Nurse-managed Health Centers and Clinics Assignment

Reply 1

It is indeed a fact that the nurse-managed health centers and clinics (NMHCs) have worked to provide patient care at more convenient locations. Throughout the country, there are 250 NMHCs recordings more than 2.5 million patients annually with a capacity to serve millions more. They are located primarily in medically underserved locations including low-income urban neighborhoods and rural areas. These centers are critically important as safety net providers of care for the medically underserved. They have a reputation for providing high-quality, cost-effective care and achieving high patient satisfaction rates. Nurse-led care is significantly low in cost than physicians or an urgent care facility. NMHCs are cost-effective. The NMHC majors on wellness promotion, disease prevention, and management of chronic conditions including asthma, hypertension, and diabetes. They also provide dental, behavioral health; health education; environmental health risk reduction; and parenting education services which is a good for the healthcare system (Hansen-Turton, Bailey, Torres, & Ritter, 2010).

NMHCs serve the patients least likely to receive ongoing health care services including uninsured, underinsured, or patients living in poverty who are unable to pay for care and thus charged on a sliding scale or treated for free. The main challenge for NMHCs is money problems as they struggle to achieve fiscal sustainability. They serve poor communities and depend on Medicaid and Medicare reimbursement, private grants, and government contracts and grants. Most are operated by schools of nursing, and some of these receive financial assistance from their parent organizations but this limits their federal funding availability. Because many NMHCs are unable to access the financial resources available to other safety net providers, many are struggling to care for uninsured, and vulnerable in the community. Solutions including policy framework to increase federal and state funding, stop the discriminatory reimbursement discriminating against NPs acting as primary care providers (Hansen-Turton, Bailey, Torres, & Ritter, 2010).

Reply 2

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There is a need for change from nurse-managed health centers and clinics due to the evolving health care systems and patient needs. The transformational practice is required to provide patient-centered care services at a lower cost and meets the increasing demand for care from an increasing population. The challenges that come with transforming practice include the shortages of primary care providers and insufficient resources (Auerbach ET AL., 2013). To address these problems that affect change including the integration of liberalized policies, increased training, facilitating payment changes and rewards, and increasing the number of licensed practicing nurses and aides.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.