CU Critical Issues for Healthcare Organizations Discussion
Sample Answer for CU Critical Issues for Healthcare Organizations Discussion Included After Question
Description
When evaluating your answer for this discussion topic, take into account all the topics covered from Part III: Critical Issues for Healthcare Organizations.
Balancing costs with patient care is part of distributive justice. Discuss three ways that the use of Safe Patient Handling and Mobility (SPHM) practices effect the ability to achieve this balance. How would you promote each of these methods within your healthcare organization (one promotion per method)?
CHAPTER 11 A NEW ERA OF HEALTHCARE: THE ETHICS OF HEALTHCARE REFORM Spring 2023 Quality Healthcare Iron Triangle Cost Access Types of HC Coverage 3 ways to provide universal HC coverage: 1. Bismarck model – private insurance is required for all by individual or employer mandate • Example: Massachusetts follows this model 2. Beveridge or National Health Service model – the government owns & provides all required medical services • Example: Department of Defense military branches, Veterans Health Administration, Indian Health Services 3. National Health Insurance model – The government provides health insurance • Example: Medicare & Medicaid 20th Century Health System Reform (Europe) 1883: Otto von Bismarck introduced health insurance in Germany Early 1900s: all European democracies have “sickness insurance”, government or labor organization/guild provided (protection against wage loss) Mid-1900s: European nations evolved to universal insurance 20th Century Health System Reform (U.S.) (1 of 6) • 1910-1915: Workers’ Compensation Insurance enacted in 32 states • 1912: American Association of Labor Legislation (AALL) committee on social welfare, health insurance concentration • 1914: AALL recruited physicians to draft model legislation • 1917: • American Medical Association (AMA) endorsed AALL legislation draft • American Federation of Labor (AFL), state medical societies, insurance industry, & business interests opposed and defeated • produced many concerns of socialism, socialized medicine, Bolshevism, or Prussian ideology • 1920: AMA reversed its support 20th Century Health System Reform (U.S.) (2 of 6) • 1920s-1930s: reform stalemate • 1933: • “Hospital Service Plans” in 26 states • AHA established the Committee on Hospital Service (AHA Hospital Service Plan Commission in 1936) • approved plans were nonprofit • designed to improve public welfare • had dignified promotion • covered only hospital charges only • allowed for a free choice of physicians • no competition among plans (1937 addition) 20th Century Health System Reform (U.S.) (3 of 6) • 1935: Social Security Act (no inclusion of universal coverage) • 1938: Surgical coverage introduced • 1939: National Health Act introduced but failed – national compulsory health insurance (employees & dependents) • 1940s-1950s: Private Health Insurance popularized • wage & price controls due to WWII • expansion of organized labor (unions) • employer-provided health insurance benefits were not subject to federal income taxation (1943 private ruling & 1954 Congressional legislation) 20th Century Health System Reform (U.S.) (4 of 6) • 1943: Wagner-Murray-Dingell Bill (failed) comprehensive medical insurance for people covered by the Social Security program • 1945, 1946, 1948, 1971, 1991, 1992: multiple universal health insurance plans introduced, but failed (“socialized medicine”) • 1946: Hill-Burton Act – subsidized hospital & nursing home construction for next 25 years • 1947: Taft-Hartley Act – defined health insurance as a condition of employment, therefore, a subject for collective bargaining • 1954: health insurance premiums became tax-deductible 20th Century Health System Reform (U.S.) (5 of 6) • 1960: Kerr-Mills Act – • beginning of Medicare • federal grants to states to assist in the provision of medical care for seniors receiving welfare benefits • 1965: • Medicaid created through the Social Security Act of 1965 • Medicare signed into law • 1980s: expansions of Medicare & Medicaid • 1993: Clinton National Health Security Plan introduced, but inevitably failed to maintain public support 20th Century Health System Reform (U.S.) (6 of 6) • 2010: • employment-based health insurance dropped to 55% • 16% of the population lacked any health insurance • healthcare professional shortages • H.R. 3590 – Patient Protection & Affordable Care Act of 2010 (ACA 2010) • H.R. 4872 – Healthcare & Education Reconciliation Act • Requirement for all Americans & legal immigrants to have health insurance or pay a penalty • Businesses with 50+ employees required to provide health insurance; small businesses receive tax credits to off-set costs • State option for extension of Medicaid eligibility (income
| Excellent | Good | Fair | Poor | ||
| Main Posting | 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.
Supported by at least three current, credible sources.
Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.
At least 75% of post has exceptional depth and breadth.
Supported by at least three credible sources.
Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
35 (35%) – 39 (39%)
Responds to some of the discussion question(s).
One or two criteria are not addressed or are superficially addressed.
Is somewhat lacking reflection and critical analysis and synthesis.
Somewhat represents knowledge gained from the course readings for the module.
Post is cited with two credible sources.
Written somewhat concisely; may contain more than two spelling or grammatical errors.
Contains some APA formatting errors. |
0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.
Lacks depth or superficially addresses criteria.
Lacks reflection and critical analysis and synthesis.
Does not represent knowledge gained from the course readings for the module.
Contains only one or no credible sources.
Not written clearly or concisely.
Contains more than two spelling or grammatical errors.
Does not adhere to current APA manual writing rules and style. |
|
| Main Post: Timeliness | 10 (10%) – 10 (10%)
Posts main post by day 3. |
0 (0%) – 0 (0%) | 0 (0%) – 0 (0%) | 0 (0%) – 0 (0%)
Does not post by day 3. |
|
| First Response | 17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English. |
15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English. |
13 (13%) – 14 (14%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited. |
|
| Second Response | 16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English. |
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English. |
12 (12%) – 13 (13%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited. |
|
| Participation | 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days. |
0 (0%) – 0 (0%) | 0 (0%) – 0 (0%) | 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days. |
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| Total Points: 100 | |||||