YOS

American Health Care Act (AHCA) presented by Trump’s administration and Obama’s Affordable Care Act (ACA) demonstrate different visions of the parties on the role of government, rights, and responsibilities of citizens in the sphere of health care. Whereas ACA is set to achieve a nearly universal access to health care, AHCA strives to limit federal spendings and optimize the resource usage. The failure of the first version of AHCA was attributed to the alleged jeopardy, in which it would have put the insurance system in the U.S. One of the main reasons was substantial limitations proposed for ACA including less federal financing and extended privileges of states for discontinuation of service for those having ACA insurance (Hirsch et al., 2017). In addition, it did not address the major problem concerning all the U.S. states such as the increase in health care costs.

Presently, under ACA the state provides subsidized health insurance for the family of four if its annual income is below 97,000 dollars. Under AHCA that limit was raised to 150,000 (Hirsch et al., 2017).  Another difference is that individual insurance that was eventually introduced to ACA was absent in AHCA. In addition to that, ACA ranged subsidies by income level, whereas AHCA initially proposed to substitute them for the age-based system, where the amount of benefit increased with age. The reform proposed by Trump’s administration was set to allocate the 15 billion from the Patient and State Stability Fund to address multiple issues including provision of assistance to high-risk patients, widening access to prevention services, increasing insurance coverage, and so forth (Hirsch et al., 2017).   

 

• Using the format outlined on the PICO reference page in the Nursing Reference Center design your own question. (This may be related to something you are familiar with, or something you imagine to be an issue in nursing. It is BEST if you keep it simple!)
• Next research reliable data bases or websites and find three articles that are related to your PICO (these MUST BE referenced on your reference page).
• Analyze the articles – write one paragraph about the similarities and/or differences in the articles related to your PICO.

Your Essay should be outlined by using steps 1-3 of the EBP process. 

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

 

Topic and Structure:

Personal Letter – Construct a letter focused on persuading the reader to change his or her stance or opinion.

Think about a personal opinion you hold in which someone close to you (friend, family member, etc.) disagrees. Appeal to your reader in an emotional manner using appropriate language and strategies such as motivation, inspiration, etc., to write a personal, passionate letter in an effort to get your reader to agree with your perspective. Kindly play off the reader’s emotions to draw him or her into your argument. Make sure your appeals are legitimate and straightforward so that you avoid using logical fallacies in your efforts.

Use letter format, provided at the end of these instructions, and begin with an introduction that explains your topic. Make a fluid transition into the thesis where you issue your opinion as well as three reasons that support your claim. Present and argue each of the three reasons in three separate body paragraphs. Finish with a conclusion that summarizes your appeals and makes one final effort to sway your reader.

Sample Thesis Statement: Therefore, Carol, my dear friend, please reconsider homeschooling your children because this approach can stunt a child’s social development; it tends to be subpar to nationally recognized curriculum, ultimately becoming a hindrance to college acceptance; and lastly, the chosen teacher, whether that ends up being you or another qualified instructor, will not have the resources that public school teachers have available to continuously enhance and advance instruction.
 

Format Requirements:

Header: Include a header in the upper left-hand corner of your writing assignment with the following information:

• Your first and last name 
• Course Title (Composition I) 
• Assignment name (Persuasive Letter) 
• Current Date

Page Layout:

• MLA style documentation (please see the tutorial in the course topic)
• Last name and page number in upper-right corner of each page 
• Double-spacing throughout
• Title, centered after heading
• Standard font (Times New Roman or Calibri)
• 1″ margins on all sides
• Save the file as .docx  or  .doc format

Length: This assignment should be at least 750 words. 

Underline your thesis statement.

 1- The professor ask me also this question.Are you developing a survey or using one that is available? What would be some of the problems with using your own survey related to measurement? 

2-Please make me a response to this peer post. Has to be no less than 150 words. 

 Rainel Leon posted Apr 5, 2019 12:09 PMSubscribe

Professor and class

Researchers use instruments as a measurement device and they can be categorized as researcher-completed and subject completed depending on who administered or completed respectively. Based on the research question, researchers select what instrument they are going to use.

Some researcher-completed instruments are rating scales, interviews, flowcharts, checklists, time and-motion logs, observation forms, etc. Some of the subject-completed instruments are questionnaires, attitude scales, personality inventories, achievement tests, sociometric devices, etc.

In my proposed research project I am going to use a the Readmission Rate , based on a relation between the total number of patients discharged home with the diagnosis of Congestive Heart Failure and an inpatient admission for decompensating Cardiac Heart Failure within 30 days of the discharge .This number is going to be the numerator of the fraction. The denominator is going to be those all patients discharge from the hospital with the diagnosis of Cardiac Heart Failure and the number is going in the last three months. The denominator is going to be common for the two groups the experimental group and the control group.

All patients included in the investigation will be applied the LACE Index. The LACE Index is a tool to evaluate the Risk of readmission of a patient admitted in the hospital, and it is used as a predictor of readmissions. It consists of 4 parameters as described below:

Length of stay It will score 0,1,2,3,4,5,7 according to the days of stay: less than 1, 1, 2,3,4-6, 7-13, >=14 respectively.

Acuity if it was emergent admission it will score 3.

Comorbidities will be assessed by Charlson score .No comorbidities will score 0, 1 Comorbidity scores 1, 2 Comorbidities scores 2, 3 comorbidities scores 3, and more than 4 scores 5.

Emergency department visits on the last six months No visits 0, 1 visit scores 1, 2 visits scores 2, 3 visits scores 3, and 4 or more scores 4.According to the classification of the measurement tools this level of measurement is considered as ordinal.

The interpretation of the LACE Index is that if the Index scores is 0-3 there is a low risk of readmissions, if it is between 4 and 9 the risk is moderate , and if it is more than 9 the risk is high.

References 

Gray, J., Grove, S., & Sutherland, S. (2017). Burns & Grove’s the practice of nursing 

research: Appraisal, synthesis, and generation of evidence. St. Louis, Missouri: Elsevier. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780323377584/cfi/6/10!/4/2/6/[email protected]:0.00

Types of data & measurements scales: Nominal, ordinal, interval and ration. (2018). 

Retrieved from https://www.mymarketresearchmethods.com/types-of-data-

nominal-ordinal-interval-ratio/