can’t afford a $400 emergency and yet more and more consumers have high deductible health plans which require more cash out of their pocket than before. The lack of transparency in the system can lead people to be unaware of expenses coming their way, not understand the bills when they come, and not understand their plan and their ultimate financial responsibility. This can lead people to fund medical debt on credit cards and even avoid treatment because they can’t afford the expense. Financial products like HSAs are designed to support consumers in planning for and affording health expenses and can even reduce their taxable income and provide a long-term savings and investment vehicle, but many people are not aware or do not use them as they are designed. In addition, the stress associated with financial volatility can add to an individual’s stress and can actually cause or exacerbate the health problems they face.
This area is a crucial one to be aware of and to address in the work we do across the design and innovation community in health. There are many opportunities for those across the health system from payer to provider to benefits administrator and employer to help people understand and manage the financial aspects of health. This panel will help us to explore the concept of financial wellbeing as it pertains to health planning and navigation, opening our eyes to the obstacles and opportunities present.
Hospital Apps are a great way to engage with patients and studies show that they want to use them. These apps are not only convenient, but they allow patients to work with their providers and can result in a much more favorable outcome to their medical issues and overall health.
Here's a list of 8 different types of Mobile Hospital Apps.
For the full post, visit http://www.merraine.com/8-types-mobile-hospital-apps-3-features-patients-want/
Infographic showing the results of our member survey of over 500 healthcare leaders.
Our 2015 Challenge brings into focus the scale and nature of change needed to ensure a sustainable healthcare system for the future. Here are the views of healthcare leaders from our national survey.
Brainstorming: How to make the case for health’s “Slice of the Pie”HFG Project
The Health Finance and Governance (HFG) Project organized a multi-country workshop to support policymakers from public health and finance agencies in developing concrete action plans for mobilizing domestic resources for health. The objective of this presentation was for participants to reflect on the challenges identified during the workshop, and brainstorm ideas for bridging these gaps.
Imagine a healthcare system where people live long, healthy lives, receiving quality, affordable care, with clinicians nationwide collaborating to improve outcomes. That's Accountable Care! Learn the benefits of becoming an ACO in this insightful eBook.
Health and finance are more and more interconnected. Medical expenses are the number one reason for bankruptcy in the US and health is noted as the highest expense in retirement. We know that over half of Americans can’t afford a $400 emergency and yet more and more consumers have high deductible health plans which require more cash out of their pocket than before. The lack of transparency in the system can lead people to be unaware of expenses coming their way, not understand the bills when they come, and not understand their plan and their ultimate financial responsibility. This can lead people to fund medical debt on credit cards and even avoid treatment because they can’t afford the expense. Financial products like HSAs are designed to support consumers in planning for and affording health expenses and can even reduce their taxable income and provide a long-term savings and investment vehicle, but many people are not aware or do not use them as they are designed. In addition, the stress associated with financial volatility can add to an individual’s stress and can actually cause or exacerbate the health problems they face.
This area is a crucial one to be aware of and to address in the work we do across the design and innovation community in health. There are many opportunities for those across the health system from payer to provider to benefits administrator and employer to help people understand and manage the financial aspects of health. This panel will help us to explore the concept of financial wellbeing as it pertains to health planning and navigation, opening our eyes to the obstacles and opportunities present.
Unleashing Data: The Key To Driving Massive ImprovementsHealth Catalyst
Tom shares how investing in analytics training and infrastructure will help prepare for massive improvements in healthcare outcomes leading to sustained and distributed improvements throughout entire organizations.
Attendees will learn:
1. The key team roles and skillsets required for driving and sustaining massive improvements.
2. How to assess improvement opportunities from an effort and value perspective.
3. The most common mistakes in leveraging analytics and how to avoid them.
Implementing a Population Health Model (Hon Pak)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Health and finance are more and more interconnected. Medical expenses are the number one reason for bankruptcy in the US and health is noted as the highest expense in retirement. We know that over half of Americans can’t afford a $400 emergency and yet more and more consumers have high deductible health plans which require more cash out of their pocket than before. The lack of transparency in the system can lead people to be unaware of expenses coming their way, not understand the bills when they come, and not understand their plan and their ultimate financial responsibility. This can lead people to fund medical debt on credit cards and even avoid treatment because they can’t afford the expense. Financial products like HSAs are designed to support consumers in planning for and affording health expenses and can even reduce their taxable income and provide a long-term savings and investment vehicle, but many people are not aware or do not use them as they are designed. In addition, the stress associated with financial volatility can add to an individual’s stress and can actually cause or exacerbate the health problems they face.
