Volume-Based Versus Value-Based Reimbursement

Venn Diagram for Discussion Assignment (Week 2)

Models of payment to healthcare organizations have begun to shift from paying for volume (fee for service) to paying for value (quality). Using a Venn Diagram, compare volume-based versus value-based reimbursement. Be sure the overlapping area contains the commonalities between the two systems. Use the editable template for the Venn Diagram, which is available for download above. This template (with your findings) will need to be posted as an attachment in your discussion post along with your written prompt.

Consider Jim, who is 69 years old and comes to your Emergency Department (ED) with severe abdominal pain. His evaluation, besides a physical exam, includes an abdominal ultrasound, a CT scan with and without contrast, multiple lab studies, all lead to his having an emergency appendectomy. Other than having Type II diabetes well controlled on diet and exercise, he is in otherwise good health. Jim is treated as an outpatient and is discharged home the next morning. Two weeks later he returns to the ED with fever, continued abdominal pain, and a surgical site infection. He is admitted and is treated for 5 days before being sent home.

Using your findings from your comparison of volume- versus value-based reimbursements, analyze the scenario. Determine how the hospital could charge and be reimbursed using the two methods. In this case, which would be better for the hospital? How do each of these payment models contribute to or detract from the goal of the Triple Aim? Considering payer mix, delivery systems, population demographic, and value-based purchasing of the institution. How do all of these elements influence the financing of the type and quality of care provided at your facility? What are the implications on access and availability of types of care provided by your institution?

Remember to support your thoughts with scholarly sources.

REFERENCES USED MUST BE CURRENT, AND WITHIN 5 YEARS. PLEASE FIND ATTACHED the editable template for the Venn Diagram. THANKS

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Exercise Evaluation

PLEASE REVIEW THE WEBSITE BELOW AND USE IT ALONG WITH YOUR OWN RESEARCH TO ANSWER THE QUESTIONS BELOW.

http://file.lacounty.gov/SDSInter/dhs/206687_ConductingDrills_Exercise30806.pdf

1) What is the purpose of an exercise hot wash and when does it occur?

2) Why is it critical to have trained evaluators for an emergency management exercise?

3) What is an after action report? What should it be used for?

4) Create a brief exercise scenario for a health care facility. This can be a brief limited drill, a mass casualty scenario, a game, etc.

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Massage therapy and exercise therapy in patients with multiple sclerosis

Essay: Critique of a Quantitative Article
2000-2500 words

Marking criteria (Question prompts to be answered in the essay):

Abstract:
Was there any info missing?
Was there anything important noticed that was not mentioned?
What could have made it better?

Introduction:
What was the object of the study?
Was the hypothesis made clear?
Was the review of literature accurate and thorough?
Were there any gaps in the literature mentioned?
Is it clear why the study is needed and relevant?

Sampling:
Who are these patients?
Where were the patients found?
When were these people recruited?
What pathology did these patients have?
Was the inclusion criteria adequate, and did it make sense?
Was there anything else you’d like to see included?

Methods:
How was the study structured? Blind? Double-blind?
Was the study comparing two groups, or one group and a placebo?
How were the participants split into groups?
Who was performing the treatments?
How were the techniques performed?
What specifically was being done in each of the study groups?
Does the method seems to make sense given the hypothesis?
Are these measures appropriate? Is there anything else you would like to have seen?

Results:
Do the results cover everything that was explained in testing?
Are the tables and graphs clearly labeled?
Are all participants accounted for?
Was there anything interesting to note in the results section?

Discussion:
Are the treatments described and its pathology?
Is their study comparable to other studies?
Do they state their flaws? Is there anything they could have done better? What restraints did they have with their study?
What was able to be controlled?
What studies are needed in the future?
Is there clinical significance to the study discussed?
Do their conclusions logically follow the results?
Are the authors comments justified based on the results?

Conclusion:
Did they summarize their findings?
Is their conclusion based on their hypothesis?
What should be done in future studies?

Reference list:
Is it up to date? With relevant research?

Your conclusion:
Does this study have clinical significance?

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How prevalent is steroid use in the entertainment industry (Hollywood)?

For this assignment you must write a research paper from 5-7 pages (not including the works cited page) on a topic of your choosing. Your research paper should not simply regurgitate information, but offer a fresh perspective with sources to support that claim.

