Assigment 1 - Management
Read Carefully the Power Point Presentations for Chapter 1 & 2 . Answer the questions attached. Evaluation available until Sunday, 09/05/2021 at 11:00 pm. Copyright © 2008 Thomson Delmar Learning Chapter 1 Understanding Health Systems: The Organization of Health Care in the United States Copyright © 2008 Thomson Delmar Learning 2 Reference Table 1.1 The Development of Health Care • 1850-1900: – Epidemics of acute infections due to unsanitary living conditions. • 1900-1941: – Development of scientific medicine and the beginning of governmental and societal intervention. Copyright © 2008 Thomson Delmar Learning 3 Reference Table 1.1 The Development of Health Care • 1941-1980: – Shift from acute illnesses to chronic illnesses • Classic model of illness – Development of health insurance, and the explosion of medical technology. Copyright © 2008 Thomson Delmar Learning 4 Reference Table 1.1 The Development of Health Care • 1980-present: – Chronic diseases now include illnesses related to environmental hazards and working conditions, a rapid growth in costs due to technology, and an increase in governmental influence. Copyright © 2008 Thomson Delmar Learning 5 Social Organization • 1850-1900: – No formal structure. • 1900-1941: – The development of local hospitals and health insurance plans. • Mid 1960’s: – Implementation of Medicare and Medicaid insurance programs. Copyright © 2008 Thomson Delmar Learning 6 Three Perspectives on the American Health Care System 1. Public policy perspective 2. Management strategy perspective 3. Clinical/patient perspective Copyright © 2008 Thomson Delmar Learning 7 Public Policy Perspective • U.S. health care system is comprised of five individual sub-systems: 1. Employment-related system 2. Poor and uninsured system 3. Veterans Administration system 4. Worker’s compensation system 5. Active duty military system Copyright © 2008 Thomson Delmar Learning 8 The Employment System • Covers approximately two-thirds to three- quarters of the total American population. • Finances one-third of health care expenditures. • Collection of private employers providing health insurance in the private sector. Copyright © 2008 Thomson Delmar Learning 9 The Poor and Uninsured System • Local governments supported by taxes and individual incomes are the sources of financing. • Services are provided by safety-net providers and local hospitals in the public sector. Copyright © 2008 Thomson Delmar Learning 10 The Poor and Uninsured System • Individuals who qualify for state Medicaid programs may obtain care in the private sector. Copyright © 2008 Thomson Delmar Learning 11 The Veterans Administration System • National system operated by the federal government. • Financed by federal tax revenues. • Coverage is only available to military veterans based on length of service or service-connected disability. Copyright © 2008 Thomson Delmar Learning 12 The Workers’ Compensation System • Care is provided to individuals who suffer from injuries or illnesses related to work environments. • Insurance benefits include direct financial support for living expenses and health care. • Both the employer and the employee share the cost of the insurance. Copyright © 2008 Thomson Delmar Learning 13 The Active Duty Military System • Care is financed and provided entirely by the military system for active-duty members. • Private insurance is provided to cover dependents. • Dependents may receive care from hospitals and physicians in the private sector or within the military system. Copyright © 2008 Thomson Delmar Learning 14 Management Strategy Perspective • In the 1980s – Employers began to demand that insurance companies constrain the rising costs of health insurance premiums. • Employers began utilizing managed care policies to reduce their costs. Copyright © 2008 Thomson Delmar Learning 15 Management Strategy Perspective • This resulted in a major shift from a “provider-controlled” health care system to a “payer-controlled” system. Copyright © 2008 Thomson Delmar Learning 16 The Clinical Perspective • How patients obtain care • Basic service components provided to the patients • Perceived quality of care and patient satisfaction Copyright © 2008 Thomson Delmar Learning 17 Table 1.2 The Basic Service Components Health Promotion Emergency Medical Services Ambulatory Care for Simple/Limited Conditions Ambulatory Care for Complex/Continuing Conditions Inpatient Care for Single/Limited Inpatient Conditions Inpatient Care for Complex/Multiple Inpatient Conditions Long-term care (either in-home or institutional services) Services for Social/Psychological Conditions (both inpatient and outpatient) Rehabilitation services (both inpatient and ambulatory) Dental Services Pharmaceutical Services Copyright © 2008 Thomson Delmar Learning 18 Table 1.3 Factors Affecting Utilization Rates Consumer Provider System Signs and symptoms Access mechanisms Contractual arrangements