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Applied Sciences

a) Using a relevant concept (e.g., ideology, hegemony, etc.) from the Triangle M

a) Using a relevant concept (e.g. ideology hegemony etc.) from the Triangle Model of social analysis discuss whether any views you had about society or its social problems have changed after completing this course. If your views remained the same state why by applying a relevant social analysis concept to your response. b) Briefly state how effectively your group worked to complete the assignment. Were the behaviours of any of your team members particularly valuable or detrimental to the team? Explain. How did the group manage these issues/conflicts? Did you learn anything about working in a group from this project? How will you apply these insights to your next group work experience?

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Applied Sciences

A walk through the Business section of any bookstore or a quick Internet search

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject. However your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isnt there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors for example can be highly effective for leading nurses and organizations. Yet how well are these theories put to practice? In this Discussion you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization. To Prepare: Review the Resources and examine the leadership theories and behaviors introduced.Identify two to three scholarly resources in addition to this Modules readings that evaluate the impact of leadership behaviors in creating healthy work environments.Reflect on the leadership behaviors presented in the three resources that you selected for review. Posttwo key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then explain to what extent these skills were effective and how their practice impacted the workplace.

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Applied Sciences

A wireframe is a visual guide to the layout of a site, focusing only on structur

A wireframe is a visual guide to the layout of a site focusing only on structure not on the sites look and feel.For example the above image is a wireframe for a website found online. Notice that it does not include the images and the font choice is deliberately random to indicate that its just placeholder text.Thats so that viewers will understand that theyre supposed to focus on the framework of the site ” where the different components of the site are located relative to each other ” rather than the details of the various elements.Using the previous site you evaluated last week (Amazon Target Expedia or Walmart) you are to create three Wireframes with your group. Specifically you are to create a new Homepage Text-Based Detail Oriented Page Visualization/Product-Oriented Page Remember to include all items such as header footer search and repeatable navigational items/queues as I do look for these for consistency and compliance.To draw your wireframes you can use Axure Photoshop Visio PowerPoint etc. Make sure though it is converted into a PDF for readability when being submitted.

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Applied Sciences

A solo-practice provider has been practicing in a specific area for 19 years. At

A solo-practice provider has been practicing in a specific area for 19 years. At 20 years the staff several of whom have been with the doctor since the start can collect retirement through a contracted vendor. However due to a diminishing of insurance reimbursement the doctor cannot keep the doors open any longer. The provider realizes that both her and her employees are unlikely to find employment that will provide for any means of financial security in their aging years. Attempts at marketing and attracting additional clients have been unsuccessful as a result of managed care contracts and preferred provider arrangements that have gone to hospital-based physicians. There are no other options save one. The provider knows that if she upcodes the visits and charges more she can keep her doors open and retire in a short 12 months. In your main discussion post discuss the current dilemma from the perspective of the provider and from the perspective of the staff. Are there any gray areas to this dilemma? If so can you understand why a provider would be tempted to upcode? Unfortunately this dilemma is happening across America. In replying to your peers evaluate their positions on this dilemma. Did you find common ground? REPLY TO MY CLASSMATES DISCUSSION TO THE ABOVE QUESTION AND EXPLAIN WHY YOU AGREE. (MINIMUM OF WORDS) CLASSMATES POST The providers dilemma is that her practice is no longer successful and on the verge of closing its doors after 19 years. Not only does she only have 1 more year before retirement but her loyal office staff is also on the verge of being unemployed. Since the physician and her staff are older the physician fears that they may not receive any employment. For the staff since they have been long term employees they are loyal and trust the physician with her decisions. The temptation to keep the business running and successful is apparent. One illegal choice to keep the practice going is by upcoding and overcharging insurance companies for services not performed. Since no physical harm may come to the patient by upcoding it is still illegal. However a physician has a moral and legal obligation to do no harm. This is in relation to their patient care aspect but also their practice and employees. The physician has legal and ethical values to uphold. A number of characteristics are associated with medical ethics such as autonomy confidentiality nonmaleficence beneficence honesty justice and dignity. Medical professionals decisions are based not only on clinical and technical grounds but also on ethical grounds (Kumar et al. 2019 p112). There is no gray area in this situation either the physician has intent to perform upcoding or she decides not to. Since she is a loyal physician to the community and as a healthcare professional I do not see how someone could do such intentional harm. She could have the potential to get caught jeopardize her medical license must repay damages and fines and could potentially get her staff in legal trouble. It is unfortunate that this action of malicious and misconduct occurs. It has been found that more urbanized states and states with a larger elderly population experienced a greater incidence of medical fraud (Goel 2020 p520). In 2019 a healthcare company Sutter Health were accused of upcoding and agreed to settle and pay $30 million (Modern Healthcare 2019). Healthcare costs for services are increasing but performing illegal actions to keep your business running is ethically wrong. References Goel R. K. (2020). Medical professionals and health care fraud: Do they aid or check abuse? Managerial & Decision Economics 41(4) 520“528. https://doi.org/10.1002/mde.3117 Kumar L. Barwa J. Sharma J. P. Ohri P. & Beg M. A. (2019). Developing a Module of Medical Ethics for Post MBBS. Journal of Punjab Academy of Forensic Medicine & Toxicology 19(2) 112“119. https://doi.org/10.5958/0974-083X.2020.00021.7 Sutter Health will pay $30M to settle upcoding allegations. (2019). Modern Healthcare 49(15) 2.

