Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum to
Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following: Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients. Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing and are consistent with the Christian worldview. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellnReflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuumess (managing a chronic disease, recovering from an illness, self-actualization, etc.). You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Expert Answer and Explanation Benchmark – Human Experience Across the Health-Illness Continuum Introduction Very often, individuals fail to show the presence of disease but still have depression, anxiety, and unhappiness. In some situations, people could complain of feeling unwell, but they do not have external symptoms or evidence to justify the same. The health-illness continuum can help examine these characteristic levels of wellness based on a paradigm ranging from premature death and high wellness levels (Kishan, 2020). This essay examines the application of the health-illness continuum in improving the wellness of healthcare givers. The Health-Illness Continuum Perspective and its Importance in the Health and the Human Experience when Caring for Patients The Health-Illness continuum perspective represents a graphical or diagrammatic illustration of the concept of human well-being on their emotional and mental states. For some people, wellness is the direct opposite of illness, where the absence of disease conditions shows they are well (Swanson et al., 2019). Other individuals believe that having a healthy lifestyle or the potential to lead a healthy lifestyle is the real definition of wellness (Kishan, 2020). A pictorial illustration of the illness-wellness continuum is as follows. Fig 1: An illustration of the illness-wellness continuum. The right side of the graph in Fig 1 shows the different degrees of wellness, while the left side shows illness levels. In this continuum, wellness is explained to be dynamic, in that it is not static, and that the patient is often changing in their present states. Individuals’ outlook is what contributes to their states of wellness for the positive vision of a person who has a disability or a disease, and such a person is likely to face the right side of the continuum (Ow & Poon, 2020). This is unlike a healthy individual who has a negative outlook, feels anxiety, complains a lot, and is depressed. The latter would face the left side of the continuum, and their emotional and mental growth and wellness are hindered to the point that they experience the real state of wellness. How Understanding the Health-Illness Continuum Could Enable Healthcare Providers to Better-Promote the Value and Dignity of Individuals or Groups and Serve others in Ways that Promote Human Flourishing In caring for patients, understanding the health-illness continuum helps to improve the patients’ mental and emotional development. Healthcare givers can use this continuum to motivate the patients’ healthcare and have better health systems including but not limited to, preventing emotional and physical diseases (Sajnani, Marxen, & Zarate, 2017). This continuum is also essential in patient care as it helps to analyze the different developments and evaluate the patient progress. A Reflection of My Overall State of Health and the Behaviors that Support or Detract from Health and Well-Being Several behaviors support my overall state of health, and these include but are not limited to workouts, exercises, and healthy eating. I believe what I eat and my behaviors determine how I will show wellness. I have to continually keep my weight in check, where a negative shift in my BMI prompts me to change my diet and my workout strategies. Besides hitting the gym at least thrice a week, I do regular jogging in the morning before embarking on my daily activities, which I believe serves a long way in improving my emotional well-being. I also walk for 30 minutes to the gym instead of using other less engaging means of transport. I have recently started consuming plenty of water and many greens, which I believe will help me improve my immunity from diseases. Among the negative behaviors that could be distracting me from wellness is smoking, which I did not know its detrimental effects until a recent webinar on lung cancer. Also, I think I barely have enough time to have a healthy sleep. Lastly, I believe I spend too little time with my loved ones due to excessive engagement in my workplace. Options and Resources that Could Help Me to Move toward Wellness on the Health-Illness Spectrum Among the essential resources to help me improve wellness on the spectrum are programs to stop my smoking
Describe the difference between a nursing practice problem and a medical practice problem
Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem. Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem. EXPERT ANSWER AND EXPLANATION Nursing vs. Medical Practice Problem Nursing practice problem assesses Whereas a nursing practice problem is identified during the nursing assessments conducted on a patient’s condition, medical practice problem is one which focuses on the pathology of the patient. Specifically, a nursing practice problem assesses the human response to the health conditions (Milner & Cosme, 2017). For example, when a patient presents to the facility with headaches, fever, and other physical symptoms, a triage nurse could identify the condition as a nursing practice problem, where they offer the patient the relevant nursing diagnosis. On the other hand, when a patient is seen to have a condition which requires his pathology to be assessed and the healthcare giver recognizes that it could be stroke, then this is a medical practice problem. Why PICOT should be based on Nursing Practice Problem A PICOT seeks to address various elements of nursing care, and hence it should be primarily based on a nursing practice problem and not on a medical practice problem. In the nursing practice problem, the care needs of the patient from the time they get out of the healthcare environment to the time they are diagnosed by the doctor to the after-care periods are addressed (Meyer, 2017). Also, in the nursing practice problem, there is collection of information about the patient, and this helps to draw relevant conclusions based on the PICOT questions. This way, it is easy to collect diverse data about the patient and their condition. Also, with the nursing practice problem, it is more likely that the PICOT will improve population health. References Meyer, M. N. (2017). Evidence-Based Practice: Success of Practice Change Depends on the Question. Evidence-Based Practice in Nursing: Foundations, Skills, and Roles. Milner, K. A., & Cosme, S. (2017). The PICO Game: An Innovative Strategy for Teaching Step 1 in Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 14(6), 514-516. Alternative Expert Answer How Nursing and Medical Practice Problems differ Medical and Nursing Practice Problem There is a difference between a nursing and a medical practice problem. The former is a clinical issue that a provider identifies and notes when assessing the patient, and it constitutes one physiological health, and the emotional and psychological responses linked to the patient’s physical health. An example is a patient with hypertension and diabetes developing stress because of their health. In this case, a nurse would want to know all these details about the patient including the manner in which they respond to the disease. One can also look at this particular problem as one which can be addressed through patient education, counseling and health promotion (Cook et al., 2018). Conversely, the latter is about the medical condition or the pathology of a medical disorder in which the provider determines the patient’s disorder. If a provider measures the body’s insulin and manages to determine that body’s insulin level is low, they can conclude that the condition is type 1 diabetes (Yoo et al., 2019). Basing PICOT on the Nursing Practice Problem When preparing a PICOT, it is important to base it on the nursing practice problem (NPP). This is because the NPP addresses majority of the elements of the nursing care. Some of these elements include the diagnosis information, patient care goals, screening of the risks, and the outcomes. The PICOT also addresses all these elements considering that it focuses on the patient, their health, the intervention that can help promote recovery compared to another treatment, and results of the treatment. It equally focuses on the clinical outcomes (Ho et al., 2016). Given that the PICOT addresses all the elements of the nursing problem, it make sense to base PICOT on the NPP. References Cook, D.A., Pencille, L.J., Dupras, D.M., Linderbaum, J.A., Pankratz, V.S., & Wilkinson, J.M. (2018). Practice variation and practice guidelines: Attitudes of generalist and specialist physicians, nurse practitioners, and physician assistants. PLoS ONE 13(1), e0191943. Doi: https://doi.org/10.1371/journal.pone.0191943. Ho, G.J., Liew, S.M., Ng, C.J., Hisham Shunmugam, R., & Glasziou P (2016). Development of a Search Strategy for an Evidence Based Retrieval Service. PLoS ONE 11(12), e0167170. Doi: https://doi.org/10.1371/journal.pone.0167170. Yoo, J.Y., Kim, J.H., Kim, J.S., Kim, H.L., Ki, J.S. (2019). Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture. PLoS ONE 14(12): e0226742. Doi: https://doi.org/10.1371/journal.pone.0226742. Place your order now on the similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. What is the difference between a nursing problem and a medical problem? In the world of healthcare, it’s crucial to understand the fundamental differences between nursing problems and medical problems. While both are essential aspects of patient care, they serve distinct purposes and require different approaches. This article will delve into the nuances that set nursing practice problems apart from medical practice problems, providing clarity on this critical subject. Nursing Practice Problem vs. Medical Practice Problem Defining Nursing Practice Problems Nursing practice problems, often referred to as nursing diagnoses, are specific issues that nurses identify and address within their scope of practice. These problems are focused on the patient’s response to an illness, a medical condition, or a life situation. Nursing practice problems aim to enhance the quality of care, improve patient outcomes, and promote patient safety. Defining Medical Practice ProblemsMedical practice problems, on the other hand, are concerns that fall within the domain of medical practitioners, such
Why is it important for the nurse leader to provide a reasonable and fair operation budget?
Why is it important for the nurse leader to provide a reasonable and fair operation budget? Assignment: Why is it important for the nurse leader to provide a reasonable and fair operation budget? Although budget figures are estimates of future projections, why and how should nurse leaders be prepared to explain short-term variations? Nurse leaders have many responsibilities when it comes to the development of the budget. What issues would be considered most important for the nurse leader in this process? How should a nurse leader prepare to handle minimum staffing requirement costs in the budget process in case this is challenged? Besides a department budget approach, what other alternatives are available in the budgeting process? This APA essay will have 1200-1500 words with 4 supporting references. Make certain to include an introduction and conclusion paragraph, along a title and reference page. Expert Answer and Explanation Nurse Leader’s Role in Budgeting Organizations have to have clear plan on the goals they need to achieve, and budgeting plays crucial role when it comes to the development of this plan. An organization may want to complete certain tasks over a specific duration of time, and when the organization lacks a proper plan to direct the task completion objectives, these tasks can bog it down. This is noticeable with hospitals where the lack of a clear financial plan can have undesirable impact on the hospitals’ operations and functions. For the hospital, the budgeting is important in the sense that it helps individuals be aware of the hospital’s priorities, and they therefore make efforts to help the organization realize certain key objectives (Leger & Dunham-Taylor, 2018). A nurse leader’s role is particularly important in terms of preparation of the budget, and ensuring that the hospital operates within the confines of the budget as this study explores. Importance of the Nurse Leader Role in providing a Reasonable and Fair Budget When preparing the budget, a nurse leader has to ensure that it is reasonable and fair, and this is important because of the benefits linked to the budget of this nature. There is limited chance of experiencing errors in the budget if it is fair and reasonable, and this limits the possibility of manipulating the financial figures. Accordingly, a nurse leader may not face hurdles when it comes to handling of the financial data. A fair and reasonable budget, in addition, encourages the hospital, and a nurse leader in particular to stabilize the hospital’s revenues and expenses so that the hospital can effectively realize its objectives of managing patient’s needs. If a nurse leader fails to prepare a budget that is reasonable enough, it can be a challenge for a health facility to deliver the needed care services, and this may interfere with the hospital’s strategy (Leger & Dunham-Taylor, 2018). Therefore, a nurse leader can improve the transparency of the budgeting process by coming up with a fair and reasonable budget. Why and How the Nurse Leader Prepares to Explain Short-term Variations It is important for a nurse leader to prepare a budget in such a way that the budget they prepare has a favorable variance. Sometimes after preparing the budget, the nurse occupying the leadership position, may have to explain the short variations. Usually when they need to explain the source of these variations, the nurse has to prepare for this. The lack of the preparation can be a problem to the nurse. When the nurse is effectively prepared, they can be in a position to describe the source of the errors, and intervene to correct the same. Conversely, the lack of the preparation can cause a scenario where the nurse is unable to provide a clear explanation of the sources of the errors (Walsh, 2016). Accordingly, this can cause problems to the nurse, and it can have undesirable implications on their reputation. There are certain key ways in which a nurse leader can prepare to provide explanation pertaining to the sources of the variances. For example, they can gather data related to the daily census and patient acuity, and use the information to plan for the budget. This improves the transparency in the budgeting operations. They can also prepare by taking part in the budget preparation process so that they are able to understand the required resources and how their organization uses these resources. Besides, they can have the chief financial officer (CFO) take them through the budgeting process so that they become aware of the budget’s contents, and the way the CFO managed to arrive at the figures (Araújo et al., 2016). The Most Important Issue In terms of the Nurse Leader’s Role in Budget Preparation Nurse leader plays a crucial role in terms of advancing the budgeting goals, and for this leader, communication seems to be the most important issue. In organizational setting, it is important for the staff to be aware of the expectations of their organization. While a leader is responsible of reviewing details on how the organization expects to spend, and the amount it expects to generate, their role also extends to communicating the details of the budget of their organization. An engagement in which a leader shares the details of the budget with the nursing staff may encourage nurses to share information on what they feel the leader should include in the budget. By pursuing this approach to prepare the budget, a leader can help the hospital come up a fair and reasonable budget (Araújo et al., 2016). However, the nurse leader’s role in budgeting is not limited to communicating the details of the budget. They can also defend the budget when need arises. How a Nurse Leader can Handle Minimum Staffing Requirements Sometimes, a nurse leader may encounter a scenario where some members of the executive oppose the leader’s decision to include in the budget, the minimum staffing requirement (MSRs) costs. When presented with this issue, the nurse leader may focus on collecting evidence which they can use to support the claim that MSRs can be beneficial
Considering the five stakeholders in health care: consumers, providers, payers, suppliers, and regulators – what role can each play in health care quality, and cost containment?
