1.Raymond is a 54-year-old man who lives in a rural part of Mississippi. He is a skilled worker but

  

1.Raymond is a 54-year-old man who lives in a rural part of Mississippi. He is a skilled worker but his job does not provide health insurance. Raymond does not qualify for Medicaid, and he cannot pay for health insurance. He has not received consistent or coordinated healthcare for most of his life. The closest clinic is over 30 miles away, and he does not have the money for both the co-pays and gas. Raymond has been diagnosed with hypertension, and his family history includes pulmonary embolisms and heart disease. Emmanuel is 55-year-old man who lives in Jackson, Mississippi. He is an office manager and receives insurance from his employer. Emmanuel has had annual medical and dental exams from the same providers for several years. Emmanuel has a family history of Type 2 diabetes and he was recently diagnosed as pre-diabetic and obese. Emmanuel received referrals to an endocrinologist and a registered dietitian, and he was instructed to increase his physical activity. Describe the challenges and barriers to access; affordability; and availability for Raymond and Emmanuel. Indicate why these challenges exist (1–2 pages) Describe the potential social, economic, and health outcomes for Raymond and Emmanuel if prevention had a higher priority in the US. Include how the barriers identified in Objective 1.1 can be overcome and how this could improve their outcomes (1 page)2.Define the continuum of care process, including objectives and the relationship to organizations and patients. 3.Describe the following settings and types of care, including objectives and basic components.Primary careSecondary (general hospital)Tertiary (teaching) Specialty hospitalsOutpatient programs (surgery, outpatient rehab)Nursing homesRehabilitation settingsAssisted livingHome healthHospice4.Describe the personnel who should be part of a interdisciplinary team that focuses on patient-centered care in an inpatient setting. List at least six disciplines and provide a rationale for including each as a member of the team. (1 pages)5.You are assisting the human resource director at a large general hospital. As part of a report to the chief executive officer (CEO), she has asked you to outline specific essential functions/responsibilities and goals for at least threeclinical, threetechnical, and threeadministrative departments (9 departments total). Describe the essential functions/responsibilities and goals of these hospital departments. (1–2 pages)6.Admission policies can differ between various types of healthcare organizations. Provide compare and contrast how admission policies could differ between for-profit and nonprofit organizations, and how this difference relates to access to care. There are many different organizations and institutions that are major players in the healthcare system. Briefly describe how each of the following influences healthcare. Consider both potential and negative influences when formulating your answer. Use at least one other reference in addition to the organizations website for each organization. Pharmaceutical Research and Manufacturers of America (PhRMA)Food and Drug Administration (FDA)American Medical Association (AMA)American Hospital Association (AHA)Joint Commission (JC)Centers for Medicare and Medicaid Services (CMS)State Department of Health (student’s state)Centers for Disease Control and Prevention (CDC)US Department of Health and Human Services7.Define vertically integrated health systems and horizontally integrated systems, including the business goals and patient outcomes. Then, explain the impact these systems have on healthcare today. (1 page)
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HE003: Delivery of Services
Short Answer Submission Form
Your Name: First and last
Your E-Mail Address: Your email here
Instructions
Write your responses where it reads “Enter your response here.” Write as much as needed to satisfy the requirements indicated. Each item
contains the Rubric which will be used to evaluate your responses. References to support your writing are required for all objectives.
©2015 Walden University
1
1. Raymond is a 54-year-old man who lives in a rural part of Mississippi. He is a skilled worker but his job does not provide health insurance.
Raymond does not qualify for Medicaid, and he cannot pay for health insurance. He has not received consistent or coordinated healthcare
for most of his life. The closest clinic is over 30 miles away, and he does not have the money for both the co-pays and gas. Raymond has
been diagnosed with hypertension, and his family history includes pulmonary embolisms and heart disease.
Emmanuel is 55-year-old man who lives in Jackson, Mississippi. He is an office manager and receives insurance from his employer.
Emmanuel has had annual medical and dental exams from the same providers for several years. Emmanuel has a family history of Type 2
diabetes and he was recently diagnosed as pre-diabetic and obese. Emmanuel received referrals to an endocrinologist and a registered
dietitian, and he was instructed to increase his physical activity.


