Health & Medical

Directions: Unless otherwise stated, answer in complete sentences, and be sure to use correct English spelling and grammar. Sources must be cited in APA format. Your response should be four (4) pages in length. Identify the different components of TRICARE billing and different types of benefits available to active duty members, veterans, and their family members. Explain the importance of the Explanation of Benefits and Electronic Remittance Advice forms. Discuss the reimbursement follow-up, explain the appeals process for reimbursement, and identify refund guidelines. Discuss the history of workers’ compensation and distinguish between federal workers’ compensation and state workers’ compensation. Please include at least three scholarly articles within your response. Overall response will be formatted according to APA style and the total assignment should be between 3–4 pages, not including title page and reference page.

This week, you add to your Scholar-Practitioner Project by identifying assets and creating an asset map for the community you selected. An asset map may be a visual representation or a descriptive narrative. Consider the assets identified in the articles and media and their potential benefits to a community public health program. Think about the qualities that make certain resources serve as assets to a community, and why some resources may not be of benefit to a particular community public health program. Then, think about the assets in your own community that could be integrated into your community health assessment featured in your Scholar-Practitioner Project. Create an asset map that includes the following: Describe the primary community assets available in your Scholar-Practitioner Project community and explain why they are relevant. Select three assets you identified. Explain how you might integrate the asset into a potential community health assessment and public health promotion program that would address the problem you selected for your Scholar-Practitioner Project. Use Resources and current literature to support your response. Support your Scholar-Practitioner Project Assignment with specific references to all resources used in its preparation. You are to provide a reference list for all resources, including those in the Learning Resources for this course.

Unfolding Case Study for Public Health Course Requirements for Students: ·       Provide answers to all Case Study Questions. ·       Utilize evidence-based resources such as textbooks, reliable websites like .gov, .org, and .edu, and/or peer-reviewed/scholarly journal articles. Provided information must be up to date (within 5-year period). ·       Provide in-text citation and reference page in APA format. ·       Submit the answers as per faculty instructions. Case Study (Part 1) RN position: case manager/field nurse at the home health agency. The agency receives a phone call from the hospital social worker about a new referral. Patient will have to be admitted to home health after discharge from the hospital s/p embolic stroke for physical therapy, occupational therapy, speech therapy, social worker, skilled nursing and certified nurse assistant services. As per social worker, patient was offered but refused inpatient rehab facility admission and requested to be discharged home with home health services. After receiving a fax which includes patient demographic and insurance information as well as a brief history of hospitalization, the billing department acquires prior authorization for the ordered disciplines. The office manager contacts the patient who will be discharging from the hospital today to schedule an appointment for initial skilled nursing visit and to address all the questions that patient might have about home health care services. Patient’s homebound status is confirmed. Below is a brief information on history of present illness faxed from the hospital. ER visit notes.  Chief Complaint: left-sided weakness, fatigue, headache, facial drooping Admission diagnosis: Ischemic CVA History of Present Illness: Johnathan Gray is 63 year-old male with past medical history of systolic and diastolic CHF, A-fib, DM type II, Gout, HTN, Depression, Osteoarthritis, Hyperlipidemia, CAD, Anxiety, Bipolar disorder, long-term use of anticoagulants who presented to the ER today with c/o left-sided weakness, headache, fatigue and facial drooping. Mr. Gray stated that the onset of symptoms was sudden and it happened while he was outside talking to the neighbor. The neighbor then called 911. Mr. Gray was brought to the ER by EMS. MRI results revealed right-sided ischemic stroke. At the time of admission, patient’s BP 170/90 mmHg, HR 98, RR 20, temp 97.6 F. O 2 saturation 94% on RA, INR 1.1, PT 13.5. Patient is full code. Mr. Gray has allergies to PCN (hives and difficulty breathing). At this time patient has left-sided (non-dominant) hemiparesis, dysphasia, dysphagia and facial drooping. Patient is alert and oriented to place, person and disoriented to time and situation. Treatment plan included administration of tissue plasminogen activator (t-PA) IV.  Past Medical History: Systolic and diastolic CHF, Osteoarthritis, CAD, A-fib, DM type II, gout, HTN, Depression, Anxiety, Bipolar disorder, Hyperlipidemia. Past Surgical History: ORIF s/p fx of the femur (2015), quadruple bypass surgery (2018), appendectomy (2000).     Case Study Questions (Part 1) 1.     Write comprehensive pathophysiology of CVA (include disease process, types, predisposing factors, signs and symptoms, complications, long-term management of residual effects). 2.     Describe comorbidities from the past medical history. What do you think could have led to ischemic stroke? Analyze vital signs and lab results as well. 3.     What s/s of CVA did patient exhibit upon admission to the hospital? What type of CVA was the patient diagnosed with? Are the symptoms exhibited by patient consistent with the s/s described in question 1 (pathophysiology of CVA)? Analyze the lab/diagnostic test results and vital signs data. 4.     What residual effects does the patient have from CVA? 5.     What disciplines do you think will have to be involved for care and therapy and why? Provide rationale.

