2025 Utilization Management The principal objective of utilization management is the reduction of practice variations by establishing parameters for cost effective use

Please help with homework 2025

Utilization Management The principal objective of utilization management is the reduction of practice variations by establishing parameters for cost-effective use of health care resources. There are four main techniques or tools used in utilization management: demand management, utilization review, case management, and disease management. Utilization management helps MCOs control costs and improve quality. Refer to the readings of this week and the Internet on the above information, answer the following questions: What are the challenges faced by MCOs regarding practice variations? What do you think can be done to meet these challenges? Differentiate between the three main processes of institutional utilization management. Determine the main purposes of each process of institutional utilization management? Which process do you think is the most important, and why? Research the role of the utilization management nurse. Explain the functions of the utilization management nurse, and compare and contrast the information from that organization. Explain your understanding of disease management and case management. What in your opinion are one major similarity and one major difference between the two types of management? Now, access information on disease and case management by searching the Internet by using the following keywords: Care Continuum Alliance Commission of Case Manager Certification Based on your research, answer the following questions: What is the purpose or mission of these professional organizations? What standards do these organizations set for certification or membership? How do these organizations define disease or case management and do they differ from the text definitions?

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2025 Select a nursing concept be sure to use a nursing theory and then provide a response to each one

Nur501 2025

Select a nursing concept (be sure to use a nursing theory) and then provide a response to each one of the steps included in a concept analysis regarding your selected concept. This information does not have to be comprehensive but provides a foundation to the upcoming assignment. Be sure to include a scholarly reference.

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2025 Please read question carefully there are three questions Q1 more than 75 words Q2

ASSESSMENT QUESTIONS REIMBURSABLE METHODOLOGIES 2025

Please read question carefully, there are three questions Q1 more than 75 words,Q2 & 3 more than 200 words ,apa format, cited and referenced, paraphrased, ABSOLUTELY NO PLAGIARISM, due on date and time requested. I need an A on these questions. The book is Valerius, J., Bayes, N., Newby, C., & Blochowiak, A. (2014). Medical insurance: An integrated claims process approach (6th ed.). New York, NY: McGraw-Hill.

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2025 For the next newsletter you have been asked to write about the effect of a specific communicable

HCS/457 week 4 Communicable Disease Article 2025

For the next newsletter, you have been asked to write about the effect of a specific communicable disease on your community. Identify a communicable disease to research. Write a 700- to 1,050-word paper summarizing your research. Include the following information: Describe the disease and discuss efforts to control it. Identify the environmental factors related to this disease. Explain the influence of lifestyles, socioeconomic status, and disease management. Identify gaps and how you might connect to other resources to meet needs that are not locally available. Include recommendations to expand the community’s programs if there are gaps. Describe what the public health department is doing to reduce the threat of the disease. Include data findings, evidence-based intervention, and a plan to ensure quality health. Include at least 3 APA formatted references. Intellectual property is recognized by in-text citations. See grading rubric for more guidance.

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2025 For the next newsletter you have been asked to write about the effect of

HCS/457 week 4 Communicable Disease Article 2025

For the next newsletter, you have been asked to write about the effect of a specific communicable disease on your community. Identify a communicable disease to research. Write a 700- to 1,050-word paper summarizing your research. Include the following information: Describe the disease and discuss efforts to control it. Identify the environmental factors related to this disease. Explain the influence of lifestyles, socioeconomic status, and disease management. Identify gaps and how you might connect to other resources to meet needs that are not locally available. Include recommendations to expand the community’s programs if there are gaps. Describe what the public health department is doing to reduce the threat of the disease. Include data findings, evidence-based intervention, and a plan to ensure quality health. Include at least 3 APA formatted references. Intellectual property is recognized by in-text citations. See grading rubric for more guidance.