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Applied Sciences

A solo-practice provider has been practicing in a specific area for 19 years. At

A solo-practice provider has been practicing in a specific area for 19 years. At 20 years the staff several of whom have been with the doctor since the start can collect retirement through a contracted vendor. However due to a diminishing of insurance reimbursement the doctor cannot keep the doors open any longer. The provider realizes that both her and her employees are unlikely to find employment that will provide for any means of financial security in their aging years. Attempts at marketing and attracting additional clients have been unsuccessful as a result of managed care contracts and preferred provider arrangements that have gone to hospital-based physicians. There are no other options save one. The provider knows that if she upcodes the visits and charges more she can keep her doors open and retire in a short 12 months. In your main discussion post discuss the current dilemma from the perspective of the provider and from the perspective of the staff. Are there any gray areas to this dilemma? If so can you understand why a provider would be tempted to upcode? Unfortunately this dilemma is happening across America. In replying to your peers evaluate their positions on this dilemma. Did you find common ground? REPLY TO MY CLASSMATES DISCUSSION TO THE ABOVE QUESTION AND EXPLAIN WHY YOU AGREE. (MINIMUM OF WORDS) CLASSMATES POST Upcoding occurs when a healthcare provider submits codes to Medicare Medicaid or private insurers for more serious (and more expensive) diagnoses or procedures than the provider actually diagnosed or performed. Healthcare providers use billing codes to identify the services and procedures that they provide to patients. Each code corresponds to a particular service or diagnosis and reflects the complexity of the work that the healthcare provider did. Government and private insurers use these codes to determine how much to pay for the services and procedures. When providers upcode medical bills for Medicare and Medicaid patients they cheat those healthcare programs of needed funds (Drabiak & Wolfson 2020). Physicians and other healthcare providers deserve to be paid for the medical care they provide but it is essential that they avoid improper billing practices to steer clear of trouble to maintain a flourishing practice or to ensure they have a successful retirement plan. This solo-practice provider has discovered opportunities enticed by a vendor to help set herself and her employees to work for another year so they can retire comfortably. While they have exhausted all other avenues to attract patients it is unethical to be deceptive by upcoding or charging fees for services or time spent with patients that have not been rendered. Upcoding is one of the most costly and widespread types of healthcare fraud. These are not victimless crimes as they place unnecessary stress on a social safety net that millions rely upon for their basic medical needs. Recognizing the heavy cost of these illegal schemes on the American taxpayer government agencies such as the United States Department of Justice (DOJ) are enforcing the laws against healthcare providers who engage in upcoding and has established a reward system to encourage whistleblowers to expose this type of Medicare fraud (Chen et al. 2020). There is not enough information presented to know if the employers are aware of the next step their boss is about to act upon but if they encourage the provider to upcode or do this for her they are enabling and promoting the providers bad behavior and could face serious penalties right beside with her. If the employees are not involved nor aware but discover the provider is purposefully entering in the incorrect codes for their benefit an employee could become a whistleblower and expose her and receive compensation for their action if found the provider was fraudulently charging. Under the False Claims Act which gives employees and other who know about upcoding a way to report whistleblowers may receive rewards of 15 percent to 30 percent of the amount the government recovers (Drabiak & Wolfson 2020). It is tempting for providers to engage in this type of behavior but Medicare and Medicaid fraud is a serious issue that affects both patients and providers. Providers must be aware of the regulations surrounding false claims kickbacks and referrals because fraud can occur whether it is intentional or unintentional. The consequence of upcoding increases the cost of health care for everyone because the government and private payers distribute the cost of healthcare among everyone. If convicted of Medicare fraud charges healthcare professionals could face serious penalties. Fines might be imposed the doctor may lose his or her license and some could even face jail time. Not only is this practice unethical and illegal but it also can result in negative consequences for the patient. One way is that his/her medical records could indicate a health problem that does not really exist. This may result in the wrong type of care later on (Mackey et al. 2020). References: Chen Z. X. Hohmann L. Banjara B. Zhao Y. Diggs K. & Westrick S. C. (2020). Recommendations to protect patients and health care practices from Medicare and Medicaid fraud. Journal of the American Pharmacists Association 60(6) e60-e65. https://doi.org/10.1016/j.japh.2020.05.011 Drabiak K. & Wolfson J. (2020). What should health care organizations do to reduce billing fraud and abuse? AMA Journal of Ethics 22(3) E221-231. https://doi.org/10.1001/amajethics.2020.221 Mackey T. K. Miyachi K. Fung D. Qian S. & Short J. (2020). Combating health care fraud and abuse: Conceptualization and Prototyping study of a blockchain Antifraud framework. Journal of Medical Internet Research 22(9) e18623. https://doi.org/10.2196/18623