This area is a crucial one to be aware of and to address in the work we do across the design and innovation community in health. There are many opportunities for those across the health system from payer to provider to benefits administrator and employer to help people understand and manage the financial aspects of health. This panel will help us to explore the concept of financial wellbeing as it pertains to health planning and navigation, opening our eyes to the obstacles and opportunities present.
Hospital Apps are a great way to engage with patients and studies show that they want to use them. These apps are not only convenient, but they allow patients to work with their providers and can result in a much more favorable outcome to their medical issues and overall health.
Here's a list of 8 different types of Mobile Hospital Apps.
For the full post, visit http://www.merraine.com/8-types-mobile-hospital-apps-3-features-patients-want/
Infographic showing the results of our member survey of over 500 healthcare leaders.
Our 2015 Challenge brings into focus the scale and nature of change needed to ensure a sustainable healthcare system for the future. Here are the views of healthcare leaders from our national survey.
A self-study course on anger
Easy to use self-study format
Adaptable to any Bible translation
Numerous scripture quotations
Chapter tests and final exam
The high turnover rate of staff is causing hospital leadership to panic. Given that the cost of replacing a nurse can be upwards of 1.3 times their salaries, hospitals need to understand the reasons why this is occurring. The implications are far-reaching for hospitals and they need to understand how to evolve traditional approaches to stay ahead of the evolving needs of their staff. By taking a proactive approach to talent management, health systems can better hire, retain, and engage today’s workforce.
This presentation by Rebecca Parker, MD, FACEP and Chair of the ACEP Board and Steve Dobberowsky, Principal Consultant of Thought Leadership & Advisory Services at Cornerstone OnDemand, shares strategies to help identify and reduce the risk of staff departures to healthcare organizations.
Steve provides easy-to-understand insights on:
* The biggest challenges health systems have in staff retention (and engagement!)
* Why your team may already be applying to other hospitals
* Talent management strategies that create a more productive, passionate workforce
If you work in the healthcare field, this session is for you. The Trends Identification Report, written by the American Association of Medical Society Executives, will be shared and discussed. The report is written by experienced medical society executives who share their ideas on the future of health care in the US. Trends include electronic medical records and health information technology, access to health care, public health infrastructure, patient safety, quality of care, and the changing healthcare workforce.
John Jordan, CAE, executive VP & CEO, Pennsylvania Academy of Family Physicians & Foundation
Jon H. Sutton, MBA, manager, state affairs, division of advocacy & health policy, American College of Surgeons
Identify 3 to 5 terms used in conjunction with the MDS 3.0 and how they can be used in care planning.
Define the expectations of person centered care planning.
Identify the seven components of the care plan and at least one key factor of each as it relates to RAI expectations.
Determine the three primary content areas to be considered in care planning
Navigate 2 Scenario for Health PolicyEpisode 1Policy An.docxmayank272369
Navigate 2 Scenario for Health Policy
Episode 1:
Policy Analysis and Development
Overview
In this episode, you will be in a health care policy internship program in a Senator’s office in Washington, D.C. The Senator wants to develop policy that requires all health care organizations that receive federal funds to implement the recommendations presented in the Institute of Medicine reports on quality care. You will develop a policy, so that it can become proposed legislation. You must collect data, describe the problem, solutions and related ethical issues, examine the cost-benefit analysis, identify stakeholders (such as lobbyists from American Hospital Association, health care providers, health care corporations, pharmaceuticals, insurers, etc.), and impact. Based on this information, you will create a policy description that will be the foundation for a bill. You will describe critical issues that would be in the bill such as requirements of hospitals to:
Monitor and report medical errors to the Department of Health and Human Services
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
Integrate the 5 health care profession core competencies into staff education and track outcomes
Establish a no-blame culture
*I suggest for you to do some research on your own, and if you use outside sources to help your compile your policy description, be sure to reference them (following an APA format) at the end of your post.
Assignment
You will post a policy description to this discussion board forum. Make sure to identify a plan that addresses legal and ethical issues in a health care policy. You must also respond to 2 of your peers' posts and make sure to reference any outside sources you may have used in your recommendation.
Below are the characters from this LearnScapes scenario (LearnScapes for
Health Policy
1):
The Student (which is you), Health Care Policy Intern for Congress
The student used to work within the Bright Road Health Care System, and had a special interest in policy. The student is thinking about moving into politics, hoping to make a difference at that level. The student has just been accepted into the internship; this is the student’s first big project.
Peter Shackley, Senior Policy Staff Member
The student’s mentor, Peter, is a young and feisty staff member. In his late 20s, Pete has been interested in politics since he was President of his high school student body. He’s especially passionate about policy-making and how the process works. Pete will help guide the student through the policy-making process.
