You are the new CFO, of UMUC Medical Center, a 120 multi-skilled level three (3) healthcare facility. You have summoned a team of healthcare and business experts to assist with the process of contract negotiating. Based on the federal mandate of the Affordable Care Act (ACA), prepare a proposal summarizing the team’s final recommendations in preparation for an upcoming meeting. 

Devise a proposal that addresses the following:

• Present a four to five (4-5) page proposal recommending the team’s final decision based on the review of National Committee on Quality Assurance (NCQA), 2016-2017 health insurance plans rating that can be located directly at http://healthinsuranceratings.ncqa.org/2016/Default.aspx. The proposal must identify the following:     
  • Conduct a one (1) page analysis of the ACA and its future implications on managed care organizations (in particularly in reference to reimbursement)
  • Create a one (1) page checklist that will be utilized as a tool to review managed care contracts presented to the organization.
  • A one year (1) financial analysis as a predictive measure/tool projecting the financial performance based on the adoption of the selected health plan and reimbursement model [based on fictitious data and figures]
  • Identify at minimum three (3) involved parties the team recommends as a contributing player in the review of all managed care contracts under consideration. Briefly, support your reasoning for each recommended person to participate in the review.
•  Submit one (1) single Microsoft Word document

provide a meaningful response to at least two of your peers’ posts by the end of the week. In your responses to your peers, you might offer a perceived roadblock to the individual’s ability to learn.

Peer # 1 Tamira Parker                          

1.An individual who has recently been diagnosed with lung cancer has a need for information about the stage of the cancer, treatment options, and odds of survival. This individual could use a lot of support during this rough time.

2. A family caring for an elderly individual with AD needs to learn positive coping mechanisms to deal with the family member, taking a break when they feel exhausted, and support groups. Support groups can help the patient and or family to meet other people that are going through the same exact thing.

3. A community in which adolescent cigarette smoking is on the risk adolescents need to be educated on the risks associated with smoking such as lung cancer and heart disease. If guidelines permit refer the adolescent to counseling to see if there is a possibility that smoking is secondary to another issue. Also refer adolescent to cessation programs if guidelines permit, if not discuss with parent and decide what is in the best interest of the child.

Peer #2 Samantha Pearce                           

An individual who has recently been diagnosed with lung cancer. Start off by informing the patient of the different type of treatment. Immunotherapy is a type of cancer treatment that works by boosting or activating your immune system, so it recognizes and kills cancer cells. Also, there are lots of active support groups for patients and family caregivers, so no one has to face a lung cancer diagnosis alone. Furthermore you would teach/inform the patient how to cope with these emotions by communicating with your friends and family members, expressing your thoughts in a journal and quitting smoking, eating right, staying physically active and managing your stress helps your body stay healthy.

A family caring for an elderly individual with Alzheimer’s disease. Teach the caregiver that they must understand how AD changes a person, learn how to cope with these changes. Make the home safe for the person with AD. Caregivers could also find out about helpful resources, such as websites.

A community in which adolescent cigarette smoking is on the rise. It is well known that tobacco use increases the risk for contracting a variety of diseases and health conditions, including lung, bladder, colorectal, esophageal, kidney, larynx, mouth, throat and other cancers, respiratory infections, diabetes, and coronary heart disease. A Campaign for an adolescent young girl is good to inform the public of these risks, combined with smoking legislation regulating the age of access and smoking in public places have led to a general decrease in smoking prevalence among all age groups.

Comment on this 

When a researcher is formulating or testing a hypothesis, it is important to know which research approach to use. Study conditions for quantitative research and qualitative research differ. For qualitative research, questionnaires may be used to determine a person’s thoughts and behaviors. This information does not produce concrete statistical data to be used for researcher analysis. Quantitative data offers a more accurate approach to results by using data collection and statistical analysis on an objective outcome. Each of these approaches has advantages and disadvantages over study conditions.

Advantages of Quantitative Study Conditions

         Quantitative research uses data that measures objective outcomes from variables applied to a population. One advantage of control conditions for quantitative research is that controlled testing helps to support or debunk a hypothesis. Controlled study conditions help determine precise and predictable outcomes. Having a controlled group and comparing it to the group with variables helps the researcher obtain reliable data. Having a controlled study condition allows researchers the ability to analyze the objective outcomes that are produced by comparing the control group to the experimental group and determining the influence that variables have in the study. This accurate measurement of objective information from a controlled study condition also helps to reduce bias in the research results.

Disadvantages of Quantitative Study Conditions

         A disadvantage of control conditions for quantitative research is that the control group and experimental group will show numerical data and not explore human phenomena. The study conditions of quantitative research do not explore participant characteristics. Having control to test variables on people, diseases, or the environment is useful in determining differences between two groups when exposed to the variable, but it does not produce results that explain human nature. The study conditions of a quantitative approach to research do not display phenomena, which can negatively impact the interpretation of understanding why humans behave or think a particular way.

Advantages of Qualitative Study Conditions

         An advantage of control over qualitative research is that study conditions can explore human characteristics and phenomena more reliably than quantitative research. The study conditions for qualitative research are often gathered by using small sample groups which can produce faster and more cost-efficient results than quantitative designs. Study conditions for qualitative research can involve interviews and questionnaires, which produce results that explore the human experience.  

To Prepare:

• Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
• Select an existing healthcare program or policy evaluation or choose one of interest to you and get approval to use it from your Instructor.
• Review the healthcare program or policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

• Describe the healthcare program or policy outcomes.
• How was the success of the program or policy measured?
• How many people were reached by the program or policy selected?
• How much of an impact was realized with the program or policy selected?
• At what point in program implementation was the program or policy evaluation conducted?
• What data was used to conduct the program or policy evaluation?
• What specific information on unintended consequences was identified?
• What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
• Did the program or policy meet the original intent and objectives? Why or why not?
• Would you recommend implementing this program or policy in your place of work? Why or why not?
• Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

Write a paper of 2 pages about the proposed interventions for your problem/issue( Project is CLABSI) supported by evidence collected by conducting a literature search and review. Integrate the information into your project. (My project is   

In adult hospitalized patients ages 25 and over, how does the use of antiseptic barrier caps compare to manual alcohol swabs in the prevention of central line infections within one year?)

The assignment should include:

1. The extent of evidence-based data for proposed interventions.
2. Comprehensive description of factors that might influence the use of proposed interventions.
3. Identify the barriers related to the proposed interventions.
4. Detailed list of resources that will be needed.
5. Detailed steps, or sequence of events, or specific implementation activities that will be required to implement the intervention.
6. Monitoring, tracking and ongoing review.
7. Performance of tasks required for implementation. Staff responsible in the implementation of the interventions and their qualifications.
8. Strategies that facilitate the implementation of the proposed intervention.
9. Timeline.
10. Expected outcomes to be achieved by your project.