To be or not to be civil? – 2025 To Be or Not to be civil That is the Question View these two videos for examples of classroom

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To be or not to be civil? – 2025

To Be or Not to be civil? That is the Question!

View these two videos for examples of classroom and nursing incivility:

  1. Video presentation for example Incivility in the classroom: http://www.youtube.com/watch?v=z3LDJHl8PoQ
  2. Video presentation for examples of incivility in nursing

https://www.youtube.com/watch?v=Wz1xkj-SDZE

https://www.youtube.com/watch?v=NujWmw8z7sg

Assignment: 

Now that you have discovered what incivility is, let’s review therapeutic communication techniques by viewing the video link on the study.com website:

http://study.com/academy/lesson/therapeutic-communication-definition-goals-types-principles.html

Choose one scholarly, peer-reviewed   on incivility in the nursing workplace or the classroom. Write a one to two-page summary, using APA 6th edition writing mechanics, of your article. Add three of your personal thoughts or insights (in a few sentences) at the end of your summary. It could be something you have experienced at school or work or saw happen in a classroom or work situation. Finally, give some thought as to how you would manage this situation (remember therapeutic communication techniques): Would you feel comfortable reporting these uncivil actions?; who would you report it to?; if the situation happened to you, would you use productive confrontation to address the person who was uncivil?; if you have been uncivil, what are your plans to change your behaviors?; and what therapeutic communication techniques would be best to use in this situation? You can add anything else you might like to address concerning incivility. Please in-text cite your reference/s and add them to a reference list at the end of the paper in APA 6th format.

Hopefully, you will be able to help advocate for courteous behaviors from here on out in your career. It is critical that we all RESPECT each other! 

Additional resources to review (optional):

Weber Shandwick article web link: http://www.webershandwick.com/uploads/news/files/Civility_2010_SocialMediaImplications.pdf

References: 

Merriam-Webster Dictionary. (2017). Incivility. Retrieved from https://www.merriam-webster.com/dictionary/incivility

Weber Shandwick. (2010). Civility 2010: Social media implications. Retrieved from: http://www.webershandwick.com/uploads/news/files/Civility_2010_SocialMediaImplications.pdf

This assignment should be 3-4 pages, including the Title and Reference Page, in APA format (including your citations and references).

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

Need Help? Click here for complete drop box instructions.

Grading Rubric

Module 1 Written Assignment – To Be or Not to Be Civil? That is the Question!

Scoring Rubric:

Criteria

Points

Submitted a one page summary with three of your personal thoughts or insights 

10

Write another page with your thoughts as to how you would manage this situation (Remember therapeutic communication techniques):

8

Discusses the following

  1. Would you feel comfortable reporting these uncivil actions?
  2. Who would you report it to?
  3. If the situation happened to you, would you use productive confrontation to address the person who was uncivil?
  4. If you have been uncivil, what are your plans to change your behaviors?
  5. What therapeutic communication techniques would be best to use in this situation? 

10

Included TWO web resources. Followed APA format.

2

Total

30

Assignment: Creating a Welcoming Workplace for the Older Worker – 2025 Creating a Welcoming Workplace for the Older Worker The nursing workforce is aging rapidly In fact Baby

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Assignment: Creating a Welcoming Workplace for the Older Worker – 2025

 

Creating a Welcoming Workplace for the Older Worker

The nursing workforce is aging rapidly. In fact, Baby Boomers constitute the largest group of nurses currently practicing. This aging workforce poses two significant ramifications for nurse managers. First, due to the volatility and uncertainty in the world and national economy, many Baby Boomers have shifted their retirement plans and are staying in the workforce. This is requiring creative responses on the part of employers. Conversely, as these highly experienced and knowledgeable nurses do begin to exit the active workforce, experts anticipate a “brain drain” that will affect all levels of health care environments.

In this week’s Assignment, you critically assess your current organization or one with which you are familiar to determine why older workers may stay in or leave their positions. In addition, you suggest strategies that could help to retain and further engage this specific population of nurses.

