• 24 AUG 18
    • 0

    Challenges and barriers illuminate differences between insured and   uninsured individuals.

    Short Answer Submission Form

    Your Name: First and last

    Your E-Mail Address: Your email here

    Instructions

    Write your responses where it reads “Enter your response here.” Write as much as needed to satisfy the requirements indicated. Each item contains the Rubric which will be used to evaluate your responses.

     

    1. 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.

    · Describe the challenges and barriers to access; affordability; and availability for Raymond and Emmanuel. (1–2 pages)

    · Describe the potential social, economic, and health outcomes for Raymond and Emmanuel if prevention had a higher priority in the US. (1 page)

    Your Response

    Enter your response here

    Rubric

     

    0

    Not    Present

    1

    Needs    Improvement

    2

    Meets    Expectations

    3

    Exceeds    Expectations

     

    Sub-Competency 1: Describe how the delivery of care is affected for those   with and without insurance in relation to cost, quality, and access.

     

    Learning Objective 

    LO 1.1: Describe   challenges and barriers to access, affordability, and availability for   individuals with and without insurance.

    Comparisons between patients’ history of care and possible health   outcomes are missing.

    Response inaccurately describes the different challenges and barriers   to access, affordability, and availability for the individuals in the case   presented. Or, issues of access, affordability, and/or cost are not   discussed.

    Challenges and barriers do not illuminate differences between insured   and uninsured individuals.

    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 demonstrates the same level of achievement as “2,” plus the   following:

    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.

     

    Learning Objective 

    LO 1.2: Describe   potential social, economic, and health outcomes if prevention has a higher   priority in the U.S.

    Description of potential social, economic, and health outcomes if   prevention has a higher priority in the U.S. is missing.

    Response vaguely or inaccurately describes potential social,   economic, and health outcomes for the individuals in the case presented,   given an increase in preventative care in the US, or Response does not   address the situations of both individuals in the case.

    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 demonstrates the same level of achievement as “2,” plus the   following:

    Response provides examples of two preventative care programs and how   they affect social, population, economic, and health outcomes.

    2. Define the continuum of care process, including objectives and the relationship to organizations and patients. (2–3 sentences)

    Enter your response here

    Rubric

     

    Sub-Competency 2: Explain the continuum of care process in a variety   of settings.

     

    Learning Objective 

    LO 2.1: Define   the continuum of care process.

    Definition of the continuum of care process is missing.

    Response vaguely defines the continuum of care process.

    Response clearly defines the continuum of care process, including   objectives and the relationship to organizations and patients.

    Response demonstrates the same level of achievement as “2,” plus the   following:

    Response provides examples that illustrate the benefits of the   services along the continuum of care.

    3. Describe the following settings and types of care, including objectives and basic components. (2–3 sentences each)

    · Primary care

    · Secondary (general hospital)

    · Tertiary (teaching)

    · Specialty hospitals

    · Outpatient programs (surgery, outpatient rehab)

    · Nursing homes

    · Rehabilitation settings

    · Assisted living

    · Home health

    · Hospice

    Your Response

    Enter your response here

    Rubric

     

    Sub-Competency 2: Explain the continuum of care process in a variety   of settings.

     

    Learning Objective 

    LO 2.2: Describe   various healthcare settings and types of care.

    Descriptions of various healthcare settings and types of care is missing.

    Response inaccurately describes the following   settings and types of care and/or does not include objectives and basic   components.

    · Primary care

    · Secondary (general hospital)

    · Tertiary (teaching)

    · Specialty hospitals

    · Outpatient programs (surgery, outpatient   rehab)

    · Nursing homes

    · Rehabilitation settings

    · Assisted living

    · Home health

    · Hospice

    Response describes the following settings and   types of care, including objectives and basic components.

    · Primary care

    · Secondary (general hospital)

    · Tertiary (teaching)

    · Specialty hospitals

    · Outpatient programs (surgery, outpatient   rehab)

    · Nursing homes

    · Rehabilitation settings

    · Assisted living

    · Home health

    · Hospice

    Response demonstrates the same level of   achievement as “2,” plus the following:

    Response describes how the services may be coordinated for a   particular patient.

    4. Describe the personnel who should be part of a multidisciplinary team that focuses on patient-centered care in an inpatient setting. Include at least sixdisciplines and provide a rationale for each, including each member of the team. (1 page)

    Your Response

    Enter your response here

    Rubric

     

    Sub-Competency 3: Explain processes,   roles, and responsibilities in the delivery of healthcare.

