Advanced practice nurses should be able to critique, evaluate, and use theory.  They should be able to integrate and apply a wide range of theories from nursing and other sciences into a comprehensive and holistic approach to care.
After reflecting on the readings, discussions, and the concepts you have learned in this course address the following:Discuss three concepts that you learned during this course.How can you apply these concepts to your existing or future practice?Supplement your discussion with personal and professional experiences.Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.Please be sure to validate your opinions and ideas with citations and references in APA format.  

Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussions and any insights gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Explain the flow of funds within an organization including private pay and third party reimbursement.

Assignment Description: This assignment will be at least 1000 words or more

This week you will reflect upon accountability in healthcare to answer the following questions:

• How can you prevent abuses and inefficiencies in third party payments?  
• Briefly define the flow of funds in the Care Organization.
• What challenges do consumers face who are enrolled in private insurance?
• What methods can you use to empower the consumer?

Assignment Expectations: How will students be successful?

• Length:
  • 1000-1250 words (4-5 pages); answers must thoroughly address the questions in a clear, concise manner
• Structure:
  • Include a title page and reference page in APA style
• References:
  • Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions
• Format:
  • Save your assignment as a Microsoft Word (.doc or .docx), Open Office (.odt) or rich text format (.rtf) file type
• File name:
  • Name your saved file according to your last name, first initial and the week (for example, “jonesb.week1”)
• Submission:
  • Submit your assignment to the Drop Box

********DUE IN 5 HOURS*************

Please write at least 150 words PER question (600 words) and cite a reference per question. 

1. Provide an overview of what a behavioral health healthcare venue is and how these services compare to more traditional healthcare venues. In your response, please be sure to also include your personal thoughts related to each venue.

2. Consider the purpose of the Joint Commission in terms of how care is delivered in the United States. What does this mean to you in terms of quality of care for patients?

3. Provide an overview, in your own words, of what purpose a Forms/Documentation Committee serves for a Healthcare Organization. Be sure to include how this ultimately impacts patients downstream.

4. Think of a time where you had to fill out forms that seemed to be incredibly redundant when visiting a healthcare provider. What are some ways that medical record redundancies can be reduced using your personal experience?

Comment 1

I agree with you that over use of NSAIDS is probable for his development of peptic ulcer disease (PUD).  All though Mr. C is essentially taking three medications, the dosing schedule really requires a high level of compliance. It is very important to stress the importance of maintaining a steady regime.  Some of the complications of PUD include “bleeding, perforation, and gastric outlet obstruction with hemorrhage being the most common complication” (Fashner & Gitu, 2015). 

Comment 2

Before Mr. C would undergo surgery, he would need an extensive psychosocial evaluation to determine if he is an appropriate candidate. During the examination, several aspects of Mr. C’s life would be assessed, such as, eating pattern, history of weight loss attempts, family history, substance use history, cognition, social support, coping skills, adherence and motivation/expectation about the surgery (Marek et al., 2016, p. 1143). As someone in the medical field, I would want to know how serious Mr. C was about wanting to lose weight and have him on a trial diet regimen for a few months to see if he can be compliant. I wouldn’t suggest that he undergoes bariatric surgery if he was unwilling to change his lifestyle prior to the procedure.  

Comment 3

 like that you brought up a mental health issue with Mr. C as one of his actual/potential problems. There have been many studies regarding obesity and mental illness and it made me look deeper into research. I read in a recent study that lack of exercise can decrease serotonin synthesis and worsen depression and anxiety (Lu et al., 2018, p. 4). Also, because of the stigmatism of obesity, some people become socially isolated and are less likely to eat healthy (Lu et al., 2018, p. 4). On the other hand, depression and/or anxiety could’ve begun 2 to 3 years ago for Mr. C and therefore has resulted in the increased weight gain.