Gretchen Wilde, Senator Chief of Staff
Gretchen is in her 30s and has been the Senator’s Chief of Staff for about 2 years now. She’s very professional, and holds high expectations for everyone in the Senator’s office, including interns. Gretchen is responsible for reviewing polic.
Running head: HEALTH INFORMATICS 1
HEALTH INFORMATICS 2
Regulation for Health Informatics
Institution
Maria Estrella
Regulation for Health Informatics
1. Do you think the health sector is working according to the rules set by the regulatory bodies?
2. Do you think the citizens understand the functions of the CARF?
3. Is there anything that the joint commission should try to work on so that we have improved services?
4. Do you think the COP is performing a better job than the rest of the bodies?
5. Do you think we need the HL-7 regulatory body for good performance?
6. Do you believe that ARRA is the best regulatory body in our health sector?
7. Does the government provide the relevant support to the regulatory bodies?
8. When asked to tell the functions CMS, will you be able to tell?
9. Can you mention some of the achievements that the HIPAA regulatory body have realized?
10. Can ACA perform its services better with support from the entire stakeholders?
11. Do you believe UMLS has done enough for the medical sector in the country?
We have various standards regarding accreditation that apply to the facility. Accreditation refers to the granting or approval of a facility to start offering a particular service. As ahealthcare provider, it is important to comply with these rule and regulations to ensure that everything works according to plan. We have the main body that normally accredits the health care providers, and it includes the joint commission. The joint commission gave the health facility a gold seal that proves our dedication to service provision. Having the gold seal ensures that the customers can trust the facility for good quality services.
We have the various standards of accreditation in the health care sector that the facility had to comply with so that it can be able to operate. The facility is following keenly on the national safety and quality health service standards that ensure everything work according to plan. By following these standards, it is easy to provide good quality services for the patients. Regarding the health care laws, the facility is keenly following the rules and the regulations set by the Congress to ensure that each person living in the USA receives the best quality health care services. The laws that are setensures that people receive affordable health care. In the facility, we are offering affordable health care services and we still accept insurance for the people who are insured. We are also employing individuals who are qualified to treat and take care of the patients. We do not compromise on the quality of the healthcare services that we provide.
Explanation to the survey question
1. Do you think the health sector is working according to the rules set by the regulatory bodies?
It is set to measure the understanding of the people who deal with the health sector to see whether they are familiar with the rules and regulations of the regulatory bodies.
2. Do you think the citizens und.
Assessment 2PRINTBiopsychosocial Population Health Policy .docxgalerussel59292
Assessment 2
PRINT
Biopsychosocial Population Health Policy Proposal
Develop a 2–4-page proposal for a policy that should help to improve health care and outcomes for your target population.
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.
Cost and access to care continue to be main concerns for patients and providers. As technology improves our ability to care for and improve outcomes in patients with chronic and complex illnesses, questions of cost and access become increasingly important. As a master’s-prepared nurse, you must be able to develop policies that will ensure the delivery of care that is effective and can be provided in an ethical and equitable manner.
SHOW LESS
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes.
Propose a policy and guidelines that will lead to improved outcomes and quality of care for a specific issue in a target population.
Competency 2: Evaluate the efficiency and effectiveness of interprofessional interventions in achieving desired population health outcomes.
Analyze the potential for an interprofessional approach to implementing a proposed policy to increase the efficiency or effectiveness of the care setting to achieve high quality outcomes.
Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy.
Advocate the need for a proposed policy in the context of current outcomes and quality of care for a specific issue in a target population.
Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
Communicate proposal in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
Competency Map
CHECK YOUR PROGRESS
Use this online tool to track your performance and progress through your course.
Toggle Drawer
ContextAs a master's-prepared nurse, you have a valuable viewpoint and voice with which to advocate for policy developments. As a nurse leader and health care practitioner, often on the front lines of helping individuals and populations, you are able to articulate and advocate for the patient more than any other professional group in health care. This is especially true of populations that may be underserved, underrepresented, or are otherwise lacking a voice. By advocating for and developing policies, you are able to help drive improvements in outcomes for .
Ethical and Legal Foundations of PMHNP Care Across the LifespanIBetseyCalderon89
Ethical and Legal Foundations of PMHNP Care Across the Lifespan
In your role as a PMHNP, you will regularly encounter situations that require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidence-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their background or worldview. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action.
· Analyze salient ethical and legal issues in psychiatric-mental health practice
· Analyze the impact of cultural considerations on ethical/legal decision making in advanced practice nursing
· Evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination*Discussion: Ethical and Legal Foundations of PMHNP Care
Advanced practice nursing in all specialties is guided by codes of ethics that put the care, rights, duty, health, and safety of the patient first and foremost. PMHNP practice is also guided by ethical codes specifically for psychiatry. These ethical codes are
frameworks to guide clinical decision making; they are generally not prescriptive. They also represent the aspirational ideals for the profession. Laws, on the other hand, dictate the requirements that must be followed. In this way, legal codes may be thought to represent the minimum standards of care, and ethics represent the highest goals for care.