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2025 Topic Cassie s Story Task Case Study Reference APA Word Count 2000 Words Duration

Case Study Evaluation 2025

Topic: Cassie’s Story Task: Case Study Reference: APA Word Count: 2000 Words Duration: 17 Hours Task Description You are required to to evaluate the case study and provide a response that will include – A discussion of health outcomes – Examination of legislation and policies – Consideration of how nursing affects health outcomes – Development of a conceptual map as appendix. Further instructions are provided in the attachments, Regards

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2025 Read assign research article below relating to the current challenges in the long term care

Challenges in Long-Term Care 2025

Read assign research article(below) relating to the current challenges in the long-term care continuum and their impact on the current long-term care industry. Read the assigned research paper and research the Internet to learn more about the topic. After you have completed your review, create a 1- to 2-page synopsis in a Microsoft Word document addressing the main challenges discussed in the paper. Be sure to incorporate the following: Introduction and background of the research paper Stakeholders interested in the study Challenges in the long-term care continuum Impact of the challenges on the long-term care system (specifically on staffing, funding, and regulation) Recommendations to address the challenges Smith, D. B., & Feng, Z. (2010). The accumulated challenges of long-term care. Health Affairs, 29 (1), 29-34. Retrieved from http://search.proquest.com/docview/204512740?accountid=87314 APA format Cite work

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2025 Discussion Ethical Dimensions of Research Studies In the best selling book The Immortal Life of Henrietta Lacks Skloot 2010 the

NURS 5052/NURS 6052: ESSENTIALS OF EVIDENCE-BASED PRACTICE – Discussion 4 (Grading Rubic and Media Attached) 2025

Discussion: Ethical Dimensions of Research Studies In the best-selling book, The Immortal Life of Henrietta Lacks (Skloot, 2010), the author highlights the true story of an African-American woman who died in 1951 from cervical cancer. What makes her story unique is that prior to her death, cells from her tumor were removed and successfully grown in a petri dish. This was the first time scientists were able to successfully replicate cells outside the body, and it is estimated that billions of Lacks’ cells have been used in medical research. However, Henrietta Lacks was never asked for permission to take a sample and her family was never made aware of the widespread use of her cells. Although the culturing of her cells has been pivotal for advancing research, strong ethical concerns later arose about using these cells without patient or family approval. This week’s readings describe historical examples of unethical research, such as a study of syphilis among African-American men in which treatment was withheld and a study in which live cancer cells were injected into elderly patients. Today, stricter controls that seek to protect study participants are placed on researchers, but breaches still occur. Careful attention must be given toward preventing unethical behavior. In this Discussion, you explore ethical considerations and issues in research. To prepare: Select a current health-related case involving research ethics. (If none come to mind, browse the Internet to familiarize yourself with recent cases.) As you review the case that you have selected, reflect on the ethical principles discussed in “What Are the Major Ethical Issues in Conducting Research?” article found in this week’s Learning Resources. Which principles were breached in the case you have identified? Post a description of the case that you selected and the ethical issues involved. Analyze the ethical principles that were breached by the researchers or organizations in your selected case as well as the possible cause of the breach(es). Suggest how the research might have been conducted differently to avoid or minimize the ethical problems. Discuss how research can be done on sensitive issues while still protecting the rights of the research subjects. Read a selection of your colleagues’ responses. Respond to at least two of your colleagues on two different days using one or more of the following approaches: Ask a probing question, substantiated with additional background information, and evidence. Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library. Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. Required Readings Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer. Chapter 3, “Key Concepts and Steps in Qualitative and Quantitative Research” (for review) Chapter 4, “Research Problems, Research Questions, and Hypotheses” This chapter focuses on the steps in planning a study to generate evidence. These include developing a research question, identifying variables, articulating a problem statement, and generating hypotheses. Chapter 7, “Ethics in Nursing Research” In this chapter, the focus is on the ethical dilemmas that occur when planning and conducting research and the ethical principles that have been enacted for protecting study participants. Fouka, G., & Mantzorou, M. (2011). What are the major ethical issues in conducting research? Is there a conflict between the research ethics and the nature of nursing? Health Science Journal, 5(1), 3–14. Retrieved from the Walden Library databases. This article describes a literature review conducted to determine the most important ethical issues that nurses encounter when undertaking or participating in research. The authors detail the results of the review and make recommendations for solving some of the problems highlighted. Newcomb, P. (2010). Evolving fairness in research on human subjects. Journal of Child and Adolescent Psychiatric Nursing, 23(3), 123–124. Retrieved from the Walden Library databases. In this article, the author describes some of the ethical controversies that may arise in conducting research in human subjects, especially with respect to ownership of genes. The author also stresses the importance of educating research subjects and their families about the ultimate purpose of research. Yakov, G., Shilo, Y., & Shor, T. (2010). Nurses’ perceptions of ethical issues related to patients’ rights law. Nursing Ethics, 17(4), 501–510. Retrieved from the Walden Library databases. The authors of this article detail a study conducted to determine how nursing staff deal with ethical issues in relation to the law. The article emphasizes the difficulty staff had in distinguishing between legal and ethical problems. The authors make several recommendations to deal with legal and ethical problems. Delwiche, F. (2008). Anatomy of a scholarly research presentation in the health sciences. Retrieved from http://dana.uvm.edu/Anatomy/ This presentation highlights the primary components of scholarly research articles. The presentation details the distinguishing factors of scholarly journals, the peer-review process, and the definition of “primary literature.” American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Retrieved from http://nursingworld.org/DocumentVault/Ethics-1/Code-of-Ethics-for-Nurses.html This website provides the code of ethics for nurses to be used in carrying out their responsibilities. There is also a detailed explanation of each provision. Document: Literature Review Summary Table Template (Word document) Note: You will use this document to complete the Project throughout this course. Media Laureate Education (Producer). (2012a). Anatomy of a research study. Baltimore, MD: Author. This multimedia piece explains the “anatomy” of both quantitative and qualitative research studies. In addition, there is a brief quiz at the end of the tutorial to measure knowledge about research articles. Laureate Education (Producer). (2012d). Evidence-based practice and research. Baltimore, MD: Author. Note: The approximate length of this media piece is 6 minutes. In this video, Dr. Marianne Chulay talks about the significance of evidence-based practice and research in nursing. She explains how nurses should apply research findings to health care decisions to improve outcomes. Accessible player Laureate Education (Producer). (2012h). Overview of evidence-based practice. Baltimore, MD: Author. Note: The approximate length of this media piece is 5 minutes. In this video, Dr. Kristen Mauk explains evidence-based practice and its importance to nursing. She also provides a brief overview of the process of conducting original research. Accessible player Optional Resources National Institutes of Health Office of Extramural Research. (2011). Protecting human research participants. Retrieved from http://phrp.nihtraining.com/users/login.php This website provides a course on ethical research for those involved in research in human subjects. The course supplies basic concepts, principles, and issues relevant to protecting research participants. University of Oxford. (2005). PICO: Formulating an answerable question. Retrieved from http://learntech.physiol.ox.ac.uk/cochrane_tutorial/cochlibd0e84.php

