Develop a three to five-page paper excluding references using one of the following topics or issues.  Use five to ten peer reviewed or reputable references to support your paper.  Wikipedia references will not be accepted.   Here are the paper options   According to Robert Wood Foundation, Medicaid paid 62.3 percent of the total U.S. cost of long-term care in 2011, or $131.4 billion. From this statistics, it is clear Medicaid paid disproportionate share of long-term care.  What alternate sources of funding for LTC care?  You can propose new sources.  Given the sensitivity of living wills and advanced directives, should health care facilities continue to be forced to discuss them with patients? Or should patients be required (subject to exceptions) to have it prepared before ever getting hospitalized or resident in health care facilities? Baby boomers and the generations after them are more educated and technologically more savvy, and economically well off than the generations before them. Is the current LTC model sufficient to take care of them or should LTC redefine itself to accommodate the needs of them?  There is no right or wrong answer, just take a position and convincingly support your views. Is Long-term Care Insurance worth it? Given the cost of premium and sometimes limited benefits over limited time, is the assurance work it or should there be LTC care payroll deduction just like Medicare over an adult working life? Is the quality of care in LTC associated with low resources and low staffs pay? 

Summary:
★Apply what you have learned about Health Promotion and Disease Prevention, and demonstrate the ability to develop a holistic plan of care, incorporating Telehealth, defining assessment and intervention of specific population incorporating unique attributes of populations for health promotion, wellness preservation and maintenance of function across the health-illness continuum.

Directions:
Develop a case study and a plan of care, incorporating current mobile App technology:

1. Select a population. Define your population by gender, age, ethnicity, socioeconomic status, spiritual need, and healthcare need .Apply concepts learned in course to identify healthcare needs needs specific to the population and access to care (Utilize your textbook Chapters 1-25, knowledge from Med-U, and identified Websites). 
2. Describe how Telehealth could impact the delivery of care to this population.
3. Identify PICO specific to the population you chose in #1. (apply PICOT statement developed in MSN 563)
4. Define a plan of care. 
5. Submit your assignment via the D2L Dropbox

This project is to be a total of 3 pages, typed. 12 pt font, 1” margins, Times New Roman.
Include an additional cover page.
Include an additional Reference page.

APA, 6th edition format is to be observed.

Hint: Concise, condensed information, with specifics and details about population and unique needs with plan for meeting these needs is considered. Incorporate the content you have learned in this course.

InstructionsIt is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (6th Ed.).Classroom ParticipationStudents are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.Discussion Prompt [Due Wednesday]Select ONE of the questions listed below and create a substantive initial post. Please post the question number you chose in the title of your post.

 (i.e. Question 2 common STIs)  Review your state’s reporting requirements for sexually transmitted infections. Which infections must be reported and where are they reported? What is the most common sexually transmitted infection and what age population presents the highest prevalence? How is this infection detected, treated, and monitored? 

Assignment: Looking Ahead: Application Assignment Net Revenue and Budgeting  

No one can predict the future, but accountants and financial managers must try and do exactly that!  By examining net revenue, costs, and cash flow, you can get a clearer picture of what to expect in your organization’s (or one with which you are familiar) fiscal future. Using these metrics to look forward will enable you to more effectively plan budgets that accomplish organizational goals.  When developing a budget, what variables do you have to take into account? In health care organizations, two of the largest groups of factors that you must consider are first, volume, and second, staffing and supply. The number of patients and tests performed each day, as well as employees and their pay rates are all crucial pieces of information when determining a budget.  In this Assignment, you address five scenarios: net revenue, fixed and variable costs, cash flow, volume budget, and staffing and supplies budget.   Note: For those Assignments in this course that require you to perform calculations you must:  •Use the Excel spreadsheet template for the Week 5 assignment. 

•Show all your calculations and formulas in the spreadsheet. •Answer any questions included with the problems (as text in the Excel spreadsheet).   A title and reference page are NOT needed in this assignment.  Put your name and assignment at the top of the Excel spreadsheet.  For those not comfortable with the use of Microsoft Excel, this week’s Optional Resources suggest several tutorials.  To prepare: •Review the information in this week’s Learning Resources regarding net revenue, fixed and variable costs, and cash flow, and how they are used in financial decision making.  •Review the budgeting information in Week 5 Learning Resources dealing with volume, staffing, and supplies budget.

