Make a 5 slide presenation summerizing this analysis.
Article used is linked https://www.healthaffairs.org/doi/epdf/10.1377/hlthaff.2022.01061(although not needed just as a reference). Speakernotes as well please.
make powerpoint interesting please.
MAKE SURE THIS STRUCTURE IS FOLLOWED
Identify the statement of the problem within the article.
Describe the most significant outcomes of the study.
Describe the article’s recommendations and
4. Assess the article’s effectiveness from the perspective of a healthcare services administrator /leader.
analyis
onducting a comprehensive evaluation of the study’s methodology, results, and conclusions.
This study investigates the selective participation of ACOs in the Medicare Shared Savings Program (MSSP) in response to the regional spending benchmarks during the period between 2013 to 2019. The study focused on three areas. First, the strength of the MSSP to adjust benchmarks for regional efficiency. This was done by measuring the difference between providers’ average spending and average spending in the region where the provider is located. Secondly, the study observed how the number of ACOs changed over time in response to the MSSP incentives. Lastly, the study analyzed certain subgroups that had stronger selective participation in MSSP.
Overall, the study found that participation in the MSSP consisted of lower-spending ACOs while high-spending ACOs left the increasingly left the program. The disproportionate participation of low spending providers demonstrates the need for benchmarking reforms.
– Checking for consistency between the study’s objectives, research questions, and data analysis.
The objective of the study was to analyze how changes in benchmarking methods influences participation of ACOs in the MSSP. The study objectives were answered through the research methods and data analysis. The data demonstrated trends in participation by observing the shift over time. The study was able to effectively analyze ACO participation in MSSP in order to identify what factors incentivize providers to selectively participate.
– Verifying the accuracy of the statistical analysis performed by the primary reviewer.
The study utilizes a large amount of data over an extensive period of time which helps ensure the validity by providing a comprehensive view of the program. However, the lack of a control group limits the ability of the study to attribute changes in ACO participation to regional benchmarks. The data is reliable as it observes patterns in ACO participation before and after the introduction of regional benchmarks. The analysis of ACO behavior and implications for policy change are supported by the trends in the data.
– Assessing the study’s contribution to the existing knowledge in health services administration.
By showing how regional adjustments in benchmarks encouraged participation from lower spending ACOs, this demonstrates how policy changes can affect provider behaviors and program outcomes. The article enhances overall understanding of how financial incentives and policy improvements in benchmarking can improve provider participation in value-based care programs. This helps provide further insight into future research and policy development.
– Providing additional insights or alternative perspectives regarding the study’s findings and implications.
The study’s findings demonstrate that higher-spending ACOs continue to exit the MSSP leaving a higher concentration of lower spending AOCs. However, this does not reflect the healthcare landscape. Diverse participation is important for the long-term sustainability of the program.
– Identifying potential ethical concerns or conflicts of interest that should be addressed.
The study raises ethical concerns about equitable access to care and whether the program favors wealthier populations. The program also incentivizes participation through financial advantages rather than improvements in care quality. The focus on lowering costs can lead providers to neglect the objective to focus on enhancing care quality. The selective participation by benchmarking changes may lead to reduced participation by ACOs that serve at-risk populations such as minorities which can increase health disparities.
Conflicts of interest may exist if policymakers or stakeholders involved have ties to the ACOs and benefit financially from benchmarking changes. This demonstrates the need for transparency in the policymaking process to avoid conflicts of interest and maintain fairness.
– Evaluating the study’s methodology, including the study design, sample size, data collection methods, and analysis techniques.
The study utilizes a longitudinal analysis of MSSP participation from 2013 to 2019. The study collected a random 20% sample of traditional Medicare beneficiaries. The sample included 528 ACOs that entered the MSSP from 2012 to 2016 before benchmark regionalization and 285 that entered from 2017 to 2019 after benchmark regionalization. The study took into account several different analysis techniques including subgroup analysis, compositional changes over time, sensitivity analysis, and selection incentives.
– Assessing the validity and reliability of the study’s findings by examining the statistical analysis and the use of appropriate statistical tests.
I couldn’t find much information on this. Andrea, can you please look into this and see if you can answer this part?
– Analyzing the study’s limitations and potential biases that may affect the generalizability of the results.
