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This assignment facilitates comprehensive knowledge transfer in regard to the components, infrastructure, and functionality of the regional health information organization (RHIO).

Scenario:

You have been hired as the director of public health informatics for the Centervale County Department of Public Health because you have valuable knowledge about the functionality and functioning of RHIOs. This is what you have learned about Centervale’s plans:

• The Centervale County department of public health plans to deploy a county-wide RHIO.
• The department requires healthcare establishments and practitioners in the county to migrate from a paper-based health records system to an electronic medical records (EMR) system within the next five years.
• The department also requires all practitioners to connect to the county Health Information Exchange set up by the RHIO within the next five years.

Directions:

Your primary responsibility is to propose policies and mandates that ensure maintenance of confidentiality and privacy of protected health information. Keeping that in mind, prepare a 10–12-slide PowerPoint presentation for the Centervale County Department of Public Health officials that includes the following:

1. Discuss the challenges of privacy and confidentiality within the history and evolution of public health informatics.
   1. What opportunities will the migration to an EHR and the implementation of a RHIO provide to address these challenges?
2. Address the following issues with establishing a county-wide RHIO:
   1. Identify and discuss the privacy concerns about the collection and distribution of health information across the RHIO.
   2. Describe the access rights of individuals and any groups to the data collected and stored by the RHIO.
   3. Identify and explain interoperability standards deployed by the RHIO.
3. Propose a list of policies and mandates that would ensure maintenance of confidentiality and privacy of protected health information as mentioned in the above issues.
4. Evaluate and identify the best tools or system of public health informatics to manage the county’s public health information and explain how that tool or system will uphold privacy.
   1. Give examples of how key public health information systems in the United States use these policies and mandates to guarantee the security, confidentiality, and accessibility of the data they contain.
   2. Describe some of the search tools available to locate and analyze public health data.
5. Examine how the policies, mandates, tools, and standards that have evolved in the development of RHIOs might contribute to a global strategy for use of information technology (IT) in healthcare to reduce health inequity.

Use the PowerPoint Notes pane on each slide to explain your discussion points as if you were actually presenting this information to a group.

Include citations of appropriate laws and regulations to justify your positions.
Include a reference slide in APA style.

Make sure you write in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; display accurate spelling, grammar, and punctuation.

Requirement 150-300 words and references

One way in which an MCO can control cost, quality, and access is through various structured compensation and reimbursement plans. The two most common examples are fee for service and capitation. Moreover, there are different types of reimbursement systems for inpatient and outpatient services. Answer the following questions in regard to the above information:

• Examine the three types of inpatient or outpatient reimbursement systems?
• Evaluate the key advantages and disadvantages of each system from the point of view of a managed care plan and the hospital?
• What is the difference between capitation and FFS? Evaluate the type of market appropriate for each reimbursement method. Support your answer by providing an example of an MCO using either of these methods.
• What do you understand by the term “UCR”? With what form of reimbursement is this term associated? Search current information from the Internet and evaluate the use of UCR in the managed care industry.

Reimbursement procedures are complex and detailed, especially those associated with government programs such as Medicare. Part of the regulatory requirements of Medicare is to prevent illegal billing practices such as churning, upcoding, and unbundling. You can search these topics by clicking here. You can also search for federal regulations for reimbursement procedures and fraud and compliance guidelines and education materials.

Based on your research, respond to the following questions:

• Review the latest enforcement actions on this website. Identify a case where at least one of the following illegal actions was used—churning, upcoding, and unbundling.
• What are some of the specific examples of actions taken against providers engaged in these practices?

After answering the above questions, read the following information:

P4P is a type of compensation method for providers based on evidence-based practices that promote better quality outcomes. Find at least two online sources of information, such as professional associations and government resources, from the South University Online library or the Internet on P4P compensation programs: one in favor of and one against this type of compensation program for providers.

Now, using the readings this week and the information gathered from the above sources:

• Explain, in your own words, the negative consequences of P4P program.
• Describe the market forces making this type of compensation program popular.

Galaxy Satellite Co. is attempting to select the best group of independent projects competing for the firm’s fixed capital budget of $10,000,000. Any unused portion of this budget will earn less than its 20 percent cost of capital. A summary of key data about the proposed projects follows.

1. Use the NPV approach to select the best group of projects. (Note that just the PV of inflows is given, you must subtract the initial investment to find the NPV.)
2. Use the IRR approach to select the best group of projects. (Note that the discount rate or the cost of capital is 20%.)
3. Which projects should the firm implement based on your analysis of both techniques and given the capital rationing amount? Write an email to your boss, Andy Fast, the CFO, explaining your rationale proving the choices based on the considerations of shareholder value and the maximum investment budget. Keep in mind that you are less concerned with using the whole budget than with maximizing the total return to Galaxy satellite.

After viewing the OSHA Strategic Plan Slideshow (Links to an external site.)Links to an external site., examine OSHA’s goals and strategies in measuring results. How can employers comply with OSHA standards? How can employees conform to the rules, regulations, and orders of OSHA? What happens when OSHA standards are violated? Do you feel the violation penalties/consequences are fair? Why or why not?

Your initial post should be at least 400 words. Support your response with a minimum of two APA cited reference to support your response.

Initial discussion response should be 300 words. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. In -text Citation and reference must adhere to APA format (6th Ed.).make sure when citing references include DOI

Select from one of the following:

There has been a shift in thinking regarding the use of restraint in geriatric populations through physical, environmental and other means in the last decade. The use of actual physical restraints, side rails in nursing home settings, and medication to subdue or restrain clients in a variety of settings has decreased.In many situations, the risk of falling is provided as a rationale for client restraint.The causes of falls are known as risk factors. Although no single risk factor causes all falls, the greater the number of risk factors to which an individual is exposed, the greater the probability of a fall and the more likely the results of the fall will threaten the person’s independence. Conflict among caregivers, nurse practitioners, and the patient can occur when the need for client safety seems to indicate some form of restraint. 

Search evidence-based literature about different types of restraint used in home, community, and nursing home settings and the prevention of falls. 

Research the literature and guidelines for protocols and evidence to support safety in a variety of settings. 

• As your initial post, select one protocol and describe how you will implement it in a specific setting. Subsequent posts should critique fellow students implementation of the protocol.

Elderly mistreatment is under-reported (Boltz, et. al., 2012).This may be due to lack of knowledge about manifestations of elderly mistreatment or how reporting and investigation by state agencies functions” (Boltz, et. al., 2012). You are the healthcare provider at a local nursing home facility. 

• What monitoring strategies will you implement to prevent elderly mistreatment? 
• State your rationale. 
• Use at least 5 evidence-based research references.
• FILLER TEXT