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Applied Sciences

A stakeholder is any person, community, or organization with a vested interest

A stakeholder is any person community or organization with a vested interest in a program; e.g. decision makers partners clients. (McKenzie 2017 page 11) Stakeholders are more than just people who participate in the program; they are decision makers implementers partners and other people who impact or are impacted by the program. In this Discussion you will analyze different examples of health programs that have been evaluated and published. You will identify the stakeholders for the example programs and determine which purposes of evaluation apply. To prepare for this Discussion: Review the CDCs Framework for Program Evaluation. Reflect on the steps and standards related to engaging stakeholders. Review the six purposes of evaluation in the McKenzie Neiger and Thackeray text. Think about which purposes apply to the example public health programs and why they are important. Review the Week 1 Health Program Articles (in the Learning Resources) and select one health program to address. Imagine who the stakeholders might be for your selected program. If the abstract does not list stakeholders specifically you can suggest who might have been involved. Think about potential stakeholder expectations and how those expectations may influence the purposes of program evaluation. Review the Course Project Guidelines (in the Learning Resources). With these thoughts in mind: By Day 4 Posta comprehensive response to the following: Indicate which of the Health Program Articles you chose (see the Learning Resources). List the stakeholders within each of the following roles: Those involved in program operations Those served or affected by the program The primary users of the evaluation results Explain what different stakeholders may expect from the evaluation. Explain which of the six purposes of evaluation apply to the published program that you selected. Be sure to support your postings and responses with specific references to the Learning Resources. Reada selection of your colleagues postings.

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Applied Sciences

A tremendous amount of debris from abandoned or malfunctioning artificial satell

A tremendous amount of debris from abandoned or malfunctioning artificial satellites are orbiting the Earth. They pose a great threat to astronauts and are also harmful to spacecraft and communication satellites. Suppose you are in charge of removing this debris. What is your idea/method to do so? (Example) https://en.wikipedia.org/wiki/Space_debris#/media/File:Debris-GEO1280.jpg Please include the name of the person or question to which you are replying in the subject line. For example Toms response to Susans comment.If you agree or disagree on the subject that youre replying to please show your own opinion clearly based on your own experience/thought why you agree/disagree. ALSO PLEASE REPLY TO ANOTHER STUDENTS COMMENT BELOW Daniel: I like id say most of the the others in the class never really considered the amount of space junk there was floating around up there. We as humans tend to junk up every enviroment we come in contact with almost like we cant help ourselves. Rant over. Now my idea is a little science fictiony. I would propose using two controllable satillites sort of like UAVs with a net type structure between them used to catch one or more smaller pieces of space junk. Once ensnared in the net if the debris is small enough the UAVs could be directed back toward the earths atmosphere and with no heat shielding the debis along with the UAVs should mostly vaporize in the heat of re-entry. If the pieces are too large using Newtons laws of motion direct the UAVs on a course with the Sun while it may take a while and barring any object acting upon that course it too should vaporize in the heat. This would by NO means be a practical way to carry out this task but Im not sure if there is a practical way to do it.