Note: All the scenarios will be submitted as one document.  Each scenario will be on a different tab in the spreadsheet.  Scenario 1: Net Revenue Scenario  Your clinic provides four kinds of services: •Comprehensive initial medical consultation is priced at $250 •Established patient limited visit is priced at $75 •Established patient intermediate visit is priced at $125 •Established patient comprehensive visit is priced at $250  Question: The profile of your patients is such that the average collection rate is 75%. Assuming you have 100 visits of each type each month, what amount of new revenue will you generate in the next 12 months?  Scenario 2: Fixed/Variable Cost Scenario  You have performed a cost analysis of your health care organization and have determined the following: based on the latest three years of information, your annual cost of operations is $1,600,000 with annual volume of 10,000 procedures. You have determined that certain of your supply items are fixed in nature (those marked with an F) while others are variable (marked with a V).  Question: An insurance company that is considering directing its 1,000 units per year of procedure business to your organization has approached you. For the last three years, you have been charging a price of $165 per procedure (with a 100% collection rate). Your board has mandated that you make $5 of profit from each of the procedures. You obviously want the highest possible price, but as you enter the negotiations, what is the lowest possible price you would be willing to accept from this payer?  Hint: Calculate the variable cost.  Scenario 3: Cash Flow Scenario  Your new business venture will begin operation on July 1, 20X2. You will hire staff effective January 1, 20X2 with a cost of $40,000 per month. You know from experience that collections lag billing by 3 months (in other words, once you bill for a service, you must wait 90 days for the payment to be received.) Your business volume is projected to be as follows:   Question: If you have $380,000 of cash on hand on January 1, 20X2, how much cash will you have at the end of June 20X3?  Assume a 100% collection rate.  Scenario 4: Volume Budget Scenario  You manage lab services in a large hospital. You have the following data on both the hospital’s budgeted patient days and visits for budget year 20XX along with the ratio of lab tests to patient days or visits.  Question: Based on this raw data provided , how many lab tests would you anticipate for the coming budget year? If each test is priced at $20.00, how much gross revenue would you budget? Assuming each full-time lab technician (FTE) can perform 200,000 tests each year, how many full-time lab technicians would you plan for?  Example on Template: 2 North Bldg calculated.  You will need to complete 2 South Bldg, ICU and OPD  Scenario 5: Staffing and Supply Budget Scenario  Calculate the supplies budget necessary to operate your unit for the fiscal year beginning January 1, 20X8. It is your expectation that you will perform 24,820 procedures in the budget year. The following spending data is available for the period January 1 to March 31, 20X7 during which time procedure volume amounted to 3,240. Items marked (F) are considered fixed, those marked (V) are considered variable. Inflation is planned at 4%.  In reviewing performance to date, you note that in January, you purchased $150,000 of D5W fluid replacement charged to IV solutions, which represents an entire year’s supply. In addition, you returned $2,800 of office supplies for credit from the vendor in Febuary. These supplies were purchased in a previous fiscal year.  You also need to prepare the salary budget for the same fiscal year. You have determined that staff needs are for 6.5 FTEs.  A pay raise will be given to all staff on October 1st of each year at a rate of 8 percent. In making your calculations, always round to the nearest whole dollar for annual salary amounts, but keep pennies in the hourly pay rates. New staff begins the new fiscal year at $16.00 per hour.

 Be sure and include all of your calculations

Required Readings  Baker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic  tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and  Bartlett Learning.  •Chapter 7, “Cost Classifications” (pp. 55-61)    In this chapter, you focus on the difference between direct and indirect costs and why it is crucial for financial managers to understand the difference.     •Chapter 8, “Cost Behavior and Break-Even Analysis” (pp. 65-78)    This chapter continues the discussion on costs. It describes the differences between fixed, variable, and semivariable costs. It demonstrates how to compute the cost-volume-profit (CVP) ratio and the profit-volume (PV) ratio.  Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.  Retrieved from the Walden Library databases.  •Chapter 3, “Principles and Practices of Health Care Accounting” (pp. 87–120)    Review: This chapter explores the accounting practices and principles of health care. The authors detail the rules for recording transactions and the process of recording and developing financial statements.     •Chapter 4, “Financial Statement Analysis” (pp. 121–186)

Write a 5 paragraph essay on the reasons why nursing school is important for me. 

1st paragraph: Introduction. Include a thesis statement.

– School is important for me because it sets the foundation for my career, allows me to help other people, and lets me be a role-model for my family.

2nd paragraph: Reason 1 (Sets the foundation for my career). Provide 3 examples to support this argument. Examples: prepares me for the NCLEX, I will get a better job and I will have a better salary.

3rd paragraph: Reason 2 (allows me to help other people) Provide 3 examples of this, like at the hospital, a clinic or a nursing home. 

4th paragraph: Reason 3 (Being a role model for my family). Provide examples.

5th paragraph: Conclusion

APA STYLE