Photo Credit: [Hero Images]/[Hero Images]/Getty Images
For this Discussion, you select a topic that has both legal and ethical implications for PMHNP practice and then perform a literature review on the topic. Your goal will be to identify the most salient legal and ethical facets of the issue for PMHNP practice, and also how these facets differ in the care of adult patients versus children.
Keep in mind as you research your issue, that laws differ by state and your clinical practice will be dictated by the laws that govern your state.To Prepare
·
Select one of the following ethical/legal topics:
· Autonomy
· Beneficence
· Justice
· Fidelity
· Veracity
· Involuntary hospitalization and due process of civil commitment
· Informed assent/consent and capacity
· Duty to warn
· Restraints
· HIPPA
· Child and elder abuse reporting
· Tort law
· Negligence/malpractice
·
locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this ...
Discussion 1 due 81115Community Based NursingRead the be.docxfelipaser7p
Discussion 1 due 8/11/15
Community Based Nursing
Read the below scenario and answer the questions that follow:
Nursing services are an important part in caring for the patients and providing them the relief they need. From patients with chronic health conditions to patients who need elder care, nursing has proved itself as an important aspect. People now prefer sending their elder parents to a daycare nurses for nursing services.
How often have you come across the terms public health nursing, community health nursing, and community based nursing in your environment? Do you think it is a good idea to distinguish between them? Justify your answer.
Compare the nursing codes of ethics for your specialty practice, national, and international practice areas. How do they differ? Does it make sense to have more than one code of ethics for nurses? Give reasons for your point of view.
b)
Role of the Community Health Nurse
Obtain a job description for a community health nurse or interview a public health nurse to answer the following questions:
Which concept of public health nursing does their practice reflect?
Which concept is emphasized in their job description?
Does a correlation exist between their job description and their practice?
Are the nurses involved in policy formulation that affects client services?
In the settings you have observed, which concept (in your opinion) is the most effective for implementation? What is your rationale?
Discussion 2: due 8/13/15
New Opportunities in Community Settings
Community based nursing has new opportunities in community settings. The rationale for these opportunities is the change in demographics, change in disease patterns, increase in the chronic illness and reform in the health financing system. Now various health communities play an important role in representing the new and advanced way of providing community nursing to a large group of population.
On the basis of your reading, answer the following questions:
The conceptual frameworks applied to community-oriented nursing practice expand the scope of nursing care by addressing non-medical aspects of health. Those who are not familiar with healthcare perceive nurses as providers of hands-on care only. Suggest ways to change this perception.
What makes nursing case management special? Is it appropriate for everyone? Give reasons.
Populations can be defined by inclusion or exclusion criteria, using one or many of either type. Using factors in addition to medical tests, diagnoses, and so forth, prioritize the characteristics you think are important in defining a population for community health nursing.
Health care Community Services
Identify four organizations in your community that deliver primary health care. Based on the objective material that you can obtain, determine whom each organization serves; what services each provides; and where each organization gets its funding from. Also evaluate the relative value of each organization'.
SOCW 6520 WK 5 responses Respond to the blog post of three.docxrronald3
SOCW 6520 WK 5 responses
Respond
to the blog post of three colleagues Has to be responded to separately and different responses in one or more of the following ways:
Name first and references after every person
Respond
to the blog post of three colleagues in one or more of the following ways:
Make a suggestion to your colleague’s post.
Expand on your colleague’s posting.
Peer 1:
Sasha Ritchie -
Infinity Hospice follows the National Hospice and Palliative Care Organization (NHPCO). The NHPCO offers professionals in hospice care a ‘Guide to Organizational Ethics in Hospice Care as a resource to hospice programs and professionals” (NHPCO, 2016). The organization’s core policies are driven by their values and mission statement. Infinity Hospice priority is to enhance their patient’s quality of life and help them live in dignity and comfort. They offer ‘dependability’ to the patient and to their loved one during their time of need for 24/7 care. Infinity Hospice Care’s mission is to bring comfort and value to our community. Our core values guide our team in providing the best family hospice and palliative care possible. If you and your family find balance with our mission and core values, we encourage you to speak to us.