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Applied Sciences

A research firm tracks the average highway speed of 30 drivers driving home on D

A research firm tracks the average highway speed of 30 drivers driving home on Day 1. For the next 10 days the drivers are given two cups of coffee 1 hour before the drive home. On the 10th day the average highway speed is measured again. Does this study involve dependent or independent samples? You are interested in knowing if there is a statistical difference in driving speeds between Day 1 and Day 10. Which statistical test would be appropriate? Why?

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Applied Sciences

A program plan is a written report that will follow standard scientific format.

A program plan is a written report that will follow standard scientific format. Each student will select a public health scenario(Links to an external site.) from the list provided. There is no page limit and the goal is to adequately describe certain aspects of the program listed below and demonstrate the studentsattainment of the selected MPH concentration competencies (found in your course Syllabus). Each student will select at least 4 competencies to demonstrate. General Guidelines Page numbering Centered below bottom margin Font Times New Roman 12 point is recommended. Spacing Double-spaced throughout with the exception of the references and quotations of more than four lines or two or more sentences. Content Guidelines Title page Name of the University Name of the College Name of the Program Title of the program plan Students name Acknowledgments This page is to thank those who have helped in the process of obtaining the graduate degree and provided guidance for the Integrative Learning Experience. Competency Reflection Each student selects 4 competencies to demonstrate in their program plan. You will identify those 4 competencies and then share how the development of your program plan allowed you to demonstrate and apply the selected competency. Abstract Short summary of the work presented in the program plan. Not to exceed one page. Text of the Program Plan Text of the program plan will consist of five major sections. These are Introduction Background Methods Results and Discussion. These sections are detailed below. Introduction General introduction and description of the public health topic. Include relevant statistics. Include a description of the target population. Background Literature review Literature contributions to the topic. Should include a minimum of 8 scholarly articles published within the past 10 years. Theory Theoretical foundation of the research topic. How does theory help you better understand and address this public health topic? Program Overview Describe the goals of your proposed program. You must select at least one goal for your proposed program plan. Describe at least 4 objectives of your proposed program. Be sure to write SMART objectives. You can consult your grant proposal assignment from your MPH507 course for more details on how to write SMART goals and objectives. Description of the program components (e.g. description of lesson topics workshops etc.); essentially you will describe the aspects of your plan. How will your target population receive the proposed plan? Implementation Setting- Describe the setting in which your program will be implemented. Methods Detailed description of the methods that will be used to evaluate the effectiveness of the program. Description of the quantitative and/or qualitative methods that will be used and the benefits of using these methods. (e.g. will you use a survey conduct interviews or focus groups etc. to assess the effectiveness of your program?). Description of your study sample? Who are you going to collect data from? Sample data collection questions- Draft at least 5 survey or interview/focus group questions. Results Description of the results that you hope to achieve as a result of the program. Discussion Discussion of the meaning of the results in terms of your study and literature. What recommendations would you make to address this public health topic? How will you disseminate the findings to community stakeholders? Conclusions.

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Applied Sciences

A patient died after her third cerebral hemorrhage. When the patient was admitte

A patient died after her third cerebral hemorrhage. When the patient was admitted to the hospital following a cerebral hemorrhage her physician determined that she should be given a specific drug to reduce her blood pressure and make her condition operable and he directed its administration. For an unexplained reason the drug was not administered. The patients blood pressure rose and after another hemorrhage the patient died. Are all the elements required in a negligence suit present? If you found the defendant negligent in a malpractice case what damages would you award and for what reasons? ANSWER THE ABOVE QUESTION THEN REPLY TO MY CLASSMATES RESPONSE TO THE ABOVE QUESTION AND EXPLAIN WHY YOU AGREE? (A MINIMUM OF 150 WORDS EACH) CLASSMATES POST When considering negligence suits there is a in depth investigation that needs to occur in order to place blame. In the brief explanation of the case it would be difficult to determine as there is not enough evidence provided. At this point it would be a matter of assumption of the things that occurred that ultimately led to the death of the patient. As stated in the example there was a negligence of not administering the medication that was directed to be given by the physician. This would be the idea of what was neglected. Whether it was the physician who didnt follow up to ensure the medication was given and at what time or any part of his staff that failed to administer the medication ultimately this could have been what led to the untimely death of the patient. There could also just been an underlining issue that the patient had that even if the medication was administered death may have occurred anyhow. If the defendant was found to be negligent a compensation could be paid to the family for the loss and the hospital bill could be covered by the hospital.