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Changes In Health Care Policy Health And Social Care Essay

Share this: Facebook Twitter Reddit LinkedIn WhatsApp Medicaid is the federal government’s largest single welfare program for the poor. Its costs now exceed the costs of all other public assistance programs- including family assistance, SSI, and the food stamp program. Medicaid was established in 1965 and grew quickly into the nation’s largest welfare program. Since then, there have been many policy changes in the program implemented by the government, like the introduction of the Affordable Care Act, because of the issues rising in the series of its implementation and based on the evaluations done by research organizations of government, private institutions, and interest groups. The way government implements and administers such programs for the welfare of the public can be best illustrated with the process of Policy making, their evaluation, and the issues arising out of their implementation. Public policy is said to be what the governments wish to do or not to do. Governments implement several laws which may or may not be accepted by the people. It provides many services, facilities, and entitlements, in lieu of some taxes. Thus, the policies implemented may regulate the way people behave, provide services, and collect taxes. Thomas R. Dye has cited other definitions of Public Policy by several political scientists and philosophers: “David Easton, a political scientist, defines public policy as ‘the authoritative allocation of values for the whole society;’ Harold Lasswell, a political scientist and Abraham Kaplan, a philosopher, define public policy as a ‘a projected program of goals, values, and practices,’ and political scientist Carl Friedrick says, ‘It is essential for the policy concept that there be a goal, objective, or purpose'”­ (Dye, 2008). There are other ways of defining public policy by breaking down this general notion into various component parts. This was brought about by a political scientist Charles O. Jones, proposed the distinction among various proposals (specified means for achieving goals), programs (authorized means for achieving goals), decisions (­­­­­specific actions taken to implement programs), and effects (the measurable impacts of programs) be considered. (Dye, 2008) Models of Politics A model can be a way of illustrating some aspect of the real world. In politics, political scientists use a flow chart to show how a law is derived from a bill. The models used or employed for studying policy are conceptual models which make it easy and clear to know about politics and public policy, recognize the important aspects of policy problems, derive explanations for public policy and predict its consequences. (Dye, 2008) The different policy models used to examine public policy are: Institutional model Process model Rational model Incremental model Group model Elite model Public choice model Game theory model Here the Policy is reviewed, using the Incremental model of politics. The Incremental model is a conservative model, in which, considering the existing programs, policies, and expenditures as a base, attention is concentrated on new programs and on increases, decreases, or modifications of existing programs. The process can be exemplified with budgetary policy for any government activity or programs for a given year. This process is preferred for many reasons, first being, economic hardships, absence of details on demand survey, authenticity or inappropriate statistical feed-back from the relevant fields and time required to investigate all the alternatives in the existing policy. The others are, legitimacy of the existing policies is accepted by policy makers, since they do not want to try any new programs due to lack of enthusiasm and creativity in the bureaucracy, fearing the uncertain consequences of the new policies. Then, the existing policies, which are deep-rooted enough, because of heavy investments, make it difficult for the policy makers to take any radical decision. Lastly, policies like these are accepted easily compared to new policies. Thus, incrementalism is important in maintaining stability and preserving the political system in almost status-quo with sight variations. The issues being addressed here may not be totally termed as correlated with this incrementalism model, since they are budgetary policies being addressed by the New York state government, with utmost care and dedication with profound application of sincerity. Thus, the programs Medicaid and Affordable Care Act, which have been successful mostly in serving most of the needy, had a few challenges which aptly require only few changes. Contrary to the rational changes, which require a lot additional resources, the solutions provided appear to be easier and less expensive to implement, like the ones suggested by the Medicaid Redesign Team, for the New York State Budget for the year 2011-2012. The Policymaking Process The process of policy making is a process of how policies are made, in a step-by step sequence, but these processes never occur in a sequence in reality. Problem identification: Though the society may sustain many issues, only a few are considered to become a policy, to become an agenda for the government. This is influenced by the interest groups, pressure groups, media who communicate the issues to the government. Thus influencing the decision making process. If such groups do not come up with any objections on a certain policy implemented by the government, it is considered that the policy has been accepted by most people. Thus the mass media, interest groups, citizen initiatives, public opinion become the major participants of this step (Dye, 2008). Agenda Setting: The process by which ideas or issues are brought up by the various political channels to be considered by a political institution such as legislature or court. Moreover, the administrative agencies of a government often generate and formulate proposals, which may be incorporated into the executive’s legislative recommendations for a careful consideration by the legislative body (Shafritz, E. W. Russell,
CNDV 5320 Lamar University Multicultural Counselling Discussion.

