The Standards for Quality Improvement Reporting Excellence (SQUIRE)   guidelines provide some guidance on the evaluation of quality   improvement efforts. They are used as both grant proposal and   manuscript preparation guides. Use the “Revised Standards for   Quality Improvement Reporting Excellence: SQUIRE 2.0” resource to   respond to the following:

Discuss how your project/prospectus fits into the SQUIRE guidelines.   Explain why your project is a quality improvement project and not a   research project. 1 page, APA.

Read: Revised standards for quality improvement reporting excellence:   SQUIRE 2.0. (2017).

URL: http://squire-statement.org/index.cfm?fuseaction=Page.ViewPage&PageID=471
  
 

EPIDEMIOLOGY ASSIGNMENT

INSTRUCTIONS:

1. Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative. Pay close attention to the objectives, goals, and indicators.

2. Using your city (MIAMI, FL) or county public health department or the CDC, choose 3 population or community based problems such as disease, disaster, crimes, accidents, falls etc… from the topics outlined in the website and prepare an analysis discussing how these 3 conditions, affect your community and how they were identified and a plan of action to contained them base on healthy people 2020.

3. You can also use the following CDC link https://www.cdc.gov/outbreaks/index.html and identify 3 community infectious outbreaks such as measles and develop the assignment.

The presentation must be in APA format with a minimum of 1500 words (excluding first and references page) with a minimum of 4 evidence-based references using the required Arial 12 font. Must include the zip code of the city or county chosen. Follow the APA example paper that was sent to you at the beginning of the course for guidance. Make sure references are used according to APA guidelines and electronic references must be from reliable sources such as CDC.

The assignment will be post it in the discussion tab of the blackboard for grading and in the SafeAssign exercise in the assignment to verify originality. FNU only accept 35% of plagiarism. I will not accept any assignment that exceeds the percentage of plagiarism establish by the university. 

Motivation and Behavior

You are in charge of developing a team-building activity to improve  collaboration and increased communication for your team members. You are  the newly promoted manager. Your department is closing for the day so  you have four hours together in a team environment.

Review the following details of team members:

• Rosanna (46) and Mary (20) are two staff members who do not get  along. Rosanna is quiet and a loner. Mary is outspoken, and talks about  her personal life to friends.
• Cindy, (35), and Lolita, (40), are part-time staff. They are  stressed due to economy. They interact with full time staff, but full  time staff think they complain too much and shouldn’t because they are  part time
• Chip is a twenty-three-year-old maintenance worker who works  part-time job at night, in addition to full-time role. He is often  tired.
• Samir is fifty-five, works full-time, and cannot wait until retirement.
• Sarah (52) is a negative department manager who complains. She is a strong informal leader and has influence over the group.
• Jerry is twenty-four and in graduate school. He has a positive  attitude and is not motivated because no one likes to work together.

You need to divide the team into three groups. Remember this is a team-building activity.

• How will you make the determination which members to put together?
• Should members, who have a negative attitude, be placed with members who are positive? Why or why not?
• How will a negative manager affect the overall group dynamic as opposed to a positive leader who wants to see the team develop?
• How influential can an informal leader be among team members?
• What barriers to effective teamwork can you anticipate and how will it be addressed?

Submission Details:

• Your presentation should consist of 12–15 professional color  Microsoft PowerPoint slides (not including the title and reference  slide) along with detailed speaker notes to include examples to support  each slide.
• Support your responses with examples.
• Cite any sources in APA format
• Present the additional information in the Notes section.

Please answer the following questions in your own words to the best of your understanding. If you find evidence that is not from the Gordis text, please cite it in APA Style.

1. An investigator examined cases of fetal death in 27,000 pregnancies and classified mothers according to whether they had experienced sexual intercourse within 1 month before delivery. It was found that 11% of the mothers of fetuses that died and 2.5% of the mothers of fetuses that survived had had sexual intercourse during the period. It was concluded that intercourse during the month preceding delivery caused the fetal deaths. What guideline(s) did this researcher fail to take into account? Why is the conclusion reached by the investigator incorrect? (3 pts)
2. How would you relate association and causation? Are these terms the same thing? (3 pts)
3. How could an epidemiological study prove causation? Other than the examples in the book, can you discuss another example of how an epidemiological study proved causation? (3 pts)
4. Give examples of indirect and direct causation associated with experiences in everyday life. (3 pts)
5. Give an example of a time you experienced what you thought was causation, but turned out to be confounding. This could be an event that has happened to you or a news story that demonstrated confounding. (3 pts)

Please remember to number your responses appropriately

 It is unfortunate that here in The United States, we fall so short concerning our health care system. With advancements in technology and high-tech devices for care, it may seem to some that we, as a country, are providing impeccable health care to our citizens. Providing the best innovations to patients is one thing, but not having access to them is our downfall. Despite the healthcare systems best efforts to ensure everyone has access but enacting programs like what the Affordable Care Act offers, there still were “26% of U.S. adults 19 to 64 years of age had a gap in their insurance in 2011; in 69% of those, the gap lasted longer than a year.” (Carter, 2012)
People lose their access to healthcare for many reasons. In some cases, citizens lose their employment which had previously provided their healthcare their benefits. A study published in 2017 by Nicholas A. Jolly and Brian J. Phelan, reported that an individual without children who lost their job was highly unlikely to seek alternative health insurance coverage that is no longer supplied by their previous employer. (Jolly, N. and Phelan, B., 2017). The reason being they stated is because individuals with children were more likely to be married and could seek alternative insurance through their spouse. (2017) According to the most recently available information provided by kkf.org, even here in Massachusetts, 55% of people were on employer-provided health insurance in 2018. (“Health Insurance Coverage of the Total Population”, 2020)
Another group often experiencing gaps in insurance coverage are young adults. It is said that this particular group sees the most changes in insurance eligibility or changes than anyone else. (Tilley, L. L. et al ,2018). Tilley reports the reasoning behind this instability is “due to transitions in employment, income, college status, or family structure”. (Tilley, L. L. et al ,2018) In a study done in California, many young adults would only realize they did not have health care coverage when they were denied payment coverage for a service they were seeking. (2018)
While the gaps in coverage can be explained by employment changes or the lack of health insurance literacy amongst young adults, it is young children in Florida that are found to be without insurance coverage at all. In 2018, Florida reported a 6.2% rate of children uninsured in its state. (Alker, J. and Wagnerman, K, 2018). While it was stated that this is an all-time low due to the Affordable Care Act, any number of uninsured children should be considered significant. (2018) Alker said, “research shows that expanding Medicaid under the ACA 15 for adults leads to a “welcome mat effect” for children; children were less likely to be uninsured as their parents enrolled in Medicaid through the expansion.” (2018) Increasing the parent’s health insurance literacy could improve the lack of coverage in children.

There is no doubt The United States health care system needs improvement. Understanding the trends of why citizens have gaps in covered and why children are being left uninsured will hopefully have a positive outcome in future decisions regarding the system.

Respond to above article in 200-250 : Give an analysis of the impact on quality of care generated by these coverage gaps and the non-financial barriers to access .

Two APA references