health

Picking a Health Care Plan Assignment 

Since this week is all about Health Care, I think it’s appropriate to have you research and select a Health Care Plan for yourself and your family (if you have a spouse/kids). If you already have a plan, you may include it as ONE of the options you research, but you still have to evaluate if it is STILL the best plan for you (if you are still under your parents plan, you may use that as one of the options you research- and find out how much your family can afford.)

If you currently do not have an income, you can use a budget amount that you think would be realistic for when you will have an income (ie: move out and are supporting yourself).

The assignment is to attach a Microsoft Word (or PDF) document to this assignment with the following parameters:

Typed, double spaced, 12 point font.

Length should be 2-5 pages… whatever you need to be complete.

Please write this in an “Essay” type of discussion style, not in a numbered question and answer style.  Include an Introduction, a Body and a Summary of the discussion.  

There should be 3 sections in your Essay:

Introduction

Body

Summary

 

The Introduction should cover:

WHO you are looking to cover (yourself? spouce?  kids?);

What are your health care needs?

Do you want to keep your current doctors?

How much can you afford per month to pay for a plan?

 

Body of the Essay: With the above information you answered, you will research 3 Health Care Plans from different Companies of your choosing and find one plan within each of the 3 companies that you feel fits your needs at this time.

COMPARE each of the 3 plans with each other (NOT the 3 Companies! — but rather a specific plan within each company… I do NOT want to see any comparisons of HMOs vs PPOs or Aetna Vs Keiser…. but rather the Aetna 1500 plan vs Keiser’s 2500…etc.)

         The body should include:

Who is covered (individual or family)?

Type of plan…PPO/HMO?

Cost of overall plan?

Co-Pays / Out of pocket expenses?

What services or types of treatment are covered/ what items of importance to you are not covered?

Doctors – are yours ‘in network’ or ‘out of network’?

Convenient locations for treatment?

and any other needs/interests you may find to compare.

 

The Summary: After all the comparisons, summarize your findings and CHOOSE ONE of the health plans that you think would be the best for you and explain why.

What are the current and future health care needs in your household?

Do you think you will use health care services often or just rarely? That answer can help you decide whether to choose a plan that offers basic coverage, or one with broader benefits.

Do you want to keep your current doctors?

Will you want to keep seeing your doctor? That might dictate the type of plan you choose. HMO plans require that you use doctors in the network. So, check to see if your doctor is in the network. Or consider a Preferred Provider Organization plan. It lets you visit almost any doctor.

How much can you afford to pay for health insurance?

Knowing your price range can help narrow the options.

Make sure you understand your costs. You will have a monthly cost for your plan and other expenses, such as an annual deductible or payments for office visits. Plans with higher monthly costs tend to have lower costs for office visits and other services. If you want lower monthly costs, you will pay higher costs for office visits and other services.

What health expenses will the plan cover?

When comparing plans, look to see what expenses are covered. Will the plan pay for physicals, shots and other preventive care? How about prescription drugs or dental care? Some plans cover expenses like these, some do not. Be sure to understand and assess the benefits of each plan you are considering.

Response to peer D2 (3167)

 Please, write a response to the following discussion by using one reference from an English titled, peer reviewed NURSING journal less than 5 y/o.

When you do research you are looking for answers. The reason for this discussion is to write about what the strength of research study is. With most nursing research the patient is the main focus. Evidence-based practices (EBP) were constructed because nurses started asking questions about the standard methods of care that were originally introduced. Along with the EBP, scholars have written articles with studies that have provided others with data that has made an effect on a population. Literature has been published or shared regarding studies and their results.

From the information I gathered, the strength of a research study is the ability to documentation data that was collected upon completion of the study. With the literature that is gathered it is then available to other nurses and providers that may have questions. Research is done to solve problems and show proof with the evidence obtained (Polit & Beck, 2018). By using explanations of the methods being used to conduct the study, the people that are reading can get an in-depth understanding of what theory was used, the subjects in the study, the reason why the study was conducted, and the end results to determine if the study answered any questions that could improve the quality of care of the subjects.

Through research many ideas can be made. With any information collected through studies, that can help providers comes up with care plans to have the patient have better outcomes. The goals of research is to focus on getting the best outcomes and results possible. Research studies are read by peers and later published by nursing databases like CINAHL. That database can help nurses that may want to start a research study by providing articles written done be other nurse researchers. If nurses plan to get into research there are programs that can help you with the resources to gather your information and start documenting about findings to help the future nurses. They even provide a research mentor (Walton, Sankey, & Jensen, 2017).

Response to peer D2 (3119)

Please, write a response to the following discussion by using one reference from English peer-reviewed Journal that is not older than 5 years.

