Healthcare

NOTE: I would like to talk about affordable healthcare and how can be more accessible for all people. I was thinking on propose a change to ACA (Affordable Care Act).

INDICATIONS:
A policy white paper is a persuasive essay that uses facts and logic to promote or oppose a policy or policy change.

Who am I writing for?

Your target audience is an elected official who is about to make a decision regarding a policy issue that is important to you. You can assume a certain level of governmental knowledge, but it is your job to fully brief the official so that they can make a well-informed choice.

Format:

Summary:
A one-paragraph description of the policy issue and a summary of your recommendation.

Why is this so important? What should be done about it?

Current Situation
The development of this policy issue, within a historical, political and factual framework.

Describe the issue in detail and then give the reader some background. How long have people been working on this? Who is involved in this issue? What has been tried already? What is currently being done about it?

Proposed changes

An outline of the policy options which are being discussed.

What actions are being discussed (or enacted) to address this problem? Lay the options out, one by one, with a brief, un-biased description.

Effect of proposed changes

An outline of the policy options which are being discussed.

How will each of the options change things? Will they work? Why or why not? Use studies and statistics (the best available factual information) to back up your case.

Political Implications

A discussion of groups or individuals who are in support or in opposition.
Who loves it? Who hates it? Why do they take these positions? Is there a compromise that might make everyone content? What will happen to the politician(s) you are trying to influence if they choose one side or the other? Who will they befriend? Who will they antagonize?

Fiscal Impact
A presentation of the potential costs and/or revenues which are associated with the policy issue.

How much will this cost? Where will it come from? Who will paying for it or lose budget as a result of it? What kind of secondary consequences are there for doing or NOT doing a particular option?

Recommended Action
Your recommendation to the policymaker about this issue. What should we do? Why?

References:

Cite in proper APA format. The reference and support pages do not count toward the page total.

The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care & measurement of patient outcomes w/set standards. Healthcare Effectiveness Data & Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care. You may access the 6 domains of care.

As an APN, productivity will be an important measurement for the practice to determine reimbursement & salary. Fee for service practices will require a set number of patients per day to maintain productivity. Write a formal paper in APA format and 3 required elements. You are now employed as an NP for primary care. Choose 1 performance measure from 1 of the 6 domains of care. I.E. breast cancer screening, adult BMI assessment, prenatal & postpartum care. Develop 3 different patient interventions for that 1 performance measure & how you would specifically implement the intervention & measure the outcomes for the particular performance measure in clinical practice. How wold there primary care interventions result in improved patient outcomes & cost savings for the practice? How can these interventions result in improved NP patient ratings?

Required: list & discuss 3 different pt. interventions & how would specifically measure the outcome. How would these primary care interventions result in improved pt. outcomes & cost savings for the practice? How can these interventions result in improved pt. ratings?

For this assignment, you will write a narrative of investigation in which you determine a key issue in Bronx healthcare and try to resolve it.

You must make use of all the resources on the Blackboard page, cite 2-3 articles from this Unit AND either or both of the following websites. There are a significant amount of resources available on the Blackboard site.

Department of City Planning New York City

CUNY Institute for Health Equity

Your paper will be 2-3 pages in length and should include a discussion of the following:

What question/s about health in the Bronx did you set out to answer?
How did you approach the data to answer the questions? Which statistics did you choose to study in an effort to answer the question/s? Why did you think these pieces of data would help you to answer your question/s?
What tentative answers were you able to arrive at using the data available?
What questions remain unanswered? Or what new questions have come up as a result of your research?
What do you think you would need to know to answer these questions?

Why is it important that healthcare workers be competent in assessing vital signs? Address what problems could be encountered if each vital sign is not accurately assessed and documented. Also look up “white coat hypertension,” explain what it is and why it is relevant.
Write at least two 5 sentence paragraphs to answer this topic. Include reference. Points will be deducted for incorrect spelling and grammar.

a.What are the primary challenges that low and middle income countries faces as they attempt to adequately finance their national health system.

b.Identify and describe two policy solutions that can minimize the impact of challenges described above.

Williams (2016) defines population focused practice as one that defines and implements solutions to address the needs of aggregates or populations who share a common characteristic. This differs from practice that focuses on individuals. Consider your practice environment and the types of individuals or families for which you provide care. (This is for your info- do not add this to the writing)-

NO HEADINGS, TITLE PAGE. Reference page only. Just write freely with the important info listened below:

Paragraph 1: Please describe a population or aggregate in your practice. HOSPICE PATIENTS WHO LIVE IN POOR RURAL COMMUNITIES OR HOMELESS. ( I am a hospice RN case manager and I see homeless and very poor patients in their homes. ) Please see attached articles for references to write and answer a scholarly response. Write in 1st person using APA formatting. If you find any other supportive references, must be no older than 5 years.

Paragraph 2: What characteristics does this population share?
Paragraph 3: What indicators might you use to describe that population’s health? Why would you use such indicators?

Write and submit a one-page paper in APA format on “Meta Research.” This will require research beyond your textbook. Two references/sources are required.

