Affordable Care Act and the Role of Other Regulatory Agencies PPT

Can you help me understand this Health & Medical question?

 

  • INTRODUCTION

    The Patient Protection and Affordable Care Act (PPACA or ACA) was signed into law by President Barack Obama in 2010. The ACA attempts to increase access to care, reduce cost, and improve quality. Nearly 50 different reform initiatives were implemented between 2010 and 2017. Although primary care is a major focus of the act, these additional initiatives are focused on 10 different areas, including public health, prevention of disease, community health, and increasing revenue provisions to pay for the reform (Niles, 2021). The law has been controversial due to the mandate that all Americans must purchase health insurance.The U.S. government plays a significant role in the operation of the country’s health care system. Quality, access, funding, education, and preventative services are all influenced by the U.S. government (Niles, 2021), and the Affordable Care Act (ACA) has further increased the role and involvement of the government in health care. All health care administrators must be knowledgeable on the role of the government.Numerous governmental organizations exist, such as the U.S. Department of Health and Human Services (HHS), the Centers for Disease Control (CDC), the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), the Centers for Medicare and Medicaid Services (CMS), the Occupational Safety and Health Administration (OSHA), and the Office of the Surgeon General to name a few. Each organization exists for a specific purpose and has a specific mission. Your role as an administrator will be to understand the scope of these agencies and to help your organization meet or exceed the governmental mandates imposed by each.

    Reference

    Niles, N. J. (2021). Basics of the U.S. health care system (4th ed.). Jones & Bartlett Learning.

    DEMONSTRATION OF PROFICIENCY

    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

    • Competency 1: Analyze current health reform, policy, and regulation in U.S. health care.
      • Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
      • Analyze current trends in policy and predict future reforms.
      • Explain how health care reform and policy have impacted health care quality and cost.
      • Explain how regulatory agencies have evolved to address health reform and policy.
    • Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others.
      • Produce a presentation that conveys understanding of the topic, its context, and its relevance.
      • Use academic writing conventions such as APA formatting and citation style, or others as required.
      • Produce writing that includes minimal grammar, usage, and mechanical errors, including spelling.

    INSTRUCTIONS

    Imagine you are an office manager for a ten-physician primary care practice. You have been asked by the physician group to research and give a presentation on the new regulations impacting the practice as a result of the Affordable Care Act. Using the resources provided, plus at least two other peer-reviewed articles based on your own research, develop a PowerPoint presentation of 14–16 slides, complete with speaking notes. Address the following:

    • Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
    • Analyze current trends in policy, and predict future reforms as a result of the current state.
    • Explain how regulatory agencies have evolved to address health reform and policy.
    • Explain how health care reform and policy have impacted health care quality and cost.

    You might want to (but do not have to) organize your presentation using the following outline:

    • Slide 1: Title of the Presentation.
    • Slide 2: Brief explanation of the purpose of the presentation.
    • Slide 3: The Affordable Care Act.
    • Slide 4: Impact on the U.S. Health Care System.
    • Slide 5: Impact on the Practice of Health Care in the United States.
    • Slides 6–7: Current Trends in Policy.
    • Slide 8: Future Reforms.
    • Slides 10–12: The Role of Regulatory Agencies (one slide per agency you address).
    • Slide 13: Impact to Quality.
    • Slide 14: Impact to Cost.
    • Slide 15: Concluding Summary.
    Presentation Requirements

    Your presentation should consist of:

    • 14–16 bulleted slides.
    • Speaker notes that fully explain each slide.
    • A minimum of two peer-reviewed references, in addition to resources offered in this course or that you find yourself, including government websites.
    • Appropriate APA citations and peer-reviewed references on each slide, as necessary.
    General Guidelines for PowerPoint
    • Keep the design simple. Font: Arial or Verdana, size 24-point, minimum.
    • Keep the slides concise: 5–7 bullet points per slide and 5–7 words per bullet. Use speaker notes to explicate the bullets.
    • For best color contrast, use light text on dark background (for example, yellow on black, white on dark blue).
    • Use the proper slide layout. For example, if a slide has a title and text, it is created using the correct Title and Text layout.

    Note: To fully understand how this assessment will be graded, be sure to carefully read The Affordable Care Act Scoring Guide.

Healthcare Compliance & Reimbursement Ambulance Services & Control Mechanism Discussion

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Healthcare Compliance & Reimbursement:Chapter 7 Assignment

Review Questions:

1.What are the bases for the seven levels of service used in the ambulance services fee schedule?