 

Hardiness Theory

It is of no surprise that many nurses who start working in the profession feel a sense of stress and burnout after working a long fast-paced shift in the hospital. The responsibility of making sure that every patient is receiving the highest level of care can be quite overwhelming when also being responsible for responding to the answers of concerned family members, receiving medical orders from doctors, delegating tasks to the patient care assistant, managing the pain of a trauma or post op patients, and ensuring the safety of a confused patient. Although this profession can be very satisfying, given that it involves helping patients in their most vulnerable state, the level of stress that nurses have to endure can be quite alarming. It is for this reason that many theorists have come into play when seeking to find a way to help individuals cope with difficult situations in the workplace. Susan Kobasa’s non-nursing theory known as Hardiness Theory, has been incorporated into a nursing theory when seeking to help nurses deal with the stresses of the profession (Henderson, 2015). 

            The theory of hardiness states that individuals must possess all three hardy attitudes, commitment, control, and challenge, in order to withstand any difficult life or professional situation and must learn how to turn any negative experience into an opportunity for personal and professional growth (Henderson, 2015). Commitment, being the first component of the theory of hardiness states that an individual must be active in every situation that comes in the way. In other words, the individual must never ignore the problem, but must instead be a participant in problem solving (Henderson, 2015). Control, is when an individual believes that his/her actions can result in a positive or negative outcome. The person has a sense of power over the situation (Henderson, 2015). Lastly, challenge is when an individual accepts the difficulties that comes along and uses them as opportunities to become a stronger and wiser (Henderson, 2015). 

            The components of this theory have been incorporated into a nursing theory because it has been used to provide nurses with effective strategies to manage the ongoing stresses that they face in the workplace. The humanistic nursing theory also includes the concept of authentic commitment, which means the nurse is actively present both personally and professionally in the decisions that are made when caring for a patient (George, 2011). It is highly important to implement the components of the theory presented because it serves as a tool to help reduce the incidence of developing any physical or mental illness (Henderson, 2015). 

DQ2 2 RESPONSE

Eugenia Uzoechi    4 posts   Re: Topic 2 DQ 2  Issue when addressing a solution to evidence-based nursing practice  There have been reports of considerable improvement in wellbeing result for patients who are treated through evidence-based practices. All around structured investigations have demonstrated that improved patient results are bound to be acknowledged when medical caretakers use evidence-based practice in dealing with patients; however, there are several issues which have made it hard to execute EBP in healthcare organizations (Fineout-Overholt, Melnyk & Schultz, 2015). One of the greatest issues facing implementation of EBP is lack of knowledge on use of evidence-based practices. It has been demonstrated that most medical attendants need more learning to coordinate research discoveries in their practices. Research discoveries demonstrates that there is little proof that demonstrates that most medical caretakers, particularly novice nurses have learning on the usage of EBP in their practices (Fineout-Overholt, Melnyk & Schultz, 2015).  The first step in addressing and resolving this issue  The first step of solving the above issue is by having specific research education. A research by Rosenfeld (2019) found out that there was variance in EBP knowledge among the nurses. Therefore, nursing professionals who are seeking to improve their clinical skills and expand their knowledge base and career options ought to consider getting an additional nursing education in programs which focus on EBP (Rosenfeld et al., 2019). Nursing professionals should have a solid comprehending of how to carry research. Since evidence-based practices place an emphasis on the knowledge, skills and experience of the nursing professional, nursing professionals have been given more responsibility and respect than ever before (Rosenfeld et al., 2019). EBP focuses on particular nursing skills such as critical decision-making grounded in evidence and research. Therefore, registered nurses need strong analytic and academic research skills for complementing clinic skills and hands-on patient care (Rosenfeld et al., 2019).  References  Fineout-Overholt, E., Melnyk, B. M., & Schultz, A. (2015). Transforming health care from the inside out: advancing evidence-based practice in the 21st century. Journal of professional nursing, 21(6), 335-344.  Rosenfeld, P., Duthie, E., Bier, J., Bowar-Ferres, S., Fulmer, T., Iervolino, L., … & Roncoli, M. (2019). Engaging staff nurses in evidence-based research to identify nursing practice problems and solutions. Applied Nursing Research, 13(4), 197-203.

A simple linear regression was created to determine GPA based on hours studying per week. You want to know

1) A simple linear regression was created to determine GPA based on hours studying per week. You want to know if you spend 30 hours per week studying, what range you might expect your GPA to be in. What estimate do you need to calculate to find the range?

Answer 

A. Confidence Interval Estimate

B. Point Estimate

C. Residual Interval Estimate

D. Prediction Interval Estimate

 

2)The Coefficient of Determination for a simple linear regression is 0.87 and the b1 came out to be -1.58. What is the Sample Correlation Coefficient and what does it mean?