African Americans have faced generations of discrimination and prejudice. As a result, there is often a mistrust of organized services such as professional counseling. In addition to the trust issues, cultural beliefs often drive individuals from the African American community to turn toward the church for help before seeking professional counseling services. Within the African American community, mental health issues often hold a large stigma. Together, all of these elements present some challenges to providing effective counseling services to African Americans. 
Assignment 2 will help you to examine strategies for providing services to African American clients. Before completing it, review the course videos and supplemental materials, and use the rubric as a guide to help you complete the assignment. This assignment will count toward your final grade, is due by Day 7, and is worth 75 points.
Read your textbook chapters and watch the video “Snapping the Chain.” To prepare for this project, reflect on the following questions (draft one or two pages).
Snapping the Chain video link: 

How can counselors work to lessen the effects of racism and discrimination that have impacted African Americans? (1-2 paragraphs)
What role can counselors play in reducing the stigma related to mental illness in the African American community? (1-2 paragraphs)
What ethical and legal issues are important to address from the video.  How might these issues be related to perceptions of counseling? (1-2 paragraphs)
Reflect on your learning experience related to counseling African Americans across the lifespan. Discuss how you can better serve African American clients in your school or clinic. (2-4 paragraphs).

CNDV 5320 Lamar University Multicultural Counselling Discussion

3 discussions for 1 course. Need help with my Business question – I’m studying for my class.

BUS 430: Operations Management:
Discussion 1:
“Push and Pull Decisions” Please respond to the following:

Examine your own organization, or the organization of your choice. How is your organization structured (push or pull)? Justify your response.

Discussion 2:
“Fast Food Franchise” Please respond to the following:

Choose two fast food franchises and examine their facility layouts. Compare and discuss the differences in their layouts.
Evaluate how each of the layouts enhance or hinder productivity and the customer experience. Support your answer.

Discussion 3:
“Bank USA” Please respond to the following:

From the case study, determine the challenges faced by the Help Desk at Bank USA and suggest strategies to mitigate them.
Using the data on call volume in the case, select a forecasting model to forecast the short-term demand. Justify why this model was selected over other forecasting models. Support your position.
As you keep in mind that this activity is in addition to the discussion topic thread, please complete for 15 extra credit points. What are the four domains of Emotional Intelligence? You may take a fun quiz using the this link and share what competencies you believe are strengths and which ones can be developed: <–DO EXTRA CREDIT

