) Scenario: Pursuant to the 2010 Health Care Reform Bill, the United States will be challenged to bring into its health care population some 32 million more patients. Formerly, many of these patients were uninsured. Some of these patients were seen and treated in safety-net hospitals, but mostly in emergency rooms. Reliable, independent studies have shown that this population is low income and is disproportionately made up of ethnic and racial minorities; however, it is important to point out that due to the economic downturn at the turn of the decade surrounding 2010, this 32 million will include a significant number of non-minority unemployed individuals. Consider that health care institutions must move beyond simply taking in and treating the sick and injured who come through the door. In the near future, the health of the community will be measured in terms of low disease burden, high vaccination rates, controlled chronic disease rates, healthier life styles, and a better educated public. Clearly, the impacts to the health care system will have to be addressed.

2) Write a paper (1,250-1,500 words) that describes the roles and responsibilities of health care management in addressing this pressing dilemma. Apply the following questions to generate your conclusions about how you would proceed:

a) How do the considerations under the concept of governance apply?

b) What are the major financial issues being faced?

c) What are the major physical issues being faced?

d) What are the major demographic issues being faced?

3) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

4) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

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Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.

Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:

Methods:

Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
Obtain turnover rates before and after initiating change.
Compare patient discharge surveys before change and after initiation of change.
Variables:

Staff attitudes and perceptions.
Patient attitudes and perceptions.
Rate of nursing staff turnover.
Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).

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Compare and Contrast U.S. Healthcare Policy Review the health policies of each of the following countries. Then, choose a country from the following list to compare and contrast with the current U.S. healthcare system:
• China
• England
• Germany
• Australia
• Canada
• Japan
Once you have thoroughly analyzed the health policy information for your chosen country, answer the following questions:
• What is the main focus of the policy standard in this (chosen) country?
• What are the similarities to the U.S. healthcare system?
• Governance
• Workforce
• Leadership
• Quality
• How does the U.S. healthcare system differ in terms of policy?
• Where do you foresee the U.S. healthcare system in the future (long-/short- term)? ( Review from one of the the following perspectives: the provider, the patient, or other stakeholders)
• Summarize the meaning of universality in U.S. health policy versus your chosen country. (Include your research on the future of the U.S. healthcare system)

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Instructions  This is a group assessment task – 3 -5 students per group.  There are two (2) tasks for this project.

PART 1:

Firstly, you are required to work on preparing an Action Plan (learning program), poster that can be used as an education resource for staff looking after Chris and his family. Students can choose to present via an E-poster or via a hard copy poster. E-posters are to have no more than ten (10) slides and hard copy posters are to be presented on an A3 sheet.

PART 2:

Secondly, you will present (alternating) the poster to your class. You have 15 minutes to present either version of your poster. The 15 minutes is to include preparation and question time. Imbedded skills in this assessment include that students will follow organisational policies, procedures and applicable codes, standards and legislation, in consultation with the Registered Nurse and utilising the nursing practice decision making framework.

Scenario

Chris is 13 years old, he lives in a regional Aboriginal community with his family, being predominantly his grandmother and mother. He suffers from chronic ear infections that have caused some permanent hearing loss and inhibited language and literacy development. His disability makes it difficult for Chris to keep up with his school work. Recently Chris has stopped his regular attendance at the health clinic for checkups, because there have been some deaths in his community and there are some cultural issues. The Community Health Centre runs a weekly education in-service programs for the staff at the center, on different health issues. The multidisciplinary team work with the community, clients and their families to create better awareness and improve access to health services. You are a student Enrolled Nurse on a community placement. The Centre manager has requested that as a professional development activity, you develop and present an Action Plan (learning program), for center staff, aimed at helping Chris and his family. As a part of the process for developing the Action Plan (learning program), you have interviewed Chris and his family the week before the health information session, to identify his needs, goals and assist with planning outcomes.

Part 1:

The Action Plan Poster must address the following topics: (45 marks = 45% on Marking guide)

1.1 Identify which classification of disability Chris has and which level of restriction he would have with his disability. (4 marks)

1.2 List two (2) needs and health issues that would be highlighted in a nursing assessment of Chris’s condition. (2 marks each = 4 marks)

1.3 Identify two (2) factors, including cultural factors, which are impcting on Chris’s health and his care. (2 marks each = 4 marks)

1.4 You have noted that 6 months ago, Chris weighed 60kg, but his assessment weight today is only 42kg. Identify how much weight per month, Chris has lost. Also identify one (1) potential risk that could further impact on his health and care. (2 marks for calculating weight loss, 2 marks for identifying a potential risk = 4 marks)

1.5 In your Action Plan (learning program) for Chris, which Wellness Model of care would you apply and why? (Responses may vary, no more than 50 words) (6 marks)

1.6 As student EN’s working within the multidisciplinary health team and keeping within the EN’s scope of practice, identify two (2) members of the multidisciplinary team that would be involved in Chris’s care and briefly explain how they would assist. (No more than 50 words).

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