To prepare

  • Review the article, “From Veterans to Nexters: Managing the Multi-Generational Nursing Workforce.” Reflect upon the key ideas: the challenges and implications of managing a multi-generational workforce, common generational differences, interventions for increasing generational motivation, and strategies for retaining the older nurse.
  • Reflect on your current organization or one with which you are familiar and determine the demographic breakdown of employees based on age. Then, consider how this specific work environment might present difficulties for older workers and think about factors that might cause these employees to leave your setting.
  • Use this week’s Learning Resources, as well as your own scholarly research, to identify strategies that could engage and retain this population of nurses.

To complete

By Day 7 of Week 10

Submit a 3- to 5-page paper in which you do the following:

  • Identify the demographic breakdown of employees in the organization. If you are unable to access exact demographical data, provide your best estimate for each of the following age ranges: 20–30, 30–40, 40–50, 50–60, and 60–70, and 70+.
  • Describe at least two ways the work environment is conducive to older workers and at least two difficulties it might present. Support your response by citing authentic examples from the workplace and this week’s Learning Resources as applicable.
  • Propose at least four specific strategies you could implement to engage and retain older workers.

 

Required Readings

Beheri, W. H. (2009). Diversity within nursing: Effects on nurse-nurse interaction, job satisfaction, and turnover. Nursing Administration Quarterly, 33(3), 216–226.  Retrieved from the Walden Library databases.

Beheri’s article examines the effects of diversity in nursing. The study found that nurses who are satisfied with their jobs and have a higher level of education are more likely to tap into the potential offered by cultural diversity.

Collins-McNeil, J., Sharpe, D., & Benbow, D. (2012). Performance potential. Aging workforce: Retaining valuable nurses. Nursing Management, 43(3), 50–51.  Retrieved from the Walden Library databases.

Due to the increasing connectivity between patient safety and government-sponsored financial incentives, it is important for nurse managers to understand the specific language used by finance. This article examines the importance of this topic.

Harton, B. B., Marshburn, D., Kuykendall, J., Poston, C., & Mears, D. A. (2012). Self-scheduling: Help or hindrance? Nursing Management, 43(1), 10–12.  Retrieved from the Walden Library databases.

This article discusses the possibility of allowing nurses to create their own schedules to boost retention.

Outten, M. K. (2012). From veterans to nexters: Managing a multigenerational nursing workforce. Nursing Management, 43(4), 42–47.  Retrieved from the Walden Library databases.

The author of this article addresses the need for effective management of a multigenerational workforce. Increased nurse turnover and interpersonal conflict are some of the consequences of overlooking this type of diversity.

Wisotzkey, S. (2011). Will they stay or will they go? Insight into nursing turnover. Nursing Management, 42(2), 15–17.  Retrieved from the Walden Library databases.

In this article, the author focuses on creating a work environment that will decrease the effects of nurse turnover. The author states that organizational commitment has the most direct effect on these turnover rates.

Advanced Pathophysiology – 2025 Asthma Complications of asthma can be sudden Consider the case of Bradley Wilson a young

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Advanced Pathophysiology – 2025

  

                                                                     Asthma

Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.

To Prepare

· Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.

· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

· Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.

To Complete

Write a 2- to 3-page paper that addresses the following:

· Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.

· Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.

· Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

                                                               Learning Resources

Required Readings

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter 26, “Structure and      Function of the Pulmonary System”

This chapter provides information relating to the structure and function of the pulmonary system to illustrate normal pulmonary function. It focuses on gas transport to build the foundation for examining alterations of pulmonary function.

  • Chapter 27, “Alterations of      Pulmonary Function”

This chapter examines clinical manifestations of pulmonary alterations and disorders of the chest wall and pleura. It covers the pathophysiology, clinical manifestations, evaluation, and treatment of obstructive lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema.

  • Chapter 28, “Alterations of      Pulmonary Function in Children”

This chapter focuses on alterations of pulmonary function that affect children. These alterations include disorders of the upper and lower airways.

Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter 9, “Pulmonary      Disease”

This chapter begins with an overview of normal structure and function of the lungs to provide a foundation for examining various lung diseases such as asthma and chronic obstructive pulmonary disease (COPD).

