Category: Health & Medical

Assessment of the Current State
OverviewMany have drawn the parallel between a public health strategic plan and a blueprint or a road map. A strategic plan should clearly describe the public health identity and goals for a community, organization, or agency. In addition, the plan should describe how an entity will chart a course to achieve those goals and monitor its progress along the way.
ScenarioAs the director of the local public health department, you are tasked with embarking upon a strategic planning process. You have decided to write an introductory open letter to the stakeholders in your community.
InstructionsThis assignment has two components (deliverables):
A staff e-mail:The purpose of the e-mail is to seek approval and feedback from your staff at the public health department on the letter for public dissemination.
In your e-mail, briefly evaluate strategies for achieving change and identify one theoretical framework for the organizational change strategies you have proposed.
Explain why you selected this theory, and justify why you think this is a successful approach in light of the overall strategic plan goals.
Utilize your Unit 2 readings to support your discussion of relevant theory.
An open letter to the general public.The letter to the general public should provide clear, concise information so readers understand the purpose, scope, and approaches that will be utilized to implement the strategic plan that will benefit the community.
As an open letter that will be posted to the local public health department’s website and social media outlets, you will expect wide distribution and comments/feedback.
The numbered assignment instructions outlined below correspond to the grading criteria in the assignment scoring guide, so be sure to address each point. You may also want to review the performance-level descriptions for each criterion to see how your work will be assessed.
Evaluate why a specific public health initiative or change to an existing program is needed in a community.Why does this community need this program?
What difference will it make?
Evaluate strategies for achieving change in an organization.What approach or approaches for initiating change would work best with this organization?
Summarize the impediments that could be encountered with the proposed plan or program.How big of a concern are they?
What can be done to circumvent these issues?
Recommend feasible approaches to solving potential problems with the proposed plan or program.Consider strategies you will utilize to encourage community-based and collaborative approaches throughout the strategic planning process.
If disagreement arises, either among your staff, partners, or community members, how will you direct the resolution of those challenges?
Explain how implementation of the proposed plan or program will be fundedWhat community resources are available to support the strategic goal?
What new resources or revenue streams should be considered?
Summarize the intended future state of the proposed public health initiative.What is the best possible outcome?
Write in accordance with the academic and professional requirements of the discipline, ensuring appropriate structure, grammar, usage, and style, and proper APA formatting of references.
Additional RequirementsWritten communication: Your e-mail and letter should be well structured and concise, and the letter should respond to each question provided above. Both documents should generally be free of errors in grammar, punctuation, and spelling.
Format: One inch margins, in a readable font, no longer than 2 pages for both documents combined.
Citations and references: Include a minimum of 2 current, scholarly, and/or authoritative sources that support the e-mail’s content and the letter’s content. Your references need to conform to APA style and formatting guidelines. Include in-text citations and a references page.
Technical: Create a PDF of your final submission, and upload it to the assignment area

Patient Flow through the System (Chronic): Here are some videos that would be good to review. I personally watched and selected them for you. Chronic Disease
• CDC Chronic: What is Chronic Disease
Chronic Care Management
• This is a good super short video on what chronic care management is
Chronic Care Management Introduction (for Providers)| CCM Pays
• This video should be watched second, as it goes into a few more details and will solidify your understanding of the processes of chronic care management
CMS’s 2022 Final Rule for Chronic Care Management (What You Need To Know)
• This is a good video to understand year-over-year changes to Medicare rates. Leverage your knowledge from the MPFS assignment
A Common Path: Pancreatic Cancer
• Patient perspectives w/ details on a difficult to treat cancer type. The reason this video is good is that the patients discuss their diagnosis and treatment
Your assignment is to write a paper (800-1000 words) and make a presentation (<5mins) on Chronic Care Patient Flow. You can pick the condition, e.g. Cardiology, Cancer, Renal Failure, or HIV. This is a macro-level assignment; you should have a good understanding of HOW patients flow through the system. This is a typical Who, What, When, Where, and Why assignment. This is not an assignment on process improvement. For example, you could write a paper and make a presentation on a man that was newly diagnosed with Prostate Cancer. Yes, you can stretch this paper into Rehabilitation, just not long-term elderly care. That’s a whole different animal. Rely on the details that you included in your last assignment.