Considering the five stakeholders in health care: consumers, providers, payers, suppliers, and regulators Module 1: Assignment Assignment: Professional Development Considering the five stakeholders in health care: consumers, providers, payers, suppliers, and regulators – what role can each play in health care quality, and cost containment? In your opinion, what health policy has had the greatest impact on health care in the United States? Why? Frame some arguments for or against the policy of mandated minimum staffing ratios in the positive versus normative economic dichotomy. This APA essay will have 1200-1500 words with 4 supporting references. Make certain to include an introduction and conclusion paragraph, along a title and reference page. Expert Answer and Explanation Professional Development Engaging with stakeholders is an essential element in which the organization can attain its success. The organization has to ensure a clear vision obtained from a comprehensive and strategic process of planning and the marketing plan. A healthcare setting that facilitates active engagement can easily translate their needs to meet the industry requirements or otherwise facilitate strategic development. Stakeholder understanding also ads in the identification of a common ground that unifies all the stakeholders with regards to their requirements and needs (Yoo, 2018). Each stakeholder is unique, and their needs might either be dependent on each other or entirely independent. Both external and internal stakeholders have to work together to ensure that they meet the required stipulations and increase the organization’s performance. Internal stakeholders interact with the healthcare facility daily and can ensure that the organization meets all the required thresholds. This consolidation of stakeholder requirements, healthcare organization, consummate affect the overall health and cost of containment. Role of Consumers in Healthcare Quality and Containment Consumers within the healthcare system comprised of the patients and other individuals that need medical services. Patients are required to be treated with the high measure of quality, ensure satisfaction, and guarantee on the various ways in which care will be provided to them while at the facility. For the healthcare facility to attend and meet each patient’s demand, they have first to identify the current trends that are prevailing in facilitating patient outcome and satisfaction (Okeke, Tseng, Piantella, Brown, Kaur, Sterling, & Dell, 2019). Different patients present different medical conditions that required advanced medical expertise and medical equipment to mitigate. Some may also seek medical care with comorbid illnesses that are complex to diagnose and treat. These conditions have an impact on the overall quality of care, as well as the cost of containment. For instance, it becomes costly to handle and offer continuous quality care to a patient with multiple illnesses without proper finances. Role of Providers in Healthcare Quality and Containment Health care providers constitute the internal stakeholders as they comprise the administration, nurses, and doctors required to attend to patient needs. A healthcare facility has to ensure that they provide high-quality care that meets the demands of the patient. The facility also needs to abide by industry standards. The quality of care is dependent on the ability of the providers to guarantee their effectiveness (Bastian, Munoz, & Ventura, 2016). This construct defines the role in which the providers can ensure high-quality care and cost containment. One way to facilitate quality care is by hiring quality personnel to oversee the facility’s operations. Quality nurses and doctors reflect the potential to deliver quality care. Health care providers can also ensure that there is sufficient and high-quality technology in line with industry-specific needs. Through the use of the electronic records system, the facility can ensure that the services provided are of high quality (Okeke et al., 2019). These two services may have a first implication on the cost. The provision of high-quality care will help with cost containment by offering a useful positive healthcare image and an increased number of patients. Providers also facilitate the issue of quality in healthcare by adopting the standard and acceptable models of practice, such as the use of EBP, which inform the best treatment options and create policies. Role of Payers in Healthcare Quality and Containment Health care payers include insurance companies, employers, the government, and the out-of-pocket payment model. These alternatives have a role to play when it comes to ascertaining the nature of care and the overall cost containment. To begin with, the insurance company act as an intermediary between the patient and the healthcare facility. With the insurance in place, the patient is guaranteed access to quality care without considering the financial implication. For instance, Medicare and Medicaid offer financial aid to elderly patients within the United States, helping them acquire medical care that is of high quality and specific to their specific needs. Insurance agencies also create measures that limit the charges that the healthcare organization charge on specific service provisions (Bastian, Munoz, & Ventura, 2016). The agencies also limit the amount that the organization can charge a patient in a single hospital visit creating a measure against cost containment. Secondly, the government also has direct impacts on the quality of care as well as cost containment. The government is the principal financier for public hospitals and other government-owned insurance covers. In this manner, the government, either state or federal, can ensure that the public healthcare facilities are well equipped and create policies that dictate the aspect of care that can provide to patients (Bastian, Munoz, & Ventura, 2016). Similarly, it also offers the same services as the private insurance companies but allows the beneficiaries to afford the provide healthcare services. On the other hand, out-of-pocket payment is also a viable payment option, but people with low income may hinder the affordability of quality services. Role of Suppliers in Healthcare Quality and Containment The quality of healthcare performance can establish the supplier able to provide quality equipment and medication. Suppliers also play a critical role in ensuring the provision of quality care within an organization. First, suppliers of medicines can ensure that the drug is delivered on time and meet s the standards required by the market’s
Based on what you have learned so far this week, create a PowerPoint presentation with detailed notes for each slide that addresses each of the following points/questions. Be sure to completely answer all the questions
