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Requirements of a Managed Care Executive Essay
Requirements of a Managed Care Executive EssayRequirements of a Managed Care
Executive EssayThe student will choose one role from the Crosswalk of Issues (attached )
within a healthcare interdisciplinary team. The student will prepare a five-six page paper
discussing the role of that team member, taking into consideration the elements outlined in
the instructions attached.Please include the interview into the paper.ORDER NOW FOR
CUSTOMIZED, PLAGIARISM-FREE PAPERSAbstract Abstract goes on its own page Title of
Paper Intro to your paper- Indent all paragraphs. Introduction goes under the title of the
paper and does not need a header Requirements of (what profession you chose) Research
the background of the professional role here. Background Code of Ethics Professionalism
Professional Organization Political Advocacy issues Position Statements Interprofessional
Collaboration Crosswalk Issues Reflection Conclusion 1 INTERDISCIPLINARY PRACTICE
PAPER RUBRIC Student Name: Course: Assignment: Faculty directions to use this rubric:
This rubric directly matches the University’s grading system. NOTE the possible rubric
score for each evaluation criterion. CHECK the box in the column that best describes the
extent to which the student’s work meets the expected elements for each evaluation
criterion. In the rubric score column, RECORD the numeric rubric value that best fits the
student’s work. For example, if an evaluation criterion has a possible score of 10, then you
might enter a numeric rubric value from 8.3 – 8.8/10 for “acceptable” work. However,
8.9/10 will represent “accomplished” work. On the other hand, if the student’s work really
lacks expected elements for a given evaluation criterion, then you might enter a numeric
rubric score value of 7.6 or less/10 for “unsatisfactory” work. For example, if the student’s
work meets “only about 35%” of the expected work for a given evaluation criterion, then
enter a numeric rubric value of 3.5/10 or lesser numeric rubric value if indicated. If
elements are not included or submitted in compliance with the assignment guidelines &
cannot be graded on the rubric, then enter a numeric rubric value of “0”. Evaluation Criteria
& Expected Elements 1. Conveys understanding of the paper 2. Requirements of a Managed
Care Executive EssayInformation Literacy Descriptive Adjectives with Numeric Rubric
Values & Corresponding University Numeric Grading Values Unsatisfactory 7. 6 or less 76 or
less C- or less ? Inadequately Developing 7.7 – 8.2 77 – 82 C to C+ ? Minimally Acceptable 8.3
– 8.8 83 – 88 B- to B ? Moderately Accomplished 8.9 – 9.4 89 – 94 B+ to A? Fully Exemplary
9.5 – 10. 0 95 – 100 A ? Exquisitely States clear & appropriate thesis statement for
assignment. Presents background of paper with evident literature . States purpose of
paper. States contents of paper. Captures reader’s attention. Appropriate role chosen.
Includes abstract. ? Inadequately ? Minimally ? Moderately ? Fully ? Exquisitely Draws
content from current & appropriate body of literature. Selects majority primary sources.
Selects appropriate number of sources. Peer-reviewed publication within the last three
years. Demonstrates ability to Rubric Score /10 /10 2 access, use, and evaluate reliability
and validity of information. ? Inadequately ? Minimally ? Moderately ? Fully 4. Proper
Attribution of Sources ? Inadequately ? Minimally ? Moderately ? Fully 5. Develops paper ?
Inadequately 3. Background Research of Role 6. Reflective Section ? Inadequately ?
Minimally ? Minimally ? Moderately ? Moderately ? Fully ? Fully ? Exquisitely Exquisitely
Exemplary exploration of background elements (code of ethics, educational preparation,
etc.) ? Exquisitely Uses information ethically (paraphrases, cites, quotes sources properly).
Confidentiality is respected per assignment instructions. Quotations are no more than 10%
of paper. ? Exquisitely Exquisitely Uses critical inquiry of elements to deeply explore topic.
For example, pursue interview questions in depth as opposed to addressing only basic
question and answer format. Interview questions are used as an opening guide for further
exploration (i.e. elaborates on questions where appropriate) Follows assignment criteria. ?
