The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 250‐500-word response that addresses the following:

1. What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?
2. What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.
3. What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Refer to the LopesWrite Technical Support articles for assistance.

Assignment:

Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease.

Epidemiology Paper Requirements

Include the following in your assignment:

1. A thorough description of the disease including causes, mode of transmission, symptoms, treatment and complications. Discuss the demographic most affected-incidence, prevalence, morbidity and mortality.
2. What are the determinants of health affecting this disease? https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health.
3. Identify the epidemiologic triad including host, agent and environmental factors as related to this disease.
4. Discuss the role of the public health nurse in relation to this disease. How is the public health nurse involved in finding, reporting, collection and analysis of data and follow up?

A minimum of three references is required. The written essay should be at least 1250 words in length.

 I need it by 6pm EST December 5, 2018. Please follow all instructions.

Health Informatics/IT

For this assignment:

1. Visit the Health Information Technology: Key Topics (Links to an external site.)Links to an external site. website.  
2. Choose one of the topics listed.
3. Click on the topic and explore the information provided. 

Using the information accessed from this site, write a four- to five-page paper (excluding title and reference pages) in which you assess this information and discuss your reactions and opposing viewpoints on the issues. The paper must be in APA style 

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Brainstorming Solutions to Hospital Mistakes

Your instructor was invited to give an opinion as a patient advocate at a retreat organized by agencies of the federal government, such as the Centers for Medicaid and Medicare Services, the Agency for Healthcare Research and Quality, and the Office of Health and Human Resources. The topic was a Partnership for Patients. The Agency for Healthcare Research and Quality (AHRQ) showed the data on hospital survey measures. The data showed that significant progress was made in the last four years and that more and more hospitals are achieving higher scores.

The instructor asked a simple question, “If there is so much progress made in critical hospital measures, then why is the number of patients dying from hospital mistakes significantly going up every year?” The estimated deaths in 2010 were 99,000 deaths. The 2016 estimate is about 440,000 deaths.

In this discussion, explain the reasons you think there are more deaths in spite of the significant progress in hospital performance measures. Then, provide one remedy or solution. At Minimum 250 Words APA format. Include two references to support your opinions.