Based on what you have learned so far this week, create a PowerPoint presentation with detailed notes for each slide that addresses each of the following points/questions. Assignment Description: Professional Development Assignment Based on what you have learned so far this week, create a PowerPoint presentation with detailed notes for each slide that addresses each of the following points/questions. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Title Slide (1 slide) For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration, must work together in reasonable harmony. What factors contribute to the tension that usually exists among them? (4 slides). Organizations such as the LeapFrog Group represent a growing trend to survey and report on the quality of hospital care and to make the findings available to the public. What are your opinions about the public’s readiness to deal with having this information available and using it to make choices about medical care? (2-3 slides) Hospitals are facing unprecedented financial challenges from entrepreneurial physician initiatives that are establishing competitive, free-standing diagnostic and treatment centers and specialty hospitals. What are the advantages and disadvantages to these developments from a patient perspective? (2-3 slides) References (1 slide) Expert Answer and Explanation Every organization has its own power structure that influences different dynamics which shape the culture of the organization. Three major influencing forces, namely the governance, medical staff, board of trustees, and administration at times engage in conflicting situations that are likely to cause tensions. Some of the causes that bring about these tensions include the following; Conflicting interests – This usually occurs when each wing has a conflicting goal with the other. In most cases, it is supposed to be the organization’s leadership that brings unity of purpose steered towards achieving organizational goals. However, without the alignment of goals among the different entities, then there is likely to be tension (Antonacci et al., 2018). Resource allocation – Resources are usually scarce. When the medial staff are not accorded the required resources to execute their mandate there is a high likelihood for tensions to occur across the different entities. Communication breakdown – Poor communication is always a recipe for organizational conflicts. When instructions are not understood, or when a party is kept in the dark concerning the going-on of the organizations, there is likely to be build-up of tension. Performance expectations – Failure to meet the targets agreed upon can also cause tensions to exist. There are times when unrealistic targets are set for the medical staff, for example, targets that conflict with the business perspective of the facility. Such targets can be a source of demotivation leading to tension between the different groups (Labelle et al., 2016) Organizational change – Unplanned change can cause significant resistance to exist from any of the influential groups. Existing allegiances and power struggles – Power dynamics within the organization, including how reward and punishment is delivered can cause tension. Tendency to be biased when making important decisions favoring a particular cluster of people within the organization brig about discontentment leading to build-up of tension. (Figueroa et al., 2019) Failure to respond to existing issues – There are time when the administration or the board fails to approve or deal with pertinent issue concerning medial staff for example approving additional staff to be employed. This can lead to conflict between the different influences. Lack of accountability – Transparency is crucial in the management of organizational operations. In an environment where no one is brought to account for expenditure, operational efficiency, leadership, or general organizational performance, tensions are bound to exist (Figueroa et al., 2019). Publication of data plays a critical role in improvement of the standards of care quality. Care facilities depend on the data collected from independent entities to improve their internal systems allowing provision of superior care in terms of quality and safety. The following are some of the reasons why healthcare facilities should encourage publication of findings by independent organizations. Data allows provision of enhanced quality of care Implementation of evidence-based practice Creation of innovative practices in clinical practice Foundation of new frontiers in research (Hagan et al., 2017) Enhanced health literacy=- Over time, the level of patients, health literacy has been goring making them more aware of their health needs and outcomes. Easy access to information facilitated by technology – Technology has made access to information easy. Using technology, patients can easily access information which at times influence their decision making when it comes to health preferences. Increased sensitization on patients’ right to quality and safe care – After the enactment of the ACA, there have been increased efforts to sensitize patients about the provision of quality care Increased call to provide patient-centered care – Similarly, in conformance with the value-based system, there has been increased involvement of patients in clinical decision making which has contributed to increased appetite to consume healthcare information. Specialty facilities are those that have a limited range of services, providing specialized therapeutic and diagnostic services addressing specific patient needs (Sultz & Young, 2017). There are several factors that have given rise to specialty hospitals. Some of them include Increased advancements in healthcare, especially technological advancements. Increased competition within the healthcare industry Changes in patient demands and the need for quality care Changes in population dynamics, for example the increasing baby boomer generation has seen a growth in long-term care facilities. Focused experience from healthcare personnel thus improved quality of care – Staff working in specialty hospitals are usually trained and have the experience to handle patients with a specific condition making their interventions more targeted and refined which usually equates to better quality. Specialized resources
Identify and describe at least two competing needs impacting your selected healthcare issue/stressor
Identify and describe at least two competing needs impacting your selected healthcare issue/stressor Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly. Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice. Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization. To Prepare: Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected. Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor. Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs. The Assignment (1–2 pages): Developing Organizational Policies and Practices Add a section to the 2–3 page paper you submitted in Module 1. The new section should address the following in 1–2 pages: Identify and describe at least two competing needs impacting your selected healthcare issue/stressor. Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor. Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics. Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples. Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations. Due to the nature of this assignment, your instructor may require more than 7 days to provide you with quality feedback. Expert Answer and Explanation Developing Organizational Policies The Competing Needs Impacting the Selected Healthcare Issue Unbalanced nurse-to-patient ratios intertwine with certain competing needs including the nurse’s wellbeing versus the nurse’s workload. The wellbeing of the nursing staff is crucial for the effective delivery of care, yet nurses tend to struggle with meeting the workload targets especially in situations in which patients’ demand for health services is high. This occurs in poorly staffed hospitals or in healthcare organizations that are incapable of undertaking appropriate response to respond to the surge in the population of patients (Almeida, Figueiredo, & Lucas, 2024). Thus, balancing between adequate nursing staff, and ensuring that nurses are in good health to deliver care can be a dilemma for the healthcare organization. Dealing with the financial limitations versus maintaining the required patient safety standards is also a competing need that an organization may experience. It is common for organizations to work towards attaining certain patient safety thresholds, or delivering optimal and adequate care. Due to the need to limit costs, however, it can be challenge for the organizations to acquire or employ more nurses, which can hamper the efforts focused on delivering safe and quality health services (Almeida et al., 2024. Therefore, limited financial resources may limit organizations’ capacity to recruit enough members of the staff. Policy or Practice In My Organization That Can Influence the Selected Issue My organization has a policy that emphasizes the retention of the employees especially nurses, which is part of the strategy focused on ensuring that it adheres to the required quality and safety standards. The policy covers various requirements including the requirement that the management grant nurses study leave to allow them to pursue career advancement objectives (Ferramosca et al., 2023). Part of these requirements includes salary increment for members of the staff to cushion them against the effect of inflation. This policy has a capacity of impacting the nurse staffing ratios in the organization by motivating nurses to choose it as their preferred work setting. Critiquing the Policy for Ethical Considerations Including Its Strengths and Challenges In Promoting Ethics Although the policy addresses most of the issues that affect the retention of nurses, it is limited in scope. It does not include a description of how the organization intends to determine the disabled staff members that are eligible for promotion. The assessment of the policy elements shows that the policy supports the wellbeing of the nurse, and motivates them to continue working for the organization, which essentially helps support the delivery of quality care. This implies that the policy reduces the risk of injuries to patients (Waterfield & Barnason, 2022). However, it ignores the undelaying factors that account for nurses’ decisions to look for work opportunities elsewhere. Recommendation of Policy or Practice Change Designed to Balance the Competing Needs of Resources, Staff and Patients To ensure the policy addresses the highlighted issues, some of the changes to consider include allowing nurses to work remotely, and investing in remote patient monitoring systems. This would reduce the workload for nurses while cushioning the organization from the effects associated with the surge in the patient population (Waterfield & Barnason, 2022). To counter the effects of workload, the organization would need to establish a wellness program in which employees take care of their personal wellbeing. Evidence that Informs the Healthcare Issue A number of resources are dedicated towards supporting the wellbeing of providers, which can help reduce nurses’ risk of leaving the organization. For example, Pressley and Garside (2023) highlight the factors that determine nurses’ intention of continue working for an organization. References Almeida, D., Figueiredo, A. R., & Lucas, P. (2024). Nurses’ Well-Being at Work in a Hospital Setting: A Scoping Review. Healthcare (Basel, Switzerland), 12(2), 173. https://doi.org/10.3390/healthcare12020173. Ferramosca, F. M. P., De Maria, M., Ivziku, D., Raffaele, B., Lommi, M., Tolentino Diaz, M. Y., Montini, G., Porcelli, B., De Benedictis, A., Tartaglini, D., & Gualandi, R. (2023).
Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare
Post a brief description of general healthcare technology trends, particularly related to data/information you have Discussion: Healthcare Information Technology Trends Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes. In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment. To Prepare: Reflect on the Resources related to digital information tools and technologies. Consider your healthcare organization’s use of healthcare technologies to manage and distribute information. Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery. By Day 3 of Week 6 Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples. Expert Answer and Explanation Trends in Informatics Technology The healthcare technology is revolutionizing the delivery of health services by providing providers with the necessary tools that support the delivery of care. With the emerging trends in use of informatics technology, patients are benefitting from access to optimal care. General Healthcare Technology Trends The evolution of the healthcare technology is seen in various trends including the use of the mobile health apps, and telhealth technology to optimize care access and delivery. The technologies powered by the Internet of Things (IoTs) like wearable devices are easing and enhancing the delivery of preventive care by providing real-time data that inform clinical intervention decisions. Providers are equally leveraging the Electronic Health Records (EHRs) to capture and access patients’ data, and share this data with other members of the interprofessional team (Zhang & Saltman, 2022). Out of the general healthcare trends I have observed, telhealth and EHRs are the predominant technologies in my healthcare organization. As a tool, the EHR system allows providers to store and retrieve patients’ data, and share it with colleagues. Conversely, the telhealth system, which may involve the use of virtual communication platform, facilitates provider-patient interaction, allowing patients to remotely access health services. The Concerns or Challenges tied to the Technologies Associated with the Trends While the use of the identified technological trends translates to the improvement in decision-making outcomes in clinical settings, they present serious concerns. The adoption and usability of the EHRs and telhealth is particularly a challenge in organizations because some users resist their use based on factors like lack of usage skills, and challenging interfaces. If users experience difficulty when attempting to use the technologies, they may resist its adoption and use in the healthcare setting. Some organizations grapple with cumbersome legislative compliance requirements which require that they adhere to the existing policies related to access control. For instance, the HIPAA policy requires organizations to adopt stringent security measures to safeguard patients’ health data (Wiley et