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2025 Review and reflect on the knowledge you have gained from the exam prep and case studies

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Review and reflect on the knowledge you have gained from the exam prep and case studies. Based on your review and reflection, write at least 3 paragraphs on the following: Did you find the case studies provided you with a real-life situation that required critical thinking to complete? Why or why not? Do you feel confident that after taking the exam prep that you will be successful in the CMAA exam should you choose to pursue it? Why or why not? After completing the study guide and exam prep, do you feel that taking the CMAA exam will add value to your degree? Why or why not? Based on the knowledge you gained from the exam prep and case studies, do you feel better prepared to provide administrative support for the office and financial aspects of the healthcare organization? Why or why not?

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2025 Regina it is nice the way you explained how statitics can be used

comment from post 2 2025

Regina , it is nice the way you explained how statitics can be used to misrepresent data in advertising but also i can add that graphs that are ambiguous or cluttered do not allow clear interpretation of results, which increase chances of misrepresentation. Absence of labels, scales, and data elements also increase errors in data representation and mislead the reader (Brotton et al., 2010). A typical example of data misrepresentation is the one commonly observed during promotional activities of a new drug into the market. Often, it could be observed that the clinical trials performed and results obtained on the use/significance of the medicine are unnecessarily augmented to highlight quality or effectiveness of the medicine. However, the medicine may be less effective or might contain adverse side effects that the researchers or company are aware, which is never mentioned in reality. In some situations, pie charts, the most easily understandable graphics, are used to represent results in studies conducted with incomplete data or missing variables (Pavlovich-Danis, 2012). I NEED THAT YOU COMMENT FROM THIS POST, NO MORE THAN 150 WORDS NEEDED AND A REFERENCE PLEASE

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