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1. Discussion: Tertiary Health Care Roles and Functions
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ed Attachment PreviewBUS3025 – Introduction to Health Care, Wellness, and Disease:
u04a1 Tertiary Health Care Roles and Functions Table Your Name: Role or Professional
Area Chronic Care Model Component Services Provided Motivation Reimbursable by
Insurance Education Needed Professional Organizations Administration Billing and Finance
Coding Analyst Credentialing Coordinator Customer Service Representative Dietitian
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u04a1 Food Services Health Economics Housekeeping Human Resources Information
Management Laboratory Marketing Medical Records Medicine Nursing Quality
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11:46 PM 2 BUS3025 – Discussion: Tertiary Health Care Roles and FunctionsIntroduction to
Health Care, Wellness, and Disease: u04a1 Pharmacy Physical Therapy Radiology Risk
Management Security Social Work Other (Identify Which) Table Definition Pick one field in
which you could see yourself potentially managing or working after graduation. In one to
two paragraphs, describe the role as you see it. Describe how you would motivate your
colleagues and employees. Identify professional organizations pertinent to this role.
References List your references in APA format. See Faculty Expectations for more
information. Capella Proprietary and Confidential Last updated: 4/29/2019 11:46 PM 3
BUS3025 – Introduction to Health Care, Wellness, and Disease: u04a1 Tertiary Health Care
Roles and Functions – Example There are many ways to complete this table. Some go into
great detail. Others complete the information in a basic format. As long as you provide
accurate information in each box, it will be considered complete. Use the following column
definitions to guide your answers in each column. The example table row provided after the
definitions below represents just one completed row of the table. Column Definitions 1.
Discussion: Tertiary Health Care Roles and FunctionsChronic Care Model Component:
Where does the role or profession fall in the chronic care model? Some roles (but not all) fit
into more than one section, depending on the specialty. Complete this column in order to
understand how the role fits into the overall health care system. Placement of most roles is
not simple, and may require some thinking. The two main interacting parts of the chronic
2. care model are the health system and the community system. These lead to the prepared,
proactive practice team component and the informed, activated patient component,
respectively. • Health Systems – Includes roles involved in the overall program planning,
management, and assessment of measurable goals for the health care organization,
including the care of chronic illness. These professionals provide the clinical and
administrative environment of the health care organization. Senior leadership and quality
control roles typically fit into this component. o Delivery System Design – Includes roles
involved in the teamwork and scope of practice in support of the patient; in essence, the
health care team. o Decision Support – Includes roles involved in the integration of best
practices, standards, and clinical practice guidelines in the management of the team and of
the hospital. o Clinical Information Systems – Includes roles involved in the surveillance of
patient data and information management. Computer technicians and data management
staff would fit into this area, along with a variety of other professionals. • Community
Resources and Policies – Includes roles involved with community support and government
health policy. (Most tertiary care roles do not fit into this system. You will learn more about
the community system in later units.) o Self-Management Support – Discussion: Tertiary
Health Care Roles and FunctionsIncludes roles involved in empowering patients to manage
their own care. 2. Services Provided: Essentially, this is the job description (in brief). Do not
base your entry in this column on what you think the role entails. Research the job
description and provide a complete APA reference for your resource in the Reference list at
the bottom of the page. Note that simply cutting and pasting information from your sources
without proper citation constitutes plagiarism. The Bureau of Labor Statistics is a
recommended resource for this column. Capella Proprietary and Confidential Last updated:
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u04a1 3. Motivation: What motivates members of this profession to do well? You might not
be able to find conclusive answers to this question through research. This kind of
information is subjective, so you may rely on your own impressions for your answers to this
column. If you know people working in the role, you might ask them, personally. The
important thing is to try to understand what might motivate members of this profession. As
a role manager, this will be important for you to consider. 4. Discussion: Tertiary Health
Care Roles and FunctionsReimbursable by Insurance: The services of some jobs,
particularly those with direct patient contact, can be billed directly to the insurance
company. However, most cannot. For example, nursing is usually not billed to insurance—
except for nurses in a specialty situation, such as a nurse midwife or nurse anesthetist. A
community health nurse teaching diabetes control would not bill directly to insurance,
whereas a dietician would. As a role manager, it will be important for you to be aware of
these discrepancies. 5. Education Needed: What degree is necessary, in which subjects, to
qualify for entry-level work in this role? If applicable, include advanced degrees that
someone in this field could aspire to. For example, an entry-level nurse might have a
diploma in nursing, an associate’s degree, or a bachelor of science degree in nursing. But it
is also possible to earn a master’s degree or a doctorate in nursing. All must have a nursing
license. As a role manager, it will be important for you to understand the basic training
requirements and potential levels of advancement in the role. 6. Professional Organization:
3. A professional organization, such as the American Public Health Association, is typically a
non-profit organization that strives to advance the interests of a professional field.
Professional organizations may host conferences, may lobby for governmental policy
changes, and may offer members community updates, such as a regular newsletter.
Members of the profession might join the organization in order to advance their careers,
keep current on the professional literature, or to earn continuing education credit. Nearly
every profession is represented by a professional organization, but for health care
professionals it is especially important to join one; for information and for strength of
community. Discussion: Tertiary Health Care Roles and FunctionsOne of the many
professional organizations nurses might belong to is the American Nurses Association.
Government entities such as the CDC are not professional organizations. Example Table
Row Role or Professional Area Nursing Chronic Care Model Component Services Provided
Prepared Proactive Practice Team “Treat patients, educate patients and the public about
Capella Proprietary and Confidential Last updated: 4/29/2019 11:46 PM Motivation
Excellent patient outcomes. Reimbursable by Insurance Traditional RN care is not
reimbursed. Education Needed Professional Organizations A bachelor of science degree in
nursing is National League of Nurses, American Nurses Association, 2 BUS3025 –
Introduction to Health Care, Wellness, and Disease: u04a1 various medical conditions, and
provide advice and emotional support to patients’ family members. RNs record patients’
medical histories and symptoms, help perform diagnostic tests and analyze results, operate
medical machinery, administer treatment and medications, and help with patient follow-up
and rehabilitation.” (Occupational Outlook Handbook, 2010-11 Edition.) Although specialty
care such as that of nurse practitioners and nurse anesthetists is reimbursable. standard.
Some RNs and LPNs can enter with an associate’s degree. Discussion: Tertiary Health Care
Roles and FunctionsSpecialties require advanced degrees in nursing. and a variety of
specialty nursing professions, including the American School Health Association and the
American Organization of Nurse Executives. References List your resources in APA format.
See Faculty Expectations for more information. (Just a few are provided in this example.)
ACHE. (n.d.). American college of healthcare executives. Retrieved from
http://www.ache.org/ AAHAM. (n.d.). American association of health care administrative
management. Retrieved from http://www.aaham.org/ Registered Nurses. (2010).
Occupational outlook handbook (2010-11 ed.). Retrieved from
http://www.bls.gov/oco/ocos083.htm Capella Proprietary and Confidential Last updated:
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