This is an individual assignment completed over the course of 7 weeks. The assignment takes a systems approach and requires you to examine the functional pieces of a health delivery system in the United States. Being able to analyze services and systems in addition to organization and functions is an important competency. Developing a framework enables you to analyze the structure and organization of services and systems. The project enables you to apply concepts, theories and models using an applied and integrated systems approach. You select a large city or healthcare system and then study the various system features, inputs, outputs and resources. This project enables you to demonstrate skills, knowledge and competencies needed to be a successful healthcare manager.
In order to complete this project, you need a framework that provides a conceptual base to examine the structure and organization of the healthcare system. This assignment draws upon a systems framework as developed by Leiyu Shi and Douglas Singh (2015) in their book Delivering Health Care in America: A Systems Approach (6th Edition). In this assignment you examine the size and scope of the system, the basic components of health services delivery and major system characteristics. The assignment further examines trends, directions, concepts of health, new innovations, health status and health risks. You must develop a comprehensive analysis in a detailed report.
Your professional paper must reflect graduate level work, writing skills, research efforts, critical thinking and analysis. The report must be typed and double spaced. You must use headings and subheadings as you develop your systems framework. The paper must be clear and concise with no spelling or grammar errors. You will use the publication style of the American Psychological Association, Publication Manual of APA, 6th edition, 2009. Failure to submit an accurate, well organized, and comprehensive professional report will result in a reduced grade. All sections of the paper must be submitted for examination by the due dates so designated. Your completed paper should not exceed 50 pages and is submitted at the end of week #7.
The assignment has specific content areas and requires you to describe in detail each CHSSA section. You must address all 11 sections.
1.Develop title page, table of contents, purpose of the report, introduction, a detailed description of the geographic area and population of the health system being studied (Week #2).
2.Discuss the major social determinants of health that affect the health and well-being of individuals and the population including environment, lifestyle, heredity; examine health status and health risks; discuss and list measures of physical health (mortality, morbidity, longevity, disability); demographic changes; measures of utilization; access to care (Week #2).
3.Describe health system financing, insurance providers, health care expenditures, sources of funding, Medicare, Medicaid, a discussion on payor mix of providers, managed care, etc. (Week #4).
4.Describe the continuum of care addressing prevention, public health, behavioral-social services, ambulatory care, hospital, long term care, mental health, end-of-life care, rehabilitation, health services for special populations, and integrated organizations (Week #4).
5.Describe system resources to include health workforce and health technology (Week #4).
6.Describe system outcomes including patient safety, quality of health, health policy, reducing medical errors, etc. (Week #4).
7.List and describe the impact of the Patient Protection & Affordable Care Act (PPACA).
8.Describe efforts related to public health and population based healthcare; community needs assessment; and other special initiatives.
9.Describe the development of Accountable Care Organizations (ACOs), Patient-Centered Medical Homes (PCMH), other relevant external forces affecting healthcare deliver.
10.List and describe forces of health reforms, market consolidations, mergers, acquisitions, bundled payments, funded research, value based healthcare, etc..
11.Describe and discuss issues of social justice, equitable distribution of health care, health care ethics, cultural beliefs and values, and Healthy People 2020 initiatives.