HA4070D – Regulatory Environment in Health Care

Discussion 06: Selecting a Plan

Base this discussion on the Problem on page 261 of your text labeled “Choosing Health Insurance”. Defend your plan selection with material from the text.

From what you have learned so far, which of the following insurance plans listed below do you personally prefer, assuming each one costs the same? Defend your choice (both your selection and rejections) with reasons drawn from these readings:

.Plan A: Covers the full range of medical care, subject to standard medical necessity or experimental exclusions, without any deductibles or copayments, but you must receive all care at an HMO clinic where doctors are paid a bonus for saving money.

.Plan B: Excludes mental health and preventative care, and the rest is subject to a $200 deductible and 20 percent copayment up to a maximum of $1,500 per year. Your choice of doctor, but all expensive treatments must be submitted for prior approval by the insurer to determine medical appropriateness.

.Plan C: Covers the full range of medical care, with no major exclusions and your choice of doctor, and no prior authorization requirement, but subject to a $3,000 deductible.

.Plan D: Coverage is defined in an approach similar to the Oregon plan, only using 5,000 specific categories of inclusion and exclusion taken from the latest practice guidelines based on medical research, as selected by a national panel of politically appointed experts. No other restrictions or financial limitations.

Base your discussion on material from the text and your own experience. Cite sources when necessary. Remember to write 150 words in complete sentences.

The Law of Health Care  Finance & Regulation-Vitalsource Bookself-username-crtshhill49@yahoo.com-Password-#magicMAN61

A healthcare organization allows for mandatory overtime in the case of staffing shortages. You are the supervisor on shift and there is a staffing shortage for one RN for 4 hours into the next shift. There are five RNs currently working. What factors do you take into account in deciding which RN will be required to remain to cover the shift? 

word count 300 APA format references within 5 years.

Recommend a quality or safety initiative that addresses a shortfall in quality and/or safety (Frequent Detox readmissions) in your current precepted experience environment (or simulation). Include the principles of quality improvement, health care policy, ethical and legal considerations, cost-effectiveness and means to monitor the initiative over time. 

The paper needs to be between 5-8 pages in length in APA format in text citation  with a SWOT analysis and implementation timelines and plan as appendices. please provide turnitin report.

Grading Rubric:  

1-Identify the quality or safety concern within the clinical practice and implication of the concern.

2- Recommend an evidence-based quality or safety initiative.

3- Discussion of implementation of the safety initiative: include principles of quality improvement, healthcare policy, and cost-effectiveness.

4- Discussion the SWOT analysis and timeline.

5- How the weaknesses and threats to the initiative will be mitigated  in your current precepted experience environment (or simulation). Include the principles of quality improvement, health care policy, ethical and legal considerations, cost-effectiveness and means to monitor the initiative over time. 

The paper needs to be between 5-8 pages in length in APA format in text citation  with a SWOT analysis and implementation timelines and plan as appendices. 

Grading Rubric:  

1-Identify the quality or safety concern within the clinical practice and implication of the concern.

2- Recommend an evidence-based quality or safety initiative.

3- Discussion of implementation of the safety initiative: include principles of quality improvement, healthcare policy, and cost-effectiveness.

4- Discussion the SWOT analysis and timeline.

5- How the weaknesses and threats to the initiative will be mitigated  

Recommend a quality or safety initiative that addresses a shortfall in quality and/or safety (UTI) in your current precepted experience environment (or simulation). Include the principles of quality improvement, health care policy, ethical and legal considerations, cost-effectiveness and means to monitor the initiative over time. 

The paper needs to be between 5-8 pages in length in APA format in text citation  with a SWOT analysis and implementation timelines and plan as appendices. Please provide turnitin report. 

Grading Rubric:  

1-Identify the quality or safety concern within the clinical practice and implication of the concern.

2- Recommend an evidence-based quality or safety initiative.

3- Discussion of implementation of the safety initiative: include principles of quality improvement, healthcare policy, and cost-effectiveness.

4- Discussion the SWOT analysis and timeline.

5- How the weaknesses and threats to the initiative will be mitigated  

 

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (  not including the title and reference page)

Create a  fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
• Use APA format and include a title page, in-text citations, and reference page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.