Day: January 7, 2021

Competency
Appraise the efficiency of primary, secondary, and tertiary care in the U.S. healthcare delivery system.

Scenario
You are the newly appointed director of the Center for Medicare and Medicaid Services (CMS). With healthcare costs continuing to soar, the Medicare Modernization Act (MMA) rollout and Medicare Prescription Drug Improvement Plan in place, and the possible changes of the Affordable Care Act in progress, you are confronted with potential increases in payments for Medicare and Medicaid programs.
You are trying to understand how to best prepare the agency for the changes so that the efficiency of healthcare delivery is not compromised. As a courtesy, the Director for the Administration on Aging continues to send you data about the predicted rise in the number of older people and those with disabilities. Data is also sent on the forecasted needs of such persons for comprehensive care, not just acute care.
Instructions
Create a trends forecast outlining the possible changes (trends) that may affect efficiency and delivery in primary, secondary, and tertiary care in the U.S. healthcare delivery system over the next 10 years.
The trends forecast should be in the form of a report used by such agencies as CMS, OIG, DHHS and include a Table of Contents, Introduction/Background, Appendices (if applicable), Executive Summary, Charts/Graphs (if applicable), and References. Be sure to include at least 5 references (e.g., government websites or scholarly articles) and cite your sources using APA format. Your trends forecast should include (at a minimum, but not limited to) the criteria below:
Outline the organizations and institutions that deliver care across the continuum including primary, secondary, and tertiary care providers that will be impacted over the next 10 years by changes in the U.S healthcare delivery system.
Appraise and describe how well primary, secondary and tertiary care providers deliver care to patients using preventative medicine, based on the current climate in healthcare.
Detail the impact of the changing consumer demographics will have on long-term care.
Explain how this focus will impact providers operationally.
Detail how CMS can expect facilities to focus on quality and outcomes relating to long-term care, based on the statistics from the Director of Administration on Aging.
Describe how these changes will impact the delivery of long-term care.
Explain what policies you would develop and/or consider using as the Director of CMS to address the predicted changes.
Detail what regulatory measures you would create and/or enforce as the Director of CMS to address the predicted changes.
Detail what additional long-term strategies you would pursue to make national resources meet the nation’s need for chronic care.
Resources
For writing assistance, please visit the Rasmussen College Writing Guide.
APA formatting for the reference list, and proper grammar, punctuation, and form are required. APA help is available here.
Below are resources for you to review to understand the type of information that is presented in a forecasting report. There is no standard format, but you can gather ideas from these resources:
U.S. Department of Health and Human Services Semiannual Report to Congress
OIG Work Plan
ASPE Issue Brief
HHS OIG Data Brief

Competency
Assess the causes and consequences of historical events on the U.S. healthcare system.
Scenario
You are the Director of Education in your healthcare organization. Your organization is a teaching hospital, and you are responsible for presenting information to new employees and volunteers during their orientation, many of whom are recent graduates of healthcare programs. This presentation is used to give them a better understanding of why the healthcare system is the way it is today, including a summary of historical events that have shaped the U.S. healthcare system, so that they understand the causes and consequences of these events.
Instructions
Create a timeline for the historical events that have shaped the U.S. healthcare system in the past century. Once the timeline has been developed, create a PowerPoint presentation using the record audio feature to add Voiceover narration.
The timeline information should include:
A minimum of 20 events with a minimum of a three sentence description for each event.
Descriptions should list at least one cause as to why the event took place and at least one consequence it had on the U.S. healthcare delivery system.
The voiceover PowerPoint presentation should:
Include the timeline information for the historical events that have shaped the U.S. healthcare system in the past century.
Describe the events in detail included in the timeline to your audience of new employees and volunteers who are graduates of healthcare programs (e.g., nurses, medical assisting, health information management, medical school residency, etc.).
Explain the cause(s) and consequences of each of the events outlined in your timeline.
Have a minimum of 20 slides (not including title and APA reference slides).
Be at least 10 minutes long.
Be visually appealing and engaging to the suggested audience.
Resources
For writing assistance, please visit the Rasmussen College Writing Guide.
APA formatting for the reference list, and proper grammar, punctuation, and form are required. APA help is available here.
Click this link for help on creating a PowerPoint presentation.
Click this link for help on creating an audio recording for a PowerPoint presentation.
Grading Rubric