HSM 397 Appalachian Medical Health

HSM 397 Appalachian Medical Health

Instructions:

HSM 397 Appalachian Medical Health

I’m working on a health & medical multi-part question and need an explanation and answer to help me learn.

Appalachian Medical is a multidisciplinary medical practice that has embraced the community-of-practice concept of Accountable Care Organizations (ACO). This practice forms a multi-professional committee to identify services in order to improve clinical outcomes, maintain health in the population, and increase efficiency. There are over 50 physicians in the group practice, occupying 5 clinics spread over different locations. All five clinics are centrally emerged with a specially-designed Electronic Health Record (EHR) system capable of presenting patient information in a relevant, meaningful fashion.

The patient population that Appalachian Medical serves is demographically diverse, and Type 2 Diabetes Mellitus (T2DM) is a common diagnosis among these patients. This population provides a wide opportunity for the practice group to learn more about the disease. Specifically, since the practice also focuses on disease management of complex chronic conditions, such as T2DM, not only can this high-risk population potentially advance the knowledge about the associations of T2DM, but also provide a target for intensive interventions aimed at lowering glycosylated hemoglobin (HbA1c) blood levels. However, due to limited financial resources, the committee has to devise a strategy to identify those patients who are inherently more critical in order to use the resources at a much higher rate in these patients than other T2DM patients. The ultimate goal is to reduce HbA1c levels within 6 months for some patients.

Appalachian’s committee concludes that by deploying literature-tested predictive models, a focused strategy could be employed to help the team to select patients who require interventions, such as life coaches and other intensive treatments. However, such models require analysis of several patient variables obtained from the patient EHR, such as age, gender, race, prescription history, physician visits, family composition, occupation, benefit coverage, etc.

Case Study Questions

1. Some of the variables to be analyzed include personal and family factors. Present arguments for including patients and families in the initial team discussions.
2. Although the patient information is readily accessible through the EHR system at Appalachian Medical, should the patients give consent to participate in the intensive interventions? Provide justification for your answer, citing relevant Federal regulations.

HSM 397 Appalachian Medical Health

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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