Questions and Topics We Can Help You To Answer:
Paper Instructions:

I need a commented response to the following classmates post. If ANY sources used please they must be easily accessible for the professor. 

Original Question: 

You’re a healthcare IT consultant who has been approached by a former boss and mentor who is now an angel investor and is working with a couple of venture capital firms.  Your mentor would like to invest in a healthcare start-up, but has been away from the industry for several years.  To bring herself back up to speed, she attended the 2018 HIMSS Conference in Las Vegas, which is the largest healthcare IT convention in the world. 

She came away from the conference amazed by the number of IT solutions vendors that are focusing on data aggregation and analysis solutions built to support value-based care reporting (specifically, MIPS/MACRA requirements).  While she feels that this signals a ‘hot’ market, she’s also concerned that it could indicate market saturation. 

Your mentor is likely to offer you the opportunity to lead the creation of the start-up, but she’s reluctant to move forward with next steps without evaluating two, high-level options: (1) a product-focused start-up that will develop a solution that will streamline MIPS reporting for ACOs, or (2) a services-focused start-up that will provide consulting services to ACOs that are focused on ‘checking the boxes’ for ACO compliance and reporting, but that need help optimizing and sustaining their internal operations and care delivery functions.

On the basis of what you know right now, which option would you recommend?



****Classmates Response to Original Post****(RESPOND TO THIS POST):

I would recommend a service oriented startup to assist in ensuring compliance with ACO agreements. I feel that the primary goal of an ACO is to streamline the costs associated with particular conditions, and to focus more on preventing the need for additional care rather than getting paid for services provided, as part of the Triple Aim. This is because this is an agreement between a healthcare payor (insurer) with the providers. With an ACO, typically healthcare organizations are only given a set amount per patient, which varies depending on the conditions that the patient has, although there are several reimbursement models that CMS uses (Centers for Medicare & Medicaid Studies, 2020). Medicare and Medicaid aren’t the only payers that enter into ACO agreements, some large payors are also trending to them as well, such as Blue Cross Blue Shield of Texas (Shinneman, 2018). This could be due to the disruptive innovation brought forth by the ACA creating insurance exchanges, creating a greater need for insurance companies to compete to offer better benefits at a lower cost (Wanamaker, 2013).

The reason that I think that a startup focused on maintaining these agreements is mainly due to the market size of the health IT consulting industry, how new ACO agreements are to the sector, and the growing incentive to push these types of agreements instead of fee for service models. There are already companies that have solutions for the compilation of health data that would need to be reported as part of ACO agreements, and the EHR vendors would probably have an incentive to make this data available if they wanted to retain existing customers and acquire new customers, or perhaps create tools to allow customers to compile the data requested by the ACO agreements themselves. The sale of services is probably a bit easier than the sale of the software as well, since you would be better able to directly correlate the services that are offered with the increased return that they would bring.

References:

Centers for Medicare & Medicaid Studies. (2020, January 30). Accountable Care Organizations (ACOs): General Information. Retrieved February 6, 2020, from https://innovation.cms.gov/initiatives/ACO/

Shinneman, S. (2018, July 25). Baylor Scott & White's ACO Signs A Deal With BCBSTX. Retrieved February 6, 2020, from https://www.dmagazine.com/healthcare-business/2018/07/baylor-scott-whites-aco-signs-a-deal-with-bcbstx/

Wanamaker, B. (2013, September 30). Disruptive Innovation and the Affordable Care Act. Retrieved February 6, 2020, from https://thehealthcareblog.com/blog/2013/09/26/disruptive-innovation-and-the-affordable-care-act/

Questions and Topics We Can Help You To Answer:
Paper Instructions:

Please use this article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3765964/

1.Title: 
•Your title needs to elude to the scope of your project. Do not just write “Bio 211 Project”. 

2.Introduction
•Background of your topic: Describes our current knowledge about the topic by referencing a study or two from the primaryliterature.  
•Significance or importance of your research and motivation for your experiment. The motivation for conducting the research is made clear by relating what we know to a new question that should advance our understanding about the topic.
•Statement of problem and goals of your project.
•Question and Hypothesis: What is the question you want to ask and what specifically is your hypothesis. 

3.Methods
•General approach: 
•Specific approach: 
•What is the sample size?Where will the project be conducted? What are the independent and dependent variables? What variables will be controlled?•Materials needed
•How will you record your data. What will your table look like?
•What statistics will you use to analyze your results.

4.Reference
•Site paper

5. Screenshot of the first page of cited reference

I have provided examples of previous students' work.

Questions and Topics We Can Help You To Answer:
Paper Instructions:

Assignment 1: Provider Evaluation (Quality & Safety)


Preparation

In this age of acute competition and alignment of providers, systems are evolving to improve contracting opportunities, including population health, accountable care organizations, and models of health care delivery. They are targeting quality care at a value price. This assignment explores a provider of your choice to determine their desirability to be a member of a system and recommend improvements they may need to make to become more competitive in their market.

Instructions

Write a two to three (2-3) page proposal in which you evaluate and make recommendations for a provider you have chosen in terms of safety, quality, and evidence-informed health care by doing the following:

1. Choose a health care provider — nursing home, hospital, home care, etc.

2. Using the search function at one of the medicare.gov sites (https://www.medicare.gov/hospitalcompare/search.html or https://www.medicare.gov/nursinghomecompare/search.html), review your provider's measures on safety, quality, and evidence-informed health care. Pay attention to the publicly reported outcomes on mortality, rehospitalization, and infection rates, as well as patient satisfaction and preventive care.

