HE003: Delivery of Services

HE003: Delivery of Services

Short Answer Submission Form

Your Name: First and last

Your E-Mail Address: Your email here

Delivery of Services Instructions

Write your responses where it reads “Enter your response here.” Write as much as needed to satisfy the requirements indicated. Each item contains the Rubric which will be used to evaluate your responses.

1. Raymond is a 54-year-old man who lives in a rural part of Mississippi. He is a skilled worker but his job does not provide health insurance. Raymond does not qualify for Medicaid, and he cannot pay for health insurance. He has not received consistent or coordinated healthcare for most of his life. The closest clinic is over 30 miles away, and he does not have the money for both the co-pays and gas. Raymond has been diagnosed with hypertension, and his family history includes pulmonary embolisms and heart disease.

Emmanuel is 55-year-old man who lives in Jackson, Mississippi. He is an office manager and receives insurance from his employer. Emmanuel has had annual medical and dental exams from the same providers for several years. Emmanuel has a family history of Type 2 diabetes and he was recently diagnosed as pre-diabetic and obese. Emmanuel received referrals to an endocrinologist and a registered dietitian, and he was instructed to increase his physical activity.

• Describe the challenges and barriers to access; affordability; and availability for Raymond and Emmanuel. (1–2 pages)
• Describe the potential social, economic, and health outcomes for Raymond and Emmanuel if prevention had a higher priority in the US. (1 page)

Your Response for Delivery of Services

Enter your response here

Delivery of Services Rubric

Not    Present 1

Needs    Improvement 2

Meets    Expectations 3

Exceeds    Expectations

Sub-Competency 1: Describe how the delivery of care is affected for those   with and without insurance in relation to cost, quality, and access.

Learning Objective 

LO 1.1: Describe   challenges and barriers to access, affordability, and availability for   individuals with and without insurance.

Comparisons between patients’ history of care and possible health   outcomes are missing.

Response inaccurately describes the different challenges and barriers   to access, affordability, and availability for the individuals in the case   presented. Or, issues of access, affordability, and/or cost are not   discussed.

Challenges and barriers do not illuminate differences between insured   and uninsured individuals.

Response accurately describes the different challenges and barriers   to access, affordability, and availability for the individuals in the case   presented.

Challenges and barriers illuminate differences between insured and   uninsured individuals.

Response demonstrates the same level of achievement as “2,” plus the   following:

Response includes examples about how health insurance affects patient   and population health outcomes and impacts life expectancy.

Response describes challenges and barriers for a third individual   (hypothetically) to highlight additional nuances related to access,   affordability, and availability of individuals with and without insurance.

Delivery of Services Learning Objective 

LO 1.2: Describe   potential social, economic, and health outcomes if prevention has a higher   priority in the U.S.

Description of potential social, economic, and health outcomes if   prevention has a higher priority in the U.S. is missing.

Response vaguely or inaccurately describes potential social,   economic, and health outcomes for the individuals in the case presented,   given an increase in preventative care in the US, or Response does not   address the situations of both individuals in the case.

Response accurately describes potential social, economic, and health   outcomes for the individuals in the case presented, given an increase in   preventative care in the US.

Response demonstrates the same level of achievement as “2,” plus the   following:

Response provides examples of two preventative care programs and how   they affect social, population, economic, and health outcomes.

2. Define the continuum of care process, including objectives and the relationship to organizations and patients. (2–3 sentences)

Enter your response here

Delivery of Services Rubric

Sub-Competency 2: Explain the continuum of care process in a variety   of settings.

Learning Objective 

LO 2.1: Define   the continuum of care process.

Definition of the continuum of care process is missing.

Response vaguely defines the continuum of care process.

Response clearly defines the continuum of care process, including   objectives and the relationship to organizations and patients.

Response demonstrates the same level of achievement as “2,” plus the   following:

Response provides examples that illustrate the benefits of the   services along the continuum of care.

3. Describe the following settings and types of care, including objectives and basic components. (2–3 sentences each)

· Primary care

· Secondary (general hospital)

· Tertiary (teaching)

· Specialty hospitals

· Outpatient programs (surgery, outpatient rehab)

· Nursing homes

· Rehabilitation settings

· Assisted living

· Home health

· Hospice

Your Response

Enter your response here

Rubric

Sub-Competency 2: Explain the continuum of care process in a variety   of settings.

Learning Objective 

LO 2.2: Describe   various healthcare settings and types of care.

Descriptions of various healthcare settings and types of care is missing.

Response inaccurately describes the following   settings and types of care and/or does not include objectives and basic   components.

· Primary care

· Secondary (general hospital)

· Tertiary (teaching)

· Specialty hospitals

· Outpatient programs (surgery, outpatient   rehab)

· Nursing homes

· Rehabilitation settings

· Assisted living

· Home health

· Hospice

Response describes the following settings and   types of care, including objectives and basic components.

· Primary care

· Secondary (general hospital)

· Tertiary (teaching)

· Specialty hospitals

· Outpatient programs (surgery, outpatient   rehab)

· Nursing homes

· Rehabilitation settings

· Assisted living

· Home health

· Hospice

Response demonstrates the same level of   achievement as “2,” plus the following:

Response describes how the services may be coordinated for a   particular patient.

4. Describe the personnel who should be part of a multidisciplinary team that focuses on patient-centered care in an inpatient setting. Include at least six disciplines and provide a rationale for each, including each member of the team. (1 page)