Required Reading

Blendon, R. J. & Benson, J. M. (2017). Public opinion about the future of the Affordable Care Act. The New England Journal of Medicine, 377(9). Available in the Trident Online Library.

Gallen, T. S., & Mulligan, C. B. (2018). Wedges, labor market behavior, and health insurance coverage under the Affordable Care Act. National Tax Journal, 71(1), 75-6. Available in the Trident Online Library.

McCarthy, M. (2017). Trump demands republicans continue effort to repeal Affordable Care Act. British Medical Journal (BMJ), 358. Online. Available in the Trident Online Library.

Mendoza, R. L. (2017). Information asymmetries and risk management in healthcare markets: The U.S. Affordable Care Act in retrospect. Journal of Economic Issues, 51(2), 520. doi:10.1080/00213624.2017.1321451

Pollina, L. D., Guessous, I., Petoud, V., Combescure, C., Buchs, B., Schaller, P., . . . Jean-Michel Gaspoz. (2017). Integrated care at home reduces unnecessary hospitalizations of community-dwelling frail older adults: A prospective controlled trial. BMC Geriatrics, 17. Available in the Trident Online Library.

Stuck, A. R., Crowley, C., Killeen, J., & Castillo, E. M. (2017). National survey of emergency physicians concerning home-based care options as alternatives to emergency department-based hospital admissions. Journal of Emergency Medicine, 53(5), 623-628.

Zsilinszka, R., Mentz, R. J., DeVore, A. D., Eapen, Z. J., Pang, P. S., & Hernandez, A. F. (2017). Acute heart failure: alternatives to hospitalization. JACC: Heart Failure, 5(5), 329-336.

Optional Reading

Website Resources (may be used through the entire course)

The Dartmouth Atlas of Health Care. (2016). Home Page. Retrieved from http://www.dartmouthatlas.org/.

U.S. Department of Labor. (2017). COBRA continuation coverage. Retrieved from https://www.dol.gov/agencies/ebsa/laws-and-regulations/laws/cobra

U.S. Department of Labor. (2016). Frequently asked questions about portability of health coverage and HIPAA. Retrieved from http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html

HOMEWORK ASSIGNMENT:

Please view the following videos in preparation for this assignment:

Girard, K. (2013). Health care delivery systems and occupations. Retrieved from https://www.youtube.com/watch?v=T1WpakHcjRs

Scott, R. (Reporter). (2013, August 14). Outpatient services . Retrieved from https://www.youtube.com/watch?v=fWKoMJoFI2I

Having completed the required readings and viewed the videos, you should now have a basic understanding of the characteristics and components of the United States health care delivery system. Health care delivery is no longer confined to the hospital setting. Over the past few years we have witnessed the emergence of outpatient surgery centers, home health, hospice, etc.

For this assignment, conduct additional research as needed to address the following questions:

1. What factors have led to care being offered outside of the hospital setting?

2. What are the advantages and disadvantages of these settings? Who benefits the most: consumers or organizations?

3. How has the Affordable Care Act (ACA) impacted this trend? Has it encouraged more alternative settings or put care back into the hospital setting? Explain.

Length: Submit a 3-page paper, not including the cover page and the reference list.

  

Draft Prospective

Instructions 

Tutor MUST have a good command of the English language

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

I have attached the Rubric

My project is CLABSI prevention

Instructions

Development of the prospectus is an iterative process that lays the foundation for your DPI Project. The prospectus will also assist your project chair in providing valuable feedback to guide you in your project development.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• Locate      and download the most recent version of the prospectus template in the DC      Network (http://dc.gcu.edu).      This document has help and criteria information embedded to assist you in      the completion of the prospectus.
• Locate      “The 10 Strategic Points for the Prospectus, Proposal, and Direct      Practice Improvement Project” document (completed in previous      courses). You will use information from this document to write the      prospectus and attach this document as an appendix in the prospectus.
• Review “Academic Quality Review Checklist      (AQR)” (Chapters 1-3 only) for use in writing the prospectus.
• Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the      Student Success Center.
• This      assignment uses a rubric. Please review the rubric prior to beginning the assignment      to become familiar with the expectations for successful completion.
• You      are required to submit this assignment to LopesWrite. Please refer to the      directions in the Student Success Center.

Directions:

Complete a draft of your DPI Project prospectus according to the instructions and criteria provided in each section of the prospectus template. The draft should include information taken from “The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project” document (from previous courses). Use the “Academic Quality Review Checklist (AQR)” (Chapters 1-3 only) to assist you in writing this prospectus. Include the following sections in the prospectus:

1. Introduction:      Provide an overview of your project.
2. Background      of the Problem: Provide an overview of the history and present state of      the problem.
3. Theoretical      Foundations: Identify and describe one or two theories or models to be      used to inform the project. Identifies the seminal      source for each theory or model (a seminal      source may be quite old and may be      published in a textbook). Illustrate how the theory or model will      inform your project.
4. Review      of the Literature/Themes: Describe the main and subthemes of your project.      You should begin with at least three main themes with three subthemes      each. Your literature review will eventually be 30+ pages with over 50      references (85% of these references must be from primary sources that is less than 5 years.
5. Problem      Statement: Specify the problem proposed for the project by presenting a      clear declarative statement that begins with “It is not known . . .      .” Identify the need for the project. Identify the broad population      (not the sample) for the project. Describe how this project may contribute      to solving the problem.
6. Purpose      of the Project: Describe the purpose      of this project. Use a declarative statement “The purpose of this      project is to . . . .” Describe the methodology and design. Describe      the specific population that this project will affect and how this project      will contribute to the field.
7. Clinical      Questions and Variables: Provide a brief introduction to the question      portion. State your clinical questions or PICOT questions. Describe and      operationally define each variable of interest.
8. Significance of the Project: Provide an      overview of how this project fits with other research in the field. Be      specific and relate to other studies. How will this project contribute to      the research overall? What is the expected value?
9. Rationale for Methodology: Clearly justify the methods chosen for      this project. Ensure the methods      align with the project questions or PICOT questions. Describe why this      method is the best fit.
10. Nature      of the Project Design: Describe the design you have chosen for this      project. Discuss why this design is appropriate based on the method chosen and the project questions.
11. Instrumentation      or Sources of Data: Describe the sources of data you will use. One source must be a valid and reliable tool,      survey, or questionnaire. You may use your discussion question from Topic      3 to assist with this section. Describe in detail all data collection      instruments. Describe the validity and reliability of each as appropriate      (one must be valid and reliable).
12. Data      Collection Procedures: Describe step by step how you will collect data.      All major steps need to be described. Include a discussion of      project sample recruitment, sample selection, and assignment to groups (as      applicable). Describe the process of obtaining informed consent, if      applicable.
13. Data      Analysis Procedures: Begin by describing your demographic data from your      participants. How will you analyze this data using descriptive statistics?      Restate each project question or PICOT question. For each question, describe in detail what      inferential statistics you will use to analyze your data. Include steps to      ensure your data meet the assumptions for each inferential statistic used.      Describe the a priori alpha level you plan to use.
14. Ethical      Considerations: Provide a description of      ethical issues related to your project and how you plan to deal with them.      Consider your methodology, design, and data collection. Compare to a      randomized controlled trial. Address anonymity, confidentiality, privacy,      lack of coercion, informed consent, and potential conflicts of interest.      Discuss how you plan to adhere to the Belmont Report key principles (respect, justice,      beneficence).