Note: If you have chosen a home health provider, you can use the following website to review their home health quality measures https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Home-Health-Quality-Measures.html.

3. Identify other providers in the same geographic area, review their outcomes, and compare your provider (e.g. search by zip code).

4. Determine how these outcomes impact this provider as a potential member for a health system, accountable care organization, or as a contender to obtain population health contracts.

5. Based on the reports, determine which quality initiative the providers should address through evidence-based practices, such as safety, quality, rehospitalizations, mortality, etc.

6. Would your provider be a desired member of a system?

7. What is your recommendation for this provider to improve their outcomes in order to improve reimbursement and to become a desirable member of a system of providers?

Your assignment must follow these formatting guidelines:

This course requires the use of the new Strayer Writing Standards (SWS). The format is different from other Strayer University courses. Please take a moment to review the SWS documentation for details.
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 and the reference page are not included in the required assignment page length.
Go to https://research.strayer.edu to locate at least two (2) quality resources to use in this assignment. Note: Wikipedia and similar Websites do not qualify as academic resources. Refer to the Strayer University Library, https://research.strayer.edu.
The specific course learning outcomes associated with this assignment are:

Analyze the use of health care technologies to enhance cost-effectiveness, increase health care access, promote health equity, and provide care for vulnerable populations.

Questions and Topics We Can Help You To Answer:
Paper Instructions:

The purpose of the Current Event/News Article Paper is for students to identify current news articles and/or events that relate to the current topic and its impact on local, state, or national policy.  This paper is also an activity to help students assess and identify media bias, which can impact public opinion and policy-making.  This paper is a brief synopsis of the current event/news article, it’s relation to the topic and policy, and the student’s assessment of the viewpoint of the event/article.  In paragraphs 2 and 3, you are to answer the questions listed below in the rubric in their corresponding paragraphs with the outlined requirements.

Requirements:

Must be a current event/news article from a media source (ie. Newspaper, News Channel, Government Agency report, Legal brief, etc.) at the local, state or national level
300 words, 3 paragraph format
Submit to the correct link in Assignments. This uploads your paper to TurnItIn, a plagiarism detection device.  See plagiarism information under Institutional Policies.
Use correct grammar, spelling, etc.
Questions to Answer:

How is the event/news article related to the topic and policy? (paragraph 2)
What side of the argument is the author of the article writing from? Is it pro, con, or neutral? How could this viewpoint affect public opinion and policy-making? (paragraph 3)

Questions and Topics We Can Help You To Answer:
Paper Instructions:

Write a response to the following post:

Healthcare organizations have the choice to be for profit or not for profit. There are pros and cons for being for profit or not for profit. Not for profit don’t have to pay taxes but must donate a certain amount of money back to the community (Cheney, 2019). Also, a not for profit must reinvest the profits earned back into their organization (Cheney, 2019).

When using investors there are more opportunities to access capital funds to maintain or expand. For profit hospitals mostly benefit because of the investors money and they have more flexibility with choosing what types of services they can offer to the community (Baird, 1971). If the healthcare organization desires, they can return profits to the investors.

Being for profit versus not for profit will allow the freedom to operate the way the organization feels fit. They can choose to eliminate services that are not doing well or add new and innovative services whenever they want to. They will make all the business decisions and utilize their investors to help solidify the financial growth.

References:

Cheney, C. (2019). 3 strategic differences between nonprofit and for-profit hospitals. Healthcare Leadership Review, 38(10), 1–4. Retrieved from https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=139005571&site=eds-live&scope=site

Baird, C. W. (1971). On Profits and Hospitals. Journal of Economic Issues (Association for Evolutionary Economics), 5(1), 57. https://doi-org.lopes.idm.oclc.org/10.1080/00213624.1971.11502963

Questions and Topics We Can Help You To Answer:
Paper Instructions:

2-3 page proposal in which you evaluate and make recommendations for a provider in terms of safety, quality, and evidence-informed health care. The provider is I choose is “Tuckahoe Orthopedics”

Questions and Topics We Can Help You To Answer:
Paper Instructions:

Why you want to study in Canada and that you understand your responsibilities as a student

Questions and Topics We Can Help You To Answer:
Paper Instructions:

 masters’ program.
-        Why do you want to be a nurse practitioner in the specialty?  Indicate your genuinely interest in the field. 
-        What are your career long-term goals?
-        What makes you a successful practitioner in this role? Share qualities and skills that you poses

Questions and Topics We Can Help You To Answer:
Paper Instructions:

Select and explain the diagnosis pernicious anemia. Include an example of a clinical situation involving the diagnoses.  

Questions and Topics We Can Help You To Answer:
Paper Instructions:

Explore the Kaiser Family Foundation website: http://kff.org/ to research and evaluate the different levels of health insurance.  Students must write up a summary of each level of insurance offered. Students should critique the available insurance options, discussing the pros and cons of each one. Discuss the ease of the site and level of information given.  This should be a 3 page paper plus title and references pages using APA format.

Questions and Topics We Can Help You To Answer:
Paper Instructions:

No Medications, No treatments, No references or title page. Paper should be about pathophysiology of condition. Should include risk factors, case history similarities, things like that.

Questions and Topics We Can Help You To Answer:
Paper Instructions:

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to "Communicable Disease Chain," "Chain of Infection," and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

1.Chickenpox
2.Tuberculosis
4.Influenza
5.Mononucleosis
6.Hepatitis B
7.HIV
8.Ebola
9.Measles
10.Polio
11.Influenza
Epidemiology Paper Requirements

1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographics of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.
3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of the disease.
6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.