Describe the challenges and barriers to access; affordability; and availability for Raymond and Emmanuel. Indicate why these challenges
exist (1–2 pages)
Describe the potential social, economic, and health outcomes for Raymond and Emmanuel if prevention had a higher priority in the US.
Include how the barriers identified in Objective 1.1 can be overcome and how this could improve their outcomes (1 page)
Your Response
Enter your response here
Rubric
0
Not Present
1
Needs Improvement
2
Meets Expectations
3
Exceeds Expectations
Sub-Competency 1: Describe how the delivery of care is affected for those with and without insurance in relation to cost, quality, and
access.
Learning Objective
LO 1.1: Describe
challenges and barriers
to access, affordability,
and availability for
individuals with and
without insurance.
©2015 Walden University
Comparisons between
patients’ history of care
and possible health
outcomes are missing.
Response inaccurately
describes the different
challenges and barriers to
access, affordability, and
availability for the
individuals in the case
presented. Or, issues of
access, affordability, cost,
Response accurately
describes the different
challenges and barriers to
access, affordability, and
availability for the
individuals in the case
presented and why they
exist.
Response demonstrates
the same level of
achievement as “2,” plus
the one of the following:
Response includes
examples about how
health insurance affects
patient and population
2
0
Not Present
1
Needs Improvement
and/or they exist are not
discussed.
Challenges and barriers do
not illuminate differences
between insured and
uninsured individuals.
Learning Objective
LO 1.2: Describe
potential social,
economic, and health
outcomes if prevention
has a higher priority in
the U.S.
Description of potential
social, economic, and
health outcomes if
prevention has a higher
priority in the U.S. is
missing.
Response vaguely or
inaccurately describes
potential social, economic,
and health outcomes for
the individuals in the case
presented, given an
increase in preventative
care in the US, or
Response does not address
the situations of both
individuals in the case.
2
Meets Expectations
Challenges and barriers
illuminate differences
between insured and
uninsured individuals.
Response accurately
describes potential social,
economic, and health
outcomes for the
individuals in the case
presented, given an
increase in preventative
care in the US.
3
Exceeds Expectations
health outcomes and
impacts life expectancy.
or
Response describes
challenges and barriers for
a third individual
(hypothetically) to
highlight additional
nuances related to access,
affordability, and
availability of individuals
with and without
insurance.
Response demonstrates
the same level of
achievement as “2,” plus
the following:
Response provides
examples of two
preventative care
programs and how they
affect social, population,
economic, and health
outcomes.
2. Define the continuum of care process, including objectives and the relationship to organizations and patients.
Enter your response here
©2015 Walden University
3
Rubric
Sub-Competency 2: Explain the continuum of care process in a variety of settings.
Learning Objective
LO 2.1: Define the
continuum of care
process.
Definition of the
continuum of care process
is missing.
Response vaguely defines
the continuum of care
process.
Response clearly defines
the continuum of care
process, including
objectives and the
relationship to
organizations and patients.
Response demonstrates
the same level of
achievement as “2,” plus
the following:
Response provides
examples that illustrate
the benefits of the services
along the continuum of
care.
3. Describe the following settings and types of care, including objectives and basic components.
• Primary care
• Secondary (general hospital)
• Tertiary (teaching)
• Specialty hospitals
• Outpatient programs (surgery, outpatient rehab)
• Nursing homes
• Rehabilitation settings
• Assisted living
• Home health
• Hospice
Your Response
Enter your response here
Rubric
Sub-Competency 2: Explain the continuum of care process in a variety of settings.
©2015 Walden University
4
Learning Objective
LO 2.2: Describe
various healthcare
settings and types of
care.
Descriptions of various
healthcare settings and
types of care is missing.
Response inaccurately
describes the following
settings and types of care
and/or does not include
objectives and basic
components.
• Primary care
• Secondary (general
hospital)
• Tertiary (teaching)
• Specialty hospitals
• Outpatient programs
(surgery, outpatient
rehab)
• Nursing homes
• Rehabilitation settings
• Assisted living
• Home health
• Hospice
Response describes the
following settings and
types of care, including
objectives and basic
components.
• Primary care
• Secondary (general
hospital)
• Tertiary (teaching)
• Specialty hospitals
• Outpatient programs
(surgery, outpatient
rehab)
• Nursing homes
• Rehabilitation settings
• Assisted living
• Home health
• Hospice
Response demonstrates
the same level of
achievement as “2,” plus
the following:
Response describes how
the services may be
coordinated for a
particular patient.
4. Describe the personnel who should be part of a interdisciplinary team that focuses on patient-centered care in an inpatient setting. List at
least six disciplines and provide a rationale for including each as a member of the team. (1 page)
Your Response
Enter your response here
Rubric
Sub-Competency 3: Explain processes, roles, and responsibilities in the delivery of healthcare.
Learning Objective
LO 3.1: Describe the
disciplines that should
be part of a
©2015 Walden University
Description of the
disciplines that should be
included in an
Response vaguely
describes, or describes
fewer than six disciplines
that should be part of a
Response thoroughly
describes at least six
disciplines that should be
part of a interdisciplinary
Response demonstrates
the same level of
achievement as “2,” plus
the following:
5
multidisciplinary team
for a particular
healthcare context.
interdisciplinary team is
missing.
multidisciplinary team
focused on patientcentered care in an
inpatient setting.
Response provides limited
or illogical justification for
inclusion of the disciplines
chosen.
team focused on patientcentered care in an
inpatient setting.
Response provides a
logical justification for the
choice of disciplines
included in the team.
Response describes how
team composition and
expertise benefit patient
outcomes.
5. You are assisting the human resource director at a large general hospital. As part of a report to the chief executive officer (CEO), she has
asked you to outline specific essential functions/responsibilities and goals for at least three clinical, three technical, and three administrative
departments (9 departments total). Describe the essential functions/responsibilities and goals of these hospital departments. (1–2 pages)
Your Response
Enter your response here
Rubric
Sub-Competency 3: Explain processes, roles, and responsibilities in the delivery of healthcare.
Learning Objective
LO 3.2: Define the
functions/responsibilities
and goals of clinical,
technical, and
administrative
professions in the
delivery of healthcare.
Description of the
functions/responsibilities
and goals of hospital
departments is missing.
Response vaguely
describes the
functions/responsibilities
and goals of hospital
departments.
Response thoroughly
describes at least three
functions/responsibilities
and one goal of clinical,
technical, and
administrative
departments.
Response demonstrates
the same level of
achievement as “2,” plus
the following:
Response describes how
the departments work
together to achieve
organizational and
outcome goals.
6. Admission policies can differ between various types of healthcare organizations. Provide compare and contrast how admission policies
could differ between for-profit and nonprofit organizations, and how this difference relates to access to care.
©2015 Walden University
6
Your Response
Enter your response here
Rubric
Sub-Competency 3: Explain processes, roles, and responsibilities in the delivery of healthcare.
Learning Objective
LO 3.3: Explain how
admission policies
differ in various types
of healthcare
organizations and how
this relates to access to
care.
Explanation about how
admission policies differ in
various types of healthcare
organizations and how this
relates to access to care is
missing.
Response vaguely explains
how admission policies
differ in various types of
healthcare organizations
and how this relates to
access to care; and/or the
differences between forprofit and not-for-profit
healthcare organizations
are unclear or missing;
and/or only one difference
is addressed.
Response clearly explains
two differences in
admissions policies for the
various types of healthcare
organizations and how this
relates to access to care.
Response includes
differences between forprofit and not-for-profit
healthcare organizations.
Response demonstrates
the same level of
achievement as “2,” plus
the following:
Response provides clearly
written descriptions of two
types of nonprofit and two
types of for-profit
hospitals and the types of
patients they serve.
There are many different organizations and institutions that are major players in the healthcare system. Briefly describe how each of the
following influences healthcare. Consider both potential and negative influences when formulating your answer. Use at least one other
reference in addition to the organizations website for each organization.