al., 2022). Even with the implementation of the data safety policies, the risk of data breach is still high considering that hackers can take advantage of security vulnerabilities to hack into the organization’s IT infrastructure. Benefit and Risk Associated with Data Safety, Legislation and Patient Care Data safety and legislation in the context of patient care translate to the improvement in patient care outcomes. The use of the telehealth and EHRs in particular, improves coordination of care through real-time access to data, optimizing the clinical intervention outcomes. Telhealth supports the implementation of the post-discharge interventions, allowing providers to monitor patients, and to educate patients during their healing journey. A data breach incident in which data is altered can jeopardize the patient’s safety by causing poor health outcomes (Lim & Adler-Milstein, 2022). The Most Promising Healthcare Technology Trends The use of the telhealth is the most promising trend in terms of the utilization of the healthcare technologies to optimize health outcomes (Apathy et al., 2024). This trend will be instrumental in helping providers to reach an extended number of individuals in underserved communities. It will particularly reduce the burden associated with travelling to the healthcare facility. The Possibility of the Promise Contributing to Improvement in Patient Care Outcomes With the adoption of the telhealth, providers will be able to identify potential health issues and avert these issues before they turn into major complications. As providers turn to providing health services virtually, they will have more time to care for patents, resulting to better utilization of resources. Telhealth combined with EHR system will automate data collection, ensuring that providers have access to records of each patient. Conclusion In conclusion, the EHRs and telhealth are some of the technologies that providers are utilizing to provide patients with high-end care. Despite the privacy and safety concerns, these technologies are contributing to enhancing decision-making. References Apathy, N. C., Zabala, G., Gomes, K., Spaar, P., Krevat, S. A., & Ratwani, R. M. (2024). Telemedicine and In-Person Visit Modality Mix and Electronic Health Record Use in Primary Care. JAMA network open, 7(4), e248060. https://doi.org/10.1001/jamanetworkopen.2024.8060. Lim, J., & Adler-Milstein, J. (2022). 531 Telehealth, associated changes in EHR use patterns, and implications for physician burnout in the ambulatory care setting. Journal of
Cultural theorist Campinha-Bacote describes cultural competency as a continuum
Cultural theorist Campinha-Bacote describes cultural competency as a continuum, which Cultural theorist Campinha-Bacote describes cultural competency as a continuum, which implies continual growth and development (Kersey-Matusiak, 2019). Discuss the following: • What is cultural competence? • Are there steps nurses can take to achieve it? • How does it differ from cultural humility? • Briefly describe how a lack of cultural sensitivity may impact patients’ health and well-being and their future encounters with the healthcare system. • Why is it more important to focus on cultural humility rather than achieving cultural competence? Expert Answer and Explanation In the healthcare sector, cultural competence focuses on the ability of a nurse or any other medical professional to be aware of their cultural beliefs and values. Additionally, cultural competence also includes the awareness of how personal culture and perspectives are different from that of others (Kersey-Matusiak, 2018). In the case of a nurse, cultural competence focuses on the ability to differentiate one’s cultural beliefs from that of the patient. Nurses can take different initiatives and steps to achieve cultural competence. The most efficient strategy is to interact with patients, improve self-awareness and learn about different cultures within the community. The strategies are key as they will create the needed awareness, and help improve the outcome of care. Cultural competence differs from cultural humility in different ways. Cultural competence encompasses the ability to work with patients from different cultures while at the same time identifying the impact that cultural bias might have on care delivery. On the other hand, cultural humility entails the capacity for care providers to recognize their limitations, assumptions, or challenges when working with other cultures to avoid bias or predetermined patient care (Kersey-Matusiak, 2018). When nurses are not sensitive to cultural differences, they tend to provide biased medical care that does not meet patient autonomy. As a result, patient satisfaction is negatively affected. With modernization, care providers are more likely to encounter patients from different cultures which requires the need for cultural competence. Focusing on cultural humility is more sustainable than trying to be more culturally competent as a nurse cannot be able to be aware of different cultures. However, a nurse can identify their biases and adjust their care depending on the needs of the patient through cultural humility (Kersey-Matusiak, 2018). Reference Kersey-Matusiak, G. (2018). Delivering culturally competent nursing care: Working with diverse and vulnerable populations (2nd ed.). Springer. ISBN: 9780826137272. Alternative Answer Cultural competence is the ability to appreciate, interact, and understand others cultures or beliefs that are different from their own (DeAngelis, 2015). “Cultural competence is defined as the attitudes, knowledge, and skills necessary for providing quality care to diverse populations” (Kersey-Matusiak, 2019, p.8). Culturally competent nurses are able to deliver care that values the beliefs of their patients (Kersey-Matusiak, 2019). Culturally competent care does not just happen; there are steps nurses must take to become culturally competent. To become culturally competent, one must learn who they are first (Clay, 2010). Learn about your ancestors, personal background, be curious, and perform a self-assessment (Clay, 2010). Learn about different cultures by immersing yourself in their literature, language, and customs (Clay, 2010). Become comfortable in unfamiliar surroundings, converse with different religious groups, volunteer at community centers, and make friends with people of different cultures (Clay, 2010). Attend diversity training seminars to collaborate with other professionals (Clay, 2010). If culturally competent training is not offered at your institution, submit a process to formalize educational material for your organization and peers (Clay, 2010). Cultural humility recognizes that bias may occur and nurses need to understand and eliminate their own prejudices (Kersey-Matusiak, 2019). Healthcare providers need to recognize that their perspectives are influenced by policies that are dominated on the basis of whiteness and maleness (Kersey-Matusiak, 2019). Cultural humility addresses unconscious biases a nurse may possess and empowers the nurse to work towards eliminating these biases while providing culturally competent care. Cultural sensitivity is having an attitude towards a specific culture or ethnic background