Heart conditions in aboriginal and torres strait islander in australia.
1000words summary
Minimum 5 reference
In-text citation
less than 12% plagiarism

Discuss the realities of the CSI effect. Does the research support that this is a real phenomenon? Do you agree? What can be done to address this “bias? Full 2 pages double spaced and 12 point font. Please use the below information to quote or cite the related text and one other reliable source.

Ch. 5 Textbook (Reading Information)
(PAGE 122) Introduction
The challenges involved with investigating crimes may well be characterized by a quote from Ludwig Wittgenstein: “How hard I find it to see what is right in front of my eyes!” Investigating crimes has indeed become a complicated art as well as a science, as will be seen in this chapter.
The art of sleuthing has long fascinated the American public. People appear to be completely enthralled with anything involving forensics and criminal psychoses (e.g., CSI, Dexter, Criminal Minds), as well as the exploits of detectives as they pursue serial killers (e.g., Silence of the Lambs, Seven). Nor is this public interest in sleuthing a recent phenomenon: For decades, Americans have feasted on the exploits of dozens of fictional masterminds and detectives in books and movies, such as Arthur Conan Doyle’s Sherlock Holmes, Agatha Christie’s Hercule Poirot and Miss Marple, and Clint Eastwood’s Detective “Dirty Harry” Callahan, to name a few.
In reality, investigative work is largely misunderstood, often boring, and overrated; it results in arrests only a fraction of the time; and it relies strongly on the assistance of witnesses and even some luck. Nonetheless, the related fields of forensic science and criminalistics are the most rapidly developing areas of policing—and probably in all of criminal justice. This is an exciting time to be in the investigative or forensic disciplines.
This chapter begins by defining forensic science and criminalistics and by looking at their origins; including a brief discussion of crime scenes. Then we review the evolution of criminal investigation, emphasizing the identification of people and firearms. Next we analyze the application of forensic science within the larger context of the criminal justice system, followed by a review of the qualities that detectives and undercover officers should have, and the role of the medical examiner. We then briefly touch on the use of polygraph testing.
Next, we cover the status of DNA analysis. Here we consider some new policy and legal developments—(i.e., whether DNA testing should be employed for property crimes as well as for convicted offenders); also in this section, we consider a new testing approach of “familial DNA.” We then look at the contributions to investigations made by criminal profiling and psycholinguistics, and examine several developing areas in the field: using social networking sites, the handling of cold cases, and the use of dogs in criminal investigations. Finally, we consider whether or not the ubiquitous use of DNA and other forensic tools in television and movie portrayals, has created an unrealistic expectation of such evidence in the eyes of the jury—the so-called “CSI Effect”. After a discussion of three investigative techniques—(1) use of informants, (2) interviewing, and (3) interrogating—the chapter concludes with a summary, key terms, review questions, and several scenarios and activities that provide opportunities for you to learn by doing.

(PAGE 142) Is There a “CSI Effect”?
Television programs focusing on criminal investigations and forensic techniques may be creating unrealistic courtroom expectations among jurors that cannot be achieved in real life. This phenomenon has been labeled the “CSI effect.” Some court officers believe this “effect” is truly present: prosecutors indicate that jurors want to see all evidence subjected to substantial forensic examination, whether warranted in a specific case or not, while some defense attorneys believe that jurors deem all scientific evidence to be flawless and thus establishing guilt. The voir dire jury selection process may also be altered to ensure that those jurors who are unduly influenced by shows like CSI are screened from jury service. Such modifications to the usual process could result in longer trials and increased use of expert witnesses to aid the jury in understanding the presence or absence of physical evidence.87
A survey of Kentucky circuit court judges found that the impact has been strong—but not in areas where one might expect. First, three-fourths of the judges indicated that jurors have come to expect more forensic evidence; furthermore, 82 percent of the judges believed that “shows like CSI have distorted the public’s perception of time needed to obtain forensic results.” In that same connection, a slight majority (53.4 percent) believed that the popularity of shows like CSI has made it harder to convict defendants. The responding judges also perceived that these television programs create unrealistic representations concerning the state of the forensic art in their jurisdiction, as well as the speed of forensic testing.88
It may be that the “CSI effect” is, in reality, more of a nuisance for those who engage in the administration of justice, rather than a substantial factor in criminal justice processing. Or it may be that the “CSI effect” is substantial in only certain types of cases involving certain issues.89

Reference:
Peak, K. J. (2018). Policing America: Challenges and Best Practices (9th ed.). Upper Saddle River, NJ: Pearson. eText

Build a slide presentation (PowerPoint preferred) of the health promotion plan you developed in the first assessment. Then, implement your health promotion plan by conducting a hypothetical face-to-face educational session addressing the health concern and health goals of your selected community nonprofit support group. How would you set goals for the session, evaluate session outcomes, and suggest possible revisions to improve future sessions?

As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session activity. The information gained from completing this activity will help you succeed with the assessment as you consider key issues in conducting an effective educational session for a selected audience. Completing activities is also a way to demonstrate engagement.

Although study materials in this course refer to face-to-face communication and meetings with individuals and groups, all assignments in the course are based upon hypothetical individuals or groups.

