Healthcare Delivery and Financing PPT

This assignment accompanies Week 2 content. There are two topics to address in this assignment:

1. Choose one of the health care agencies discussed in Unit Two and discuss a current policy issue that involves that entity (examples: mental health, home health, women’s health, long-term care, community health centers, VA, etc.).

• Consider how the Affordable Care Act effects the agency.
• Consider any ethical or legal concerns within the health care agency.
• Propose a policy that may influence health outcomes within the agency.
• How would the needed policy be best implemented?

1. Heide, aged 72, has both Medicare A and B coverage without Medicaid or a Medigap policy. Heide is hospitalized for a cerebral vascular event (stroke) due to a deep vein thrombus of the leg with pulmonary embolus. She is in the hospital for 70 days during the acute phase for care. She is being seen by a nurse practitioner, neurologist, and pulmonary medicine. Her condition has improved somewhat and she is being transferred to the skilled nursing facility for rehabilitation. She stays in the facility for 30 days, but remains unable to care for herself at home. Heide is sent to a nursing home for custodial care where she lives for three months. Surprisingly, she experiences great improvement in functionality. Heide is released to return to her own home where she received physical therapy from a home health agency. She also has home care services provided for 4 hours a day, three times a week. This service aids in buying food, cooking, and light cleaning of the home. Heide has seven medications for maintenance care.

• What does Heide pay out-of-pocket and what does Medicare pay for the acute hospitalization phase, skilled nursing facility, rehabilitation services, nursing home care, home health services, personal care, and prescriptions? (Payment)
• What ethical dilemmas are present in Heide’s case? (Ethical)
• How do the following concepts impact the situation? (Community):
• Community-based care
• HEDIS
• Health policy needs
• Patient advocacy
• If Heide lived in a rural community, how would the concept of “critical access hospitals” impact this situation? (Rural)

Address the above content in a PowerPoint slide set. (This assignment requires only the PowerPoint slides. It does not require an accompanying recorded presentation.) Be sure to reference at least 2 current peer-reviewed sources in your slides (less than 5 years old). Your slide set should include the following elements for a total of 10 slides:

1. Title slide
2. One slide per bullet point from question one (4 slides) and two (4 slides)
3. References slide with sources listed in APA format, also be sure to include in-text citations on individual slides

Please make sure to reference the grading rubric for this assignment as well to ensure you have addressed all required components. Please also review the plagiarism statement in the course syllabus.

Grading Rubric

Healthcare Delivery and Financing PPT Rubric

Healthcare Delivery and Financing PPT Rubric

CriteriaRatingsPointsQuestion 1: ACA effect on chosen agency

Excellent

Summary of the ACA affects chosen agency is well articulated.

8.1 to 10 pts

Proficient

Lacks some articulation of how ACA affects chosen agency.

5.1 to 8 pts

Unsatisfactory

Does not include discussion of how ACA affects chosen agency.

0 to 5 pts

/10 pts

Question 1: Ethcial or legal concerns

Excellent

Thoroughly discusses ethical or legal concerns within chosen agency.

8.1 to 10 pts

Proficient

Discusses ethical or legal concerns but lacks some articulation of content.

5.1 to 8 pts

Unsatisfactory

Does not discuss ethical or legal concerns within chosen agency, or poorly articulates concerns.

0 to 5 pts

/10 pts

Question 1: Proposes Policy

Excellent

Proposed policy for chosen agency and discussion of how it affects health outcomes is well articulated.

8.1 to 10 pts

Proficient

Proposes a policy for chosen agency but lacks some articulation of how it influences health outcomes.

5.1 to 8 pts

Unsatisfactory

No policy proposed, or policy proposed for chosen agency not linked to health outcomes.

0 to 5 pts

/10 pts

Question 1: Implementation

Excellent

Thoroughly discusses implementation of proposed policy.

8.1 to 10 pts

Proficient

Discusses implementation of proposed policy but lacks some articulation of details.

5.1 to 8 pts

Unsatisfactory

Does not discuss how to best implement proposed policy.

0 to 5 pts

/10 pts

Question 2: Payment

Excellent

Addresses the question; includes both Heide’s and Medicare’s payment for all 7 of the components.

8.1 to 10 pts

Proficient

Addresses the question, but does not address Heide’s out-of-pocket for at least 2 of the 7 components; or does not address Medicare payment for at least 2 of the 7 components.

5.1 to 8 pts

Unsatisfactory

Does not address the question; does not address Heide’s out-of-pocket for services, or does not address Medicare payment for services.

0 to 5 pts

/10 pts

Question 2: Ethical

Excellent

Discussions of ethical dilemmas is well articulated.

8.1 to 10 pts

Proficient

Discussed ethical dilemmas but lacks some articulation of details.

5.1 to 8 pts

Unsatisfactory

Does not discuss ethical dilemmas.

0 to 5 pts

/10 pts

Question 2: Community

Excellent

Discusses all 4 of the concepts thoroughly with clear understanding.

8.1 to 10 pts

Proficient

Discusses how concepts affect situation, but lacks some understanding; does not address 1-2 of the concepts.

5.1 to 8 pts

Unsatisfactory

Does not address the question; does not address 3 or more of the concepts.

0 to 5 pts

/10 pts

Question 2: Rural

Excellent

Discussion of the effect of critical access hospitals on rural healthcare is well articulated.

8.1 to 10 pts

Proficient

Addresses the question, but discussion of critical access hospitals lacks some understanding.

5.1 to 8 pts

Unsatisfactory

Does not address the question; discussion of critical access hospitals is poorly articulated.

0 to 5 pts

/10 pts

Organization and Formatting

Excellent

APA guidelines consistently followed on presentation/ reference slides (0 APA errors). Includes 2 current peer-reviewed references. Presentation contains 10 slides, including a title and reference slide.

8.1 to 10 pts

Proficient

1-3 APA errors on presentation/ reference slides. Includes 2 current peer-reviewed references. Presentation contains 10 slides, including a title and reference slide.

5.1 to 8 pts

Unsatisfactory

Four or more APA errors on presentation/ reference slides. Does not include 2 current peer-reviewed references. Presentation contains greater or less than 10 slides. Does not contain a title slide.

0 to 5 pts

/10 pts

Grammar, spelling, and punctuation

Excellent

Presentation contains 0-1errors in grammar, punctuation, and spelling.

8.1 to 10 pts

Proficient

Presentation contains 2-4 grammatical, punctuation, and spelling errors.

5.1 to 8 pts

Unsatisfactory

Contains 5 or more grammatical, punctuation, and spelling errors.

0 to 5 pts

/10 pts