Required Media

Laureate Education, Inc. (Executive Producer). (2012e). Mid-course review. Baltimore, MD: Author.

This media is an interactive mid-course review covering course content.

Optional Resources

American Lung Association. (2012). Retrieved from http://www.lung.org/ 

Asthma and Allergy Foundation of America. (2012). Retrieved from http://www.aafa.org 

Cystic Fibrosis Foundation. (2012). Retrieved from http://www.cff.org/ 

Healthy People 2020 and Nursing – 2025 Review Healthy People 2020 Identify objectives that are amenable to parish nurse intervention Describe how faith

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Healthy People 2020 and Nursing – 2025

 

Review Healthy People 2020. Identify objectives that are amenable to parish nurse intervention.

  • Describe how faith communities can contribute to the accomplishment of these national health objectives and accomplish the goal of improving the health of the public.
  • How can nurses working in the community form partnerships with parish nurses and faith communities?
  • How would such partnerships be beneficial?

NRS 433 Week 2 DQ’s + Assignment – 2025 NRS 433V Week 2 Topic 2 DQ1 Qualitative data has been described as voluminous and sometimes

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NRS 433 Week 2 DQ’s + Assignment – 2025

  

NRS-433V Week 2 Topic 2 DQ1 

Qualitative data has been described as voluminous and sometimes overwhelming to the researcher. In what ways could a researcher manage and organize the data? 

Topic 2 DQ2 

Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale.

Assignment 1 PICOT Statement and Literature 

The first step of the EBP process is to develop a question from the nursing practice problem of interest. Select a practice problem of interest to use as the focus of your research. Start with the patient and identify the clinical problems or issues that arise from clinical care. Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project. The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study). Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem. Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts. Suggestions for locating qualitative and quantitative research articles from credible sources: 1. Use a library database such as CINAHL Complete for your search. 2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section. 3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative. To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. https://www.guideline.gov/(week 1) 

English Mod 4 SLP/Case – 2025 Module 4 Case PERSUASIVE WRITING Case Assignment Note Module 4 SLP should be completed before the

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English Mod 4 SLP/Case – 2025

Module 4 – Case

PERSUASIVE WRITING

Case Assignment

Note: Module 4 SLP should be completed before the Module 4 Case.

Module 4 Case is a Persuasive essay in which the writer encourages the reader to give in some way to a worthy cause. The writer must first select a licensed not-for-profit organization with a web presence before identifying a specific audience and appeal(s). Please note that giving comes in all shapes and sizes and not just financial contributions.

A significant part of persuasive writing is appeal. Various appeals in your essay may be used to encourage your target audience to act. It may be helpful to imagine you’re writing a persuasive speech in which you must capture your audience’s attention, reel them in with specific details (and appeals), and then seal the deal with the close in which you leave them with a lasting impression.

As always, a well-organized essay has a beginning, middle, and an end. The beginning, or introduction, should include an opening sentence to grab your reader’s attention. Follow the opening sentence with a brief background on the organization or cause. The last sentence of the introduction is the thesis statement. The thesis statement would likely be the ways in which your reader can “give.”

A well-supported essay includes supporting points, details, and examples. For this essay, you must decide the best way to organize the body of the paper. Each body paragraph must have a topic sentence that states the main point of the paragraph. Perhaps each paragraph could explain in detail the specific ways to give.

This essay must include no less than FOUR SOURCES (the organization’s website may be one).

This essay must include no less than EIGHT citations and should be a combination of direct quotations and paraphrased quotations with or without the author’s name.

Please note that copying information word-for-word from a website is plagiarism. It is important that you use the information and cite accordingly. Plagiarism is a serious offense and grounds for failure. Please ask any questions before submitting questionable work.

The conclusion typically summarizes the main points of the essay and/or closes with a lasting impression. This might be a great place to explain to your reader the value of giving as well as provide contact information to get involved.

The essay must also include a Reference List that includes the website used (as well as others, if applicable).