Professional Context
Health education is any combination of learning experiences designed to help community individuals, families, and aggregates improve their health by increasing knowledge or influencing attitudes (WHO, 2018). Education is key to health promotion, disease prevention, and disaster preparedness. The health indicator framework identified in Healthy People 2020 helps motivate action in such areas as health service access, clinical preventive services, environmental quality, injury or violence, maternal, infant and child health, mental health, nutrition, substance abuse, and tobacco use.

Nurses provide accurate evidence-based information and education in various formal and informal settings. They draw upon evidence-based practice to provide health promotion and disease prevention activities to create social and physical environments conducive to improving and maintaining community health. When provided with the tools to be successful, people demonstrate lifestyle changes (self-care) that promote health and help reduce readmissions. They are better able to tolerate stressors, including environmental changes, and enjoy a better quality of life. In times of crisis, a resilient community is a safer community (ODPHP, n.d.; Flanders, 2018).

This assessment provides an opportunity for you to apply teaching and learning concepts to the presentation of a health promotion plan.

Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 3: Evaluate health policies, based on their ability to achieve desired outcomes.
Evaluate educational session outcomes in terms of progress made toward Healthy People 2020 goals and leading health indicators.
Competency 4: Integrate principles of social justice in community health interventions.
Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants.
Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.
Present a health promotion plan to an individual or group within a community.
References
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion (ODPHP). (n.d.). Healthy People 2020. Retrieved from https://www.healthypeople.gov/

Flanders, S. A. (2018). Effective patient education: Evidence and common sense. Medsurg Nursing, 27(1), 55–58.

Note: This is the second part of a two-part assessment. You must complete Assessment 1 before completing this assessment.

Preparation
This assessment builds upon Assessment 1 where you contacted and secured a hypothetical individual or group who were open to a presentation about concern and health promotion strategies. Once again, you will assume the role of a nurse tasked with addressing the specific community health concern identified in the first assessment. This time, you will implement the health promotion plan that you developed in Assessment 1 as a PowerPoint presentation complete with audio-recorded voice over and speaker notes. You must determine an effective teaching strategy, communicate the plan with professionalism and cultural sensitivity, solicit input on the value of the plan to its audience, and consider how you might revise the plan as applicable to improve future educational sessions. To engage your hypothetical audience, you decide to develop a slide presentation to communicate your plan. Note: you are not presenting to an actual individual or group. This is a hypothetical presentation.

Remember that your first assessment (Assessment 1) MUST be satisfactorily completed to initiate this assessment (Assessment 4).

Please review the assessment scoring guide for more information.

To prepare for the assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session simulation. You may also wish to review the health promotion plan presentation assessment and scoring guide to ensure that you understand all requirements.

Note: Remember that you can submit all, or a portion of, your draft plan to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Instructions
Complete the following:

Hypothesize what a face-to-face educational session would consist of, addressing the health concern and health goals of your selected community member, friend, family member, or group. Imagine collaborating with the hypothetical participant(s) in setting goals for the session, evaluating session outcomes, and suggesting possible revisions to improve future sessions.
Prepare a PowerPoint presentation, which should include audio-recorded voice over, of the health promotion plan you developed in Assessment 1, with detailed speaker’s notes that include your evaluation of session outcomes. Speaker notes should reflect what you would actually say were you to conduct the presentation with an actual audience.
As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session activity. The information gained from completing this activity will help you succeed with the assessment as you consider key issues in conducting an effective educational session for a selected audience. Completing activities is also a way to demonstrate engagement.

PRESENTATION FORMAT AND LENGTH
You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your presentation. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.

The number of content slides in your presentation is dictated by nature and scope of your health promotion plan. Be sure to include title and references slides per the following:

Title slide:
Health promotion plan title.
Your name.
Date.
Course number and title.
References (at the end of your presentation).
Be sure to apply correct APA formatting to your references.
The following resources will help you create and deliver an effective presentation:

Record a Slide Show With Narration and Slide Timings.
This Microsoft article provides steps for recording slide shows in different versions of PowerPoint, including steps for Windows, Mac, and online.
Microsoft Office Software.
This Campus page includes tip sheets and tutorials for Microsoft PowerPoint.
PowerPoint Presentations Library Guide.
This library guide provides links to PowerPoint and other presentation software resources.
SoNHS Professional Presentation Guidelines [PPTX].
This presentation, designed especially for the School of Nursing and Health Sciences, offers valuable tips and links, and is itself a PowerPoint template that can be used to create a presentation.
SUPPORTING EVIDENCE
Support your plan with at least three professional or scholarly references, published within the last 5 years, which may include peer-reviewed articles, course study resources, and Healthy People 2020 resources.

GRADED REQUIREMENTS
The requirements outlined below correspond to the grading criteria in the assessment scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

Present your health promotion plan to your hypothetical audience.
Tailor the presentation to the needs of your hypothetical audience.
Adhere to scholarly and disciplinary writing standards and APA formatting requirements.
Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants.
Which aspects of the session would you change?
How might those changes improve future outcomes?
Evaluate educational session outcomes in terms of progress made toward Healthy People 2020 goals and leading health indicators.
What changes would you recommend to better align the session with Healthy People 2020 goals and leading health indicators?