One limitation of the study was the lack of a control group. Instead of an official control group, the study used pre-post comparisons of Medicare Shared Savings Program (MSSP) participation patterns. Due to this limitation, baseline spending changes and other compositional changes cannot be definitively attributed to benchmarking changes. Another limitation of the study was the differing reasons why lower and higher-spending providers participated or chose not to participate in MSSP. The decisions of higher-spending providers in the MSSP were disproportionately influenced by changes in Medicare or the provider markets, whereas lower-spending providers were more significantly influenced by the benchmarks.
– Identifying gaps or inconsistencies in the study and suggesting potential improvements or further research areas.
The study carried out several subgroup analyses including beneficiary distribution, ACO size, and convener organizations. To improve the study, the researchers could have investigated other relevant factors in their subgroup analyses, like provider specialty and the geographic location of ACOs.
– Providing constructive feedback and recommendations to enhance the overall quality of the research study.
The study’s complex nature and technical language made it challenging for the average reader to understand the study methods, analysis, and discussion. Simplifying the language of the study would allow readers to effectively digest the valuable information provided and the conclusions drawn. The study also followed 528 pre-benchmark regionalization ACOs and 285 post-benchmark regionalization ACOs. Gathering more post-benchmark regionalization ACOs could have enriched the results of the study, providing more information on the impact of MSSP and policy change on ACOs
Category: Occupational safety and Health administration
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“Analyzing the Impact of Regional Spending Benchmarks on ACO Participation in the Medicare Shared Savings Program: A Healthcare Administrator’s Perspective” “Evaluating the Impact of Benchmarking Changes on ACO Participation and Health Disparities: A Critical Analysis of a Longitudinal Study”
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Title: Ergonomics Concerns in the Aging Workforce: A Review of Current Literature Article 1: “Ergonomic Interventions for the Aging Workforce: A Systematic Review” by Marianne G. Fjell
Search the CSU Online Library, and locate two peer-reviewed or academic articles regarding ergonomics-related concerns focusing on one of the following demographics:
the aging workforce,
women in the workforce, or
obese workers in the workforce.
Provide a summary for each article. For each article, identify the premise and significant points in support of the premise.
Conclude with an explanation of the extent to which the topic is interesting to you and if you think it would make a good topic for a doctoral project.
Your assignment should be between two-to-three pages in length, not counting the title page and references page.
Adhere to APA Style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed. -
“Fire Prevention and Protection Audit and Assessment of Heat and Wind Hazards in an Assembly Area”
Assignment Content
As the Environmental Health and Safety Manager (EHS Manager), conduct a fire prevention and protection audit of the following assembly area:
It measures 80 feet by 140 feet.
There are currently two 2A10B:C fire extinguishers located in the center of the room on each of the short ends (40 feet on each end of the room).
The room hazard level is rated as ordinary with moderate amounts of Class A Combustibles and only minimal amounts of flammable/combustible materials.
Then based on the following information, provide a determination (you must show your math calculations) as to how many fire extinguishers are needed for this area and provide comments on their placement.
Your company has several employees who are working along a conveyor line to clean up an over spill of product by manually shoveling the materials. The conveyor belt is located outdoors and will take several days to clean up. Given the following data Wet Bulb Temperature = 88oF; Dry Bulb Temperature = 93oF; and Globe Temperature = 91oF, calculate the WBGT Index. You must show your math calculations.
Due to the heat, the employees are only exposed for 190 minutes at this temperature over an 8-hour workday. Assume a 75oF exposure for the remaining 290 minutes. Provide a recommendation on the work/rest cycle based on the information and guidance in this unit. Include any assumptions in your analysis.
Finally, discuss the concept of wind chill and calculate the wind chill in oF based on the following information below. You must show your calculations.
Air Temperature: 10oF and a Wind Speed of 12 miles per hour (mph)
Your journal may use headings to separate topics. It should be at least two pages in length. APA formatting and references are not required. -
Understanding Affirmative Defenses and Applying Legal Skills for Success Title: Affirmative Defenses: A Key to Success in Law and Life Part 1: Examine affirmative defenses used in legal proceedings. Affirmative defenses are legal arguments
Assignment Content
Part 1: Examine affirmative defenses used in legal proceedings.
Part 2: How will you be able to apply the skills you learned from this course to gain life and/or career success?
