Archive for month: February, 2019

Write a 2- to 3-page paper. Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Pocket Guide to APA Style to ensure that in- text citations and reference list are correct. Submit your assignment to the Dropbox by the end of this Unit.

In 2007 San Francisco began its Healthy San Francisco Plan designed to provide health care for all San Francisco citizens. In 2007, it was estimated that San Francisco had 82,000 uninsured citizens. Under the plan, all uninsured citizens residing in San Francisco can seek care at the city’s public and private clinics and hospitals. The basic coverage includes lab work, x-rays, surgery, and preventative care. The city plans to pay for this $203 million coverage by rerouting the $104 million the city currently spends treating the uninsured in the emergency rooms, mandating business contributions, and requiring income-adjusted enrollment fees. The plan requires all businesses with more than 20 employees to contribute a percentage toward the plan. Many business owners consider this a burden and warn they will not stay in the city. The Mayor sees universal health access a moral obligation for the city.
Take one of the following positions.
• San Francisco has an obligation to provide its citizens with health access.-OR-
• San Francisco does not have an obligation to provide its citizens with health access.
Discuss the following in your assignment:
1. What is the government’s role in regulating healthy and unhealthy behavior?
2. Has the balance between personal freedom and the government’s responsibility to provide health and welfare of its citizens been eroded? Why or why not?

1) 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.

• Public health informatics
Discuss what you find most interesting and relevant on the overall topic of public health informatics based on readings, film festival, and class discussions. How can informatics, apps, and greater connectivity help improve the health of communities?
• https://www.youtube.com/watch?v=bcYvV39M160
• https://www.youtube.com/watch?v=0deZxlqOzro
• https://www.youtube.com/watch?v=tilbJUsZWvI
• https://www.youtube.com/watch?v=J42CLZH1NlE
• https://www.youtube.com/watch?v=1VEyeGoQacY
• https://www.youtube.com/watch?v=pA0zkOGj4wY
• https://www.youtube.com/watch?v=I2KSYsvRA5c
• https://vimeo.com/12258781
• https://www.youtube.com/watch?v=C4LbAUa4ZwY
• https://www.youtube.com/watch?v=eAUH1lX54z8

• Future Trends
Share your thoughts on emerging healthcare informatics trends and what you think will become much more valuable and widely used in the next 5 years for improving health of of all of us.

Write a 1,050 paper in which you explain your position on health care spending in the United States. Discuss the following: The level of current health care expenditures. Is the level of spending appropriate? Indicate where spending should be added or cut. Discuss why? How the public’s health care needs are paid for? Identify various payers and indicate the percent of total expenditures they represent. Provide a forecast of the following: The future economic needs of the health care system Why these needs must be addressed How you envision these needs will be financed Format your paper consistent with APA guidelines.

Instructions: Access the U.S. Census Quick Facts link http://quickfacts.census.gov/qfd/ Click on the U.S. map for Florence, SC. Answer the following questions: 1. Name of your county and state 2. Population of your county with racial and gender breakdowns 3. Number of senior citizens 4. Number of disabled individuals 5. Number of children Choose one of the populations above (senior citizens, disabled, or children) and list at least two possible health concerns for that population. Research your local newspaper or other source to give information on community health interventions or public policy that exist with the population you chose. Access the link http://christianhospital.privatehealthnews.com/phn_new/client/bvha/html/view.asp#1 to take a health risk assessment. There are several to choose from. Choose one and report findings and recommendations for improving your health. Please summarize questions asked and also results thoroughly and in your own words. Do not cut and paste answers directly from the findings given on the website. How can you utilize these results to improve your own personal health?

Middleville Regional Health Care is one (1) of three (3) hospitals serving a community of 350,000 people. Summary statistics on Middleville and its competitors, from the AHA Guide, are shown below in Table 1. All three organizations are not-for-profit.
Table 1: Middleville, Brierfield, and Greystone Health Care Systems
Name Beds Admissions Census OP Visits Births Expenses (000) Personnel
Middleville 575 13,000 350 221,000 2,300 $125,000 2,000
Brierfield 380 17,000 260 175,000 1,200 $130,000 1,875
Greystone 350 10,000 180 40,000 900 $80,000 1,200
The governing board of Middleville hired a consulting company to evaluate its strategic performance, specifically in the areas of Human Resources, Information Technology, Financing, and Marketing. As part of the consultant’s evaluation, several leaders of Middleville’s units were asked their perspective of the organization’s performance.
You are working for the consultant. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without suggesting how the client organization can correct it,” so you must indicate what sort of correction you would recommend as part of your list. Because you know there were about two (2) dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed.
Write a six to eight (6-8) page paper in which you:
1. Explain the governing board’s role in these strategic initiatives, determining its responsibility and involvement.
2. Evidence-based management means that operational and strategic decisions are made based upon the evidence that goals and objectives are actually being met. Quantitative measurements must be identified and measured. This data is then used to evaluate the HCO’s performance. Name three (3) performances Middleville can use to measure its success in providing quality healthcare to the community, and identify quantifiable, measureable indicators that can be used to do so. Explain the importance of each performance measurement.
3. Given the statistics of Middleville and its two (2) competitors provided in Table 1, recommend to the HCO what areas it should focus on to maintain its competitive market share as well as continue to provide healthcare to the community in the 21st century.
4. Some of Middleville’s Board members are very interested in pursuing advanced technology systems over the next five (5) years, while others are concerned about the enormous expense and need assurance that the investment in technology will be worthwhile. In both monetary and process terms, describe the costs and benefits associated with implementing EMR and associated health data systems. Lay out a plan for how various systems can be implemented.
5. Middleville has faced many challenges in recruiting and retaining nurses and other clinical employees. The economy has hit the area very hard and budgetary limitations have reduced the amount of money available for salary increases. The Board knows it needs to provide other benefits to their valued employees. Provide at least two (2) suggestions to Human Resources to promote employee satisfaction and, therefore, retain experienced personnel.
6. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
7. Format your assignment according to the following formatting requirements:
a. Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
b. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.
c. Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.
The specific course learning outcomes associated with this assignment are:

