COMPETENCIES
734.3.4 : Healthcare Utilization and Finance
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The graduate analyzes financial implications related to healthcare delivery, reimbursement, access, and national initiatives.
INTRODUCTION
It is essential that nurses understand the issues related to healthcare financing, including local, state, and national healthcare policies and initiatives that affect healthcare delivery. As a patient advocate, the professional nurse is in a position to work with patients and families to access available resources to meet their healthcare needs.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A. Compare the U.S. healthcare system with the healthcare system of England, Japan, Germany, or Switzerland, by doing the following:
- Identify one country from the following list whose healthcare system you will compare to the U.S. healthcare system: England, Japan, Germany, or Switzerland.
- Compare access between the two healthcare systems for children, people who are unemployed, and people who are retired.
- Discuss coverage for medications in the two healthcare systems.
- Determine the requirements to get a referral to see a specialist in the two healthcare systems.
- Discuss coverage for preexisting conditions in the two healthcare systems.
RUBRIC
A1:COUNTRY TO COMPARE
A2:ACCESS
A2A:COVERAGE OF MEDICATIONS
A2B:REFERRAL TO SEE A SPECIALIST
A2C:COVERAGE FOR PREEXISTING CONDITIONS
A3:FINANCE IMPLICATIONS FOR HEALTHCARE DELIVERY
B:SOURCES
C:PROFESSIONAL COMMUNICATION