The organizations second core policy is having a trusting team of experts. They have an interdisciplinary team of physicians, nurses, counselors, and volunteers who work together to support each patient and their family. To accomplish this, Infinity Hospice provides the following hospice home services:
Medical care
Pain management needs
Spiritual counseling
Bereavement and grief counseling
Medical supplies and durable equipment
Every two weeks, all professionals from each discipline meet to discuss cases to find solutions for the challenges to the patients care. The third policy is ‘a strong desire to make a difference in the lives of others.’ This organization understands that at times caring for an individual and providing a supportive system to their family will mean going above and beyond care standards to deliver excellence. Infinity Hospice policy is committed to making the patient’s life better through the following actions:
Assess each patient’s pain and comfort during each in house hospice visit
Attentively listen and take action on family needs
Continually search for creative ways to enhance your loved one’s quality of life
Nurture the desire to make a difference in our team’s lives by supporting a healthy work/life balance
Unavoidably in healthcare there are policy implication and barriers that arise in care. Infinity is driven to enrich the lives of those who are at the end-of-life. However, barriers to Medicaid, Medicare and in the state of Nevada, Culinary Health insurance all have their own policies in which patient eligibility often factors into their quality of life. Social workers could greatly improve the effectiveness of policy and service efforts designed.
1Instructions Reply to 2 of your peers below. Must be 250 woEttaBenton28
1
Instructions: Reply to 2 of your peers below. Must be 250 words or more with 1. references
Review your classmates’ threads, and respond through considering:
· Do you have a similar or different healthcare policy KSA as your classmate?
· Apply the Code of Ethics for Nurses. Do you agree/disagree? Explain. Add additional insight to the application of the Code to healthcare policy.
· Review SMART goals. Add additional creative action steps to achieve goal. Add additional resources for your classmate to consider.
Classmates’ Tread 1.
Part I: I'm pretty comfortable and actually excited to be in this course this semester. I have always been interested in possibly perusing a law degree, so focusing on healthcare policy and legislatures really sparks my interest. I've been a NICU nurse for 5 years before going active duty and doing PICU. I think with me being in two highly specialized areas I would be somewhat uncomfortable advocating in the political arena, unless I was advocating for PICU/NICU patients exclusively, as I've lost many of my "adult" patient skills. Although, I have limited knowledge on the processes of legislation and regulations, I do try to keep up with high profile cases, such as the case of the nurse who unformtably killed a patient by giving them vecoronium instead of versed. I've always been interested in the court proceedings on these kind of cases. I've never actually reached out to any personal federal or state representatives. In my undergraduate studies I don't believe we touched much on why it is important for nurses to be knowledgeable about healthcare policies and legislations. It would undoubtedly benefit the healthcare Professionals as a whole if the importance of learning the rights of patients AND healthcare professionals is taught early in our career. However, I will say that sometimes working in a military hospital can be tricky, because it seems that we have our own set of policies that are unique only to military/government hospitals.
Part II:
Nurses are the number one advocates for our patients. We as nurses must always place patient safety at the frontline. Following patient safety, nurses can also help improve the quality of care, so nurses should be included in developing, implementing, and sustaining healthcare policies (Collins 2017). Being actively involved in implementing healthcare policies and upholding these policies in the clinical setting is the best way that nurses can advocate for our patients (Collins, 2017). We also need to understand all the levels of power and know which entity controls the resources given to us. Nurse managers need to be knowledgeable on hospital policies and legislatures because they are often put in positions to Make informed decisions. Nurses as a whole have an ethical and moral responsibility to engage in policy and political decision-making for the betterment of patients.
Part III:
Goals to build knowledge/comfort with political advocacy:
1) I will involve myself i ...
Choosing your career is one of the most important decisions that you will ever make. When asked why they chose to pursue medicine, most physicians respond that they wanted to make a difference by helping people and positively impacting their lives through health care. Serving others as a physician is a noble and challenging way to invest your intellect, skills, and passion in a demanding and rewarding profession.
Feel free to delete, add, or edit slides to make this presentation useful for you and your audience. On the last slide insert your email or phone number for any follow-up questions or comments. Delegates prior to presentation: Make copies of HOD Member Fact Sheets Member Input Collection form- These forms will allow members to list their responses collectively or individually. Collect responses by Friday, October 9, 2009.
