Intermountain Healthcare is a high-performing integrated health system with facilities in Utah and Idaho. The health system has a long-standing clinical integration structure that encourages professional collaboration. Despite this, in 1999, many physicians at Intermountain Healthcare found it difficult to fulfill the needs of patients with co-occurring physical and mental health conditions. To efficiently and effectively address this issue, Intermountain Healthcare adopted a mental health integration model in many of its primary care facilities, as well as some of its specialty clinics and partner clinics. The team-based approach has improved the coordination of services, resulting in higher quality care at a savings of cost.
Consider the example above.
What advantages does integration afford Intermountain Healthcare?
Do other integrated health systems experience similar benefits?
Are there disadvantages to integration? If so, what are they?
To prepare for this Assignment, review the information related to vertical and horizontal integration presented in the Learning Resources.
Select one of the following horizontally integrated health systems:
• Sunrise Senior Living
• Quest Diagnostics
Select one of the following vertically integrated health systems:
• Kaiser Permanente
• Mayo Clinic
• Cleveland Clinic
• MedStar Health
• Memorial Hermann Healthcare System Houston
As an alternative, you may use Becker’s Hospital Review resource to identify a vertically integrated health system.
Using the Walden Library and credible sources on the Internet, research your selected health systems. Investigate the rationale for pursuing integration and the strategies each health system has used to achieve integration. Note information related to the size of each health system, settings/locations, and types of services it provides.
Based on your research, consider the ways in which the two health systems are similar to and/or different from one another.
Assess the business and health care-related implications of horizontal and vertical integration of your selected health systems. How does integration impact the management of your selected organizations and the patients/consumers they serve, especially in terms of cost, quality, and access?
Consider any applicable insights you have gained through the Discussion for this module.
Write a 3- to 4-page paper in which you:
• Compare the horizontally integrated health system and the vertically integrated health system you have selected (e.g., size, settings/locations, and types of services).
• Explain each health system’s rationale for pursuing integration and the strategies it has used to achieve integration.
• Assess the business and health care-related implications of integration for your selected health systems, including how integration impacts the patients/consumers the organization serves.
Text Book reference: Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.
• Chapter 9, “Managed Care and Integrated Organizations” (pp. 361–368)
Integrated of health system. Nursing - Factors Affecting Job Satisfaction of School Nurses Decide the parts of school nurture in Bahrain, the levels of employment fulfillment among school nurture in Bahrain and the connection between Job fulfillment independence and occupation viability. As per Lightfoot and Bines (2000), there is little research concerning the nursing calling in schools. The little research accessible is centered around exploring the part of medical caretakers in schools. Subsequently, this examination will offer bunches of new data concerning the topic. School nursing program is a critical part of Public Health Directorate in Bahrain. It is in charge of giving first line therapeutic help to understudies and staff individuals, and guaranteeing they are in ideal wellbeing and in a protected and solid condition, which cultivates successful learning (Schainker et al. 2005; Taras et al. 2004; Wolfe 2006; Wolfe and Selekman 2002). School nurture in Bahrain are under Public Health Directorate, and their discernments on parts, factors influencing work fulfillment and the connection between work fulfillment, independence and self-viability have imperative commitment to the change of Nursing Services in Public Health. Variables Affecting Job Satisfaction of School Nurses This investigation discovers school medical caretakers comprehend work fulfillment to mean sentiments of bliss, satisfaction and happiness acquired from playing out your activity. It is a best human asset issue crosswise over numerous associations connected with positive work demeanor, work responsibility, higher profitability and occupation maintenance (Okan and Akyuz, 2015; Roethlisberger and Dickson, 1939). Different investigations (Butler and Rose, 2011; Hegney et al., 2006; Williams, 2014) discover school attendants have low levels of employment fulfillment related with less affirmed medications and restorative hardware. Be that as it may, in Bahrain, the present examination finds both government and tuition based school medical attendants have general large amounts of employment fulfillment (Mean=3.80) with non-public school medical attendants revealing more elevated amounts of occupation fulfillment (Mean=3.97 versus 3.57). School nurture in Bahrain relate their activity fulfillment to inborn, extraneous and individual factors as clarified in the following two segments. Investigation of the portrayals of the Self in TWO of the before the war writings In the section entitled "Me", Bennett and Royle investigate the thought of Self in writing and scholarly hypothesis, raising vital issues, for example, the propensity toward solipsism in sentimental writing, the way that the "I" or "me" is generally decided, that one is liable to dialect, and that sentimental and post-sentimental writing is delicate to the part of