Interview a leader who is responsible for performance management and improvement in your organization. What does he/she see as his/her role in leading performance improvement?

Based on your readings and research, do you agree with him/her? Why or why not? What do you think could be done better?

Response suggestions: How does the person in this posting compare to the person that you interviewed? Compare and contrast the two leaders.

 Describe how the concepts of management differ from each other.  In what areas they overlap? Explain how the goals of management and leadership may sometimes overlap. As a nurse leader, do you believe you can expand your influence to create by change by taking advantage of this overlap? Explain your answer. one page. need by 12pm Florida time 24 oct 2018.

3 postsRe: Topic 4 DQ 1

The method of delivery of health care along with regulatory control over the system differ from country to country. Cost-sharing required at point-of-service and range of benefits also vary globally. What is common is the incorporation of private insurance, but the importance varies considerably across nations (The Commonwealth Fund, 2019). According to the Commonwealth Fund’s new 11-country report, the “level of income defines the health care you receive far more in the United States than in other wealthy nations” (The Commonwealth Fund, 2019, para. 1). The study found that U.S. ranked last in providing equally accessible and high-quality health care, regardless of a person’s income. There have been great advances with access and coverage of health care in the U.S. due to the Affordable Care Act, but there are far too many Americans that continue to struggle with access to health care (The Commonwealth Fund, 2019).

The delivery of health care in the U.S. is comprised of a variety of public and private entities (Green, 2018). Government entities and in collaboration with community nonprofit organizations and faith-based organizations comprised the public health system. The private health settings include inpatient, outpatient, ambulatory, long-term care, mental health, home care, wellness center, and alternative care, which are regulated by the overarching governmental agencies (Green, 2018). Payment for medical services can by paid individually but the costs for services may not be feasible for most. Therefore, people rely on health care insurance, an arrangement with the government or private company, that will provide guarantee payment for health care services (Green, 2018). Whether private or public, the person must be eligible for these services. Either or, a person may accrue out-of-pocket costs. Although the percentage of uninsured people have decreased since the passage of the Affordable Care Act, there continues the existence of 28 million people who are uninsured in the U.S. as of 2017 (Berchick, 2018).

Studies have shown that physician-patient relationship that focused on quality and personalized preventive care resulted in positive health care expenditure outcomes and improved health management over a three-year time period (Musich, Wang, Hawkings, & Klemes, 2016). According to the Centers for Medicare & Medicaid Services, the U.S. health care spending increased by 3.9 percent in 2017. This equates to $3.5 trillion or $10,739 per person. Much of the expenditures can be reduced when the focus of health is on prevention and not disease management.

 Post your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance 

 

Assignment: Regulation for Nursing Practice Staff Development Meeting

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

• Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Include Speaker Notes on Each Slide (except on the title page and reference page)