NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system

Sample Answer for NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system Included After Question

Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect. Describe the effect of health care reform on the U.S. health care system and its respective stakeholders. Support your post with a peer-reviewed journal article.

A Sample Answer For the Assignment: NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system

Title: NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system

The U.S. has a decentralized healthcare system with various private and public access points. The public health system includes government entities and collaborative efforts with community nonprofit organizations and faith-based organizations. Government agencies include state and local health departments, providing care such as laboratory services, health screenings, treatment of disease, and epidemiology surveillance (Quentin & Busse, 2018). Private health care is delivered in inpatient, outpatient, or ambulatory care; long-term or residential; mental health; home care; wellness center; and alternative medicine settings. Private institutions are either for-profit private facilities or nonprofit private facilities, with the latter being the largest component. The U.S. has poor health outcomes, including low life expectancy and high suicide rates, compared to our peer nations.

A relatively higher chronic disease burden and incidence of obesity contribute to the problem, but the U.S. health care system is also not doing its part. The analysis shows that the U.S. has the highest rates of avoidable mortality because of people not receiving timely, high-quality care (Saenz, 2021). The healthcare system in U.S. is greatly influenced by the health insurance system which does not adequately support right to health which every person residing legally in United States should be able to enjoy their right.

In trying to promote effective healthcare for all U.S. population, healthcare should be focusing on the care that can be afforded by all and strengthening the primary preventive care. The preventable diseases like diabetes, hypertension and cancers can be minimized by promoting access to effective and quality healthcare. For Americans to enjoy optimal health—as individuals and as a population—they must have the benefit of high-quality health care services that are effectively coordinated within a strong public health system (Colón, 2018). The greater attention should be placed on reducing health care costs. The U.S. could look to approaches taken by other industrialized nations to contain costs, including budgeting practices and using value-based pricing of new medical technologies. Approaches that aim to lower health care prices are likely to have the greatest impact, since previous research has indicated that higher prices are the primary reason why the U.S. spends more on health care than any other country.

 

References

Colón, K. A. (2018). Creating a Patient-Centered, Global, Decentralized Health System: Combining New Payment and Care Delivery Models with Telemedicine, AI, and Blockchain Technology. Blockchain in Healthcare Today, 1(9), 03-11. https://doi.org/10.30953/bhty.v1.30

Quentin, W., & Busse, R. (2018). The strongly decentralized Swiss health system achieves good results: Past research has addressed persisting challenges – but more is encouraged. Health Policy, 122(6), 565–567. https://doi.org/10.1016/j.healthpol.2018.06.002

Saenz, S. R. (2021). High-Level Disinfection in Ambulatory Care: Overcoming the Barriers of a Decentralized System through Auditing and Education. Antimicrobial Stewardship & Healthcare Epidemiology, 1(S1), s11–s11. https://doi.org/10.1017/ash.2021.21

A Sample Answer 2 For the Assignment: NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system

Title: NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system

I must mention that when evaluating the U.S. health care system and the effectiveness of it, it is important to evaluate what is affordable. The health care system in the U.S. is one of the best in the world to those who can afford it, for those who cannot afford the high prices of many treatments and medications the U.S. health care system is much less effective. The Affordable Care Act of 2010 sought to provide and improve care for those who previously could not afford it. Insurance companies in turn raised rates on those who had insurance to help offset the deficits that were created by providing benefits to those who could not afford to contribute. This system and the financial burden it has created on the government, the insurance companies, and even those who can afford to pay for their own insurance is not sustainable over the long term. The need for health care reform was prompted due to the fact that a large portion of the population was uninsured and thus could not afford health care. What could decrease the costs of health care in the U.S.?

Goldstein, A. (2015, October 27). 2016 Affordable Care Act Insurance Rates Are Climbing. The Washington Post. Retrieved October 6, 2016, from http://www.highbeam.com/doc/1P2-38905492.html?refid=easy_hf

A Sample Answer 3 For the Assignment: NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system

Title: NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system

Hello Shola, informative post you shared with us! I agree with the importance of US health care insurance should be lowered and more accessible to the community. We need to take into consideration many factors: physical/mental health, income, and environment that can put a person/community at risk of diseases. Just imagine a household of 5 trying to cover their insurance and this can be costly to afford, a surprising fact shared in our eBook, “The economic situation may cause families to consider whether they can afford to both heat and eat” (Grand Canyon, University, 2018). Meaning it can be hard for families to prioritize between basic resources such as food or health insurance. Hope one day everyone can afford this right of freedom and health.