Outstanding Nutrition Education Award-- Member who has made a major contribution to nutrition education of the public and/or health professionals on a state ,national or international basis. The ADA Board of Directors, Commission on Dietetic Registration and House of Delegates approved this revised Code in April and May 2009. The 2009 Code of Ethics was published in the August 2009 Journal of the American Dietetic Association (pages 1461-1467). You can access the Code on the ADA Web site at www.eatright.org/cps/rde/xchg/ada/hs.xsl/home_779_ENU_HTML.htm The 2009 Code is effective as of January 1, 2010. Ethics Educational Resources Available In addition to the published Code of Ethics, a variety of educational resources have been posted on the ADA Web site to assist practitioners to understand the application to practice. These resources have been developed by the ADA/CDR Ethics Committee. The Ethics Committee is focusing their attention on providing educational opportunities for practitioners to increase knowledge and understanding of the Code of Ethics. Please join me in thanking the members of the Ethics Committee for their efforts to develop these resources. These resources include: Ethics Video Series: Ethical Dilemmas in Dietetics Practice – A series of videos are provided which present five different case studies and a set of questions to be To access this video series, please use the following link: www.eatright.org/cps/rde/xchg/ada/hs.xsl/home_22785_ENU_HTML.htm Ethics Case Studies: Learning Application for the 2009 Code of Ethics - A total of 24 case studies are provided for use by practitioners To access these case studies, please use the following link: www.eatright.org/cps/rde/xchg/ada/hs.xsl/home_22793_ENU_HTML.htm In the future, watch for two addition resources to be made available to practitioners: The Code of Ethics for the Profession of Dietetics-Trainer’s Guide This training guide will be updated during November and December 2009 and is tentatively scheduled for publication in January 2010. Doing What Is Right: Ethical Applications in Dietetics A teleseminar has been scheduled for January 22, 2010 entitled “Doing What Is Right: Ethical Applications in Dietetics” and will feature Marianne Smith Edge and Jana Kicklighter, members of the Code of Ethics Task Force, as the presenters.
Review the Definition of Mega Issues: Mega issues are overriding issues of strategic importance, which cut across multiple goal or outcome areas. They address key strategic questions the organization must answer, illuminating choices the organization must make and the challenges that will need to be overcome in moving toward the envisioned future. They articulate the questions that will need to be asked and answered by the Association in the next 5-10 years.
Members can obtain CPE for reading HOD backgrounders and discussing them using the Study Group format (see Continuing Professional Education Guidelines p 7; Professional Development Portfolio Code 160) or Journal Club format (see Continuing Professional Education Guidelines p 12; Professional Development Portfolio Code 230). Continuing Professional Education Guidelines: http://www.cdrnet.org/PDFs/2008%20Guide%20CPE.pdf Using these methods, members read the backgrounder and then get together as a group for a discussion. For more information, please see the guidelines as references above. Note, no certificates are provided for these formats. Completion is self-reported. During the Fall 2009 HOD Meeting, October 16-17, 2009 in Denver, Colorado, delegates will dialogue on the two issues as noted on the screen. Topics: Mega Issue: Evidence-based Practice The first is considered a Mega Issue which is defined as an overriding issues of strategic importance, which cut across multiple goal or outcome areas. Mega issues address key strategic questions the organization must answer, illuminating choices the organization must make and the challenges that will need to be overcome in moving toward the envisioned future. They articulate the questions that will need to be asked and answered by the Association in the next 5-10 years. Health Reform As you all know, health reform is at the forefront of issues being addressed by the current administration. It is important that RDs and DTRs are included in legislation that will occur related to health care in this country.
Mega Issue Questions How can delegates, members and ADA organizational units foster the incorporation of evidence-based practice in all areas of dietetics? What opportunities exist that would encourage incorporation by members? Review the question on the screen.
Expected Outcome RDs and DTRs in all areas of dietetics will employ evidence-based practice to position the profession for improved reimbursement, recognition, and quality services when appropriate. Review the expected outcome on the screen.
Evidence-based practice (EBP) “is an approach to health care wherein health practitioners use the best evidence possible, i.e. the most appropriate information available, to make decisions for individual patients”. EBP values, enhances and builds on clinical expertise, knowledge of disease mechanisms, and pathophysiology. It involves complex and conscientious decision-making based not only on the available evidence but also on client characteristics, situations, and preferences. It recognizes that health care is individualized and ever changing and involves uncertainties and probabilities. Key Considerations: It is practice based on successful strategies that improve client outcomes and are derived from various sources of evidence including research, national guidelines, policies, consensus statements, expert opinion, quality improvement data and client preference. Evidence-based practice is about decision making in daily practice. Placing the client’s benefits first, providing evidence based practice requires adopting a process of lifelong learning that involves continually posing specific questions of direct practical importance to clients, searching objectively and efficiently for the current best evidence relative to each question, and taking appropriate action guided by evidence. "Evidence-Based Health Care extends the application of the principles of Evidence-Based Medicine to all professions associated with health care, including purchasing and management".