The paper must be typed, double-spaced, in size 12 Times New Roman Font, using MLA format, with a works cited page, and a minimum of four in-line parenthetical citations. Your research must include a minimum of four sources. Your sources should come from a combination of magazine/journal articles (minimum of 2) and books (minimum of 2). It is acceptable to use more than four sources in your paper.

Research paper checklist

1. What is your topic?

2. What is your central thesis (i.e. what exactly doyou plan to say about your topic in your paper)?

3. Does your Introduction lay out a road map for thepaper?

4. Is the Purpose of paper clear in the introduction?

5. Are the topics to be covered in your paper includedin the introduction?

6. Do you have a title for your research paper? If so what is it? Here are some examples of titles forresearch papers: Amazing Grace: Flannery OConnors Faith in Fiction A Collective Purpose: Unity in James Joyces Dubliners Learning from the Student: Education Practices inErnest Gainess A Lesson Before Dying

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Compare and Contrast Two Spoken Word Poems

Choose two spoken word poems that have the same theme.
Present one per slide, analyzing:
a) The overall point
b) Details about the point
c) The sonic effects of the poem
d) How the poem is presented.
An example of this is placed on the following slide.

On the final slide please compare and contrast how the two poets interpret the theme (topic) of their poem–in paragraph form.

Template Attached
This compare and contrast must be done on a power point slide

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A Change in Point of View, a Change in History

Assignment: The short story, The Ass and the Ox, seems to be a new perspective on an old event.

-Read the story.

-In what ways does this new, or alternative perspective, enrich and critique ones understanding of the events it alludes to?

-What is the authors over-all point in re-creating this event?

-Use examples of satire, allusion and anthropomorphism as they relate to answering the above question(s).

-Include three other narratives (current or historical) in which a change of subject leads to a different historical interpretation. (This section will likely include research.)

This should be a short essay (5+ paragraphs in length).

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Ring of Hate: Joe Louis vs. Max Schmeling: The Fight of the Century

OVERVIEW
The Purpose of a Historical Book Review (excerpted from Mark Helsterns The History Student Writers Manual, Prentice Hall, 1998):

The essential task of a historical book review is to answer three questions:
What did the writer try to do?
How well did she or he do it?
Was it worth doing in the first place?

People who read a book review want to know if a particular book is worth reading, for their own purposes, before expending their time reading it. These potential readers/researchers want to know the books subject and its strengths and weaknesses, and they want to obtain this information as easily and quickly as possible. Your goal in writing a book review is to help people decided efficiently whether to read a book.

In the process of writing a book review that reaches this primary goal, you will also:
Learn about the book you are reviewing
Learn about professional standards for book reviews in history
Learn the essential steps of book reviewing that apply to most academic disciplines

Learning to review a historical book properly teaches you to focus quickly on the essential elements of the book, to draw from a book its informational value not just for other readers but for yourself. Writing historical book reviews helps you to become proficient in quickly sorting valuable information from material that is not valuable to you at that time. The ability to make such quick and effective judgments is a fundamental ingredient in academic success.

Finally, reading a historical book for review can provide you with practical models of what you should and should not do as a writer. You have a chance to become more conscious of stylistic and organizational strategies than you would if you were reading only for a books contents. Writing a book review gives you practice in assimilating and condensing ideas in order to express them with clarity in as few words as possible.

FINAL PROJECT REQUIREMENTS
Your final project will consist of four parts, as outlined below. Be sure to check the Course Calendar for the due dates for each part. You will submit each of the items below using the appropriate assignment submission link within the Final Project area of the course. Grading rubrics for each part of the final project can be found within the assignment submission links.

Part I: Final Project Proposal
Write a 1-page proposal for a historically-oriented book you plan to critically review. Provide a synopsis of the book and why you think it would be an important book to review. You should include the following: title, author, place and name of publisher, date, and the number of pages. See the sample below for an example of formatting. Note that the title of the book should be in italics or underlined, but not both.
Ring of Hate: Joe Louis vs. Max Schmeling: The Fight of the Century
: Arcade Publishing
266 pages
ISBN-10 : 1559707895
ISBN-13 : 978-1559707893

Part II: Final Paper Outline
Develop an outline based on the Formal Outline section in Chapter 6 of the textbook (Methods and Skills, Chapter 6 (p. 89, The Formal Outline).