2.How can physician payments be adjusted for the price differences among various parts of the country?

3.What is the control mechanism the government uses on Medicare payments to physicians, and how is it applied?

4.Describe at least two issues that delayed implementation of the APC system for ambulatory surgical centers.

 

5.How is the “two-times rule” applied to APC groups?

Application:

 

Ambulance Fee Schedule: In February 2007, via CMS transmittal R1185CP, CMS introduced a revised Medical Conditions List to the Ambulance Fee Schedule. Download this transmittal from the CMS website and prepare an education presentation (a short, 1-page summary or a PowerPoint presentation). Include the importance of the Medical Conditions List, how the list should be used, and any precautions that ambulance suppliers should take when using this list to determine the appropriate level of service. Use the link below to access the transmittal from the CMS website.If the link is not working, try to cut and paste the link to the search bar of your Internet Browser.

https://www.cms.gov/Regulations-and-Guidance/Guida…

Experience of Implementing Evidence Based Practice Change Analysis Paper

I’m trying to study for my Health & Medical course and I need some help to understand this question.

 

Assignment 2: Research Critique – Article choices

Select one of the following research articles for Assignment 2:

Underhill, M., Roper, K., Siefert, M., Boucher, J., & Berry, D. (2015). Evidence-based practice beliefs and implementation before and after an initiative to promote evidence-based nursing in an ambulatory oncology setting. Worldviews on Evidence-Based Nursing, 12(2), 70-78.

Irwin, M., Bergman R., & Richards, R. (2013). The experience of implementing evidence-based practice change: A qualitative analysis. Clinical Journal of Oncology Nursing, 17(5), 544-549.

WEEK TOPICAL OUTLINE ACTIVITIES AND ASSIGNMENTS Week 4Translating Research Evidence into Practice Importance of theory driven research and practice Research problems Qualitative research Quantitative research Sources of evidence Research critique Readings:  Polit and Beck: Chapters 2, 3, 4, 5, and 8Recommended Reading: Coughlan, M., Cronin, P., & Ryan, F. (2007). Step-by-step guide to critiquing research. Part 1: Quantitative research. British Journal of Nursing (BJN)16(11), 658-663. (Historic but current and relevant).Kaplan, L. (2012). Reading and critiquing a research article. American Nurse Today7(10). (Historic but current and relevant)Ryan, F., Coughlan, M., & Cronin, P. (2007). Step-by-step guide to critiquing research. Part 2: Qualitative research. British Journal of Nursing), 16(12), 738-744. (Historic but current and relevant).Week 4 Content: Go to Modules on the Course Menu, click, and scroll down to Week 4 content Journal Article(s):Davidson, J., Bagget, M., Zamora-Flyr, M., Giambattista, L., Lobbestael, L., Pfeiffer, J., &., Madani, C. (2017). Exploring the human emotion of feeling cared for during hospitalization. International Journal of Caring Sciences, 10(1), 1-9.Jennings, K. (2017). The Roy adaptation model: A theoretical framework for nurses providing care to individuals with anorexia nervosa. Advances in Nursing Science, 40(4), 370-383.

Assignment 2: Research Critique (12 points)Assignment Instructions: For this assignment, students will critique either a quantitative or a qualitative research article. Select one of the articles posted in Week 4 Module. Assignment Criteria:1. Select a research article provided in the Week 4 Module.2. Copy and paste the appropriate research critique grid found in Week 4 into a new Word document.3. Complete each section of the research critique grid. The “Analysis” section of the research critique grid should be specific. Use bullet points for this section and support each yes/no analysis with comments.4. Critique the article and include the strengths and weaknesses.5. The research critique grid should be added as an appendix to this paper.6. The scholarly paper should be in narrative format 2-3 pages, excluding the title, reference and appendix pages.7. Include an introductory paragraph, purpose statement, body (summary page) and a conclusion.8. Include level 1 and 2 headings to organize the paper.9. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used. 10. Include the chosen article in the reference page.11. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations). 12. Submit the assignment to Turnitin prior to the final submission, review the originality report, and make any needed changes.

 

Appropriate Quality Code Patient Data Management & Documentation Case Study

I’m trying to learn for my Health & Medical class and I’m stuck. Can you help?