Your journal entry must be at least 500 words in length. No references or citations are necessary. -
“Analyzing the Impact of Social Media on Society: A Case Study”
Included Reading for case study and instructor-specific instructions for case study assignments. We may not necessarily need citations because these are thoughts being “presented” directly to one another. Turnitin match must be less than 15%
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“The Impact of Artificial Intelligence on Education: A Critical Analysis of ‘The Role of Artificial Intelligence in Education’ by Anu Sharma and Sushma Sharma”
Included the reading in linked files; the paper should reflect this reading. Paper: 3 pages and a reference page. I also included a professor tip for this assignment. We do use AI detection, and matches cannot be greater than 15% through Turnitin. Paper is 3 pages and a reference page. I will take care of cover page.
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Title: Risk Assessment and Comparison of Occupational Exposure Limits for Chemical Hazards and Noise in Acme Automotive Parts (AAP)
The sampling results for the chemical hazards you tested for Acme Automotive Parts (AAP) are listed in the following table. The volumes that are listed are what you provided to the laboratory.
Hazard
Analytical Result
Volume (Time)
Manganese Fume
5 µg
30 L (15-minute)
Copper Fume
140 µg
960 L (8-hour)
Lead Fume
40 µg
960 L (8-hour)
1,2,4 trimethylbenzene
5 µg
48 L (8-hour)
Toluene
125 µg
48 L (8-hour)
Xylene
20 µg
48 L (8-hour)
Metal Working Fluids
500 µg
720 L (8-hour)
For each of the chemical hazards in the table, complete the following:
Calculate the exposure concentration in mg/m3 for the aerosols.
Calculate the exposure in parts per million (ppm) for the vapors.
Discuss where you think errors might have been introduced into the results.
Compare your calculated exposures to one of the occupational exposure limits (OELs) in the table below.
Do any of the calculated exposures exceed the OEL you chose?
Discuss why you chose the OELs you used.
Provide your opinion as to whether the risk associated with each exposure is an acceptable level of risk.
Hazard
Occupational Exposure Limits (OEL)s
Manganese Fume
5 mg/m3 (OSHA Ceiling )
0.1 mg/m3 (ACGIH 8-hour TWA (I))
Copper Fume
0.1 mg/m3 (OSHA 8-hour TWA)
0.2 mg/m3 (ACGIH 8-hour TWA)
Lead Fume
0.05 mg/m3 (OSHA 8-hour TWA)
0.05 mg/m3 (ACGIH 8-hour TWA
1,2,4 trimethylbenzene
OSHA – None Established
25 ppm (ACGIH 8-hour TWA TLV)
Toluene
200 ppm (OSHA 8-hour TWA)
300 ppm (OSHA Ceiling)
20 ppm (ACGIH 8-hour TWA TLV)
Xylene
100 ppm (OSHA 8-hour TWA)
100 ppm (ACGIH 8-hour TWA
Metal Working Fluids
OSHA – None Established
0.5 mg/m3 (NIOSH 10-hour TWA REL)
The results for the noise sampling in the following table were recorded from your noise dosimeters. All the samples were collected for the full shift using 90 decibels on the A scale (dBA) as the criterion level and a 5 decibels (dB) exchange rate.
Location
Shift Length
Result
Shipping/Receiving
8 hours
78.3 dBA (Lavg)
Hydraulic Press
12 hours
93.0 dBA (Lavg)
Metal Working Line
12 hours
84 dBA (Lavg)
Robotic Welding
12 hours
80.5 dBA (Lavg)
Hand Welding
12 hours
81.3 dBA (Lavg)
Paint Booth
12 hours
79.5 dBA (Lavg)
QA/QC Laboratory
8 hours
70.0 dBA (Lavg)
Final Inspection
8 hours
73.5 dBA (Lavg)
Answer the following for each of the locations listed above:
Convert the results from dBA to percent. Make sure you show all your work for calculations.
Which of the results exceeds the OSHA PEL?
Which of the results exceeds the OSHA action level?
Provide your opinion as to whether the risk associated with each exposure is an acceptable level of risk.