Why is evidence-based practice important? Explosion of literature: Health care literature is published at a rate that is impossible for individual clinicians to keep up with. By using evidence-based practice (EBP) resources, evidence-based decisions can be made in a focused and time efficient manner. Unmet information needs: Information needs of practitioners are not currently being met. Questions from patients, clients and other stakeholders are continuously being generated. Due to lack of time, lack of information resources, limited search skills, and limited funding, many questions go unanswered. Synthesized EBP resources are easy to use and help to quickly connect evidence-based answers to questions. Implementation delays: Research findings are often delayed 10-20 yrs in implementation. EBP resources take into account evidence from a wide variety of fields and provide an opportunity for greater exposure to evidence. Evidence-based practice is also important due to the possibility that it will standardize practice so that outcomes data can be collected and analyzed to continue to improve the quality and effectiveness of practice.
Published Position Papers using evidence analysis approach: Weight Management (2009); Nutrition and Athletic Performance (2009); Health Implications of Dietary Fiber (2008); and Individual, Family, School, and Community-based Intervention Programs for Pediatric Overweight (2006). In Development: Promoting and Supporting Breastfeeding Fortification and Nutritional Supplements Vegetarian Diets Nutrition Across the Spectrum of Aging Impact of Fluoride Health Use of Nutritive and Non-nutritive Sweeteners Only 5 of 28 Dietetic Practice Groups have published articles discussing evidence-based practice in their newsletters The Journal of the American Dietetic Association Articles in which the topic matter is directly reflected in ADA's Evidence Analysis Library include the following icon, directing members to ADA's library. At least one article each month bears this icon. ADA Foundation The Foundation provides funding support as it relates to evidence base research. Funding has been provided for sections of the EAL, the Dietetic Practice-based Research Network (DPBRN) and named research awards. For example the Foundation funded Childhood Overweight, Vegetarian Nutrition and Spinal Cord Injury projects.
Book Publishing Research: Successful Approaches, 3rd Edition is a text that ADA publishes and is designed to help RDs plan, execute and report research. Chapter 12: Systematic Reviews to Support Evidence-Based Practice specifically addressed EPB. Evidence-based Practice Committee (EBPC) The committee oversees the development and implementation of evidence-based practice, including the evidence analysis process development and maintenance of the Evidence Analysis Library, development and publication of all Evidence-Based Nutrition Guides for Practice (including those for Medical Nutrition Therapy) and other products based on the results of evidence analysis. Evidence-based Practice Guidelines & Tool Kits 2001: First guidelines developed by ADA on 4 topics: Diabetes Type 1 and 2, CKD, Gestational Diabetes, Hyperlipidemia. Obtaining reimbursement for MNT for Diabetes and CKD was tied to having these in place to show that RDs can achieve expected outcomes. 2004: Launch of EAL- with 3 topics; today there are over 36 projects in various stages. Content has grown tremendously. This includes over 3400 articles analyzed, questions, evidence summaries, recommendations, most popular pages, top searches, page views, ADA members logged on, etc. 2005: Evidence-based Practice Committee established to oversee evidence-based practice initiatives. Much of their work has been involved in the dissemination of the EAL- presentations/workshops at FNCE, DPG meetings, affiliate meetings, Dietetic Educators of Practitioners (DEP) DPG meetings, and external meetings. Products/tools resulting from evidence analysis projects include: educator modules, Evidence-based Toolkits and evidence-based presentations which are available on the EAL store: https://www.adaevidencelibrary.com/store.cfm
If we lack evidence to support our practice decisions, how can the RDs and DTRs achieve the goals we have set for ourselves to be the preferred supplier of food, nutrition, and health services? Dietetics must rapidly become a truly evidence-based practice profession, utilizing a systematic, standardized care process such as ADA’s Nutrition Care Process and carefully evaluating outcomes. If we fail to enhance our evidence-based practice, we likely will find ourselves locked out of opportunities we have worked so hard to create, including jobs, recognition, and compensation. But also keep in mind…The Center for Evidence-based Medicine states that “good doctors and health professionals use both individual clinical expertise and the best available external evidence, and neither alone is enough.
Let me know about EBP success stories so I can share them at the Fall 2009 HOD Meeting (October 16-17, 2009 in Denver, CO). Member input is needed to help form the foundation for identifying a range of barriers to evidence-based practice. Please respond to the following questions: What sources do you use to solve problems in practice (i.e. EAL)? What types of questions do you have regarding evidence-based practice that is not answered in the Backgrounder? Provide responses to your delegate by Friday, October 9, 2009 . Delegate contact information: [Insert your contact information]. You can also send a direct email to [email_address] .
America is facing a health crisis. For decades the Congress and Presidents alike have struggled with how to reform health care. In 1945, Harry S. Truman gave a speech to the United States Congress proposing a new national health care program. In his speech, Truman argued that the federal government should play a role in health care, saying "The health of American children, like their education, should be recognized as a definite public responsibility." Ever since that time, the debate over health care has continued. Even with passage of Medicare and Medicaid in 1965, health care has remained a major issue facing America. Today few would argue that our health care system is functioning well. The issues involved are complex and multifaceted: • There are 47 million Americans without health care coverage. • Access to health care is often dependent on the patient’s insurance status and policy. • The current system of coverage that is provided by employers is not flexible enough to meet peoples’ needs. • Providing health care insurance to employees is making American companies non-competitive. • Both Medicare and Medicaid are fiscally unsustainable. Dissatisfaction with the U.S. health care system is prevalent among patients and health care providers alike .