• Examine how healthcare management concepts and theories are applied to critical issues in healthcare organizations.
• Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations.
• Explain how public policy has shaped the development of the U.S. healthcare system.
• Use technology and information resources to research issues in health services organization management.
• Write clearly and concisely about health services organization management using proper writing mechanics.

In this assignment, you will examine the international legal entities dealing with global health law incidents. Read “Cholera Outbreak in Zimbabwe” (5.2) on pages 68-69 in An Introduction to Global Health Ethics. In this case study, you explore options available for dealing with this health crisis. Write a 4-5 page paper evaluating the steps Zimbabwe should take in dealing with this situation and provide your recommendation on how to remedy a future situation. Your report should address the following substantive requirements: • Examine the purpose of laws. • Describe and assess each agency that would be involved in the situation. Include pros and cons for international involvement in state affairs. • Develop a law that would prevent such a breakdown from occurring in the future and use reasoning to illustrate why such a law would not be considered intrusive. Your well-written report should meet the following requirements: • Be 4-5 pages in length, not including the cover or reference pages. • Formatted according to Saudi Electronic University and APA writing guidelines. • Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but two must be external. • Utilize the following headings to organize the content in your work: o Introduction, o Description and Assessment, o Recommendation, and o Conclusion. Case study 5.2 Cholera outbreak in Zimbabwe Due to crumbling infrastructure, sewage plants in Zimbabwe begin leaking raw sewage into rivers. Within weeks, thousands of people who rely on the rivers contract cholera. The Zimbabwean government denies that the country is experiencing a cholera pandemic, despite thousands of deaths and sick refugees presenting in bordering countries, and refuses to act on the emergency. Can the international community legally intervene in instances when a state is unwilling or unable to control an epidemic? The above scenario mirrors what occurred in Zimbabwe in 2008, and raises the question of what recourse populations have in the event of a disaster if their host state is incapable or unwilling to provide basic aid and is reluctant to request international assistance. Currently there is no general convention that governs all aspects of disaster relief, in stark contrast to international humanitarian law, which protects civilians during armed conflicts (Davies 2010). On the question of humanitarian access, international law tends to favour the protection of sovereignty and territorial integrity over the protection of populations (United Nations 2007). However, while international law does not currently govern humanitarian disasters, the WHO’s revised IHR (2005) lists cholera as one of the diseases about which states are required to notify WHO, due to its potential serious public health impact and its ability to spread internationally. The IHR requires that states request international assistance if they have insufficient antidotes, drugs, vaccine, protection equipment and financial, human and material resources to contain the disease. The breakdown of the public health system in Zimbabwe, the case fatality rate of cholera victims, and the speed at which the disease spread in 2008 all pointed to the state being unable to effectively contain the disease outbreak (Davies 2010). In terms of the IHR 2005, Zimbabwe’s 2008 cholera outbreak constituted an emergency and the Zimbabwean government had a duty to accept the assistance offered by WHO and various NGOs. In instances where a state still refuses to accept international intervention in the face of a major disease outbreak, the UN Security Council could become involved. The UN High-level Panel on Threats, Challenges, and Change (United Nations 2004) noted that in certain instances: [T]he Security Council should be prepared to support the work of WHO investigators or to deploy experts reporting directly to the Council, and if existing International Health Regulations do not provide adequate access for WHO investigations and response coordination, the Security Council should be prepared to mandate greater compliance. In the event that a State is unable to adequately quarantine large numbers of potential carriers, the Security Council should be prepared to support international action to assist in cordon operations. The Security Council should consult with the WHO Director-General to establish the necessary procedures for working together in the event. Due to the possibility of being classified as a failed state (which would have opened the door to possible UN Security Council intervention), the Zimbabwe government eventually declared the cholera outbreak a national emergency in December 2008, and invited WHO to coordinate a Health Cluster response effort with the cooperation of the Zimbabwe health ministry and other nongovernmental agencies.