References:

Grand Canyon University (Ed). (2018). Community & public health: The future of health care. Retrieved from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/

A Sample Answer 4 For the Assignment: NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system

Title: NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system

I completely agree with your post that healthcare system in America is not at their best when compare with other developed counties like China. People died of avoidable diseases because they cannot meet up with high cost of treatment especially if they are uninsured. According to NIH. (2003)., health insurance plans, whether public or private, differ in terms of eligibility, benefits, cost sharing, plan restrictions, reimbursement policies, and other characteristics, which causes confusion, inequity, and excessive administrative burdens for both consumers and healthcare providers. Insurance plans and providers are scrambling to adapt and survive in a rapidly evolving and highly competitive market.

REFERNCE

NIH. (2003). The future of the public’s health in the 21st Century. https://www.ncbi.nlm.nih.gov/books/NBK221227/

A Sample Answer 5 For the Assignment: NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system

Title: NRS 428 Topic 4 DQ 1 Research the delivery, finance, management, and sustainability methods of the U.S. health care system

I thought that you brought up many valid points regarding the understaffing that is common in healthcare facilities across the country and your suggestions on how public health nurses can comprehensively assess the reason for staffing shortages was well-put. Hospital staff shortages have been a long standing issue in the United States, and this issue has only been further exacerbated by the COVID-19 pandemic (Andel et al., 2022). I have worked as a CNA at a SNF during the peak of the COVID-19 pandemic (summer 2020), I have seen how the increased demands and pressure upon the healthcare staff to care for many patients can take a toll on both the nurses and patients. Nurses should not be put in the position where their burn-out may compromise the well-being of LTAC and SNF patients. I think that this is an area of healthcare that should be taken more seriously and investigated further, in order to ensure wellness of both nurses and patients.

 

Reference

Andel, S.A., Tedone, A.M., Shen, W., Arvan, M.L. (2022). Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic. Journal of Advanced Nursing, 78(1), 121-130. https://doi.org/10.1111/jan.14952

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Grading Rubric Guidelines

Performance Category 10 9 8 4 0
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.

  • Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions
  • Evaluates literature resources to develop a comprehensive analysis or synthesis.
  • Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion
  • Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.
  • Evaluates information from source(s) to develop a coherent analysis or synthesis.
  • Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.
  • Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.
  • Demonstrates little or no understanding of the topic.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) without any interpretation/evaluation.
  • The posting uses information that is not valid, relevant, or reliable
  • No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.
  • Information is not valid, relevant, or reliable
Performance Category  10 9 8 4 0
Application of Course Knowledge –

Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations

  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
  • Applies concepts to personal experience in the professional setting and or relevant application to real life.
  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.
  • Applies concepts to personal experience in their professional setting and or relevant application to real life
  • Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content
  • Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Does not demonstrate a solid understanding of the principles and concepts presented in the lesson
  • Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.
  • Posts are superficial and do not reflect an understanding of the lesson content
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
  • No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category  5 4 3 2 0
Interactive Dialogue

Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.

(5 points possible per graded thread)

  • Exceeds minimum post requirements
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.
  • Replies to a post posed by faculty and to a peer
  • Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
  • Replies to a question posed by a peer

Summarizes what was learned from the lesson, readings, and other student posts for the week.

  • Meets expectations of 2 posts on 2 different days.
  • The main post is not made by the Wednesday deadline
  • Does not reply to a question posed by a peer or faculty
  • Has only one post for the week
  • Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments
  • Does not post to the thread
  • No connections are made to the topic
  Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA

Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

  • 2-3 errors in APA format.
  • Written responses have 2-3 grammatical, spelling, and punctuation errors.
  • Writing style is generally clear, focused, and facilitates communication.
  • 4-5 errors in APA format.
  • Writing responses have 4-5 grammatical, spelling and punctuation errors.
  • Writing style is somewhat focused.
  • 6-7 errors in APA format.
  • Writing responses have 6-7 grammatical, spelling and punctuation errors.
  • Writing style is slightly focused making discussion difficult to understand.
  • 8-10 errors in APA format.
  • Writing responses have 8-10 grammatical, spelling and punctuation errors.
  • Writing style is not focused, making discussion difficult to understand.
  • Post contains greater than 10 errors in APA format.
  • Written responses have more than 10 grammatical, spelling and punctuation errors.
  • Writing style does not facilitate communication.
  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
0 points lost       -5 points lost
Total Participation Requirements

per discussion thread

The student answers the threaded discussion question or topic on one day and posts a second response on another day. The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement

per discussion thread

The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

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