Assessment Description
Follow the instructions below to create a newsletter on a specific developmental period.
Part 1: Select a developmental period:
infancy (birth-2), toddler (2-4), early childhood (5-9), late childhood (10-12), adolescence (13-18), emerging adulthood (19-25), early adulthood (26-39), middle adulthood (40-64), or late adulthood (65+).
Part 2: Create a newsletter (500-750 words) using one of the attached templates, which includes:
A description of physical, cognitive, and socioemotional development in the selected period.
Explanation of factors (minimum of two) that are impactful and specific to the selected developmental period (for example, Attachment in Infancy, Parenting Styles in Childhood, Bullying in Adolescence, Marriage in Early Adulthood, Stigmas Associated With the Elderly in Late Adulthood).
Explain and apply a minimum of two developmental theories (e.g., Piaget, Erikson, Kohlberg, Bowlby, Freud, Bandura, Bronfenbrenner).
Relevant visual aids/graphics.
Cite the textbook and two additional scholarly sources. Use in-text and full references. Scholarly sources can include journal articles from the GCU Library or credible websites such as the American Psychological Associations website. Scholarly sources are NOT blogs such as Simply Psychology, VeryWellMind, and WebMD. Please avoid citing blogs in your academic work.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, i

Construct a 600-word essay. The essay must be in APA Style, including a title page, a restatement of the title at the start of the main body, running headers, proper font and line spacing, and include a reference if only to reference the text. An abstract is not required.

***********for the practice exam results I scored average and could overall strengthen knowledge in all areas to be more well rounded and prepared for boards. ******* Summarize your practice exam results, including your strengths and opportunities for improvement. Note: Your grade for this Assignment will not be derived from your test results but from your self-reflection and study plan.
Also reflect on your overall test-taking. Was the length of time allotted comfortable or did you run out of time? Did a particular question format prove difficult?
Create a study plan, including 3–4 specific goals and the tasks you need to complete to accomplish each goal. Include a timetable for accomplishing them and a description of how you will measure your progress.
Describe resources you would use to accomplish your goals and tasks, such as ways to participate in a study group or review course, mnemonics and other mental strategies, and print or online resources you could use to study.

Sampson, C. J., & Fried, B. J. (Eds.). (2021). Human resources in healthcare: Managing for success (5th ed.). Chicago: Health Administration Press.
Latham, G. (2018). Becoming the evidence based manager: Making the Science of Management Work For You. Nicholas Brealey Pub.
Chapter 8 in Sampson and Fried (Retention)
Chapter 16 in Sampson and Fried (Burnout, Well-Being and Workplace Vitality)
Chapter 5 in Latham (Engage Your Employees)
Chapter 8 in Latham (Instill Resilience in the Face of Setbacks)
After reading the chapters in the Sampson and Fried textbook as well as the information in the Latham book, answer the following questions in your post.
1. Discuss the circumstances that make employee retention challenging for organizations within healthcare.
2. What are some of the problems with existing retention approaches commonly used in healthcare? What additional strategies, practices and programs should healthcare organizations invest in to solve the healthcare worker shortage and turnover problem?
3. What are the direct and indirect costs associated with turnover for healthcare organizations?
Read Case #2 at the end of chapter 9 in the Sampson and Fried textbook. In your assignment, answer the following questions:
1. Assume that the performance review is still a few days away. How should Kristen prepare for this meeting? How should she prepare to maximize the effectiveness of the review?
2. What could Kristen have done to prevent the current situation with Leslie?
3. If you were Kristen, how would you give feedback to Leslie? Outline an agenda for the performance review and discuss how you will approach each agenda topic.
4. What reaction do you anticipate Leslie will have to Kristen’s concerns about her performance and how shod Kristen respond to that reaction? Every story has multiple sides and this scenario is no exception. Kristen’s perception of Leslie’s performance may only represent a portion of a bigger story. How might Leslie talk about this situation when confronted by Kristen?
Your response to each question should be a minimum of two well-written paragraphs, but no more than four paragraphs per response. Each response should have a minimum of one citation. The goal is to connect your responses to course materials.
Your case study should follow APA structure with a cover page, in-text citations, section headings and a list of references in APA format. Try to limit the total length to no more than 3 to 4 pages, excluding the cover page and references.

Writing a paper about stress is up to us but it should be about stress like choosing something related to stress and how burnout students can or something related to this. rubric is attached and it should be APA style.
Term Paper
Using Peer reviewed journals, trade journals, and periodicals, discuss an aspect of EMS that interests the student. You should have a minimum of 5 sources in total. Three references must be from academic, peer-reviewed journals.
Two references may be trade journals, news articles, or personal interviews. DO NOT use public web pages such as wikis. Invalid references will not be counted and will reduce points.• The paper is to be a minimum of 3 (excluding bibliography, title page, abstract, etc.) and a maximum of 10 double-spaced pages in length using APA format.
Title pages do notcount toward this total length.• The topic of your paper is up to you. However, the topic must involve something relatedto stress.• If you would like approval of research paper topics, please feel free to email me.
The rubric for the paper can be found at the end of this syllabus.•
It is IMPERATIVE that students adhere to accepted practices when writing a scholarly paper. This includes proper tense, grammatical structure, and documentation concomitant with the chosen documentation style. Assistance with the paper may be found in the writing center
.Term Paper Reminders:• MUST BE original work (cannot be a paper from a previous class)• Paper must be in APA format (This includes proper headings, abstract, title page, etc.)o Please visit the writing center in the library or reference the following website forhelp with APA formatting.https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html• Can be on any topic related to stress• 7 pages max, 3 pages minimum excluding title page, abstract, etc.•
Must have at minimum 5 sources (3 Peer-Reviewed, 2 Non-Peer Reviewed)• Typed (Double spaced and in Times New Roman font)•
Bibliography in APA style• MUST be turned in via Blackboard in either a doc. or pdf. format. NO emails or hardcopies will be accepted.• Must be neat, original, well-referenced, informative, specific, creative, and respectful ofthe intellectual property rights of others