Be sure to proofread your essay and edit for proper grammar, punctuation, diction (word choice), and spelling, as errors in sentence skills will lower a final grade. A grade will be determined based on the Module 4 Case expectations and the Trident University General Education rubric for English.

Papers must be double-spaced in Times or Times New Roman font (12 cpi) with standard one-inch margins.

While the first person “I” is not typically used in a formal essay, it may be used if you have a personal connection to the organization as credibility can be an effective tool in persuasion.

Assignment Expectations

  • Write a persuasive essay (no less than SIX pages in length) that encourages the reader to “give.”
  • Demonstrate the ability to make and support a Persuasive claim in a well-supported, organized, and cohesive essay.
  • Demonstrate an understanding of audience appeals and the ability to use appeals effectively in persuading the reader

 ———————————————————————–

 4 – SLP

PERSUASIVE WRITING

Note: Module 4 SLP should be completed before the Module 4 Case.

  1. Prepare a rough draft for the essay assigned for the Module 4 Case.
  2. Prepare a References Page for the essay assigned for the Module 4 Case.

SLP Assignment Expectations

Prepare a rough draft and references page for the essay assigned as the Module 4 Case.

Nursing critique paper – 2025 For this project you will select and critique a nursing theory of your choice You will

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Nursing critique paper – 2025

For this project, you will select and critique a nursing theory of your choice.  You will:

  1. Write an original paper.
  2. Submit it to the dropbox for a grade based on the rubric.

The following are some conceptual models and theories you may choose from; however, you may choose any nurse theorist:

  • Florence Nightengale’s Environmental Model
  • Dorothy Johnson’s Behavioral System Model
  • Hildegard Peplau’s Interpersonal Process Theory
  • Dorothea Orem’s Self-Care Deficit Theory
  • Ida Jean Orlando’s Nursing Process
  • Sister Calista Roy’s Adaptation Model
  • Madeleine Leininger’s Theory of Culture Care Diversity and Universality
  • Jean Watson’s Nursing as Caring Theory
  • Margaret Newman’s Health Expanding Consciousness
  • Martha Roger’s Science of Unitary of Human Being
  • Abdellah’s Patient-Centered Approaches Theory

Steps to follow to do your critique:

  • You can visit the Fitne website to watch videos about the above mentioned theorist.
  • You  can use the Internet to find a journal or articles that provides an  analysis and critique of a theory of nursing as a resource to start  working with your own critique. 
  • You need to login entering the following information:
      
    • Username: medical center campus
    • Password: medical
    • Under the Nurse Theorists: Portraits of Excellence (Volume I) link select the theorist of your choice
    • On the left navigation area select a topic to view
       
  • You must use the criteria for analysis and critique of theories in Chapter 1 of the George text book. 
  • You  will select the link “Library Resources” found under the “NUR3846 –  Library” tab (located on left-side of screen) to do your research and  complete your literature review of the model/theory you selected.
  • You may physically visit the library in person as well, and ask for help from the library staff.

Your critique must have the following headings and follow APA Guidelines.

  Topic Description    

Meaning

(30 pts.)

 

  • Describe the main ideas of the theory (should include the assumptions under which the theory operates).
     
  • What are the main concepts?
     
  • What are the main relationships between the concepts?
     
  • How do different concepts affect each other?
     

 

Origins of the Theory

(30 pts.)

 

  • What was going on in the profession of nursing or in American society that may have influenced the theory?
     
  • What values, theories, evidence, and/or existing knowledge did the theorist cite as support for the theory?
     
  • What motivated the theorist to write the theory?
     
  • What approach to theory development did the theorist use?
     

 

Usefulness

(20 pts.)

 

  • How useful is this theory in practice?
     
  • Is the theory practical and helpful to nursing?
     
  • Does it contribute to understanding and predicting outcomes?
     
  • Cite an example/case study where this theory could be used.
     

 

Testability

(10 pts.)

 

  • How testable is this theory?
     
  • Has this theory generated research? How many and what types of studies?
     
  • Give one example of a study done using the theory
     
  • What types of statements are the propositions?
     

