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2023 1 Compare and contrast the definitions of health from a public health
by adminNursing 2023 Health: A Community View Historical Factors: Community Health Nursing in Context Community Assessment and Population Health Problems
1 Compare and contrast the definitions of health from a public health 2023 Assignment
1. Compare and contrast the definitions of health from a public health nursing perspective and list and explain the, three levels of prevention and give an example of each one.
2. Mention and discuss community/public health nursing interventions as explained by the intervention Wheel.
3. Describe and explain the process of conducting a community health assessment and identify and discuss the uses for epidemiological data at each step of the nursing process.
4. Compare the application of the public health principles to the nation’s major health problems at the turn of the twentieth century (i.e. acute disease) with the beginning of the twenty-first century (i.e. chronic disease) and mention and discuss the major contemporary issues facing community/public health nursing, and trace the historical roots to the present.
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2023 respond Healthcare Delivery System Nonprofit 130 Bed Community Hospital Payer Mix Percentage Medicare 50 2 Medicaid Managed Care
by adminNursing 2023 week 1.1 NR 533
respond Healthcare Delivery System Nonprofit 130 Bed Community Hospital Payer Mix Percentage Medicare 50 2 Medicaid Managed Care 2023 Assignment
respond
Healthcare Delivery System Nonprofit 130 Bed Community Hospital
Payer Mix
Percentage
Medicare
50.2
Medicaid/Managed Care
10.5
HMO
0
PPO
34.4
IPA
0
Self-pay/ Uninsured
4.5
Dr. Strong and Class,
I work in a small community hospital in south-central Nebraska. We are in the Midwest farm belt. The breakdown of our payor source for our organization. I do believe this is an accurate reflection of the community. The city itself is an aging sleepy community that caters to the Medicare type clientele. There are very few fast food joints, and new and upcoming businesses do not happen in this city. The town is a large commuter town in which there are many that travel 20-30 mins away to work but “doctor” in their hometown. Many of the Medicaid/managed care people are here due to family support or the decreased cost of living that this community provides. The PPO is primarily the families of those that work in the city and or hospital.
As a future nurse leader, one of the predications that I foresee with the aging population that the Medicare percentage will continue to grow, at least until Medicare itself is exhausted. The PPO percentage will decrease due to the aging of the people. Like many farm communities, the “kids” leave the area after graduating from high school. Without local businesses growing and investing in the future of the community as a whole, they will not come back.
One of the recent concerns for our organization that within 20 miles, there is a brand new hospital that will be opening up to the community. They have the potential to entice staff to leave our facility. This adds additional burdens to the system. Our organization needs to be more competitive pay and staff benefits with neighboring community hospitals. These benefits would entice staff into staying. Early estimations from the hospital include expected loss if ten percent of the team to this new place. The employees that will leave initially are the ones that drive past it every day. That is a lot of people in an already struggling healthcare environment of the 1200 employees that our facility employees that would 120 people.
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2023 Evidence Based Integration Paper For this project you will take on the role
by adminNursing 2023 Evidence Based Integration Paper
Evidence Based Integration Paper For this project you will take on the role 2023 Assignment
Evidence Based Integration Paper
For this project, you will take on the role of a nurse practitioner treating a patient with a chronic condition. Your patient is not completely satisfied with the treatments you’ve tried and asks about a specific alternative therapy. Unfamiliar with these sorts of therapies, you decide to do some research before making recommendation. In this case, you get to decide what condition your patient has and which intervention he or she is interested in trying. Your objective is to determine whether or not you would recommend the regular treatment either alone or in combination with alternative treatment. The paper should not be more than 4 pages excluding the title page and references. APA format is required with a professional paper.
Nurses, of all levels of education, must be able to convey information in an articulate,
succinct, and confident manner in a variety of clinical and academic settings.
Discipline-specific writing promotes critical thinking, which develops the skills of
analysis and organization. For this project, you will take on the role of a nurse
practitioner treating a patient with a chronic condition. Your patient is not completely
satisfied with the treatments you’ve tried and asks about a specific alternative
therapy. Unfamiliar with these sorts of therapies, you decide to do some research
before making a recommendation. In this case, you get to decide what condition
your patient has and which intervention he or she is interested in trying. Your
objective is to determine whether or not you would recommend the regular treatment
either alone or in combination with alternative treatment. The paper should not be
more than four pages, excluding the title page and references. APA format is
required with a professional paper, A paper that is judged by the faculty as very
poorly written (such things as incomplete sentences, multiple subject/verb errors,
unclear wording, multiple spelling errors, and/or combination of these errors) may be
returned for revision with an automatic deduction of 25 points that cannot be
redeemed. Have someone proofread the paper after you have proofread—it can
difficult to recognize your errors
Criteria Points Grade
1 Description of the Chronic condition (including pathophysiology and etiology).
2 Definition of the specific treatment options, including EBP guidelines and first-line pharmacotherapy.
3 Summary of the current research in specific alternative therapy. This area should include specific research studies, the population description, size (n =) and the results NEED EVIDENCE-BASED PRACTICE
4 After reading the evidence. What are some nonpharmacological treatment options that you would recommend?
5 What did I learn doing this paper?
6 On-time, APA format, correct grammar and spelling
Reference :
You can use MERCK manual for the clinical aspect
All reference need to be not older than 2015
American Psychological Association [APA]. (2010). Publication manual of the
American Psychological Association (6th ed.). Washington, DC:
Dunphy, L. M., Winland-Brown, J., Porter, B., & Thomas, D. (2015). Primary care: Art
and science of advanced practice nursing. 4th ed. FA.Davis. Philadelphia, PA.