1. Stac
Many individuals can come to the consensus that most people are not prepared for major health crisis. A layoff from a job, injury due to an accident, sudden illness or disability can cause major disruptions in one’s life. If this occurs, are you prepared? No matter the situation, having adequate healthcare through a functional health delivery system can ease the burdens associated with this misfortune.
The two main objectives of the US Health Delivery System are access to care and cost. An ideal health delivery system would allow everyone access to medical care no matter their socioeconomic situation while being cost effective. A substantial amount of the US population is covered through either private, federal and/or state funded health plans; however, many remaining individuals are unable to qualify for health programs because of restrictions which usually results in them not seeking medical care or utilizing emergency room services even for non-emergency medical care. In a country of great wealth, it is very disturbing that poverty is a determinant to whether someone lives or dies. Is one human life more important than others? This world would be a better place if only we could apply Godly principles to humanity. The Lord says, “If one of your brethren becomes poor, and falls into poverty among you, then you shall help him, like a stranger or a sojourner, that he may live with you.” (New Spirit Filled Life Bible, New King James Version, 2002, Leviticus 25:35-36). There are ten characteristics of the U. S. health system which are: No central governing agency and little integration and coordination Technology-driven delivery system focusing on acute care High cost, unequal access and average outcome Delivery of health care under imperfect market conditions Government as subsidiary to the private sector Fusion of market justice and social justice Multiple players and balance of power Quest for integration and accountability Access to health care services selectively based on insurance coverage Legal risks influencing practice behaviors (Shi & Singh, 2019) The US health system is continuously evolving. The mere fact of not having a central governing agency eliminates a monopoly or absolute power giving full control to one entity. Historic events have shown that sole control under one entity leads to suppression and stagnation with most benefits being unilateral. In contrast, the US health system being publicly and privately financed allows for a balance of power through multiple players such as providers, hospitals and institutions. The US has a reputation of having some of the best healthcare in the world. An enormous amount of funding from these public and private entities is poured into research, technology, pharmaceuticals and discovering new medical advances to keep us ahead of the medical game. Americans pride themselves in diversity and freedom of choice with selection. In managed care organizations, individuals may choose plans that best fit their individual and family needs as well as price point. Familiar examples of managed care organizations are Cigna, Humana, Aetna and Blue Cross Blue Shield to name a few. Current military and retirees have access to care at military bases and within the community utilizing Tricare. Veterans receive medical care through the Veterans Administration Healthcare system at VA facilities or by providers in their local communities through Community Care if they meet certain eligibility requirements and have pre-approval. In addition, a large population of people rely on federal and/or state-funded health plans which include Medicare, Medicaid and Childrens Health Insurance Program. The passing of the Affordable Care Act (ACA) by President Obama in 2010 closed the gap on many health care disparities allowing more people access to medical care. Although not perfect, the ACA allows a greater percentage of our population to be captured in receiving good quality healthcare. The American Health Care Act (AHCA) introduced by former President Donald Trump in 2017 has been unsuccessful at replacing the ACA. Donald Berwick, an opponent to the American Health Care Act, said “The AHCA in anything like the form the House approved would be a massive and immoral step backwards, leaving tens of millions of Americans once again to face needless, greater suffering, and, for many, destitution” (Berwick, 2017). Many Medicare and Medicaid enrollees now receive medical care under an accountable care organization (AC0). This integrated network encompasses coordinated efforts of doctors, hospitals and other health practitioners whose focus is to adhere to higher standards and improve patient outcomes at lower costs. Improvements in patient outcomes may further be achieved when health networks consider patients overall wellbeing in their planning to include their economic and social needs. Studies have determined that unmet social needs and adverse social conditions are associated with declines in health (Gurewich et al., 2020). In conclusion, the US health delivery system is comprised of a vast number of healthcare plans which covers most of the US population. In my opinion, the current US health care system is the best present option for medical care versus a universal healthcare system like other countries. Revisions of policies within affiliated organizations are often accessed as new needs of the population arise. All people have a voice. The US health system is designed to not only hear that voice, but effectively responds by creating health care options which offer high quality, high standards, readily access to care and cost effective for shared partners. References Berwick, D. (2017). Understanding the American healthcare reform debate. BMJ: British Medical Journal (Online), 357. https://doi.org/10.1136/bmj.j2718 Gurewich, D., Garg, A., & Kressin, N. (2020). Addressing social determinants of health within healthcare delivery systems: A framework to ground and inform health outcomes. Journal of General Internal Medicine, 35 (5), 1571-1575. DOI: 10.1007/511606-020-05720-6. New Spirit Filled Life Bible. (2002). Thomas Nelson Publishers (2002). Shi, L., & Singh, D. (2019). Essentials of the U. S. health care system (5th ed.). Jones & Bartlett Learning. 2.Ann