Part III: Historical Book Review
Write a historical book review of 1250 words (approximately 5 pages) in length, in addition to the title page and a separate bibliography. In the bibliography, include the citation for the book you are reviewing along with any other sources you use to support your points. Your book review should be double spaced.
List on the review title page the data on the book being reviewed: title, author, place and name of publisher, date, and the number of pages. In the sample that follows, note that the title of the book should be in italics or underlined, but not both.

(A Review of Ties of Common Blood
By Geraldine Tidd Scott
Bowie, Maryland: Heritage Books, Inc.
1992. 442 pages.
Reviewed by: [Your Name Here]
History 350
[Mentors Name Here]
University
[Date, ex: September 28, 2016]) example

Refer to Chapter 8 in the textbook, Reading History, for guidance on what to look for when reading a historical book. Your book review should include a summary of the book along with a discussion of the authors thesis and main points, use of evidence, and presentation.

Required Textbook
Salevouris, M. J., & Furay, C. (2015). The methods and skills of history: A practical guide. (4th ed.). Chichester, West Sussex, U.K.: Wiley-Blackwell.
ISBN: 978-1118745441

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The late 19th-century self-made man.

The late 19th-century self-made man.
Industrialization brought great wealth to America, but the price was quite high. The growing extremes of poverty and wealth that were being exhibited at the end of the 19th century, caused some to seek ways to make possible a just and humane society, while others sought justification for the emerging social order. The promise of success was made, promoting the idea that America was the land of opportunity and that hard work led to success. Social Darwinism (https://sourcebooks.fordham.edu/mod/spencer-darwin.asp ) was used to provide a scientific explanation for why some acquired great wealth while others barely survived. Rags-to-riches stories presented a picture of the opportunities that were available to all, and the success of the self-made man.

In order to prepare for this discussion forum:

Review and identify the relevant sections of Chapter 19, that support your discussion.
Review background information on the works of Horatio Alger Jr., and read one of his short stories: Ragged Dick, available on this linked site. http://nationalhumanitiescenter.org/pds/gilded/people/text3/alger.pdf
Read this selection from Andrew Carnegie’s the Gospel of Wealth on this link.
Read this brief selection on Social Darwinism, written by Herbert Spencer, 1857, who applied Darwin’s theories of evolution to society. He also coined the phrase “survival of the fittest.”
After you have completed your readings post your response to ONE of the topics in the following question:

How would you respond to someone who presents you with the arguments proposed by Social Darwinists, OR the stories written by Horatio Alger, OR Carnegie’s Gospel of Wealth (choose ONLY ONE of these), to explain the success or failures of individuals in the society? What evidence would you use to support your position? For this discussion, you must first identify and present their arguments, and then your counterargument. As you collect your information for this discussion you should keep in mind the opportunities that were available to many, but also the climate of racism that permeated parts of the American society and the legalized discrimination that existed.

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health-care organization

Briefly describe the health-care organization that you are affiliated with and determine what aspect or component of the organization (or program) you would like to assess and evaluate. Briefly describe the critical elements of the program to be evaluated including the specific program qualities, the professional staff, and the setting.

Writer can choose something of their liking as well as answering what assignment entails

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You believe in transformational leadership. How then would you go about motivating your staff as a transformational leader? Now imagine, that you are a leader that ascribes to Servant leadership. How would you go about motivating your staff as a servant leader?

Imagine that you are the Executive Director of a nursing home, leading your organization through the COVID crisis, One of your challenges is to motivate your staff ( CNAs, nurses, dietary staff, activity staff, rehab staff etc) to keep going through the pandemic when they are tired, stressed, afraid and probably working with short staffing. You want them to continue following CDC guidelines and precautions to prevent spread of infection while at the same time provide resident centered care to their residents who are likely experiencing loneliness, anxiety and depression.

Discuss :

You believe in transformational leadership. How then would you go about motivating your staff as a transformational leader?
Now imagine, that you are a leader that ascribes to Servant leadership. How would you go about motivating your staff as a servant leader?
Now contrast your approach as a transformational leader and a servant leader to a leader who ascribed to scientific management. Describe how a leader who is aligned with scientific leader would go about motivating staff through the pandemic

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