What are the components of the hypothalamic-pituitary-adrenocortical axis? How does it regular secretion from the adrenal gland? Provide an example.

I just have to write a 1 page on Coronary Artery Disease. These are the Prof. instructions: Your supervisor has asked you to submit a 1-page proposal, written using proper spelling, grammar, and APA, which addresses the following: Identify the client problem your in-service will address. Describe at least 5 consequences of the client problem as it relates to the health, safety, and well-being of older adults. Explain your rationale for choosing the client problem you selected. Submit your completed assignment to the drop box below. Please check the Course Calendar for specific due dates. Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Current legal and health care issues (use of medical marijuana, genomics, abortion, etc.) may create ethical and moral issues for the health care organization. Choose and identify an issue that may create ethical and moral issues for a faith-based organization. Examine the mission, vision, values and ethics of a faith-based health care organization and analyze the principles of the health care organization to propose how this organization may stand on a current legal and health care issue (please identify the issue you have chosen). Find at least 2 articles from the library that discuss the controversy of this issue that may be used to support the organization’s stance on this issue. Prepare a 3-4-page position statement or white paper not including title page and reference page that states the position of the health care organization for this issue.

Write a 4–6-page report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance, with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels. In addition, advocate for ethical action to address benchmark underperformance and explain the potential for improving the overall quality of care and performance, as reflected on a performance dashboard. In the era of health care reform, many of the laws and policies set forth by government at the local, state, and federal levels have specific performance benchmarks related to care delivery outcomes that organizations must achieve. It is critical for organizational success that the interprofessional care team is able to understand reports and dashboards that display the metrics related to performance and compliance benchmarks. Your evaluation of dashboard metrics for this assessment is the foundation on which all subsequent assessments are based. Therefore, you must complete this assessment first.–SEE ATTACHED Write a report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels. In addition, advocate for ethical action to address benchmark underperformance and explain the potential for improving the overall quality of care and performance, as reflected on a performance dashboard. Review the performance dashboard metrics, as well as relevant local, state, and federal laws and policies. Consider the metrics that are falling short of the prescribed benchmarks. Structure your report so that it will be easy for a colleague or supervisor to locate the information they need, and be sure to cite the relevant health care policies or laws when evaluating metric performance against established benchmarks. The report requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence. Evaluate dashboard metrics associated with benchmarks set forth by local, state, or federal health care laws or policies. Which metrics are not meeting the benchmark for the organization? What are the local, state, or federal health care policies or laws that establish these benchmarks? What conclusions can you draw from your evaluation? Are there any unknowns, missing information, unanswered questions, or areas of uncertainty where additional information could improve your evaluation? Analyze one challenge that meeting prescribed benchmarks can pose for a heath care organization or interprofessional team. Consider the following examples: Strategic direction. Organizational mission. Resources. Staffing. Financial: Operational and capital funding. Logistical considerations: Physical space. Support services (any ancillary department that gives support to a specific care unit in the organization, such as pharmacy, cleaning services, dietary, et cetera). Cultural diversity in the organization and community. Procedures and processes. Address the following: Why do the challenges you identified contribute, potentially, to benchmark underperformance? What assumptions underlie your conclusions? Evaluate a benchmark underperformance in a heath care organization or interprofessional team that has the potential for greatly improving overall quality or performance. Focus on the benchmark you chose to target for improvement. Which metric is underperforming its benchmark by the greatest degree? Which benchmark underperformance is the most widespread throughout the organization or interprofessional team? Which benchmark affects the greatest number of patients? Which benchmark affects the greatest number of staff? How does this underperformance affect the community that the organization serves? Where is the greatest opportunity to improve the overall quality of care or performance of the organization or interpersonal team and, ultimately, to improve patient outcomes, as you think about the issue and the current poor benchmark outcomes? Advocate for ethical action, directed toward an appropriate group of stakeholders, to address a benchmark underperformance. Who would be an appropriate group of stakeholders to act on improving your identified benchmark metric? Why should the stakeholder group take action? What are some ethical actions the stakeholder group could take that support improved benchmark performance? Organize content so ideas flow logically with smooth transitions. Proofread your report, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your evaluation and analysis. Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence. Be sure to apply correct APA formatting to source citations and references. Example Assessment: SEE ATTACHED Report Format and Length Format your report using APA style  A title page and references page. An abstract is not required. A running head on all pages. Appropriate section headings. Be sure your report should be 4–6 pages in length, not including the title page and references page. Supporting Evidence Cite 4–6 credible sources from peer-reviewed journals or professional industry publications to support your analysis of challenges, evaluation of potential for improvement, and your advocacy for ethical action. U.S. Health Policy and Law Oliver, T. R. (Ed.). (2014). Guide to U.S. health and health care policy. Thousand Oaks, CA: SAGE Publications. Read Chapters 1 and 2, pages 9–35, for background and foundational information regarding health policy in the United States. HealthCare.gov. (n.d.). Retrieved from Search this site for information on access to health insurance. In 2009 and 2010, the health care industry and its related regulations and legislation underwent great upheaval and evolution as the Affordable Care Act (ACA) was enacted. Following resources provide information about the ACA and its implementation: U.S. Department of Health & Human Services. (n.d.). About the Affordable Care Act. Retrieved from Gold, J. (2015). Accountable care organizations, explained. Retrieved from This article provides an explanation of accountable care organizations and how they relate to the ACA. You are not required to watch the video. SHOW LESS U. S. Government Health Organizations Oliver, T. R. (Ed.). (2014). Guide to U.S. health and health care policy. Thousand Oaks, CA: SAGE Publications. Read Chapters 3 and 4, pages 39–63, for background on some of the important governmental health organizations in the United States. Health Care Cost Containment Birk, S. (2014). Quality, cost and accountable care models for the journey. Healthcare Executive, 29(3), 20–22, 24–28. In this article, the author identifies the ACO model as a strategy for implementing the ACA and analyzes shared savings and pioneer programs. She also focuses on integrating services into larger health systems and using value-based projects. Health Care Quality and Safety Oliver, T. R. (Ed.). (2014). Guide to U.S. health and health care policy. Thousand Oaks, CA: SAGE Publications. Read Chapter 16, pages 213–223, for information on quality care and safety. Benchmarking The following resources will further your understanding of the significance of benchmarking in health care as it relates to quality of care, regulatory and government policies, and the law. Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015). Development of performance dashboards in healthcare sector: Key practical issues. Acta Informatica Medica, 23(5), 317–321. Retrieved from Huerta T. R., Hefner J. L., Ford, E. W., McAlearney A. S., & Menachemi N. (2014). Hospital website rankings in the United States: Expanding benchmarks and standards for effective consumer engagement. Journal of Medical Internet Research. 16(2), e64. Retrieved from Martin, E. J. (2015). Healthcare policy legislation and administration: Patient Protection and Affordable Care Act of 2010. Journal of Health and Human Services Administration, 37(4), 407–411. Nippak, P., Veracion, J. I., Muia, M., Ikeda-Douglas, C. J., & Isaac, W. W. (2016). Designing and evaluating a balanced scorecard for a health information management department in a Canadian urban non-teaching hospital [PDF]. Health Informatics Journal, 22(2), 102–139. NCQA. (n.d.). HEDIS measures and technical resources. Retrieved from https://www.ncqa.org/hedis/measures/ This page provides information about the Healthcare Effectiveness Data and Information Set (HEDIS) and other performance measures, which could provide useful information for incorporation into this assessment. Centers for Disease Control and Prevention. (2018). Performance management and quality improvement: Data and benchmarks. Retrieved from This web page, which presents the Centers for Disease Control and Prevention’s (CDC’s) perspective on why performance and quality measures are important for patient safety and the bottom line in health care. Dashboard and Health Care Benchmark Evaluation. This multimedia activity enables you to review a metrics dashboard and hospital fact sheet to evaluate Mercy Medical Center’s performance relative to local, state, and federal benchmarking requirements. You may choose to use the data presented in this activity as the basis for this assessment.