Beliefs Provider incentives Payment mechanisms Insurance coverage Operational systems Legal considerations Income and wealth Technology and medical information Networks and providers Information access and knowledge Referral arrangements Copyright © 2008 Thomson Delmar Learning Technology in the United States Health Care System Chapter 2 Copyright © 2008 Thomson Delmar Learning 2 Health Care Technology “Technology is credited with the benefits of American medicine as well as what ails it. It is the hope for a long, productive life for millions of people, a primary reason for the spiraling costs of care, and the source of many social and ethical dilemmas...” Copyright © 2008 Thomson Delmar Learning 3 Figure 2.1 Classification of Healthcare Technology by Industrial Group • Pharmaceuticals • Medical Devices • Medical Equipment • Medical Processes and Procedures • Healthcare Information Technology Copyright © 2008 Thomson Delmar Learning 4 Figure 2.3 Stages in Development of Medical Technologies 1. Scientific background and development of the idea for a product 2. Product development, approval, and distribution 3. Diffusion, adoption, and utilization of the product Copyright © 2008 Thomson Delmar Learning 5 Stage 1 • Involves a broad array of basic science discoveries that provide a fertile environment from which useful products may eventually emerge. • National Institutes of Health (NIH) plays a critical role in this stage by providing funds to many organizations. Copyright © 2008 Thomson Delmar Learning 6 Stage 2 • Product development – Process of moving from basic research to implementation • Three questions are answered during this phase Copyright © 2008 Thomson Delmar Learning 7 Stage 2 Is there a need and a viable market for this product? Can an appropriate product be developed that accomplishes what the basic science research suggests it can? Can the necessary tests and clinical trials be carried out to win the regulatory approval required for public sale and use of the product? Copyright © 2008 Thomson Delmar Learning 8 Stage 3 • Mixture of scientific promotion to technical experts and general marketing to the health care system. • Availability of health insurance coverage for new products is a major factor in the eventual diffusion and use of new technology. Copyright © 2008 Thomson Delmar Learning 9 Policy Issues 1. Priorities determined by government may take precedence over mandates set forth by the scientific community. 2. The best way to evaluate returns from a public investment in basic science research. 3. Private sector benefits achieved as a result of significant public investments in basic science research. Copyright © 2008 Thomson Delmar Learning 10 Food and Drug Administration • FDA must approve all drugs and pharmaceuticals, all medical devices, and some medical equipment. • Clinical trials conducted during Stage 2 are central to FDA regulatory approval. Copyright © 2008 Thomson Delmar Learning 11 Specific Methods for Evaluating Medical Technologies • Review by regulatory agencies • Technology assessments used by health insurance carriers Copyright © 2008 Thomson Delmar Learning 12 Review by Regulatory Agencies Copyright © 2008 Thomson Delmar Learning 13 Preclinical Testing • Sponsor must evaluate the product’s safety and biological activity through in vitro and in vivo animal testing. • Sponsor must: – Develop pharmacologic profile of product’s effects. – Determine its acute toxicity in at least two animal species. – Conduct short-term toxicity studies. Copyright © 2008 Thomson Delmar Learning 14 Phase I • Typically involves less than 100 healthy volunteers. • Purpose – Observe how the drug works in humans, to determine general safety, and to see if there are any unexpected side effects. • Clinical effectiveness is not measured during this phase. Copyright © 2008 Thomson Delmar Learning 15 Phase II • Typically involves 250+ subjects. • Purpose – Obtain a first reading about the potential effectiveness of the drug and to determine whether it is appropriate for the trial to progress to the next phase. • Phase II also provides additional information on safety and side effects. Copyright © 2008 Thomson Delmar Learning 16 Phase III • Typically involves 1000+ subjects. • Purpose – Determine drug’s effectiveness and to see if side effects will need to be considered. • If the FDA is satisfied with the results, the sponsor must submit an application to the FDA for approval as a new drug (NDA). Copyright © 2008 Thomson Delmar Learning 17 Phase IV • Sponsor must continue to monitor patient experiences with the new drug and report any adverse events. • Purpose – Pick up on any previously unexpected adverse reactions that may only appear with longer term or widespread use of the medication. Copyright © 2008 Thomson Delmar Learning 18 Drug Development Process • Preclinical trials – 6 years • Clinical trials – 7 years • Final NDA approval – 1-2 years Copyright © 2008 Thomson Delmar Learning 19 Technology Assessment by Insurance Carriers Copyright © 2008 Thomson Delmar Learning 20 Request for Technology Assessment • Health insurance organizations will be approached by developers and/or clinicians. • Insurance organization will then request a formal assessment of the technology. Copyright © 2008 Thomson Delmar Learning 21 Request for Technology Assessment • Request for assessment focuses on effectiveness of the technology and usually does not include any reference to cost or price. Copyright © 2008 Thomson Delmar Learning 22 Strengths of the Technology Assessment Process • Rigorous review of published scientific evidence. • No discussion of economic or financial details. • Carried out in an open public forum with all background information and discussions available to all interested parties. Copyright © 2008 Thomson Delmar Learning 23 Differential Impacts of Technology on Health Care • Economic • Clinical • Organizational • Industrial • Patients and insurance beneficiaries • Societal and governmental policy Copyright © 2008 Thomson Delmar Learning 24 Economic Impact • Technology significantly contributes to the rise of health care costs. • Short-term analyses may show that the use of new technologies significantly increase short-term expenditures. Copyright © 2008 Thomson Delmar Learning 25 Economic Impact • Long-term cost effectiveness analyses may show a much more positive impact on health status thereby reducing total health care costs over a lifetime. • Cost-elevating technologies versus cost- reducing technologies. Copyright © 2008 Thomson Delmar Learning 26 Clinical Impact • Development of new technologies has vastly improved what physicians can do for their patients and the outcomes that can be achieved. • Physicians are now faced with the increased need to follow expert clinical standards and guidelines in practice. Copyright © 2008 Thomson Delmar Learning 27 Clinical Impact • Physicians are faced with competitive pressure to be seen by their peers and patients as up-to-date on the latest technologies and pharmaceuticals. • Physicians may exert pressure on hospitals and medical groups to acquire the latest technologies. Copyright © 2008 Thomson Delmar Learning 28 Organization Impact • Health care organizations are continuously pressured to maintain the latest technologies. • Hospitals and clinics are also faced with a growing array of regulatory, compliance, and legal issues. – Many of these pressures can only be met by an increased use of newer technologies. Copyright © 2008 Thomson Delmar Learning 29 Industrial Impact • Technology has given rise to new industrial organizations and has expanded the range of many existing companies. • The increasing complexity and expansion of the health care system has enabled niche organizations to serve specialized needs. Copyright © 2008 Thomson Delmar Learning 30 Industrial Impact • IT organizations have expanded to accommodate an increased demand for accessible health information. Copyright © 2008 Thomson Delmar Learning 31 Impact on Individual Patients and Insurance Beneficiaries • Individuals are more directly informed about their illnesses and the treatments available to mitigate them. • Insurance carriers are able to reduce overutilization and improve the quality of their care by educating their beneficiaries via the Internet. Copyright © 2008 Thomson Delmar Learning 32 Societal and Governmental Policy Impact • Both the increase in the number of uninsured individuals and the possibility of reduced access to the latest technology have raised significant questions regarding social equity and fairness. Copyright © 2008 Thomson Delmar Learning 33 Societal and Governmental Policy Impact • Federal government prohibition against the importation of drugs from countries with lower prices versus the willingness of state and local governments to encourage such purchases. Copyright © 2008 Thomson Delmar Learning 34 Societal and Governmental Policy Impact: FDA Issues • Time it takes the FDA to approve pharmaceuticals, medical devices, and other treatments • FDA process may not always uncover long-term hazards to health. Florida National University HAS 3111 Introduction to Health Service Administration Assignment 1 Read Carefully the Power Point Presentations and answer the following questions Chapter 1: 1. Summary the Development of Health Care from 1850-Present 2. Name the Three Perspectives on the American Health Care System 3. Name the five individual sub-systems in the U.S. health care system 4. Explain the Employment-related system 5. Explain the Poor and uninsured system 6. Explain the Veterans Administration system 7. Explain the Worker’s compensation system 8. Explain the Active duty military system 9. Explain the Management Strategy Perspective 10. Explain the Clinical Perspective Chapter 2: Technology in the United States Health Care System 1. Classify the Healthcare Technology by Industrial Group 2. Name the three Stages in Development of Medical Technologies 3. Explain the role of the Food and Drug Administration 4. Explain the Preclinical Testing 5. Explain Phase I through IV and their purpose 6. Drug Development Process 7. Explain briefly the request for Technology Assessment 8. Name the differential Impacts of Technology on Health Care 9. Explain the Impact on Individual Patients and Insurance Beneficiaries 10. Explain the Societal and Governmental Policy Impact