     

    Learning Objective 

    LO 3.1: Describe   the disciplines that should be part of a multidisciplinary team for a   particular healthcare context.

    Description of the disciplines that should be included in a   multidisciplinary team is missing.

    Response vaguely describes, or describes fewer than six disciplines   that should be part of a multidisciplinary team focused on patient-centered   care in an inpatient setting.

    Response provides limited or illogical justification for inclusion of   the disciplines chosen.

    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 demonstrates the same level of achievement as “2,” plus the   following:

    Response describes how team composition and expertise benefit patient   outcomes.

    5. 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. (1–2 pages)

    Your Response

    Enter your response here

    Rubric

     

    Sub-Competency 3: Explain processes,   roles, and responsibilities in the delivery of healthcare.

     

    Learning Objective 

    LO 3.2: Define   the roles of clinical, technical, and administrative professions in the   delivery of healthcare.

    Description of the roles and goals of hospital departments is   missing.

    Response vaguely describes the roles and goals of hospital   departments.

    Response thoroughly describes at least three roles and one goal of   clinical, technical, and administrative departments.

    Response demonstrates the same level of achievement as “2,” plus the   following:

    Response describes how the departments work together to achieve   organizational and outcome goals.

    6. 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.

    Your Response

    Enter your response here

    Rubric

     

    Sub-Competency 3: Explain processes,   roles, and responsibilities in the delivery of healthcare.

     

    Learning Objective 

    LO 3.3: Explain   how admission policies differ in various types of healthcare organizations   and how this relates to access to care.

    Explanation about how admission policies differ in various types of   healthcare organizations and how this relates to access to care is missing.

    Response vaguely explains how admission policies differ in various   types of healthcare organizations and how this relates to access to care;   and/or the differences between for-profit and not-for-profit healthcare   organizations are unclear or missing; and/or only one difference is   addressed.

    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 demonstrates the same level of achievement as “2,” plus the   following:

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

    7. There are many different organizations and institutions that are major players in the healthcare system. Briefly describe how each of the following influences healthcare: (4–6 sentences each). Please consult at least one reference other than the website in formulating your answer, for each organization.

    · Pharmaceutical Research and Manufacturers of America (PhRMA)

    · Food and Drug Administration (FDA)

    · American Medical Association (AMA)

    · American Hospital Association (AHA)

    · Joint Commission (JC)

    · Centers for Medicare and Medicaid Services (CMS)

    · State Department of Health (student’s state)

    · Centers for Disease Control and Prevention (CDC)

    · U.S. Department of Health and Human Services

    Your Response

    Enter your response here

    Rubric

     

    Sub-Competency 4: Describe   the organizations and institutions that are major players in the healthcare   system.

     

    Learning Objective 

    LO 4.1: Describe   how major healthcare organizations and institutions influence healthcare.

    Description of how major healthcare organizations and institutions   influence healthcare is missing.

    Response vaguely or incompletely describes how each of the following   influences healthcare:

    · Pharmaceutical Research and Manufacturers of   America (PhRMA)

    · Food and Drug Administration (FDA)

    · American Medical Association (AMA)

    · American Hospital Association (AHA)

    · Joint Commission (JC)

    · Centers for Medicare and Medicaid Services   (CMS)

    · State Department of Health (student’s state)

    · Centers for Disease Control and Prevention   (CDC)

    ·  U.S.   Department of Health and Human Services

    Response clearly and accurately describes how each of the following   influences healthcare:

    · Pharmaceutical Research and Manufacturers of   America (PhRMA)

    · Food and Drug Administration (FDA)

    · American Medical Association (AMA)

    · American Hospital Association (AHA)

    · Joint Commission (JC)

    · Centers for Medicare and Medicaid Services   (CMS)

    · State Department of Health (student’s state)

    · Centers for Disease Control and Prevention   (CDC)

    ·  U.S.   Department of Health and Human Services

    Response demonstrates the same level of achievement as “2,” plus the   following:

    Response provides examples about how patients are directly impacted   by two or more of these major players.

    8. 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. (1 page)

    Your Response

    Enter your response here

    Rubric

     

     

    Learning Objective

    LO 4.2: Define   vertically and horizontally integrated health systems.

    Definition of vertically and horizontally integrated health systems   is missing.

    Response vaguely defines vertically and horizontally integrated   health systems and/or does not include the business goals and/or patient   outcomes.

    Response vaguely explains how these systems impact healthcare today.

    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 demonstrates the same level of achievement as “2,” plus the   following:

    Response provides an example of vertically and horizontally   integrated health systems.

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