and not saying offensive things directed at that background (Kersey-Matusiak, 2019). Cultural sensitivity can also include the avoidance of particular words, phrases, or categorizations of individuals (Kersey-Matusiak, 2019). An example of cultural sensitivity was the removal of the Washington Redskins name from the NFL due to the thoughts and feelings of the Native Americans. Nursing is a trusted profession by the public. Nurses as well as other healthcare providers must provide culturally sensitive care to know how to communicate with their patients and develop professional relationships (The Role of Cultural Sensitivity in Building Patient Relationships, 2019). Nurses must understand nonverbal communication, inclusive language, cultural customs, relatable medical terms, and the use of personal touch (The Role of Cultural Sensitivity in Building Patient Relationships, 2019). Failure to utilize culturally sensitive care can create unwanted distress for patients and they may fail to seek medical attention when required as a result. Nurses must be able to make their patients feel comfortable in a healthcare setting. Cultural competence is learning to accept and understand other cultures. Cultural humility is recognizing personal biases that may distort your perception of other cultures. Cultural sensitivity is recognizing those biases and behaving in an acceptable way towards different backgrounds. Providing care with “cultural sensitivity and cultural humility are both means to the end being cultural competence” (Kersey-Matusiak, 2019, p. 6). References Clay, R. (2010). https://www.apa.org/gradpsych/2010/09/culturally-competent. www.apa.org. https://www.apa.org/gradpsych/2010/09/culturally-competent. DeAngelis, T. (2015, March). In search of cultural competence. American Psychological Association. https://www.apa.org/monitor/2015/03/cultural-competence. Kersey-Matusiak, G. (2019). Delivering culturally competent nursing care: Working with diverse and vulnerable populations (2nd ed.). The Role of Cultural Sensitivity in Building Patient Relationships. (2019, July 11). Minority Nurse. https://minoritynurse.com/the-role-of-cultural-sensitivity-in-building-patient-relationships/. Module 1 Assignment Assignment Description: Part 1: For this assignment, conduct a cultural self-assessment using the Staircase Self-Assessment Model and write a 1250–1500-word reflection essay. To understand culture and cultural diversity, you must understand your own culture and beliefs. Utilizing the Staircase Self-Assessment Model as a means of determining your level of cultural competency, write a 1250 to 1500-word essay outlining the six stages: cultural destructiveness, cultural
Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values
Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end. Outline the purpose of an organization’s mission, vision, and values. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective. While APA style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Expert Answer and Explanation Purpose of the Presentation The purpose of this powerpoint presentation is to; Outline the purpose of values, mission, and vision of an organization. Explain the significance of mission, vision, and values to patient outcomes and nurse engagement. Explain the factors causing conflict in a professional practice. Discuss strategies to encourage interprofessional collaboration and solve workplace conflict. Discuss how the culture of healthcare and organization needs can influence organizational outcomes. Organizational Culture Organizational culture is the collection of practices, values, and expectations that inform and guide the actions of all members of an organization (Paais & Pattiruhu, 2020). The culture is presented in the mission, vision, and values of an organziation. Organizational culture can also be seen as the collection of traits that make a company what it is and guides its objectives. A great culture improves performance and motivates both workers and clients to be part of an organization (Paais & Pattiruhu, 2020). An organization should ensure that its culture cuts across diversity and is more inclusive. Significance of Mission, Vision, and Values Statements The mission, vision, and values of an organization are highly significant. A mission statement communicates what the organization wants to achieve (Poppas et al., 2020). After reading the mission statement of an organization, one should understand the purpose of the organization. A vision statement communicates the future of the organization (Poppas et al., 2020). It provides insight into what the organization wants to achieve in future. Poppas et al. (2020) noted that a values statement shows how the organization wants to conduct its activities. The statement reflects the core ethics and principles of an organization. Significance of Mission, Vision, and Values to Patient Outcome Mission, vision, and values are significant to patient outcomes. Mission is significant to patient outcome by showing what nurses should do to achieve qualify and safe care. Vision is significant to patient outcome by showing what the organization aims to do in future to achieve better patient outcomes (Azzolini et al., 2018). Values show the ethical principles nurses should apply when providing patient care. Mission, vision, and values provide a platform for quality improvement programs to improve patient outcomes (Azzolini et al., 2018). For instance, vision provide framework for future quality improvement program or research. The elements also provide direction at which nurses can engage and provide quality and safe care. Significance of Mission, Vision, and Values to Nurse Engagement Mission, vision, and values are also significant in promoting nurse engagement. Values support nurse engagement by showing principles nurses should follow when engaging with each other in the workplace (García‐Sierra & Fernández‐Castro, 2018). Values also provide guidelines on how nurses should behave while working. The elements also create a common purpose that nurses should achieve and thus reduce conflicts. Mission and vision statements promote interprofessional collaboration, and thus improve nurse engagement (García‐Sierra & Fernández‐Castro, 2018). Nurses can engage more when working together with others to provide patient care. Factors that Cause Conflicts in Professional Practice Poor communication is one of the factors that lead to conflict in a professional practice. Poor communication can cause conflicts in professional practice by causing misunderstandings among professionals (Raykova et al., 2018). Poor communication can cause conflicts by making it hard for the nurse to understand their goals. Another factor that causes conflicts in professional practice is differing opinions. People with differing opinions in professional practice can engage in a conflict (Raykova et al., 2018). Other factors that cause conflict include a lack of respect and conflicting goals (Raykova et al., 2018). Lack of respect in professional practice is a huge source of conflict. Organizational values and culture can be used to resolve conflicts by clearly showing professionals the future of the organizations and principles they