Exquisitely Evidences critical thinking/reasoning throughout analysis process. Addresses
elements of role power/authority, position in hierarchy and contribution to organizational
goals. /10 /10 /10 /10 3 s rationale and significance of paper. 7. Synthesizes Sources ?
Inadequately ? Minimally ? Moderately ? Fully 8. Organizes paper for logical flow ?
Inadequately ? Minimally ? Moderately ? Fully 9. Uses writing presentation principles ?
Inadequately ? Exquisitely Exquisitely Draws logical & original conclusions from analysis.
Synthesizes information to evidence critical thinking & reflection. Synthesizes information
from interview, professional website, background research, and authoritative literature. ?
Exquisitely /10 /10 Uses headings to clearly organize & delineate areas of discussion.
Presents information logically. Sequences ideas to enhance meaning, overall cohesion, &
readability. Uses correct mechanics (grammar, spelling, & punctuation). Uses topical &
complete sentences. Uses transitions to connect ideas.Requirements of a Managed Care
Executive EssayFocuses on topic & task. Uses minimal redundancy/ repetition. ? Minimally
? Moderately ? Fully ? Exquisitely Style: Uses variety sentence & strong paragraph structure
to convey details, unity, & completeness Tone: Uses appropriate, consistent, objective tone
that /10 4 shows tact, respect, and understanding. Voice: Uses majority active voice & paces
how writing sounds to reader. Conclusion provides appropriate close. Recommendation for
nursing contribution included. 10. Presents paper elements ? Inadequately Total Rubric
Score Faculty Comments: Faculty Name: Date Complete Rubric: Letter Grade for this graded
assignment: ? Minimally ? Moderately ? Fully ? Exquisitely /10 Uses correct APA format for
title page, spacing, margins, headings, etc. Graphics/tables, if indicated. Uses correct APA
format to document and matches citations and references. /100 Interview Questions
Interview questions: (Please assure them only the generic role will be identified. You will
not use actual names in the assignment and responses are shared with the instructor of the
course only.) This is a general guide only. Critical thinking and scholarly inquiry would
entail further exploration of responses where warranted. 1) Inquire about how they
decided to pursue the type of work they do? K.Smith, RN-BC DNP is currently the ACOS for
behavioral health department. KS: I was always interested in the healthcare field. Upon
graduating from high school, I attended The Reading Hospital and Medical Center Operating
Room Technician program and graduated from there in one year. I realized I wanted more
education and responsibility and decided to pursue nursing. Initially I thought I would
return to the OR but fell in love with mental health-you either love it or hate it! Been
working in mental health for almost 40 years. 2) What are those responsibilities on a daily
basis? (an average day as much as they can address it from that standpoint) KS: Currently as
Chief of Behavioral Health Services (BHS) and Nurse Manager for the department my days
are very full. I am responsible to ensure any follow ups from previous day report, any
current crisis, following up on Veterans who are difficult to find or not keeping
appointments. Reviewing our organizational chart and planning for staffing needs,
projecting future needs, responsible for facility BHS metrics-developing plans to ensure we
meet the metrics and plans to present if we are not meeting metrics what we will do to met
them. Reviewing staff leave, policy development. Networking with state partners-Delaware
and New Jersey. Many meetings with facility committee/groups, regional and national. 3)
How do they personally envision interprofessional collaboration among those in the
delivery of healthcare services? (That is, how do they see it working in the future? Do they
see a downside? If so, what do they think that is? What barriers do they identify?) KS: We
need to accept the skillset of each discipline and individual embrace what is brought to the
table. No one knows it all. And we need to accept-insist-that no one is better or worse. We
are not physician handmaidens. Requirements of a Managed Care Executive EssayThere is
room and a need at the table for everyone. We must also protect our scope of practice. 4) Do
they belong to any professional organizations and, if so, which ones? KS: ANA, DNA & ANCC-
chair of the content expert panel for psychiatric-mental health nursing 5) Are they
politically active with issues concerning their discipline? 1 Interview Questions KS: I do
write to politicians-as asked by ANA- specifically interested in bullying. From that list is
there an area that staff nursing could work with them to increase interprofessional
collaboration on that issue, in their opinion? Please add more about quality and safety (For
example, is there a committee that needs a nursing presence that doesn’t have one? No, a
nurse is present at every committee Is there an area of communication that could be
improved? Maybe the walk-in process and wait times. Please add more 6) What is one thing
they now know that they wish they would have known about the role when they started the
profession? KS: Nurses can do anything-but need to stop doing everything 7) Do they have a
mentor or personal hero as it relates to their profession that they seek to role model? KS:
My former boss-Sylvia who was the Chief Nurse Executive at Wernersville State Hospital.