otherness, making us "mindful of what may be depicted as our obligations in connection to otherness" (136). Compose an examination of the portrayals of the Self in TWO of the prewar writings we have contemplated up until now. Allude to no less than one of the issues raised by Bennett and Royle in the previously mentioned section. Note that you don't need to confine your decision to scholarly messages including a first-individual storyteller/beautiful voice. Compose 1200 to 1500 words (citations and works refered to included). Utilize the MLA reference style. Works that ought to be refered to are the accompanying: Walt Whitman. "Melody of Myself" (segments 1-24, 33, 51, and 52; lyric, ca. 45 pages) Ralph Waldo Emerson. "Confidence" (paper, ca. 25 pages) Andrew Bennett and Nicholas Royle. An Introduction to Literature, Criticism, and Theory, Fifth Edition (2016). Chosen parts are; "Me", and "The content and the world" The confidence and the reference book about writing will be given in a pdf arrange however Song of Myself can be found here with the specific areas here: https://www.poetryfoundation.org/ballads/45477/tune of-myself-1892-rendition Page numbers can be found here: https://muse.jhu.edu/book/48060. Standard abstract examination (translate the topics of at least one of the short stories recorded and connected below).You will utilize various sources (at least 2, with no less than one that isn't a scholarly content). Source materials are the library's databases assets, most particularly Gale, and after that the Literary Resource Center, yet you can do your own examination also. Go to the library's page; open Gale; look down toward the base to discover the LRC; Do a title or watchword seek. MUST USE PROPER MLA FORMATTING. Scholarly investigation is contention in view of an artistic content. You read, fathom and investigate the story, searching for topical significance. What is the story at last about? A decent subject beginning stage is to investigate the Discussions we have had. My underlying inquiries may help you, yet additionally any differences you ended up having with others' elucidations offer you a decent place to center your contention. In abstract investigation and insightful dialog, we blossom with contradiction, since it gives us great material to demonstrate and bolster. Keep in mind that, I don't need to concur with you; you essentially need to endeavor to demonstrate your understanding by supporting your announcements with the content. Keep in mind, this is a sythesis course (article composing), contemplations about a theme hung together into sentences which interface into passages into an exposition. Try not to stray into elucidating upon the heartbroken idea of our general public or the way a story remarks on our political field, et cetera. To put it plainly, adhere to the story- - keep to the content. Obviously, on the off chance that it is applicable, at that point investigate any of these viewpoints however just as it fits into the content of the story(ies). As an essayist and investigator of the story, you simply need to walk a barely recognizable difference between digging into these issues as apropos to the writings and affirming. Best exhortation in view of my perusing of others' papers: go to the content, go to the content, go to the content; that is the place your proof/bolster is. You should likewise incorporate optional source material. Stories and thoughts: It would be ideal if you see investigate data and MLA designing data/Works Cited in Modules. Your initial step is to limit your decision to the story or stories you wish to investigate in encourage profundity. The accompanying make for good relative couplings, in the event that you take after that course, yet recollect that correlation expects you to weave the at least two stories together in discourse - not just two sections in a single paper. Be cautious here. These are points of view on the readings and topics. You don't need to address any or all. These are only plans to provoke your own particular investigation. Here is the essential subject approach: 1. Break down what any of the stories or complete a near examination, at least two stories, of how the story or stories investigate the topic of purity to involvement, sentimental thoughts to bafflement. 2. Break down any one story, or any blend of the stories, as wake up calls, examining particular what lesson is implied for the characters to have learned. As stories about growing up, a few have a hidden cautioning/message. 3. "The Story of a Hour" could be fundamentally remain solitary, since we just tended to it quickly. "The Story of a Hour" with "Marriage Is a Private Affair," "Shiloh," and "The Wife of His Youth": Ideas on affection, marriage, ladies in a pre-women's activist period, moderate style, sexiness, generational contrasts, custom versus change. "A&P" and "Where. . ." for youthful male and youthful female differentiation in regards to sexual development and following up on driving forces without respect to results or for investigating the distinctions in a youthful male's sentimental and sexual development - purity to understanding. Incorporate at a very early stage in your paper the accompanying: creator's name, full title of story, any logical data, and a proposition. Your early on section should work a similar way some other presentation works; bait the peruser into needing to peruse further, and give a strong establishment to your talk. Writing Review on Clinical Doctorate Degrees Examine in writing audit clinical doctorate degrees, for example, Doctor of Physical Theapy, Doctor of Pharmacy, Doctor of Dentistry, Doctor of Phychology and other clinical doctrates. Attempting to discover hole with reference to why clinical doctorate holders go for PhDs CVD among the main sources of death on the planet? Studies