Your assignment must be at least three pages in length, not counting the title or reference pages. Your assignment must use at least two references. One must be gathered from the CSU Online Library; the other may be your textbook. All references and in-text citations must be formatted according to APA Style. -
Title: “Business Plan: Achieving Financial Success for a Denture Clinic”
Business Plan Overall
Summary/LOGO
References
Financial Statement 4 – Breakeven Analysis Excel Spreadsheet
Initial indications of the financial
position of the new business on opening day, one month out, and 12 months out,
and how many customers you will need to break even.
PLEASE DONT USE THAT SPREAD SHEET AND MAKE A NEW ONE BASED ON THE INFORMATION I
PROVIDED
As well as edit part 1 2 and 3 based on the teachers feedback and add that its dentures being done -
Title: Understanding OSHA Inspection and Potential Criminal Charges for Violations in Small Businesses
Assignment Content
Imagine you have a friend who is starting a small business. She knows you have knowledge of the OSHA inspection process. She wants to learn more about the inspection process, including potential criminal charges for violations. She has asked you to create a PowerPoint presentation for her that she can refer to as a guide for understanding the process.
Include the following information in your PowerPoint presentation.
Summarize the type of business she will be starting (you can select a business type from any industry).
Explain the OSH Act and the framework used to ensure safe and healthful working conditions.
Provide an example of one violation that could occur in her business and the potential for employer criminal sanctions for that violation. Include a solution for avoiding this violation.
Explain one legal liability issue that could be faced regarding injuries and illnesses if they should occur at this business, and describe the legal disincentives for noncompliance she would face.
Summarize legal processes related to employer criminal sanctions.
Your PowerPoint presentation must be at least 12 slides in length, not counting the title and reference slides. Use the speaker notes sections to further explain your ideas regarding the content slides.
Support your presentation with at least two credible references. All sources used must be cited and referenced according to APA Style.
You must include at least two graphics or images to support your presentation.Imagine you have a friend who is starting a small business. She knows you have experience working as a safety director for Company XYZ and that you have knowledge of the OSHA inspection process. She wants to learn more about the inspection process, including potential criminal charges for violations. She has asked you to create a PowerPoint presentation for her that she can refer to as a guide for understanding the process.
Include the following information in your PowerPoint presentation.
Summarize the type of business she will be starting (you can select a business type from any industry).
Explain the OSH Act and the framework used to ensure safety and healthful working conditions.
Summarize an inspection process for the business.
Explain what rights the employees will have regarding workplace safety.
Provide an example of one violation that could occur in her business and the potential for employer criminal sanctions for that violation, then include a solution for avoiding this violation.
Explain one legal liability issue that could be faced regarding injuries and illnesses if they should occur at this business.
Your PowerPoint presentation must be a minimum of 12 slides in length, not counting the title and reference slides. Use the speaker notes sections to further explain your ideas.
Support your presentation with a minimum of two credible references. All sources used must be cited and referenced according to APA Style.
You must include at least two graphics or images to support your presentation. -
Environmental Health and Safety (EHS) Intern Manager Training Slide 1: Introduction – Welcome and introduction to the EHS intern manager training – Purpose of the training: to provide an overview of the intern’s future responsibilities in occupational safety
Assignment Content
Environmental Health and Safety (EHS) Intern Manager Training
As the current environmental health and safety manager (EHS), you have been assigned an intern EHS manager for the summer. You plan to present an overview of their future responsibilities. As such, you are to prepare a PowerPoint presentation for the intern environmental health and safety manager on occupational safety and health training to assist them in their new role.
Begin your presentation with an introduction and an overview of the Occupational Safety and Health Administration (OSHA) inspection process.
Continue your presentation with at least one slide to address each of the following. Be sure to include the appropriate regulation/standard where applicable.
Hazard Communication
Control of Hazardous Energy
Confined Space Entry
Personal Protective Equipment
Respiratory Protection
Fall Protection
Blood Borne Pathogens
Calculating Total Recordable Incident Rates
Calculating Days Away, Restricted, or Transfer Rates
Calculating Severity Rates
Summary/Conclusion
Your presentation must be at least 12 slides, not counting the title or reference slides. You must include graphics or charts to reinforce the slide content presentation. You must include speaker notes at the bottom of each content slide.
You are required to use at least three sources to support your presentation. All sources used must have citations and references in APA Style. APA formatting is otherwise not necessary.
Resources