3 discussions for 1 course

A business overview of DHL

Over 40 years ago, 3 entrepreneurs, Adrian Dalsey, Larry Hillblom and Robert Lynn, founded DHL in San Francisco, since then DHL has continued to expand at a phenomenal rate. Today, it stands tall as the global market leader of the international express and logistics industry. A global network active in more than 220 countries and territories with 275,000 employees worldwide offering customers superior service quality and local knowledge to satisfy their supply chain requirements (DHL web site). DHL depends on a far-flung network of employees and has integrated and merged several different companies all of which have to deliver the same corporate objectives. One of their successful integrations methods is a yearly football tournament that was started over two decades ago. This tournament and it’s informal setting has helped DHL to knit together it’s multinational and multicultural organisation, What are we looking for from the DHL case study? The DHL study clearly highlights some of the cultural difficulties, such as diversity and cross-cultural differences, the company had to deal with. Their approach of organizing a company wide football tournament might seem controversial at first but is in line with the company’s attitude and culture. Some of these cultural differences and solutions are compared with academic review. Problems interanational (Hybrid culture) DHL Europe was taken over/merged with Deutsche post which has a much more formal culture compared the entrepreneurial spirit of DHL. (Hybrid culture) Deutsche post itself was merged with several other companies and was struggling to find a new corporate identity. They did prefer the DHL culture but were apprehensive if a tournament like this would bring enough benefits (Communication / Hybrid culture) The DHL Company culture / work demands a high level of interaction between the different countries. Knowing the person in a non formal environment helps to promote cross cultural cooperation (Communication) Communication barriers between high position managers and lower level couriers. The team building exercise gives an opportunity to different people to mingle, exchange ideas and thus get a better understanding of each other’s roles.. 2.2 Problems National (Portugal) Recently within the country three companies have been merged, but with the merger not fully completed there is a high chance for competition between employees and management for the different positions. The game allowed for the companies to set aside there differences and compete as one team. Something they will bring back home and incorporate in their own work ethics (trust building) People with different backgrounds, such as location and company, mostly do not share one goal. However the Portuguese coach uses the football game to create a common goal to achieve their success. His leadership clearly addresses setting super ordinate goals and allow for equal opportunity for all members. (Leadership) Integrate differences within a small team might be relatively easy. However to amplify the achievement from a small football team to whole company is obviously a challenge. In DHL Portugal, they did this by sharing their trophy, but letting it travel to the various offices and putting their experiences on the front page of the corporate web site. This to make all Portuguese DHL employees aware of the success, showing that cooperation among the different regions and companies is key. 2.3. DHL ways of integration for effective teamwork Preserving DHL’s innovative and entrepreneurial culture isn’t easy when a company grows as fast and as far afield as DHL has. Over the years, the football tournament bas become a place to foster shared values, important in an international company where employees are in constant contact across borders. With company manager’s commitment to vows to continue to foster the spirit and culture they can yield form the tournament, this is clear evidence of DHL’s effort towards to cultivate a hybrid culture within their corporate. With the merger of very formal Deutsche Post, with the more liberal DHL and Danza there were some genuine concerns about the cultural issues between those three companies and lack of corporate identity However tournament has proven to be key to successful integration. In fact it created a culture, which combines the best of all three companies. Furthermore an event like the tournament is a good way to improve the company’s more formal integration. In terms of communication issues, the tournament has brought lots of opportunity to all of participants to mingle, from the CEO to couriers. Giving people from different levels of the company the chance to mingle also yields benefits, from boosting morale to offering top management a better feel for rank-and-file concerns. Not only hierarchy mingle but also geographical mingle has happened. Like Anabela from Portugal can have a chance to chats with one of French colleagues about how differ their processes are. This would bring a benefit to understand each other and will be beneficial when they come across an opportunity to work on a future project together. How about the leadership? Alder (1997) and Snow et al (1996) argue that integration of differences is an important responsibility of team leadership. David H and Karen W. also state that one of key factors of successful teamwork is effective team leadership. Through the opening and closing comments from the co-CEO, Peter Kruse regarding continuous commitment for fostering the hybrid culture that yield from the event, DHL employees should be able to understand their common goal and values as a whole team under the DHL name such as teamwork and cooperation At a national scale, the leaders of the Portuguese team provide a prime example of clear and committed leadership. The general manager, Americo and the team coach, Rui both were able to encourage and lead their team, for them to set aside their differences and work together for a higher cause. Or as Americo states, ‘we have a winning attitude, whether it’s in customer service or corporate citizenship or football. Snow et al. (1996) indicate the importance of trust in virtual teamwork in order to prevent geographical and psychological distance. As seen above, DHL is operating over 220 countries with 225,000 employees. With DHL’s business characteristics virtual teamwork cannot be avoided. However the tournament allows the employees to meet face to face in an informal environment, enabling mutual trust and understanding, thus improving their teamwork. Conclusion: Is the soccer game and the final result worth the investment? Yes! Although even senior management of DHL has been skeptical at times, the football tournament as a team building exercise has helped bring together the extended network of employees. Furthermore, merging with two other European delivery and shipping companies increased the need to integrate their differences. Indeed it is very difficult to quantify the benefits of the team building exercise. However as Peter, the company co-CEO, has put, ‘this is a better integration exercise than any blueprint you could come up with. If we can transfer the spirit of these two days to our business life, no one is going to stop us.’ Looking at the entrepreneurial background of DHL and the company culture, the football tournament has proven to be a valuable tool to create cross cultural awareness and at the same time enhance the corporate identity.

