PART 1 (500 WORDS AND 1 SCHOLARLY REFERENCE)

 

• Choose a developed country and discuss how its model of health care (e.g., national health insurance, national health system, or socialized health insurance) differs from that of the United States.
• Discuss some of the strengthens and weaknesses of that model in comparison to what is offered in the United States.

 

PART 2 (500 WORDS AND 1 SCHOLARLY REFERENCE)

 

Public and private health insurance plays a very significant role in the delivery and funding or reimbursement of health care services, making it very important that all health care professionals understand, at a minimum, the basics of health insurance. For this assignment, you are required to discuss the following:

 

• Provide a definition of both private and public health insurance, and discuss the differences between private and public health insurance.
• Choose 1 public health insurance program (e.g., Medicare, Medicaid, or Children’s Health Insurance Program), and discuss the basics of that program and the financial impact it has had on health care delivery in the United States.

 

PART 3 (500 WORDS AND 1 SCHOLARLY REFERENCE)

 

Technology in health care has made it possible for patients to use devices to access their medical information, monitor vital signs, take tests at home, and carry out a plethora of other tasks that could only previously be conducted inside the doctor’s office (Topol, 2013). This enhanced technology is one of the many reasons that there has been a shift from inpatient to outpatient care. Although patients have benefited greatly from health care technology, there are also downsides to technology, such as how it has affected the cost of care. For this Discussion Board assignment, you should complete the following:

 

• Provide a definition of outpatient care.
• Discuss 2–3 ways in which technological innovations have impacted, or will impact, the delivery of care in the United States.
• Discuss 2–3 ways in which technology has had, or is expected to have, a detrimental impact on the delivery of care.

 

PART 4 (500 WORDS AND 1 SCHOLARLY REFERENCE)

 

In most other countries in the world, government plays a central role in covering health care needs; however, in the United States, the private sector (in the form of employer-sponsored health insurance) serves as the dominant form of medical coverage. For this assignment, discuss the following:

 

• Describe and discuss some of the ethical concerns or problems that exist because of the dominant form of employer-sponsored health insurance.
• Discuss reform actions that the U.S. government has taken to reduce the ethical concerns or problems that you discussed.
• Define the ethical principle of justice, and discuss its role in the U.S. health care system.

 

Purpose

You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Capstone Project Milestone 1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.

Course Outcomes

This assignment enables the student to meet the following course outcomes.

• CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO1)
• CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO2)

• Rubric

  Click to view and download the NR451 Milestone 2: Design for Change Proposal Rubric (Links to an external site.)Links to an external site..

• Directions

  1. A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=b0c912eaf53b4aabb1347a026466c60e (Links to an external site.)Links to an external site.
  2. Review the feedback you received from your instructor for Milestone 1, and use it to develop this milestone.
  3. Create a proposal for your Design for Change Capstone Project. Open the Milestone 2 Design Proposal Template (Links to an external site.)Links to an external site.. Use this to write your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice.
  4. The format for this proposal will be a paper following the Publication manual of APA 6thedition.
  5. The paper is to be four- to six-pages excluding the Title page and Reference page.
  6. As you organize your information and evidence, include the following topics.
     1. Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.
     2. Change Model Overview: Overview of the ACE Star model (the model we have been discussing this session); define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
     3. Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
     4. Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.
     5. Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.
  7. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.
  8. Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.