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Indigenous Australian Entrepreneurs Exami Calculus (people influence of  others) processes that you perceived occurs in this specific Institution Select one of the forms of stratification highlighted (focus on inter the intersectionalities  of these three) to reflect and analyze the potential ways these ( American history Pharmacology Ancient history . Also Numerical analysis Environmental science Electrical Engineering Precalculus Physiology Civil Engineering Electronic Engineering ness Horizons Algebra Geology Physical chemistry nt When considering both O lassrooms Civil Probability ions Identify a specific consumer product that you or your family have used for quite some time. This might be a branded smartphone (if you have used several versions over the years) or the court to consider in its deliberations. Locard’s exchange principle argues that during the commission of a crime Chemical Engineering Ecology aragraphs (meaning 25 sentences or more). Your assignment may be more than 5 paragraphs but not less. INSTRUCTIONS:  To access the FNU Online Library for journals and articles you can go the FNU library link here:  https://www.fnu.edu/library/ In order to n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading ce to the vaccine. Your campaign must educate and inform the audience on the benefits but also create for safe and open dialogue. A key metric of your campaign will be the direct increase in numbers.  Key outcomes: The approach that you take must be clear Mechanical Engineering Organic chemistry Geometry nment Topic You will need to pick one topic for your project (5 pts) Literature search You will need to perform a literature search for your topic Geophysics you been involved with a company doing a redesign of business processes Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages). Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in in body of the report Conclusions References (8 References Minimum) *** Words count = 2000 words. *** In-Text Citations and References using Harvard style. *** In Task section I’ve chose (Economic issues in overseas contracting)" Electromagnetism w or quality improvement; it was just all part of good nursing care.  The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management.  Include speaker notes... .....Describe three different models of case management. visual representations of information. They can include numbers SSAY ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3 pages): Provide a description of an existing intervention in Canada making the appropriate buying decisions in an ethical and professional manner. Topic: Purchasing and Technology You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.         https://youtu.be/fRym_jyuBc0 Next year the $2.8 trillion U.S. healthcare industry will   finally begin to look and feel more like the rest of the business wo evidence-based primary care curriculum. Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev 4. Identify two examples of real world problems that you have observed in your personal Summary & Evaluation: Reference & 188. Academic Search Ultimate Ethics We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities *DDB is used for the first three years For example The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case 4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle From a similar but larger point of view 4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open When seeking to identify a patient’s health condition After viewing the you tube videos on prayer Your paper must be at least two pages in length (not counting the title and reference pages) The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough Data collection Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. 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After establishing where each member is in relation to the family A Health in All Policies approach Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum Chen Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change Read Reflections on Cultural Humility Read A Basic Guide to ABCD Community Organizing Use the bolded black section and sub-section titles below to organize your paper. For each section Losinski forwarded the article on a priority basis to Mary Scott Losinksi wanted details on use of the ED at CGH. He asked the administrative resident