She saw something in me that told her to encourage me to pursue leadership roles. 8) In the
future, where do you see the quality and safety of Wilmington’s Behavioral health
department heading? KS: We keep getting better and better all the time-we are dedicated
and take care of ourselves and our Veterans. 2 List of Professional Organizations by Role
Professional Role Websites (This list is not an endorsement of any organization, only meant
to provide you with a take off point for learning about the role) CNS http://nacns.org/
CRNA http://www.aana.com/ NP https://www.aanp.org/, http://www.nonpf.org/ (and by
specialty focus) CNM http://www.acnm.org/ Physicians https://www.ama-assn.org/ (and
by specialty focus) Physician Assistants https://www.aapa.org/ (and by specialty focus)
CMO http://www.namcp.org, https://www.aamc.org/,
https://www.aamc.org/members/cmog/ Hospital Administrator http://www.ache.org/,
http://hceg.org/about/ (Board of Directors Health Insurance Companies),
http://www.aaham.org/ Managed Care Executive http://www.ache.org/,
https://www.ahip.org/ CNO/Nurse Executives http://www.aone.org/ “Requirements of a
Managed Care Executive EssayA Step Toward Interdisciplinary* Practice” Assignment The
crosswalk of issues attached as a document in this section, lists nine individual roles that
are stakeholders in healthcare and what surveys/data show are their priority concerns for
2016-2017. The first thing you may notice is there is no one category in which all agree. In
fact, the areas of consensus are really limited. Despite this diversity, the push for
interdisciplinary practice and collaboration remains on the healthcare agenda. Mutual
respect and coordination of services is certainly a worthy goal but achieving this is not so
simple. How then do we achieve the ideal collaborative practice? As with all relationship
building in life, one way is to make a sincere effort to understand the other person. For this
assignment, you will research a professional role (no staff nurses or patients). You will
explore the requirements for their education/position, their code of ethics, their
profession’s political advocacy, the responsibilities of their job, what mandates they follow,
and how their role views interprofessional collaboration. You may choose between
physician, physician assistant, CNO, CMO, hospital administrator, nurse executive (MSN
prepared or higher), managed care executive, or APRN. You may not use patients or staff
nurses. Please don’t choose a family member or friend for this assignment, the idea is learn
more about a role you don’t know well and that you currently have a lack of understanding
about specifics of their role. You may identify the role, and generic setting (for example,
Mid-Eastern Community Hospital or Mid-Eastern Trauma Hospital (no individual or facility
names should be used). Do not use the person’s real initials, use random initials. Your paper
will be informed by four specific sources. 1) Direct Interview (form attached in this section)
2) The Web Presence of their Professional Organization (What are their initiatives and
political advocacy issues? What are their position statements? Who is on their Board?) 3)
Research into the background of the role (which includes educational preparation, locating
their code of ethics, licensure or certification, entry requirements for the job,
responsibilities of the professional role, and the role’s political view or initiatives on
interprofessional collaboration) 4) Current literature (two peer-reviewed articles on an
issue identified as a priority issue for the profession from the crosswalk and one article on
interprofessional collaboration/practice related to the professional role you chose). Articles
should be published within the last three years due to the dynamic nature of healthcare.
Your objective is to teach the reader about this profession so we can better understand their
perspective in healthcare delivery. You will assimilate information and elements from
above and reflect and comment on the following… 1. What is their power and influence in
the administrative hierarchy? 2. The impact of that role on the goals of the organization. 1
“A Step Toward Interdisciplinary* Practice” Assignment 3. What did you learn that you did
not know about the profession? 4. What does nursing have in common with this role? 5.
