Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. 

Total Points Possible: 200  

Requirements: 

The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care and measurement of patient outcomes with set standards.

Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:

• Effectiveness of Care.
• Access/Availability of Care.
• Experience of Care.
• Utilization and Risk Adjusted Utilization.
• Health Plan Descriptive Information.
• Measures Collected Using Electronic Clinical Data Systems

You may access the 6 domains of care by clicking this link:

(NCQA, n.d. https://www.ncqa.org/hedis/ (Links to an external site.))

As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.

Write a formal paper in APA format with title page, introduction, the three required elements below, conclusion and reference page.

You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal and Postpartum care, etc.

Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.

How would these primary care interventions result in improved patient outcomes and health care cost savings?

How can these interventions result in improved NP patient ratings?

 3 paragraph of at least 4 sentences. 2 cited sources not older than 2015

There are many factors a person can consider that young males could hear and help improve overall health. One for example and the most simple one is the use of protection during sex or contraception. Having unsafe sex contributes to the decreased health of women and children, it could be the woman having problems with birth or lack of support necessary to be able to support a newborn baby and the same goes for a baby, they need a lot of time and effort and sometimes unsafe sex leads to unwanted children and so the baby will receive not receive the support or attention needed to be cared for properly. Understanding how important it is to be safe and using protection could help again the decreased health of these groups and would benefit a lot. Something else young males can learn to improve overall health is to understand the negative effects of drugs and alcohol use, drug use is something that affects the world and many people aren’t educated on how harmful it can really be. To ask for no use of these harmful drugs is not what I am asking for but instead to educate young males and others to understand what it is they are doing and in educating them on the negatives hopefully they can see how important it is to take care of yourself and those around them and they could lower their usage or even stop entirely if possible to unhealthy addictions. The third and final factor that young males and even most teenagers and adults could address is the lack of physical activity that leads to obesity. Simply exercising a little would help towards fixing some issues and of course not all of them but it is a big step towards working together to achieve the goal of overall health. 

  *Perform an academic search and locate articles from peer-reviewed journals that discuss a health disparity found in the Asian American and Native American communities. Discuss your findings and the impact APNs can make to eliminate these disparities. 

Make 2 post one for  Asian Americans and the other for Native American communities.  Both responses should be a minimum of 200 words each one , scholarly written, APA formatted, and referenced.  A minimum of 2 references are required (other than your text).

Introduction

According to the 2010 US census, the Asian American/Pacific Islander (AAPI) community is made up of about 18.2 million people or 3.6% of the population of the U. S. there are five major Asian populations in the US: Chinese, Korean, Japanese, Filipino and Southeast Asian. The AAPIs have origins in at least 29 Asian countries and 20 Pacific Islander countries. There are as many languages, cultures and religions found in this population.  More than 100 different languages spoken and just as many cultures and religions found in this population. The largest group of Asians is Chinese followed by Filipinos. Many Asians came to the U. S. seeking both a better life and employment.

Although Asian groups are very diverse in terms of culture, language, etiquette and rules for interaction, a common thread of Confucian, Buddhist and Taoist thought links their health care beliefs and practices and are derived from Chinese tradition.  When planning for or providing care to the Pacific Islanders, the APN should utilize a Chinese frame of reference because less is known about this group. 

The term Native American refers to the indigenous people of North, South, and Central American and includes American Indians and Alaska Natives (AI/AN) (Kosoko-Laski et al, 2009). About 5.2 million people identify as being American Indian or Alaska natives. This American Indian population is confined to 26 states in the US with most in the western part of the country.  The largest AI populations by tribes are Cherokee, Navajo, Choctaw, Mexican American Indian, Chippewa, Sioux, Apache, Blackfeet, Cree, and Iroquois.   The largest AN population are Yup’ik, Inupiat, Tlingit-Haida, Alaskan Athabascan, and Aleut and Tsimshian.

This population is highly diverse with 573 federally recognized tribes and several others not federally recognized.  Federally recognized tribes are provided health and education assistance from the Indian Health Service, US Department of Health and Human Services.   Depending on their geographical location, cultural practices, and language, life situations differ considerably.

Learning objectives for the module:

At the end of this module, the student will be able to:

1. Discuss health and illness behaviors of Asians/Pacific Islanders
2. Identify current healthcare problems of Asians/Pacific Islanders
3. Describe cultural barriers to health care for the Native American
4. Discuss health disparities of the Native American population

Readings: 

• Andrews.& Boyle, J. Chapters 7, 10

Articles:

• Out of the shadows: Asian Americans, Native Hawaiians, and Pacific Islanders: https://wilkes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105191181&scope=site
• A Nationwide Population Based Study Identifying Health Disparities between AI/AN and the General Population: https://wilkes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106340971&scope=site

Write a 2 page essay about the following topic: “Freud’s Psychosexual Stages of Development“

DISCUSS: 

1— the stages

2— periods of life

3— age cohorts

4— positive resolutions (per stage)

5— negative resolutions (per stage)

6— real world example (per stage)

Include 5 references within the last 5 years, academic databases.

APA style

Read the article by Patricia Benner Novice to Expert Theory Explained

HW: in Discussion 1, write about  ONE of the nursing theories discussed in class, in the videos, or in the Text book. Be sure to state the level of theory (grand, middle, etc) then a paragraph that explains the basics of the theory, then a paragraph in which you give your thoughts and impressions about the theory. You can compare it to other theories, or cite your experience in health care (either as worker or patient). 

You must cite all references used in the discussion

300 to 350 words.