Report 1  Case study –  Health and safety and addresses the learning outcome ‘critically evaluate the risks associated with commonly occurring occupational health hazards (chemical, physical, ergonomic and biological) and appropriate occupational hygiene management systems to control and monitor these hazards in relation to relevant statutory requirement / analyse and critically evaluate safety technology performance and the implementation of appropriate management systems regarding the creation of safer, healthier and more efficient workplaces. Identify the health and safety issues based on the case study. Submit a health and safety report incorporating Harvard referencing. Marks will be awarded for demonstrating and evidencing the ability to: Demonstrating a good understanding of the theoretical principles and practical application of health and safety regulations, approved codes of practice, guidance etc. Demonstrating ability to research effectively into the chosen case study. Demonstrating ability to explain the solutions based on the level of risk in a practical, theoretical and legislative context. Demonstrate extensive background reading and the use of peer reviewed literature. Appropriate structure, content and use of Harvard system of referencing.

What is meant by insulin and glucagon antagonists and how are they useful in normal body function?

There are numerous professionals within the health care industry. It is imperative that organizations hire the right people for the right job and remove employees when the situation requires it. For this assignment, respond to the following in 3-4 written pages: Identify 4 types of health care professionals found in a typical acute-care hospital or post-acute care facility. Be sure to describe educational levels and credentialing requirements of the professions you discuss. Explain why it is important for organizations to effectively screen potential employees. Discuss the concept of progressive discipline and the importance of effective termination procedures. Your paper should be 3-4 written pages, excluding cover page, abstract page, and reference page.  Use APA style to cite at least 5 scholarly sources from the last 5 years.