Where does nursing differ with this role? Conclude with… What steps can nursing take to
advance the interdisciplinary practice initiative as it relates to the role you chose? Your
paper for submission will incorporate the information you gather from these sources. Use
the APA template for submission. You do need an abstract for this assignment. Be sure to
address all elements Requirements of a Managed Care Executive Essay

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Requirements of a Managed Care Executive Essay.pdf

  • 1. Requirements of a Managed Care Executive Essay Requirements of a Managed Care Executive EssayRequirements of a Managed Care Executive EssayThe student will choose one role from the Crosswalk of Issues (attached ) within a healthcare interdisciplinary team. The student will prepare a five-six page paper discussing the role of that team member, taking into consideration the elements outlined in the instructions attached.Please include the interview into the paper.ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERSAbstract Abstract goes on its own page Title of Paper Intro to your paper- Indent all paragraphs. Introduction goes under the title of the paper and does not need a header Requirements of (what profession you chose) Research the background of the professional role here. Background Code of Ethics Professionalism Professional Organization Political Advocacy issues Position Statements Interprofessional Collaboration Crosswalk Issues Reflection Conclusion 1 INTERDISCIPLINARY PRACTICE PAPER RUBRIC Student Name: Course: Assignment: Faculty directions to use this rubric: This rubric directly matches the University’s grading system. NOTE the possible rubric score for each evaluation criterion. CHECK the box in the column that best describes the extent to which the student’s work meets the expected elements for each evaluation criterion. In the rubric score column, RECORD the numeric rubric value that best fits the student’s work. For example, if an evaluation criterion has a possible score of 10, then you might enter a numeric rubric value from 8.3 – 8.8/10 for “acceptable” work. However, 8.9/10 will represent “accomplished” work. On the other hand, if the student’s work really lacks expected elements for a given evaluation criterion, then you might enter a numeric rubric score value of 7.6 or less/10 for “unsatisfactory” work. For example, if the student’s work meets “only about 35%” of the expected work for a given evaluation criterion, then enter a numeric rubric value of 3.5/10 or lesser numeric rubric value if indicated. If elements are not included or submitted in compliance with the assignment guidelines & cannot be graded on the rubric, then enter a numeric rubric value of “0”. Evaluation Criteria & Expected Elements 1. Conveys understanding of the paper 2. Requirements of a Managed Care Executive EssayInformation Literacy Descriptive Adjectives with Numeric Rubric Values & Corresponding University Numeric Grading Values Unsatisfactory 7. 6 or less 76 or less C- or less ? Inadequately Developing 7.7 – 8.2 77 – 82 C to C+ ? Minimally Acceptable 8.3 – 8.8 83 – 88 B- to B ? Moderately Accomplished 8.9 – 9.4 89 – 94 B+ to A? Fully Exemplary 9.5 – 10. 0 95 – 100 A ? Exquisitely States clear & appropriate thesis statement for assignment. Presents background of paper with evident literature . States purpose of paper. States contents of paper. Captures reader’s attention. Appropriate role chosen.
  • 2. Includes abstract. ? Inadequately ? Minimally ? Moderately ? Fully ? Exquisitely Draws content from current & appropriate body of literature. Selects majority primary sources. Selects appropriate number of sources. Peer-reviewed publication within the last three years. Demonstrates ability to Rubric Score /10 /10 2 access, use, and evaluate reliability and validity of information. ? Inadequately ? Minimally ? Moderately ? Fully 4. Proper Attribution of Sources ? Inadequately ? Minimally ? Moderately ? Fully 5. Develops paper ? Inadequately 3. Background Research of Role 6. Reflective Section ? Inadequately ? Minimally ? Minimally ? Moderately ? Moderately ? Fully ? Fully ? Exquisitely Exquisitely Exemplary exploration of background elements (code of ethics, educational preparation, etc.) ? Exquisitely Uses information ethically (paraphrases, cites, quotes sources properly). Confidentiality is respected per assignment instructions. Quotations are no more than 10% of paper. ? Exquisitely Exquisitely Uses critical inquiry of elements to deeply explore topic. For example, pursue interview questions in depth as opposed to addressing only basic question and answer format. Interview questions are used as an opening guide for further exploration (i.e. elaborates on questions where appropriate) Follows assignment criteria. ? Exquisitely Evidences critical thinking/reasoning throughout analysis process. Addresses elements of role power/authority, position in hierarchy and contribution to organizational goals. /10 /10 /10 /10 3 s rationale and significance of paper. 