The Affordable Care Act has expanded mental health and substance abuse benefits to 62 million people and is an addition to the Mental Health Parity Act of 2008. The changes and additions require mental health coverage in small group and individual plans where people were not previously covered. What is the biggest benefit of these changes? What major challenges are still associated with mental health coverage? Explain your reasoning.
After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects. Requires 1 reference
The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal, and suggest ways in which identified barriers may be addressed.
Mr. Jack Baroni, a seventy-two-year old male, was admitted to the skilled care facility for rehabilitation following an open reduction, internal fixation of the right hip. Mr. Baroni had fallen while going up the stairs of his home suffering an intertrochanteric, comminuted fracture of the right femur. He has no recollection of what caused him to fall. He is married and until his surgery was working part time as a school-crossing guard. While in the hospital, Mr. Baroni exhibited mental status changes including disorientation and confusion. His wife reports that he never had this problem previous to the surgery. He […]
Mrs. Green, age 90, was living independently until recently, when she suffered a fall that resulted in a broken hip. Her family is unable to provide the ongoing care she requires because they too are getting old and they live in a different state. Mrs. Green is a new resident of Golden Grove Nursing Home. She is very passive and allows the staff to do everything for her despite the fact that she is capable of doing many things for herself. She does not express any feelings or preferences about her care, meals, or anything else. When asked about her […]
Imagine you work for a managed care plan. What are some of the advantages (and disadvantages) of the different payment methods you use for hospitals? Imagine you are in senior management for a hospital. What are some of the advantages (and disadvantages) of the different payment methods for the hospital?