CMIT 326 University of Maryland Cloud Service Providers Discussion

best assignment help CMIT 326 University of Maryland Cloud Service Providers Discussion.

This week, you will submit the one- to two-page executive summary that you started last week. This summary is for the owner of Don & Associates, where you are employed in this scenario.Use this Executive Summary Template. In the template, you will see specific instructions. Delete the instruction text before you submit the project.Your summary must include:the types of cloud computing (private, public, hybrid)three major cloud service providersthree cloud computing service modelskey services on the AWS platform and their common use cases (for example, compute and analytics)potential benefits and risks of migrating the company’s technical infrastructure to the cloudBe sure to include at least 2 cited sources.How Will My Work Be Evaluated?For this assignment, you are asked to provide your supervisor with a summary of cloud computing and the potential benefits and risks of migrating to the cloud. By summarizing your findings in a brief executive summary, you are showing how you use your technical knowledge to convey your ideas to others in a professional setting. Your ability to express your findings using the right mix of technical detail in a business context is an important workplace skill.The following evaluation criteria aligned to the competencies will be used to grade your assignment:1.1.1: Articulate the main idea and purpose of a communication.1.1.2: Support the main idea and purpose of a communication.1.1.3: Present ideas in a clear, logical order appropriate to the task.1.2.1: Identify the target audience, the context, and the goal of the communication.1.2.2: Employ a format, style, and tone appropriate to the audience, context, and goal.1.3.1: Identify potential sources of information that can be used to develop and support ideas.1.4.1: Produce grammatically correct material in standard academic English that supports the communication.1.4.2: Use vocabulary appropriate for the discipline, genre, and intended audience.10.1.1: Identify the problem to be solved.10.1.2: Gather project requirements to meet stakeholder needs.When you are finished, click “add a file” to upload your work, then click the Submit button.
CMIT 326 University of Maryland Cloud Service Providers Discussion

HCA 320 Aspen University WK3 Roles of Healthcare Professionals Essay

HCA 320 Aspen University WK3 Roles of Healthcare Professionals Essay.

Roles of Healthcare Professionals
This assignment will be at least 1500 words or more. Reflect on the roles of nurses, and other healthcare professionals as the roles of physicians in the healthcare system moves from one of working in silos to a more progressive value-based system. Write a paper that discusses in detail why a value-based system may improve health care in the U. S. and address the following questions:

How has current policy transformed the current practice of nurses, physicians, and other healthcare professionals?
What distinction can you make between physicians/healthcare providers working in a fee-for-service system and a value-based care system?
How do you view shared power between physicians and nurses in your healthcare system? How does it impact care?

HCA 320 Aspen University WK3 Roles of Healthcare Professionals Essay

CSU Structures of The Brain Involved & Biopsychological Factors Essay

CSU Structures of The Brain Involved & Biopsychological Factors Essay.

For this assignment, you must first view the video Applying Psychology to Everyday Life: Minimizing the Impact of Adult Attention-Deficit/Hyperactivity Disorder and review the material on p. 86 of your eTextbook.
Now, imagine that you are a university psychology professor. One of your students, John Doe, was recently diagnosed with attention-deficit/hyperactivity disorder (ADHD), combined presentation. He has emailed you and requested your advice and assistance with better understanding his circumstances, diagnosis, and prognosis. You will reply to John by writing an email in which you will offer him advice in the following areas.

Indicate structures of the brain that are involved and biopsychology factors that could impact his emotions, learning, memory, and motivation related to your class.
Describe ways in which his brain can perceive information from the outside world that could in turn impact his performance in your class.
Identify suggestions that you have for John to increase his chances for success in your class as well his other courses.

CSU Structures of The Brain Involved & Biopsychological Factors Essay