ISBN-13: 978-0803638013
Fenstermacher, K., & Hudson, B. T. (2019). Practice guidelines for family nurse
practitioners (5th ed.). Elsevier. St Louis, Ms. ISBN-10: 0323290809
Goroll, A. H., & Mulley, A. G. (2014). Primary care medicine: office evaluation and
management of the adult patient. 7th ed. Wolters Kluwer Health: Philadelphia, PA.
ISBN-13: 978-1451151497
Kennedy-Malone, L., Fletcher, K. R. & Martin-Plank, L. (2014). Advanced Practice
Nursing in the Care of Older Adults. F.A. Davis Company. Philadelphia, PA. ISBN
13: 978-0803624917
Rhoads, J., & Jensen, M. M. (Eds.). (2014). Differential Diagnosis for the Advanced
Practice Nurse. Springer Publishing Company. New York, NY. ISBN-10:
0826110274
Other Resources
1. Agency for Health Care Research and Quality (October 2017). Put prevention into practice. A
step-by-step guide to delivering clinical preventive services: A systems approach. Available at
http://www.ahrq.gov/clinic/ppipix.htm
2. Clinical Evidence, BMJ Publishing Group web site. Available at http://www.clinicalevidence.org
3. Cochrane Library evidence-based web site. Available at http://www.cochrane.org/
4. Fronske Web Portal Page. Available at http://www.myhq.com/public/f/l/flagstaff/ There is a
wealth of access to various sites that can be found here, including evidence-based links and
patient education links.
5. University of California, San Diego: A Practical Guide to Clinical Medicine At
https://meded.ucsd.edu/clinicalmed/
6. Journal of Family Practice POEMs web site. Available at
http://www.essentialevidenceplus.com/
7. U.S. Preventive Services Task Force (USPSTF). Available at
http://www.preventiveservices.ahrq.gov
8. University of Iowa Hospital and Clinics. Virtual Hospital. Available at https://uihc.org/health
library
9. National Center for Complementary and Alternative Medicine. Available at
http://www.nccam.nih.gov/
10. Nurse Org. https://nurse.org/resources/nurse-practitioner/#-what-is-a-nurse-practitioner
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2023 respond Department of Veterans Affairs VAMC is a federal government agency organization that
by adminNursing 2023 week 1.1.1 NR 533
respond Department of Veterans Affairs VAMC is a federal government agency organization that 2023 Assignment
respond
Department of Veterans Affairs (VAMC) is a federal government agency organization that provides healthcare services to its service members. The way the VA charges for service is based on service connection and means test to determine financial eligibility for a copay. A veteran is eligible to seek care within the VA organization if he/she enrolls within the VA, and received in the past twenty-four months. With the passage of the Mission Act 2019, VA is partnered with the community to allow veterans more accessible access to care within their community. For whatever the care the individual is seeking in the community, if it is service-connected, the VA will cover the entire bill. If it is not service-connected, the VA will submit a claim to the individual insurance in an attempt to collect the payment. Again, the way the organization obtains its reimbursement is: based on an individual’s disability acquired during federal service (Service-connected) fees would be determined based on the percentage of coverage. If the care is related to service connection, no copayment is required. Inpatient services no additional charges. If the individuals need to have service that is not related to service connection, the VA will file a claim to the insurance in an attempt to collect payment. Primary care services – individual with service connection- no copay. Non-service-connected for primary care $ 15.00 copay and specialty care (eyes, heart, hearing etc.) $50.00 copay and particular test like MRI/CT scan $50.00 copay.
If the individuals are not able to pay their bills, the treatment will be provided regardless. The VA is required by law to collect all copay dept for VA health care services 30 days to pay the bill in full, dispute the charge, or request a financial hardship for assistance such as a payment plan or debt relief before the 30 days otherwise, late fees and interest will accrue. As of January 1, 2020, some veterans do not have copay due to their disability rating, income level, or special eligibility.
Urgent Care Copay rates are in group priority based on military service has eight priority group when the individual enrolled in VA Health care. Priority group 1-5 no copay for the first three visits in each calendar year, and additional visits within the same year will be $30. Group 6 if the condition is related, no copay for the 3 visits, and if not related $ 30 each visit. Group 7-8 $30 copay.
NR533: Touchpoint Reflections Experience Table
Your Name’s Healthcare Organization: VA Medical Center
Healthcare Delivery System (Type)
Federal government agency
Payer Mix
Percentage
Medicare
% of service connected
Medicaid
% service connected
Managed Care
n/a
HMO
n/a
PPO
n/a
IPA
n/a
Self-pay
welcome
Uninsured
welcome
Reflection:
In completing this assignment, I have learned a lot about the organization. I did not know before to answer patients’ questions about their eligibility for care, details about copay, and what was required for their service or not. Recently with the passage of the Mission Act in June of 2019, everyone was required to complete the modules to learn about the process. The modules completed to fulfill administration requests for their deadlines; however, minimum information retained about the outpatient urgent care services. Base on this data, the assumptions that could be made about the veterans’ population that the VA health care is not really free. What I have noticed that the individuals are on a fixed income, and they are accruing additional copay, which they cannot afford. I believe if the frontline staff is empowered with the knowledge of how the institutions can assist the veterans with financial difficulties, this will alleviate some of their burdens. I know each veteran assigns to a social worker. Still, at the time the conversation is taking place, the provider can inform the patient to apply for financial hardship or place a consult with the social worker to address the situation. The variables in coverage do not affect the services provided to the individuals. No one will be turned away for not having the means to pay for care. The organization will do anything to give care to the individuals to fulfill President Lincoln’s promise. “To care for him who shall have borne the battle, and for his widow, and his orphan” by serving and honoring the men and women who are America’s Veterans (VA Mission statement). The other implication I noticed that might happen that VA is funded based on the federal budget; it does not have sufficient funds then, that will affect care.
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