Pharmaceutical Research and Manufacturers of America (PhRMA)
Food and Drug Administration (FDA)
American Medical Association (AMA)
American Hospital Association (AHA)
Joint Commission (JC)
Centers for Medicare and Medicaid Services (CMS)
State Department of Health (student’s state)
Centers for Disease Control and Prevention (CDC)
©2015 Walden University
7

U.S. Department of Health and Human Services
Your Response
Enter your response here
Rubric
Sub-Competency 4: Describe the organizations and institutions that are major players in the healthcare system.
Learning Objective
LO 4.1: Describe how
major healthcare
organizations and
institutions influence
healthcare.
©2015 Walden University
Description of how major
healthcare organizations
and institutions influence
healthcare is missing.
Response vaguely or
incompletely describes
how each of the following
influences healthcare:
• Pharmaceutical
Research and
Manufacturers of
America (PhRMA)
• Food and Drug
Administration (FDA)
• American Medical
Association (AMA)
• American Hospital
Association (AHA)
• Joint Commission (JC)
• Centers for Medicare
and Medicaid Services
(CMS)
• State Department of
Health (student’s state)
• Centers for Disease
Control and Prevention
(CDC)
• U.S. Department of
Health and Human
Services
Response clearly and
accurately describes how
each of the following
influences healthcare:
• Pharmaceutical
Research and
Manufacturers of
America (PhRMA)
• Food and Drug
Administration (FDA)
• American Medical
Association (AMA)
• American Hospital
Association (AHA)
• Joint Commission (JC)
• Centers for Medicare
and Medicaid Services
(CMS)
• State Department of
Health (student’s state)
• Centers for Disease
Control and Prevention
(CDC)
• U.S. Department of
Health and Human
Services
Response demonstrates
the same level of
achievement as “2,” plus
the following:
Response provides
examples about how
patients are directly
impacted by two or more
of these major players.
8
7. Define vertically integrated health systems and horizontally integrated systems, including the business goals and patient outcomes. Then,
explain the impact these systems have on healthcare today. (1 page)
Your Response
Enter your response here
Rubric
Learning Objective
LO 4.2: Define
vertically and
horizontally integrated
health systems.
©2015 Walden University
Definition of vertically and
horizontally integrated
health systems is missing.
Response vaguely defines
vertically and horizontally
integrated health systems
and/or does not include
the business goals and/or
patient outcomes.
Response clearly defines
vertically and horizontally
integrated health systems,
including the business
goals and patient
outcomes.
Response vaguely explains
how these systems impact
healthcare today.
Response explains how
these systems impact
healthcare today.
Response demonstrates
the same level of
achievement as “2,” plus
the following:
Response provides an
example of vertically and
horizontally integrated
health systems.
9

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