Answer 

A. -0.93 and it means there is a negative linear correlation between x and y.

B. 1.26 and it means there is a positive linear correlation between x and y.

C. -0.93 and it means there is no linear correlation between x and y.

D. 1.26 and it means there is no linear correlation between x and y.

3)The degrees of freedom used to calculate the p-value of the goodness of fit of a multinomial distribution is …

Answer 

A. k-3

B. n-3

C. n-1

D. k-1 

4)X-ray Express wants to simulate the arrival of requests. They think the arrivals per day follow a Poisson distribution and they have collected a sample of arrivals per day for 100 days to confirm. The information is provided in Figure 2 and the average number of arrivals is 1.2 for the 100 samples. 

What is the chi squared statistic for the given information? 

Answer 

A. 4.29

B. 2.38

C. 25

D. 2.84

5)X-ray Express wants to simulate the arrival of requests. They think the arrivals per day follow a Poisson distribution and they have collected a sample of arrivals per day for 100 days to confirm. The information is provided in Figure 2 and the average number of arrivals is 1.2 for the 100 samples. 

 

The p-value of the chi squared statistic is 0.304 and the desired alpha level is 0.05. Should X-Ray Express use a Poisson distribution in their simulation? (Does the data fit a Poisson distribution?) 

Answer 

A. No they cannot use a Poisson distribution because the null hypothesis is not rejected

B. Yes they can use a Poisson distribution because the null hypothesis is not rejected.

C. No they cannot use a Poisson distribution because the null hypothesis is rejected

D. Yes they can use a Poisson distribution because the null hypothesis is rejected

 

x= 16,29,29,48,56

y=11,13,14,17,20

 

that’s figure 1

6)Figure 1 contains information on annual income and years of education. The independent variable is years of education and the dependent variable is income.

 

Develop the least squares equation regression equation.

Answer 

A. y(hat) = 4.5-31.9x

B. y(hat) = 35.6-15x

C. E(y) = 4.5x-31.9

D. y(hat) = -31.9+4.5x

 

7)Figure 1 contains information on annual income and years of education. The independent variable is years of education and the dependent variable is income.

 

Estimate the yearly income for an individual with 19 years of education.

Answer 

A. $53,600

B. $249,400

C. -$601,600

D. $56,000

 

 

8)Figure 1 contains information on annual income and years of education. The independent variable is years of education and the dependent variable is income.

 

With an alpha of 0.05 what is the test statistic to determine if the slope (beta 1) is significant? Sb1=0.4374 If the p-value for the test statistic works out to be 0.00196 is the slope (beta 1) significant?

Answer 

A. t-stat = 73.0 and it is significant.

B. t-stat = 10.3 and it is significant.

C. t-stat = 73.0 and it is not significant.

D. t-stat = 10.3 and it is not significant. 

 

 

9)X-ray Express wants to simulate the arrival of requests. They think the arrivals per day follow a Poisson distribution and they have collected a sample of arrivals per day for 100 days to confirm. The information is provided in Figure 2 and the average number of arrivals is 1.2 for the 100 samples. 

 

X-Ray Express wants to know during the 250 working days per year how many of those days they should expect to see 1 request arrive. (e^(-1.2)=0.3012) How many days per year should they expect to see 1 request arrive?

Answer 

A. 36

B. 0.361

C. 90

D. 30

 

Airshow day 1 winner ( spreadsheet Attached below)

This writing assignment provides you with practical experience in reporting calculated data using a Memorandum of Understanding (MOU). MOUs are common, both domestically and abroad. They vary in length and complexity, but each MOU represents mutually accepted expectations between people, organizations or governments.

An MOU should:

  • Clearly outline specific points of understanding.
  • Describe who the parties are and the project for which they are agreeing.

Scenario

During Day 1 of the Airshow, an emergency required the launch of an additional sortie for the KC-135. Because members of your team were already on board, they recorded an additional aircraft data point of 10.71. Use the spreadsheet that you created for the Module 2 – Discussion: Airshow Day 1: Mean and Standard Deviation to:

  1. Calculate the new KC-135 Mean and Standard Deviation for eleven sorties.
  2. Determine the impact (if any) Sortie 11 has on the original ten KC-135 sortie mean and standard deviation calculated values.

Report the Winner

Now that you have all of the data, report the Day 1 Winner and the KC 135 Sortie 11 results. The winner is the aircraft type scoring 1) the highest mean and then 2) the lowest standard deviation (in the event of a tie). Report the winner and the KC 135 Sortie 11 results in a Memorandum of Understanding document. Your document should be a maximum of one page with one-inch margins using 11 point font and consist of only the following three paragraphs:

  1. Introduction – Prepare the audience for what he/she is about to read.
  2. Results – The facts.
  3. Conclusion(s) – Results are fact(s) based, concise and to the point; actionable.