7. Synthesizes Sources ? Inadequately ? Minimally ? Moderately ? Fully 8. Organizes paper for logical flow ? Inadequately ? Minimally ? Moderately ? Fully 9. Uses writing presentation principles ? Inadequately ? Exquisitely Exquisitely Draws logical & original conclusions from analysis. Synthesizes information to evidence critical thinking & reflection. Synthesizes information from interview, professional website, background research, and authoritative literature. ? Exquisitely /10 /10 Uses headings to clearly organize & delineate areas of discussion. Presents information logically. Sequences ideas to enhance meaning, overall cohesion, & readability. Uses correct mechanics (grammar, spelling, & punctuation). Uses topical & complete sentences. Uses transitions to connect ideas.Requirements of a Managed Care Executive EssayFocuses on topic & task. Uses minimal redundancy/ repetition. ? Minimally ? Moderately ? Fully ? Exquisitely Style: Uses variety sentence & strong paragraph structure to convey details, unity, & completeness Tone: Uses appropriate, consistent, objective tone that /10 4 shows tact, respect, and understanding. Voice: Uses majority active voice & paces how writing sounds to reader. Conclusion provides appropriate close. Recommendation for nursing contribution included. 10. Presents paper elements ? Inadequately Total Rubric Score Faculty Comments: Faculty Name: Date Complete Rubric: Letter Grade for this graded assignment: ? Minimally ? Moderately ? Fully ? Exquisitely /10 Uses correct APA format for title page, spacing, margins, headings, etc. Graphics/tables, if indicated. Uses correct APA format to document and matches citations and references. /100 Interview Questions Interview questions: (Please assure them only the generic role will be identified. You will not use actual names in the assignment and responses are shared with the instructor of the course only.) This is a general guide only. Critical thinking and scholarly inquiry would entail further exploration of responses where warranted. 1) Inquire about how they decided to pursue the type of work they do? K.Smith, RN-BC DNP is currently the ACOS for behavioral health department. KS: I was always interested in the healthcare field. Upon
  • 3. graduating from high school, I attended The Reading Hospital and Medical Center Operating Room Technician program and graduated from there in one year. I realized I wanted more education and responsibility and decided to pursue nursing. Initially I thought I would return to the OR but fell in love with mental health-you either love it or hate it! Been working in mental health for almost 40 years. 2) What are those responsibilities on a daily basis? (an average day as much as they can address it from that standpoint) KS: Currently as Chief of Behavioral Health Services (BHS) and Nurse Manager for the department my days are very full. I am responsible to ensure any follow ups from previous day report, any current crisis, following up on Veterans who are difficult to find or not keeping appointments. Reviewing our organizational chart and planning for staffing needs, projecting future needs, responsible for facility BHS metrics-developing plans to ensure we meet the metrics and plans to present if we are not meeting metrics what we will do to met them. Reviewing staff leave, policy development. Networking with state partners-Delaware and New Jersey. Many meetings with facility committee/groups, regional and national. 3) How do they personally envision interprofessional collaboration among those in the delivery of healthcare services? (That is, how do they see it working in the future? Do they see a downside? If so, what do they think that is? What barriers do they identify?) KS: We need to accept the skillset of each discipline and individual embrace what is brought to the table. No one knows it all. And we need to accept-insist-that no one is better or worse. We are not physician handmaidens. Requirements of a Managed Care Executive EssayThere is room and a need at the table for everyone. We must also protect our scope of practice. 4) Do they belong to any professional organizations and, if so, which ones? KS: ANA, DNA & ANCC- chair of the content expert panel for psychiatric-mental health nursing 5) Are they politically active with issues concerning their discipline? 1 Interview Questions KS: I do write to politicians-as asked by ANA- specifically interested in bullying. From that list is there an area that staff nursing could work with them to increase interprofessional collaboration on that issue, in their opinion? Please add more about quality and safety (For example, is there a committee that needs a nursing presence that doesn’t have one? No, a nurse is present at every committee Is there an area of communication that could be improved? Maybe the walk-in process and wait times. Please add more 6) What is one thing they now know that they wish they would have known about the role when they started the profession? KS: Nurses can do anything-but need to stop doing everything 7) Do they have a mentor or personal hero as it relates to their profession that they seek to role model? KS: My former boss-Sylvia who was the Chief Nurse Executive at Wernersville State Hospital. She saw something in me that told her to encourage me to pursue leadership roles. 