Assignment: 2010 Health Care Reform Bill Impact Review HCA 545

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Assignment: 2010 Health Care Reform Bill Impact Review HCA 545

Assignment: 2010 Health Care Reform Bill Impact Review HCA 545 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.

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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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Re: Module 5 DQ 1

Hello Class,

Access to good health care is limited by a number of factors. These disparities include race or ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location (Office of Disease Prevention and Health Promotion, 2020). The biggest disparities my facility deals with is the socioeconomic status and geographic location. The latest census bureau information has 13.1% of the population living in poverty (United States Census Bureau, 2020). The majority of our patients have Medicaid, Medicare, or both. We also have a large uninsured Amish and Mennonite community.

My hospital has a financial assistance program for our uninsured patients. I am not sure how this program works, but there are discounts available for these patients. This program has been in place for a very long time and seems to work well. We do write off hundreds of thousands of dollars each year as charity care as well. We have recently started a program to help home bound patients get to their medical appointments, by using the ambulance service to transport. This program is new, and we are working to make the public aware of it. When a patient uses this service, the insurance will be billed so it is very important to have all of the paperwork completed so that insurance will cover the ambulance transport. The handful of patients that have used it have had very positive reactions.

We have several rural health clinics throughout the county so that patients do not need to travel as far for appointments. We also work with larger facilities to bring specialty providers to the patient. The nearest cardiologist is roughly sixty miles away, so bringing the specialist to our facility is a great service to the patients. We have used telehealth as well. This is used for weekend physician coverage on our inpatient floor. An advanced practice practitioner, that is local, works with an e-hospitalist to manage our observation, acute, and skilled patients. This allows us to keep more patients at the local hospital, which allows the family to be close by.

My facility uses a combination of government mandated and self-initiatives to lessen the impact of the socioeconomic and geographic location disparities.

References

Office of Disease Prevention and Health Promotion. (2020). Disparities. Retrieved from Healthy People 2020: https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities

United States Census Bureau. (2020). Van Buren County, Iowa. Retrieved from census.gov: https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities

Course Code Class Code Assignment Title Total Points
HCA-545 HCA-545-O500 2010 Health Care Reform Bill Impact Review 80.0

Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (65.00%) Satisfactory (75.00%) Good (85.00%) Excellent (100.00%)
Content 100.0%
Describe the Roles and Responsibilities of Health Care Management Relating to the 2010 Health Care Reform Bill 40.0% Does not demonstrate understanding of the relevant issues surrounding the 2010 Health Care Reform Bill. Does not demonstrate critical thinking and analysis of the topic, and does not develop effective answers to the questions. Provides little if any rationale. Demonstrates only minimal understanding of the relevant issues surrounding the 2010 Health Care Reform Bill. Demonstrates only minimal abilities for critical thinking and analysis of the topic, developing weak answers to the questions, with minimal rationale. Demonstrates a marginal, but adequate knowledge of the relevant issues surrounding the 2010 Health Care Reform Bill. Demonstrates some slight misunderstanding of the assigned questions. A basic level of critical thinking is evident. Mediocre analysis of the issues. Lacks relevance. Few connections are made; ideas are presented in isolation. Does not include examples or descriptions. Demonstrates an acceptable working knowledge of the relevant issues surrounding the 2010 Health Care Reform Bill. Clearly explains how these issues are connected. A sufficient level of critical thinking is evident. Answers the assigned questions. Develops an acceptable response and rationale for it. Utilizes some examples. Demonstrates a thorough and extensive knowledge of all relevant issues surrounding the 2010 Health Care Reform Bill. Specific details are introduced and thoughtfully developed. Cogently explains how relevant issues are connected. A profound level of critical thinking is evident. Background issues are presented when necessary to provide context and a deeper level of understanding. Thoroughly answers the assigned questions and develops a strong rationale. Ideas are fresh, pertinent and fully illuminated. Introduces appropriate examples. Assignment: 2010 Health Care Reform Bill Impact Review HCA 545

Integrates Information From Outside Resources Into the Body of Paper 30.0% Does not use references, examples, or explanations. Provides some supporting examples, but minimal explanations and no published references. Supports main points with examples and explanations, but fails to include published references to support claims and ideas. Supports main points with references, explanations, and examples. Analysis and description is direct, competent, and appropriate of the criteria. Supports main points with references, examples, and full explanations of how they apply. Thoughtfully, analyzes, evaluates, and describes major points of the criteria.

Assignment Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear. Assignment: 2010 Health Care Reform Bill Impact Review HCA 545

Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (Includes spelling, punctuation, grammar, and language use.) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English. Assignment: 2010 Health Care Reform Bill Impact Review HCA 545

Paper Format (Use of appropriate style for the major and assignment.) 5.0% Template is not used appropriately, or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.

Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style.) 5.0% No reference page is included. No citations are used. Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

  • Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
  • Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
  • One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
  • I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

  • Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
  • In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
  • Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
  • Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

  • Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
  • Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  • I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

  • I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
  • As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
  • It is best to paraphrase content and cite your source.

 

LopesWrite Policy

  • For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
  • Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
  • Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
  • Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

  • The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
  • Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
  • If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
  • I do not accept assignments that are two or more weeks late unless we have worked out an extension.
  • As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

  • Communication is so very important. There are multiple ways to communicate with me: 
    • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
    • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.