Delivery of Service, Key Drivers of Change, Commitment to Professional Development and Lifelong Learning

Raymond is a 54-year-old man who lives in a rural part of Mississippi. He is a skilled worker but his job does not provide health insurance. Raymond does not qualify for Medicaid, and he cannot pay for health insurance. He has not received consistent or coordinated healthcare for most of his life. The closest clinic is over 30 miles away, and he does not have the money for both the co-pays and gas. Raymond has been diagnosed with hypertension, and his family history includes pulmonary embolisms and heart disease.
Emmanuel is 55-year-old man who lives in Jackson, Mississippi. He is an office manager and receives insurance from his employer. Emmanuel has had annual medical and dental exams from the same providers for several years. Emmanuel has a family history of Type 2 diabetes and he was recently diagnosed as pre-diabetic and obese. Emmanuel received referrals to an endocrinologist and a registered dietitian, and he was instructed to increase his physical activity.
1. Describe the challenges and barriers to access; affordability; and availability for Raymond and Emmanuel. (1 page)
2. Describe the potential social, economic, and health outcomes for Raymond and Emmanuel if prevention had a higher priority in the US. (1 page)

Meet Expectation:
Question 1 Expectation:
Use library databases to obtain peer reviewed articles and gov. (government expert sources). * Internet and .com sources do not exceed this requirement. Properly formatted APA citations and references must be provided where appropriate.
Response accurately describes the different challenges and barriers to access, affordability, and availability for the individuals in the case presented.
Challenges and barriers illuminate differences between insured and uninsured individuals.
Response includes examples about how health insurance affects patient and population health outcomes and impacts life expectancy.
Response describes challenges and barriers for a third individual (hypothetically) to highlight additional nuances related to access, affordability, and availability of individuals with and without insurance.

Question 2 Expectation:
Use library databases to obtain peer reviewed articles and gov. (government expert sources). * Internet and .com sources do not exceed this requirement. Properly formatted APA citations and references must be provided where appropriate.

Response accurately describes potential social, economic, and health outcomes for the individuals in the case presented, given an increase in preventative care in the US.
Response provides examples of two preventative care programs and how they affect social, population, economic, and health outcomes.

1. Describe the personnel who should be part of a multidisciplinary team that focuses on patient-centered care in an inpatient setting. Include at least six disciplines and provide a rationale for each, including each member of the team. (1 page)
   Meet Expectation:
   Use library databases to obtain peer reviewed articles and gov. (government expert sources). * Internet and .com sources do not exceed this requirement. Properly formatted APA citations and references must be provided where appropriate.
   Response thoroughly describes at least six disciplines that should be part of a multidisciplinary team focused on patient-centered care in an inpatient setting.
   Response provides a logical justification for the choice of disciplines included in the multidisciplinary team.
   Response describes how team composition and expertise benefit patient outcomes.

2. You are assisting the human resource director at a large general hospital. As part of a report to the chief executive officer (CEO), she has asked you to outline specific roles and goals for at least three clinical, three technical, and three administrative departments (minimum of nine departments). List these hospital departments, and describe the roles and goals of each. (1 page)

Meet Expectation:
Use library databases to obtain peer reviewed articles and gov. (government expert sources). * Internet and .com sources do not exceed this requirement. Properly formatted APA citations and references must be provided where appropriate.

Response thoroughly describes at least three roles and one goal of clinical, technical, and administrative departments.
Response describes how the departments work together to achieve organizational and outcome goals.

1. Admission policies can differ between various types of healthcare organizations. Provide compare and contrast how admission policies could differ between for-profit and nonprofit organizations, and how this difference relates to access to care. ( 1 page)

Meet Expectation:
Use library databases to obtain peer reviewed articles and gov. (government expert sources). * Internet and .com sources do not exceed this requirement. Properly formatted APA citations and references must be provided where appropriate.

Response clearly explains two differences about how admissions policies differ in various types of healthcare organizations and how this relates to access to care.

Response includes differences between for-profit and not-for-profit healthcare organizations.

Response provides clearly written descriptions of two types of nonprofit and two types of for-profit hospitals and the types of patients they serve.

1. Define vertically integrated health systems and horizontally integrated systems, including the business goals and patient outcomes. Then, explain the impact these systems have on healthcare today. (1page)
   Meet Expectation:
   Use library databases to obtain peer reviewed articles and gov. (government expert sources). * Internet and .com sources do not exceed this requirement. Properly formatted APA citations and references must be provided where appropriate.

Response clearly defines vertically and horizontally integrated health systems, including the business goals and patient outcomes.
Response explains how these systems impact healthcare today.
Response provides an example of vertically and horizontally integrated health systems.