demonstrate that CVD are among the main sources of death on the planet. Around 31% of all passings on the planet are because of these heart issue, which is likewise a developing wellbeing worry among center eastern nations with Saudi Arabia recording 42% (Kalaf, et al., 2016). Saudi Arabia is one of the influenced nations among the Arab States that is incredibly influenced by this condition. As per the World Health Organization (2014), it has a populace of marginally in excess of 28 million, the country records around 90,000 passings every year. Shockingly, around 78% of these passings exude from non transmittable maladies. Notably, CVD is a non transmittable infection, and it makes up around 58% of this classification. Much all the more aggravating is the way that grown-ups between the age of 30 and 70 years make up 42.7% of Saudi Arabia's populace. These discoveries show a desperate need to create systems for beating the malady utilizing the accessible restorative innovation. Uniquely, moment access to restorative administrations is a basic determinant of the consequences of heart-related ailments (Meyer, et al., 2008). To this impact, EMS has a noteworthy part in the heart maladies particularly in nations like Saudi Arabia where heart illnesses shape a significant piece of the aggregate passings. Heart assaults show certain side effects, and crisis reaction could help reduce a portion of the perils related with the ailment. In such manner, the proposed explore would like to assess if EMS has a commitment to the treatment of CVD. Given the justification for leading the proposed inquire about, there is a need to express the exploration addresses that will shape the reason for the foreseen examine. Polls were dispersed among the understudies, educators, guardians and also the experts working in corporate world which verified that individuals having a place with all segments of the general public were come to. Age was not a hindrance so as to guarantee that the input acquired speaks to the judgments of the general public overall. From the 50 respondents in totality, the outcomes demonstrate that half of the populace conceded that the promotions are a methods for offering ascend to materialistic esteems. Numerous respondents were of the view that they want to approach just those chose channels which don't advance impropriety and obscenity. Moral and social angle segments of the poll for the most part had an antagonistic reaction. A point by point examination of promotions and its effect on society will help make an inference that how social disparity is mounting among the general population of our general public and how it forms the mystic of people. This examination will give a superior comprehension of how the general public sees and grasps the offering goal of advertisements. The fundamental goal is to discover the connection between impacts of promotions upon society and their defenselessness of utilizing publicized item or administration. Related Definitions Commercials: Any open notice, as a printed show in a daily paper, short film on TV, declaration on radio, and so on., intended to offer merchandise, broadcast an occasion, and so on. Promoting: Philip Kotler [Professor of International Marketing at the Kellogg School of Management at Northwestern University] has characterized publicizing as "Promoting is any paid type of non-individual introduction and advancement of thoughts, merchandise and enterprises through broad communications, for example, daily papers, magazines, TV or radio by a distinguished support" "Publicizing is the non-individual correspondence of data typically paid for and normally influential in nature about items, administrations or thoughts by distinguished supporters through the different media."(Bovee, 1992, p. 7) Society: 1. a sorted out gathering of people related together for religious, kind, social, logical, political, energetic, or different purposes. 2. an assortment of people living as individuals from a group; group. Brain science: The exploration of the human soul; particularly, the methodical or logical learning of the forces and elements of the human soul, so far as they are known by cognizance; a treatise on the human soul. The science which examines the elements of the psyche, for example, sensation, discernment, memory, through, and, all the more comprehensively, the conduct of a creature in connection to its condition Impersonation of tricks: Replicating (or attempting to duplicate) the activities of another person, for example, a gymnastic or unsafe bit of activity in a film, TV promotion, and so forth. Dietary issue: "Dietary issue" is the point at which a man eats, or declines to eat, with a specific end goal to fulfill a mystic need and not a physical need. The individual doesn't tune in to real flags or maybe isn't even mindful of them. An ordinary individual eats when hungry and quits eating when the body needn't bother with additional, when he feels the flag of fulfillment. Hissy fits: Hissy fits are troublesome or bothersome practices or passionate upheavals showed in light of neglected needs or wants. They may likewise allude to a failure to control feelings because of disappointment or trouble communicating a specific need or want. Mindfulness: information or comprehension of a subject, issue, or circumstance Spur of the moment shopping/purchasing: Includes no cognizant arranging yet an effective, steady inclination to purchase something promptly Realism: The hypothesis that physical issue is the main reality and that everything, including thought, feeling, mind, and will, can be clarified as far as issue and physical marvels. The hypothesis or demeanor that physical prosperity and common belonging constitute the best great and most noteworthy incentive throughout everyday life. An awesome or intemperate respect