8) In the future, where do you see the quality and safety of Wilmington’s Behavioral health department heading? KS: We keep getting better and better all the time-we are dedicated and take care of ourselves and our Veterans. 2 List of Professional Organizations by Role Professional Role Websites (This list is not an endorsement of any organization, only meant to provide you with a take off point for learning about the role) CNS http://nacns.org/ CRNA http://www.aana.com/ NP https://www.aanp.org/, http://www.nonpf.org/ (and by specialty focus) CNM http://www.acnm.org/ Physicians https://www.ama-assn.org/ (and by specialty focus) Physician Assistants https://www.aapa.org/ (and by specialty focus)
  • 4. CMO http://www.namcp.org, https://www.aamc.org/, https://www.aamc.org/members/cmog/ Hospital Administrator http://www.ache.org/, http://hceg.org/about/ (Board of Directors Health Insurance Companies), http://www.aaham.org/ Managed Care Executive http://www.ache.org/, https://www.ahip.org/ CNO/Nurse Executives http://www.aone.org/ “Requirements of a Managed Care Executive EssayA Step Toward Interdisciplinary* Practice” Assignment The crosswalk of issues attached as a document in this section, lists nine individual roles that are stakeholders in healthcare and what surveys/data show are their priority concerns for 2016-2017. The first thing you may notice is there is no one category in which all agree. In fact, the areas of consensus are really limited. Despite this diversity, the push for interdisciplinary practice and collaboration remains on the healthcare agenda. Mutual respect and coordination of services is certainly a worthy goal but achieving this is not so simple. How then do we achieve the ideal collaborative practice? As with all relationship building in life, one way is to make a sincere effort to understand the other person. For this assignment, you will research a professional role (no staff nurses or patients). You will explore the requirements for their education/position, their code of ethics, their profession’s political advocacy, the responsibilities of their job, what mandates they follow, and how their role views interprofessional collaboration. You may choose between physician, physician assistant, CNO, CMO, hospital administrator, nurse executive (MSN prepared or higher), managed care executive, or APRN. You may not use patients or staff nurses. Please don’t choose a family member or friend for this assignment, the idea is learn more about a role you don’t know well and that you currently have a lack of understanding about specifics of their role. You may identify the role, and generic setting (for example, Mid-Eastern Community Hospital or Mid-Eastern Trauma Hospital (no individual or facility names should be used). Do not use the person’s real initials, use random initials. Your paper will be informed by four specific sources. 1) Direct Interview (form attached in this section) 2) The Web Presence of their Professional Organization (What are their initiatives and political advocacy issues? What are their position statements? Who is on their Board?) 3) Research into the background of the role (which includes educational preparation, locating their code of ethics, licensure or certification, entry requirements for the job, responsibilities of the professional role, and the role’s political view or initiatives on interprofessional collaboration) 4) Current literature (two peer-reviewed articles on an issue identified as a priority issue for the profession from the crosswalk and one article on interprofessional collaboration/practice related to the professional role you chose). Articles should be published within the last three years due to the dynamic nature of healthcare. Your objective is to teach the reader about this profession so we can better understand their perspective in healthcare delivery. You will assimilate information and elements from above and reflect and comment on the following… 1. What is their power and influence in the administrative hierarchy? 2. The impact of that role on the goals of the organization. 1 “A Step Toward Interdisciplinary* Practice” Assignment 3. What did you learn that you did not know about the profession? 4. What does nursing have in common with this role? 5. Where does nursing differ with this role? Conclude with… What steps can nursing take to advance the interdisciplinary practice initiative as it relates to the role you chose? Your
  • 5. paper for submission will incorporate the information you gather from these sources. Use the APA template for submission. You do need an abstract for this assignment. Be sure to address all elements Requirements of a Managed Care Executive Essay