Texas has the nations highest rate of uninsured and there are 4 districts among the worst 10 in the country for constituents who lack coverage. Not a single Texas congressional district, even the state’s wealthiest, ranks in the nations top half. Hearst analysis of Gallup Poll data compiled by National Journal
Review the discussion question on the screen.
Review the Expected Outcomes. Expected Outcomes: Attendees will: Collectively better understand what is going on at the state level. Better understand ADA’s legislative efforts. Link state level activities with national activities. Develop strategies that can be utilized in your own state or area of practice.
Health Care Reform Released in December 2008 by the American Dietetic Association’s Health Care Reform Task Group, Health Care Reform set tenets by which ADA will analyze and critique national health reform proposals. Efforts will focus on preventive and interventional health promotion and care, highlighting the role of the registered dietitian in maintaining health and wellness, disease prevention, and chronic care management throughout the continuum of life – from prenatal to end-of-life care. These tenets are as follows: The health of all Americans should improve as a result of our health policy choices. Sufficient resources must be made available to ensure optimal health. Access to quality health care is a right that must be extended to all Americans. Nutrition services, from prenatal through end of life, are an essential component of comprehensive health care. Stable, sufficient, and reliable funding is necessary for our health care system to provide everyone access to a core package of benefits. Health care must be patient-centered.
ADA convened an internal Patient-Centered Medical Home Work Group to gather and assess information related to RDs current involvement in this model of care and to develop a strategic plan for engaging members in this model. Patient-Centered Medical Home Definition The PCMH is a model for care provided by physician practices that seeks to strengthen the physician-patient relationship by replacing episodic care based on illnesses and patient complaints with coordinated care and a long-term healing relationship. Each patient has an ongoing relationship with a personal physician who leads a team that takes collective responsibility for patient care. The physician-led care team is responsible for providing all the patient’s health care needs and, when needed, arranges for appropriate care with other qualified physicians. The PCMH model has been proposed as a model of health care to be implemented with health reform. It is a preferred model by many and needs to be considered by ADA in moving forward with health reform. The role of the RD needs to be addressed to ensure that we are part of this model if it is chosen.
Patient-Centered Medical Home Strategic Plan Patient-Centered Medical Home Strategic Plan released by the Patient-Centered Medical Home Work Group recommended the following goals with strategies further outlined in their May 2009 report: Goal #1: Current and future RDs are empowered to advocate for inclusion in the patient centered PCMH and other health care models as the preferred provider for food and nutrition services. Goal #2: The PCMH providers value and choose RDs as preferred providers for food and nutrition services.
Infrastructure to Support ADA Public Policy ADA’s infrastructure to support our public policy mission through grassroots involvement includes every member. Key persons in grassroots work include: Public Policy Coordinators (national issues), State Policy Representatives (state issues), Public Policy Panels (Affiliate Presidents, PPCs, SPRs and others) DPG Legislative Chairs or Public Policy Liaisons ADAPAC (Political Action Committee) Legislative and Public Policy Committee (national committee) Policy Initiatives and Advocacy Team staff ADA Communications ( On the Pulse , Journal of the American Dietetic Association , and ADA Web site).
Ask this question of the audience. You can use the Member Input forms. Delegates have used the forms two ways – pass a form out to each meeting participant and collect at the end of the presentation OR have one participant act as the recorder for the discussion and collect the information on one form.
Insert your email or phone number on this slide for any follow-up questions or comments Delegates are collecting member input on both issues; hopefully today you can provide me with your feedback. The feedback and input received regarding Evidence-based Practice will be posted to the HOD CoI (which is the Web site used by the House for it’s work and communications). All delegates will be reading posts in advance of the Fall 2009 HOD Meeting. For the Evidence-based Practice Mega Issue, members can give feedback directly to you(r) delegate or use the email address above which will directly post comments regarding EBP to the HOD CoI for all delegates to read. The information that delegates collect regarding Health Reform will not be posted to the HOD CoI prior to the Fall 2009 HOD Meeting. Rather, delegates will be summarizing the information received and collected and bring it to the meeting to share with delegates from similar regions. For both discussions, member input is needed to help build on the foundation of knowledge regarding these issues. The backgrounder is the first step in building the foundation and member input is the next building piece. Thank the audience for participating in the discussions.