for common concerns. Extortion: Double dealing intentionally honed with a view to picking up an unlawful or out of line advantage; guile by which the privilege or enthusiasm of another is harmed; damaging stratagem; trickery; trap. [Not ready to convey everything guaranteed in the promotions is likewise fraud] Haram: Precluded, unlawful. Generally utilized as a part of reference to activities and also nourishments. Haraam is that for which the person who does it will be rebuffed and the person who keeps away from it will be compensated, if the purpose behind his restraint is following the disallowance of Allah Part 2: LITERATURE REVIEW Sandage (1972) filled in as a pioneer in promoting instruction. He led an exploration on some institutional parts of publicizing. Promoting has two kinds of reactions: 1) that which is coordinated against the strategies for singular professionals, and 2) that which holds that the entire publicizing process is neither socially or monetarily solid. Fundamentally the general public considers publicizing responsible to advise and persuade individuals regarding society in regard to items, administrations and thoughts. It is trusted that publicizing controls customers to take after the will of the promoter. The positive side of publicizing is the learning of consumerism which implies it creates judgment with respect to purchasers in their purchasing hones. Promoting holds a reasoning that shoppers are not by any stretch of the imagination skillful of settling on insightful choices and that they would be in an ideal situation assuming a few as far as anyone knows more savvy individual or gathering settled on all utilization choices. Bijmolt, Claassen and Brus cooperated to convey an examination on youngsters' understanding to T.V promoting. They inspect kids' comprehension of TV publicizing that is their bent to comprehend ads. Kids are observing more TV today than years prior, and consequently seeing more ads. Guardians and other societal on-screen characters have an all inclusive worry that commercial, particularly TV promotions affect beginning periods of life independent of it being expected or unintended. It is examined whether their age, sexual orientation, parental weight or some other angle affects the comprehension of commercials. Brucks, Armstrong and Goldberg (1988) reasoned that understanding TV commercials enables youngsters to utilize psychological resistances, for example, creating counter contentions. While taking a gander at the kids reactions to TV notice an examination testing uncovered that kids' sustenance decisions particularly in snacks depend on their introduction to TV advertisements. Enticing procedures are considered strategies utilized by publicists to motivate buyers to buy. Young people have turned out to be top customers in the present society, so publicists have concentrated on getting their business. Adolescents can spend their cash all the more unreservedly in light of the fact that they don't have the duties of grown-ups. They even affect family spending, as their part in the spending of their folks' cash keeps on rising. For example, it isn't surprising for a parent to send their young child to the supermarket for them, giving them add up to control of item decision. Therefore, youngsters are ending up enormous focuses for publicists because of their developing consumerism. Why are adolescents such enormous focuses in the publicizing business? The appropriate response is direct: They are unique. Sponsors see them as a consistent changing age with idealistic viewpoints. They need to demonstrate independence by their garments and belonging, however fit in with their associates. Hyman, Tansey and Clark (1994) directed an examination on publicizing morals as it has been, and keeps on being, an imperative point in promoting research. Publicizing morals influences the act of our lives, and furthermore the act of business, in unobtrusive and essential ways. It concerns everybody including the academicians, promotion office work force, publicists, shoppers, media faculty, and controllers, in one way or the other. Dennison (2008) directed an investigation to see the part of TV in youth heftiness. The examination in the investigation displayed that youngster corpulence has dramatically multiplied in the last recent years. In spite of the fact that there are numerous other multi-factorial purposes behind it to rise, TV seeing is one the central point. Expanded calorie ingestion, poorer dietary quality and lessened physical movement are generally aftereffects of extraordinary TV seeing. Commercials, for example, advanced advertising of high fat, high sugar, unhealthy nourishments and drinks are progressively being focused to children and young people. These commercials have been appeared to affect youngsters' inclinations, demands, and here and now utilization of sustenance and refreshments. Nourishments, for example, organic products, vegetables or dairy items are most drastically averse to be promoted. Gay (1992) broke down the impacts of 2 People see ads all around the world that endeavor to tempt shoppers to purchase items. Notices are put in daily papers, magazines, schools, and on bulletins all over the place. As indicated by promoting experts Stan Rapp and Tom Collins, on a run of the mill day, a man all things considered sees more than 5,000 ads per day. Publicizing is essentially expected to uncover the advantages of items that buyers wish for. It is crucial to numerous organizations, as some future unfit to make due without a method for making their items perceived. Despite the fact that publicizing is blamed for affecting customers to purchase things they needn't bother with, they have the decision to buy. It is up to the shopper to settle on sensible decisions and create shopping aptitudes. >GET ANSWER