Review the Writing Suggestions page for tips. Use this format for your document:

MEMORANDUM OF UNDERSTANDING

TO:             97th AMW – USAF

FROM:       Your Name

DATE:        Add Assignment Due Date

SUBJECT:  Determined by Student

PHD INTERVIEW QUESTION

 PhD candidates should provide an authentic personal statements to each of the five following questions/prompts reflecting on their own personal interest. In the event that any outside resources are used, resources should be cited in APA format. Submissions should be a maximum of 500 words or 125 words per question/prompt. It is best to respond to each prompt/question individually for clarity of the reviewer. Documents should be submitted in Microsoft Word format.

PhD IT

  1. What are your research interests in the area of Information Technology? Why do you think it is important to research in this area?
  2. Why did you select to pursue a program at University of the Cumberlands instead of other institutions?
  3. As an individual, what are your strengths and weaknesses? How will these impact you as a doctoral information technology student?
  4. Where do you see the future of Information Technology heading?
  5. How can obtaining a doctorate impact your contribution to the practices of information technology? Where do you see yourself after obtaining a doctorate from UC? 

PhD/EdD Leadership

  1. What are your research interests in the area of leadership? Why do you think it is important to research in this area?
  2. Why did you select to pursue a program at University of the Cumberlands instead of other institutions?
  3. As an individual, what are your strengths and weaknesses? How will these impact you as a doctoral leadership student?
  4. Where do you see the future of leadership heading?
  5. How can obtaining a doctorate impact your contribution to the practices of leadership? Where do you see yourself after obtaining a doctorate from UC?

DBA/PhD Business

  1. What are your research interests in the area of business? Why do you think it is important to research in this area?
  2. Why did you select to pursue a program at University of the Cumberlands instead of other institutions?
  3. As an individual, what are your strengths and weaknesses? How will these impact you as a doctoral business student?
  4. Where do you see the practice of business heading?
  5. How can obtaining a doctorate impact your contribution to the practices of business? Where do you see yourself after obtaining a doctorate from UC?

DQ response

Nimmy James     Re: Topic 7 DQ 1  response 

The main objective of dissemination is to rise and encourage to spread the knowledge regarding evidence- based interventions. The main goal of enhancing better applications and patient outcome. There are various internal and external methods of disseminating evidence- based project. However, the method applied should be effective. The effectiveness characterized by positive engagement of the targeted audience, which enhances awareness, understanding and motivation to implement in the workplace. One of the hardest aspects of evidence-based practice (EBP) is making sure that the change we wanted to occur actually happens. So, evaluation of the results is a major component of evidence-based practice. It shows the progress that you have made throughout the process, it shows the failures and it also shows the success. As Ginex p states “Share the outcomes but also the process of your project: what worked, what didn’t, what you learned, and what you would do (or not do!) again” (Ginex, 2018).  “Dissemination can occur in many forms within your organization and beyond, and it should be part of the planning process for the full project” (Ginex, 2018). One internal method of dissemination of the project can be the hospital board, nurses and physicians and other professionals involved in patient care. These people have the most power to make the most change necessary to make the EBP successful. An internal method of disseminating of my EBP is through my unit counsel group and policy committee. These groups to ensure my EBP project will be implemented according to unit needs. One external method of dissemination can be the patients and families. External dissemination doesn’t even have to be through people it can be used through posters or even through on-line media. The internal and external groups are very important to facilitate sharing knowledge and data in the nursing field. Moreover, when reporting the finding to the groups would facilitate constructive criticism of the result, it will provide the opportunity to improve before implementation.     References:   Ginex, P. K. (2018). Use these methods to evaluate EBP outcomes and disseminate results. Oncology Nursing Society Voice.           

   Retrieved from https://voice.ons.org/news-and-views/use-these-methods-to-evaluate-ebp-outcomes-and-disseminate-results

Reference must include doi or retrieval URL 

Discussion #2

Discussion Board  2: End of Life Care.  Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management  Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.  Practice   1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.   2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.   3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.   4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.      Education   1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.   2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.   3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.   4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.      Research   1. Increase the integration of evidence-based care across the dimensions of end-of-life care.   2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.   3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.   4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.   5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.      Administration   1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.   2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.   3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.   4. Support the development and integration of palliative care services for all in- and outpatients and their families.

study the following table of joint probabilities was produced

The issue of health-care coverage in the United States is becoming a critical issue in American politics. A large-scale study was undertaken to determine who is and is not covered. From this study the following table of joint probabilities was produced.

Age Category

Has Health Insurance

Does Not Have Health Insurance

25-34

0.167

0.085

35-44

0.209

0.061

45-54

0.225

0.049

55-64

0.177

0.026

 

If one person is selected at random, find the following probabilities.

a. P (Person has health insurance) = b. P (Person 55-64 has no health insurance) =
c. P (person without health insurance is between 25 and 34 years old)