Healthcare Policy Case Scenario: A 45-year-old female has requested a copy of her 80-year-old father’s health record. She has presented a power-of-Attorney (POA) and has a legal right to access his records. You provide a copy to the woman, but she has many questions regarding documentation of her father’s diagnosis. He has a Living-Will but the daughter does not have the right to make medical decisions. He was admitted to the intensive-care-unit (ICU) last week from the skilled nursing facility. When discharged, he was transferred to a long-term care facility that is part of the same healthcare system.

Instructions:

1. Explain the continuum of healthcare delivery across systems and services. 

2. Use the case scenario to provide examples of a continuum of care in a healthcare system.

3. Evaluate the case and impact of policies on healthcare delivery.

4. Determine one U.S. federal, one state, and one local level healthcare policy that may impact the case.

5. Evaluate the impact of the patient’s age, the relationship of the requestor, and the POA for health record access.

6. Assess the impact of a Living-Will and why the daughter may/may not have the right to make medical decisions.

7. Interpret each policy, in relation to the case.

8. Justify your rationale for applicable policies.

9. Evaluate how the policy affects national and global health delivery systems, both directly and indirectly.

Read the following vignette about a child with ADHD and answer each of the three questions at the end:

Scott  is 8 years old. At 7 AM, his mother looks into Scott’s bedroom and sees  Scott playing. “Scott, you know the rules: no playing before you are  ready for school. Get dressed and come eat breakfast.” Although these  rules for a school day have been set for the past 7 months, Scott always  tests them. In about 10 minutes, he is still not in the kitchen. His  mother checks his room and finds Scott on the floor, still in his  pajamas, playing with miniature cars. 

Ten  minutes later, Scott bounds into the kitchen, still without socks and  shoes, and hair tousled. “You forgot your socks, and your hair isn’t  combed,” his mother reminds him. “Oh yeah. What’s for breakfast?” he  says. “Scott, finish dressing first.” “Well, where are my shoes?” “By  the back door where you left them.” This is the specially designated  place where Scott is supposed to leave his shoes so he doesn’t forget.

Scott  starts toward his shoes but spots his younger sister playing with  blocks on the floor. He hurries to her. “Wow, Amy, watch this—I can make  these blocks into a huge tower, all the way to the ceiling.” He grabs  the blocks and begins to stack them higher and higher. “Scott makes a  better tower than Amy,” he chants. Amy shrieks at this intrusion, but  she is used to Scott grabbing things from her. The shriek brings their  mother into the room. She notices Scott’s feet still do not have socks  and shoes.

“Scott,  get your socks and shoes on now and leave Amy alone!” “Where are my  socks?” he asks. “Go to your room and get a clean pair of socks and  brush your teeth and hair. Then come eat your breakfast or you’ll miss  the bus.”

1. What sort of problems would you expect Scott to have at school? 
2. What are some teachings you might provide for this parent?
3. What interventions would give Scott the best chance of having positive outcomes? 

PMHNP Interventions

Introduction and Alignment

The PMHNP should be familiar with current complementary and alternative therapies and use this knowledge to guide effective treatment decisions and client teaching.

Upon completion of this assignment, you should be able to:

• Discuss pharmacological and nonpharmacological treatment alternatives available to clients in the psychiatric – mental health care setting and potential benefits and/or rationale for their use.
• Review current literature regarding dietary supplements, herbal therapies, and psychoactive herbs, and identify potential dangers associated with its use.
• Recommend PMHNP interventions that are aimed at promoting client safety for individuals who choose to use complementary and alternative medicine.

Resources

• Textbook: Sadock, Sadock, and Ruiz (2015) – Chapter 24; Complementary and Alternative Medicine in Psychiatry

Instructions

1. Do a literature search for current literature related to complementary and alternative medicine use in mental health care. Look at both pharmacological and non-pharmacological approaches.
2. Make a table of at least 6 articles and list the following components:
   1. Citation of article
   2. Therapy discussed
   3. Take home points – how used, for what diagnoses, etc.  including patient safety data
   4. Would you recommend this for patients that you care for?
3. Develop a 2-3 paragraph summary of your support for or against the use of complementary and alternative medicine in your future practice, giving reasons to support.
4. Navigate to the threaded discussion forum and post a copy of your work (in a word document) by the fifth day of the workshop.
5. Respond to at least two peers’ postings by the end of the workshop.

Total Points

70

Health informatics 1000 words due in 10hrs 

Part of the job of the public health informatician is to develop the tools required to translate between clinical and public health worldviews as they relate to information system development and data sharing across the specialties.

1. 200 words — as a clinical leader, by what means would you advocate to enable this sharing of health information using public health informatics?

2. 200 words — What specific tools/ computer software is currently being used to enhance health information shearing across different countries? What impact has these two have on population groups?

3. 200 words — What are current world views related to information sharing in clinical and public health? Are they receptive of this form of technology? provide example to support each point.

4. 200 words –Go to Youtube and find 2 video that discusses public health informatics. Summarize the video and explain how it relates to public health informatician. Provide the LINK for the video. 

5. 200 words– Find a research article that discusses public health informatics. Summarize the article and explain how it relates to public health informatician.

Paper should be in APA 7th edition format with subheading for each section. Include at least 4 source including the textbook. 

Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.