As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

First, refer to the “How a Bill Becomes a Law” media.

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs440v_how-a-bill-becomes-a-law-v2.1.php/.

Then, view the “Bill to Law Process” to watch the scenario.

After viewing the scenario, refer to the “Legislative Assignment.” You will need to save the document first in order to use it.

Submit the assignment to the instructor. You also reserve the right to submit your completed proposal to the respective government official. However, this is optional. If you select to submit your proposal as a part of the legislative process, refer to “Find Your Representative” or research the contact information on your own.

Comment1

The Centers for Medicare and Medicaid Services (CMS) implemented a non-reimbursement policy for certain never events(serious hospital acquired conditions) to encourage hospitals to fast track improvements of patient’s safety by applying standardized protocols.  The newly defined never events limits the hospitals to bill Medicare for adverse events and complications that are deemed reasonably preventable using evidence-based guidelines (Lembitz & Clarke, 2009).

CMS adopted the non-reimbursement policy for certain “never events” – defined as “non-reimbursable serious hospital-acquired conditions” – in order to motivate hospitals to accelerate improvement of patient safety by implementation of standardized protocols. These newly defined “never events” limit the ability of the hospitals to bill Medicare for adverse events and complications. The non-reimbursable conditions apply only to those events deemed “reasonably preventable” through the use of evidence-based guidelines (Lembitz & Clarke, 2009).

The Centers for Medicare and Medicaid Services (CMS) implemented never events in 2008 as non-reimbursable hospital acquired conditions to create motivation for hospitals to improve patient safety.  Never events are medical errors that should never happen to a patient.  The list includes events which are chiefly avoidable and are obvious negligence.  The Centers for Medicare and Medicaid Services (CMS) adopted never events in 2008 as non-reimbursable hospital-acquired conditions in to create motivation for hospitals to improve patient safety (Votroubek, 2018).

Comment2

Patients have turned to hospitals, especially via emergency departments, as a result of lack of access to health care at a much higher cost than primary care. This has forced hospitals to provide care at a portion of the expense used to being the safety net of health care. In the beginning of this surge, organizations could not foreseen the financial brunt this would cost. Patients went from wanting to be cared for at home by loved ones, to expecting end all care at the hospitals taking a toll on such organizations. Many providers loathe and accept the endless cycle of patients returning to the hospital for care. The U.S Centers for Medicare & Medicare recognized that many of these return visits in short time frames, less than a month, are a reflection of lack of adequate care, education, and resources, so they created policies that hinder repayment for the diagnosis that were recently treated. “These patient safety policies are part of CMS’ efforts to promote higher quality, more efficient health care through value-based purchasing, which are initiatives use performance-based financial incentives and public reporting of quality information to encourage improvement in all aspects of quality, including patient safety” (CMS, 2008). These new reimbursement rules guide providers towards holistic patient care, driving them to decrease readmission rates, diagnostic imaging rates, and focusing on closing the loop in health care.

  Healthcare
: Undergraduate
: Essay
: English (U.S.)
: 2 pages/550 words
:APA 

Health Care Delivery
: Topic 1: Disease Process Choose a payer type (Blue Cross Blue Shield) that is different from your choices in our discussions this week. Compare the costs of covering healthcare services provided by this insurance in your area. What insurance type is best suited for healthcare coverage of your hypothetical obesity patient�s disease type?

  

Brainstorming Solutions to Hospital Mistakes

Your instructor was invited to give an opinion as a patient advocate at a retreat organized by agencies of the federal government, such as the Centers for Medicaid and Medicare Services, the Agency for Healthcare Research and Quality, and the Office of Health and Human Resources. The topic was a Partnership for Patients. The Agency for Healthcare Research and Quality (AHRQ) showed the data on hospital survey measures. The data showed that significant progress was made in the last four years and that more and more hospitals are achieving higher scores.

The instructor asked a simple question, “If there is so much progress made in critical hospital measures, then why is the number of patients dying from hospital mistakes significantly going up every year?” The estimated deaths in 2010 were 99,000 deaths. The 2016 estimate is about 440,000 deaths.

In this discussion, explain the reasons you think there are more deaths in spite of the significant progress in hospital performance measures. Then, provide one remedy or solution. At Minimum 250 Words APA format. Include two references to support your opinions.

Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center.
Instructors, training on how to grade is within the Instructor Center.

 Click the link above to submit your assignment
 

 Assignment 1: Marketing and the Health Care System
 

Due Week 4 and worth 300 points

Select a health care provided with which you are familiar and write a four to six (4-6) page paper in which you:

1. Determine the direct impact of marketing for the health care provider you selected.
2. Outline a strategy for the health care provider you selected to determine the utilization of its products or services.
3. Outline a marketing strategy for the health care provider you selected.
4. Recommend at least three (3) separate ways the health care provider you selected could shape the buying decisions of its customers.
5. Provide at least three (3) qualified sources, e.g., peer-reviewed journals, professional organization Website, or health care provider Websites.

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Describe the health care system and the role of marketing.
• Analyze the competitive environment of a health services organization and identify a course of action that will allow for strategic marketing success.
• Use technology and information resources to research issues in health services marketing.
• Write clearly and concisely about health services marketing using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic/organization of the paper, and language and writing skills.