The health system in the United States is a large and complex one, we can certainly say that it is not universal as in other countries such as Canada that provides health services to its residents for free. In the United States, most people have to pay for health services, but there are exceptions and programs and aid for health coverage, for example, the United States has programs such as Medicaid and the Children’s Health Insurance Program (CHIP) provide free or Low-cost health coverage to millions of Americans, including some low-income people, families and children, pregnant women, the elderly, and people with disabilities. Some states have expanded their Medicaid programs to cover all people below certain income, although many adults do not qualify for all types of health services for free. The United States also has the Department of Public Health which has many free or low-cost health services and which many of the clinics that provide services through the Department of Health receive federal and state funds and sometimes governments They cancel or reduce their aid and they have to close their clinics. Some of the services are extremely important for the life and health of patients. It is necessary to emphasize a very important factor that largely controls the health system or systems of the United States and that is politics. Since many of these events occur due to lack of approval of the members of the governments.From my own experience I can affirm that these processes are like this since I work for the Department of Health and I have seen how clinics have closed due to lack of funds to give an example of primary health care, dental, educational programs for parents such as the from Healthy Start among others. On the other hand, we have the sector of the working class that has to make contributions through their employers to medical health insurance and on many occasions they have to pay a lot of money out of pocket to pay for insurance and health services such as co-payments for doctors. , specialists, pharmacies among others. The system also has Medicare, which is mostly Medicare, which is medical insurance for people 65 years of age or older. You are first eligible to enroll in Medicare 3 months before your 65th birthday. You may be eligible for Medicare sooner if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig’s disease). The United States has health insurance for veterans and military as the so-called health insurance; TRICARE, which is the health care program for veterans, is considered covered under the health care law. You don’t have to make any changes. If you don’t have veterans or other health coverage, you can use the Marketplace to enroll in a plan. We can outline 10 main characteristics No central governing agency, High on cost, unequal in access, Government subsidizes private sector, Multiple players and balance of power. Access based on insurance coverage. Curative and technology driven. Imperfect market conditions. Fusion of market and social justice. Quest for integration and accountabilityLegal risk influencing practice behaviors In conclusion we can say that there is a lot of bureaucracy since the person who does not have health insurance in the United States has little or no health care or attention, which I understand that there is no value or consideration for human life since he does not care to governments that people die since sometimes they deny them services or give them a low quality service. We can also say that the health system in the United States is influenced by political, economic, technological, cultural, social and other factors.
References:
Shi, Leiyu, Douglas A. Singh, and Leiyu. Shi. Essentials of the U.S. Health Care System. Fifth edition. Burlington, Massachusetts: Jones & Bartlett Learning, 2019. Print.
Opciones de cobertura de atención médica para veteranos militares. (n.d.). CuidadoDeSalud.gov. https://www.cuidadodesalud.gov/es/veterans/Links to an external site.
Comenzar con Medicare | Medicare. (n.d.). https://es.medicare.gov/basics/get-started-with-medicare?utm_source=googleLinks to an external site.
Florida Department of Health in Alachua. (n.d.). https://alachua.floridahealth.gov/Links to an external site.

This is a good example of using an environmental scan to make decisions regarding an organizational mission and vision statement. And, while this likely helped the organization to refine these statements it really didn’t involve the type of decision-making necessary for strategic planning for a healthcare organization. In my experience, healthcare scanning supportive to strategic planning decision-making is comprehensive and evaluates community and usually involves conducting both a SWOT and PEST analysis for the organization.
Feeback below that needs answer Why would you think that healthcare organizations would need to conduct both of these analyses in order to support organizational strategic planning decision-making?

In your own words, discuss your philosophy of nursing. Reflect on the definition of the four concepts of the nursing meta-paradigm. Write your own definition for each concept of the meta-paradigm of nursing. Which concept would you add to the meta-paradigm of nursing and why? Which concept would you eliminate and why?
Your paper should be 1–2 pages in length, in APA style, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. Cite at least one outside source using APA style.
Please make sure plagiarism is very low