 

Overall Evaluation

(10 pts.)

 

  • Is the theory comprehensive and specific?
     
  • How general is the theory?
     
  • Summarize the strengths and weaknesses of the theory.
     
  • Why  would you use or not use this theory in your own advanced practice?  (Begin to think about the your presentation “Synthesis of Nursing  Theory”).
     

Nursing Theory – 2025 Topic Overview of Nursing Theory 4 Grand Nursing Theorist Assignment CLC Group Project Agreement Details This is a CLC assignment

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Nursing Theory – 2025

  

Topic: Overview of Nursing Theory #4

Grand Nursing Theorist Assignment: CLC Group Project Agreement 

Details:
 

This is a CLC assignment.

A four topic or stages and an outline is required

The purpose of this assignment is to have a clear understanding of the elements of a theory and to apply a theory to practice. The CLC group must use a grand theory or a high-level mid-range theory.

The group will create a report for a practice committee at a health care institution. The objective is to convince your peers of the value of using a specific theory to guide practice and evaluate care.

Since the text does not provide adequate information on any one theory for the purpose of this assignment, further research through nursing theory websites (general and specific), as well as theory texts specific to individual theories, will be required.

Begin the assignment by identifying a theorist and providing the rationale for the group’s selection.

Prepare this assignment according to the guidelines of APA Style Guide, 

Plagiarism is Unacceptable

NURS 6241 Strategic Planning in Healthcare Organizations – 2025 Post by Day 3 and Respond by Day 6 To participate in this Discussion Week 8 Discussion Course Project

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NURS 6241 Strategic Planning in Healthcare Organizations – 2025

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 8 Discussion

Course Project: Developing a Strategic Plan

Section 3: Balanced Scorecard

As you continue to develop your Course Project, it is important to consider how to evaluate the effects of your planned change on performance. Based on the work you have done thus far on your Course Project, this week you create a balanced scorecard.

To prepare:

Section 3: Balanced Scorecard

To prepare:

As introduced in Week 8,continue to refine your balanced scorecard. (Refer to Week 8 for the preparatory instructions as necessary.) Your balanced scorecard is one tool you can use to evaluate the effects of your planned change on performance.

To complete:

  • Create a balanced scorecard that could be used to measure and evaluate the impact of your planned change on performance, and determine if the costs are justified in terms of the outcomes.
  • Include what you would measure in terms of finances, customers, internal process, and learning and growth.

Section 4: Budgeting and Timeline Tools

As you have been examining this week, budgeting and timeline tools are vital for determining necessary resources and planning for a proposed change. For your Course Project, you use these types of tools to assess resources that may be required for the successful implementation of your strategic plan.

To prepare:

  • Review the information on budgeting in this week’s Learning Resources. Which tools (e.g., Revenue Projection Model, Capital Budgeting Analysis, Depreciation Calculator, Profit and Loss Projection) would be most useful for developing your strategic plan? 
  • Use one or more budgeting tools to outline the financial resources for your proposed change. Reflect on any challenges that arise as you evaluate the financial resources required for this change now and in the future.
  • Review the information on PERT and other timeline tools in this week’s Learning Resources, including Dr. Huston’s presentation in the media program.
  • Use PERT or another tool to analyze and represent the activities that need to be completed to successfully plan and implement your proposed change. Be sure to note dependencies (e.g., a task/milestone that must be completed in order to trigger the next step) and realistically assess the minimum time needed to complete the entire project.  

To complete:

  • Outline the financial resources for your proposed change. Describe the budgeting tool(s) you used to arrive at these determinations. Explain what challenges, if any, you encountered through the budgeting process. Provide documentation (e.g., Excel worksheets) to support your analysis.
  • Outline the timeline for the implementation of your proposed change using PERT or another timeline tool. Consider how your timeline can allow leeway for variance.

