NR533 Week2 TP 2025

Respond EXPERIENCE The demographics at the CVAMC is a wide mix of veterans. We have different levels of service connection, privately insured patients as well as many patients with no other forms of insurance, and a high rate of homeless veterans. As discussed in the first touchpoint, many of the patients rely on Medicare and the federal government benefits gained through active military service to pay for their healthcare. With a shared governance delivery system, the VA encourages the patient to have an active hands-on approach with their healthcare, placing the veterans and their families at the forefront of decision making. While this is easy for the VA to state, its not as easier to perform to the standards, as the constraints of federal funding may pose hinderance on the quality or type of care the veteran may receive. Currently, the VA uses a volume-based reimbursement system. As stated previously, it is difficult to navigate the VA reimbursement system, as there are so many different rules and regulations. There are even regulations on what Medicare (one of the top reimbursements) can reimburse for. The VA isn’t allowed to receive Medicare payment for the treatment of nonservice-connected medical conditions on enrolled Medicare-eligible veterans, even if their health care is routinely covered under Medicare (American Legion, 2011). This simple rule is one of many that makes it difficult to place the VA under simply the value or volume-based reimbursement system, but yet, shows that it is appropriate to use a mix of the two in order to be the most fiscally responsible in billing and reimbursement funding. REFLECTION The type and quality of care provided at the VAMC should still be at the optimal level, regardless of where the funding is coming from. In order to achieve excellence in patient outcomes, the organization must adhere to and follow the mission, vision, and values. Consistently remembering that the organization exists because of the veterans and their service to our nation is something that can be easily forgotten or overlooked, but is the most important aspect of this business. Following the American Nurses Credentialing Center’s (ANCC) model for magnet recognition will also be an excellent guide to increasing patient outcomes while maintaining fiscal responsibility. Excelling in transformational leadership, structural empowerment, exemplary professional practice, learning new knowledge, innovation, & improvements will lead to empirical quality results (American Nurses Credentialing Center (ANCC), (n.d)). Strategic management will make goals and objectives for clinical service, determine the resources needed to be allocated to achieving those goals and objectives, and will establish policies for getting and using resources. Strategies that take into account incentives and responsibilities faced by the veterans who receive care and the payors that reimburse for that care are important to consider when developing relationship building with providing availability to different types of care at the VAMC (Finkler, Jones, & Kovner, 2013). IMPLICATIONS FOR THE FUTRUE Erroneous colorectal cancer screening is a major fiscal hindrance. Proper screening is an absolute must for facilities to decrease expenditures. The average cost for colonoscopies as a screening tool is almost four times the amount of a FIT/FOBT test. Patients that are average or low-risk with no family history should be screened with a FIT/FOBT test for cost effectiveness for both the facility and the patient. Actual costs of clinical services are highly dependent on the ability to negotiate payment rates with providers, therefore making the actual cost of the clinical services dependent on the provider supply. Colorectal cancer screening programs incur substantial non-clinical costs, regardless of whether the program is colonoscopy- or FOBT/FIT-based (Subramanian et al., 2017). Correct colorectal cancer screening will help eliminate incorrect costs for the CVAMC and the patients. Even though it is a federal government facility, many patients still pay out of pocket expenses and must submit charges to their private insurance companies. Appropriate colorectal cancer screening will eliminate erroneous use of staff’s time and the facility’s resources. Proper colorectal cancer screening will also eliminate stress for the patients and assist with the proper education to the patients. Adjustments such as teaching methods or timeframes for education of the providers will have to be routinely evaluated, along with the amount of staff available to implement this project.

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Reply DB 1 2025

Discussion # 1 Advanced Primary Care of Family Shared decision-making leads to better health knowledge among the elderly, children, and veterans. They leave the decision-making to caregivers and practitioners. For children and the elderly, they do not participate in their examination, diagnosis, and treatment options because of their limited literacy. The same impacts how this population responds to the management of chronic illnesses and other aspects of care (Seo et al., 2016). Shared-decision making provides the elderly with an opportunity to ask questions when needed, seek more information about their condition, and communicate their health needs. Through this process, older adults gain an understanding of their health and become experts in the decision-making process. Today, best practices of models of care such as patient-centered care enhance communication between practitioners and patients. For instance, allowing a patient to be at the forefront of the medical process is an incentive for self-management (Narva, Norton, & Boulware, 2016). The elderly are particularly vulnerable to illiteracy and will tend to research more when they are perceived as decision-makers. They will be keen on the medical process and gain knowledge as a result. Additionally, motivational interviewing ensures that children and older adults are influential in the decision-making process. It breaks the barrier of uncertainty and facilitates curiosity among the elderly, who then learn to decode instructions, and risk asking questions about various aspects of their care (LeDoux & Mann, 2019). It is a strategy that promotes autonomy during the care process, which enhances learning. References LeDoux, J., & Mann, C. (2019).Addressing Limitations in Health Literacy: Greater Understanding Promotes Autonomy and Self-Determination. Professional case management , 24 (4), 219-221. Narva, A. S., Norton, J. M., & Boulware, L. E. (2016). Educating patients about CKD: the path to self-management and patient-centered care. Clinical Journal of the American Society of Nephrology , 11 (4), 694-703. Seo, J., Goodman, M. S., Politi, M., Blanchard, M., & Kaphingst, K. A. (2016). Effect of health literacy on decision-making preferences among medically underserved patients. Medical Decision Making , 36 (4), 550-556.

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Healthcare Policy And Economics 2025

Assignment: Describe the processes that take place during a typical hospitalization, or emergency department visit for a consumer under the ACA. From admission to discharge, including aftercare, rehab, and acquisition of medications; address the differences, with the same experience from before the ACA was passed into law? Assignment Expectations: How will students be successful? Length: 1500-2000 words (6-8 pages); answers must thoroughly address the questions in a clear, concise manner Structure: Include a title page and reference page in APA style References: Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions

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Medical Terminology Module 2 2025

Being able to understand verbal communication is important in any profession, but it is especially important to understand medical terminology in a healthcare setting. This activity will allow you to practice your listening and interpretation skills. You are presented with two patient summaries, which contain multiple medical terms that you have been studying this module. To prepare for this assignment, listen to each patient summary below ( please see attachments ) and answer the corresponding questions. You will be able to listen to these summaries again as you answer the corresponding questions.

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