 

Chapter 17:

For this assignment I wanted to give you some more information on the SER (service) abbreviations and clarifications regarding instructions for the case study assignment on page 362:

Service (SER)

CD – Cardiology

EN – Endocrinology

GS – General Surgery

OB – Obstetrics

UR – Urology

OR – Operation Room

OP- this should be OR – Operation Room

NE – Neurology

Figure 17.6 – Data for timeliness of documentation study Pg 362

Refer/Read Case Study on page 361

During the last accreditation survey, the hospital had findings related to quality and timeliness of documentation. The facility is due for another survey very soon, To ensure that your organization is in compliance with the Joint Commission documentation standards, you need to conduct a quality audit. You have assigned one of your staff to collect data from patient records to accomplish this task. The staff member collected data for the month of December for quality and timeliness of documentation. The data collected are presented in figure 17.6 (found on pate 362).

Refer to the links below to become knowledgeable of The Joint Commission requirements on timeliness of History and Physicals and Operative Reports.

https://www.jointcommission.org/en/standards/standard-faqs/critical-access-hospital/medical-staff-ms/000002272/ (Links to an external site.)

https://www.jointcommission.org/en/standards/standard-faqs/ambulatory/record-of-care-treatment-and-services-rc/000001698/ (Links to an external site.)

(Links to an external site.)

1. Analyze the collected data in Figure 17.6.

2. Assign the appropriate quality code (1-4), if applicable, for each patient using the key provided at the bottom of Figure 17.6 page 362. If no quality code is applicable enter NA for that patient. Also, document the reason that quality code was assigned. This portion of the assignment is work 42 points. 1 point for each correct quality code assigned and 1 point for the correct reason documented for patients #2-22. I have given you the answer to pt. #1.

There will be some data that was gathered that reflects all elements were meet, you can put N/A or Ok on those. If procedure start and end time is not filled in that may or may not play a part in you assigning the appropriate quality code or identifying that no quality issues was indicated.

Below is an example of how you are to submit the “Quality Code” and “Reason” for each patient by utilizing a table format.

Patient Discharge Date Ser Quality Code Reason
1 12/23/18 CD e3 No time noted on H&P update stamp

3. Analyze the data:

a. Which code is most common? 1 pt.

b. Is there one service that seems to be a problem? 1 pt

c. What can you conclude from the data about compliance with documentation standards? 2 pts

4. Recommend what measures would need to be implemented to correct any documentation compliance issues? 4 pts

Yoga Personal Meditation Discussion

I need an explanation for this Health & Medical question to help me study.

 

When thinking about your personal meditation, describe the most difficult of the 5 senses to withdraw from when attempting to meditate. Explain how you intend to work on it in the future. (no quote, just personal thought)

about 300 words will be fine.

 

Telemedicine in Health Care Essay

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Telemedicine in healthcare.

the instruction and rubric are attached. i need 4 to 5 pagesikkkkkkyuhjjj

Importance of Standards of Care Discussion

I need help with a Health & Medical question. All explanations and answers will be used to help me learn.

 

Write a 175- to 265-word response to the following:

  • Why are standards of care required for health care professionals and organizations? Explain.
  • Do you believe the standards are adequate? Why or why not?

Due Monday (20 pts)

Read and respond to at least two of your classmates’ discussion posts. Be constructive and professional with your thoughts, feedback, or suggestions.

Fak

 

Montessori Training Diagnosis of Multiple Sclerosis Case Study

Help me study for my Health & Medical class. I’m stuck and don’t understand.

 

Multiple Sclerosis

W.H., a woman, age 36, has received a diagnosis of multiple sclerosis. She has lost part of her left visual field and has weakness in her left leg. W.H.’s mother had multiple sclerosis.

  1. State the factors in the history and the diagnostic tests that would indicate multiple sclerosis as a diagnosis.
  2. Describe the pathophysiology of multiple sclerosis.
  3. State the possible locations of the lesions that have caused visual and motor deficits.
  4. Describe the typical course of multiple sclerosis that W.H. can expect in future.
  5. Suggest several measures that can be used to minimize exacerbations.

Medical Evolution Humankind Stages of Life & Regeneration Technology Essay

I need help with a Health & Medical question. All explanations and answers will be used to help me learn.

 

on this assignment I will provide you with the section that I have completed and a list of the sources that I found. you can either use them or you can use your own. I need this short assignment to be done ASAP .