can follow when providing patient care. Strategies to Resolve Conflict and Improve Interprofessional Collaboration One of the ways to resolve workplace conflict and encourage interprofessional collaboration is effective communication. Communication can be used to solve conflicts by improving the relationship between professionals and making it easy for them to interact (Vandergoot et al., 2018). Communication can also encourage interprofessional collaboration by improving the interaction between nurses and other professionals. The second way to resolve conflict and encourage interprofessional collaboration is to understand the root of the problem. A nurse leader should work with other professionals to understand the root cause of the problem can find a solution to it (Kleib et al., 2021). The last way to resolve conflict and improve interprofessional collaboration is by practicing empathy (Kleib et al., 2021). Empathy will allow one to understand the emotions of others and how they feel about issues that led to the conflict. Organization Needs and Culture of Healthcare Organizational
Compare and contrast each of the three questions related to
Compare and contrast each of the three questions related to Managed Care Organizations, Medicare Compare and contrast each of the three questions related to Managed Care Organizations, Medicare, and Medicaid with one another and explain how they were similar and different to each other. Managed care organizations emphasize physicians’ responsibilities to control patient access to expensive hospitalization and specialty care, a principle dubbed “gatekeeping.” Some argue that “gatekeeping” is unethical because it introduces financial factors into treatment decisions. Others say it improves quality by promoting the use of the most appropriate levels of care. Medicare is an area that often gets overlooked and is seen as a burden financially. Discuss alternatives to ease the drain on Medicare resources. Medicaid is shouldering an ever-increasing burden of cost for long-term care for the elderly, with enormous impacts on state budgets throughout the nation. Discuss alternatives to ease this drain on Medicaid resources. Develop an APA-formatted essay discussing the three entities. Describe what they are and how they differ. Include an introduction to let the reader know what will be found in the essay. Create a table to provide comparison of the three entities. The table can be used as the body of the paper, or it can be added as an addendum after the Reference page. If you opt to add it as an addendum, refer to the table in the narrative in the body of the essay. As in all essays, include a conclusion to provide a summary of the material. This assignment highlights your ability to do research and display information in a table format. Include citations, as appropriate, for information in the table. Refer to chapter 7 in the APA manual, specifically pages 223 -224 for information on tables using words for displaying information. Required Source Sultz, H. A., & Young, K. A. (2017). Health care USA: Understanding its organization and delivery (9th ed.). Jones & Bartlett. Read Chapter 8. The following specifications are required for this assignment: Length: 750 words Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least two (2) scholarly sources to support your claims. Format: Save your assignment as a Microsoft Word document (.doc or .docx). File Name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”) Expert Answer and Explanation Healthcare Finance In the United States (US), healthcare is paid for or financed in a variety of ways. One of the ways is the out-of-pocket method where individuals pay directly for services they have been offered. The second way is private insurance. Other people have health insurance coverage as a tax-free benefit from their employer (Sultz & Young, 2017). Most working individuals are covered by employer-provided healthcare insurance, a managed care plan, such as a Health Maintenance Organization, or traditional indemnity insurance. The third method is public insurance and programs. For instance, the government has Military Health Insurance to cover the health of military personnel and their dependents as well as veterans. Other health insurance programs run by the government include Medicare, Medicaid, and the State Children’s Health Insurance Program (SCHIP) (Sultz & Young, 2017). People often confuse Medicare, Managed Care Organizations (MCOs), and Medicaid. The purpose of this essay is to compare and contrast Managed Care Organizations, Medicare, and Medicaid by giving their similarities and differences. The Three Entities The first entity is MCO. MCOs are integrated organizations in the healthcare system focused on managed care as a method of reducing care costs while maintaining a high quality of care. The focus of MCOs is to reduce the cost of care while keeping the quality high. There are four types of MCOs (Seiler et al., 2022). The first type is Health Maintenance Organization (HMO). HMO manages care by requiring beneficiaries to see a network of health providers at a much lower cost. It also needs beneficially to see their primary care provider (PCP) before any provider who is not in the network. The second type is Preferred Provider Organization (PPO). This form of MCO allows one to see any doctor they like, in the network or outside (Opoku et al., 2022). The beneficially may pay less for seeing an in-network provider and higher for the outside network provider. The third is Point of Service (POS). This program combines HMO and PPO where one can see providers in and outside the network but at slightly higher costs. The last type is Exclusive Provider Organization (EPO) (Opoku et al., 2022). It also combines HMOs and PPOs’ features. Its costs are less than PPO but higher than HMO. The second entity is the Medicare program. Medical is a federal health insurance program for some young people with disabilities, adults aged 65 years or older, and individuals with End-Stage Renal Disease (Agarwal et al., 2021). Drain in Medicare resources can be eased through the following alternatives. First, reducing unnecessary complications and preventable readmissions. Complications and readmission increase the cost of care and thus puts more burden on Medicare (Committee for a Responsible Federal Budget, n.d). Second, the drain can be reduced by decreasing the use of high-cost drugs. Lastly, the program should use the value-based model to pay physicians where they are paid based on efficiency, quality, and care coordination. The third entity is the Medicaid program. Medicaid is a health insurance program that provides health coverage to millions of US citizens, including children, low-income adults, elderly adults and people with disabilities, and pregnant women (Linder et al., 2018). States administer the program based on federal requirements. The program is funded both by the federal government and state governments. Drain in Medicaid resources can be eased through the following alternatives. First. Physician payment should be modified to decrease unnecessary care. physicians should be paid using the salaried system with a relatively modest bonus for quality (Linder et al., 2018).