Technology and Cost Containment – 2025 Technology and Cost Containment In response to continually rising health care costs the Health Information Technology for

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Technology and Cost Containment – 2025

  

Technology and Cost Containment

In response to continually rising health care costs, the Health Information Technology for Economic and Clinical Health (HITECH) provision was created to promote the meaningful use of health care information technology through numerous incentive programs for health care providers. By enhancing data collection, streamlining electronic medical records, and increasing transparency, it is believed that significant cost savings can be realized as well as other positive outcomes. What are some of the tradeoffs involved in this type of policy?

To prepare:

  • Reflect      on the challenges of containing health care costs in the U.S. presented in      the Learning Resources and discussed by Dr. Kominski and Dr. Zelman in the      media.
  • Consider      how information technology may be used to address health care issues      related to cost.
  • Examine      the Health Information Technology for Economic and Clinical Health      (HITECH) provision and its goals.

By tomorrow 03/272018 12 pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive response that addresses the following:

1) Briefly summarize a significant challenge to containing health care costs.

2) How do policy makers envision technology could be utilized to address this challenge (above)? Provide at least one example to support your response.

3) Do you agree or disagree with the policy makers? Describe why you agree or disagree and include one or more insights from this analysis that relate to the question of how information technology could, or could not, help contain costs while supporting health care reform initiatives.

Required Readings

Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed.). New York, NY: McGraw-Hill Medical.

  • Chapter      8, “Painful Versus Painless Cost Control”

         Chapter 8 focuses on the relationship between health care costs and health      outcomes and its importance on the health policy agenda. This chapter also      presents strategies for effectively utilizing resources as opposed to      rationing health care services.

     

  • Chapter      9, “Mechanisms for Controlling Costs”

         Chapter 9 examines an array of policies aimed at controlling health care      costs and reviews specific financial and reimbursement cost containment      methods to health outcomes.

Buntin, M., Jain, S., & Blumenthal, D. (2010). Health information technology: Laying the infrastructure for national health reform. Health Affairs, 29(6), 1214–1219. doi: 10.1377/hlthaff.2010.0503 

In this article, the authors examine the role of health information technology as a major component in the restructuring of health care. They suggest it will improve quality, reduce costs, and allow for seamless access to data across providers.

Margolius, D., & Bodenheimer, T. (2010). Transforming primary care: From past practice to the practice of the future. Health Affairs, 29(5).

The authors propose a primary care practice of the future in which physicians act as leaders of a team of health care professionals. Reimbursement would shift from a pay-per-service model to a comprehensive model that incorporates both a standardized payment per patient and performance pay based on improved patient health outcomes.

Maxson, E., Jain, S., McKethan, A., Brammer, C., Buntin, M., Cronin, K., … Blumenthal, D. (2010). Beacon communities aim to use health information technology to transform the delivery of care. Health Affairs, 29(9), 1671–1677. doi: 10.1377/hlthaff.2010.0577

Monheit, A., Cantor, J., DeLia, D., & Belloff, D. (2011). How have state policies to expand dependent coverage affected the health insurance status of young adults? Health Services Research, 46(1), 251- 267. 

Young adults (19-29 years of age) are one of the highest uninsured segments of U.S. population. Some states have mandated extended dependent coverage; however, the study presented in this article depicts little effect on uninsured rates. The authors suggest that the PPACA 2010 provision mandating expanded dependent coverage will have better success because more health plans will be involved in the mandate.

Rosenthal, M., Beckman, H., Forrest, D., Huang, E., Landon, B., & Lewis, S. (2010). Will the patient-centered medical home improve efficiency and reduce costs for care? A measurement and research agenda. Medical Care Research & Review, 67(4), 476–484. 

This article discusses the use of Patient-Centered Medical Homes (PCMHs) as a cost containment strategy. The authors maintain that credible research needs to be conducted to evaluate the actual results.

Steuerle, C. E., & Bovbjerg, R. R. (2008). Health and budget reform as handmaidens. Health Affairs, 27(3), 633–644.

Wilensky, G. (2010). Health economics. Information Knowledge Systems Management, 8, 179–193.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Cost containment. Baltimore: Author. 

In this media presentation, Dr. Gerald Kominski and Dr. Walter Zelman discuss the challenges policy makers face in containing health care expenditures and costs.