-
+1 - 312-224-1615
Get in touch with us
-
support@helpwithassignment.com
Send us an e-mail
Solution Library
Report On Poor Dental Hygiene In Nursing Homes
Question
Dental Reporting and the State HIX Advisory Opinion to Senate Health Committee
Health information exchanges are being created by states around the country, using a number of models. Among various structures, the directed exchange model can be used for sending immunization data to public health organizations, as well as to report quality measures to the Center for Medicare and Medicaid Services (CMS). A legislator in your State, Senator Grace Wood, has introduced a bill based on her reaction to the August 4, 2013 New York Times article, “In Nursing Homes an Epidemic of Poor Dental Hygiene”. Dental coverage is hardly a matter of routine for long term care residents but your State does offer limited coverage through Medicaid.
Senator Wood‘s Bill (S21) requires all licensed long term care facilities in the State, submit quarterly reports to the State Health Information Exchange (HIX) on the dental health (based on a routine dental examination and treatment documentation) of each resident in their respective facility. The dental information reported to the HIX will be accessed by the State Department of Health and used by State Surveyors in their annual inspection and review of long term care facilities. Violations, based on inadequate dental care, will lead to sanctions and more extensive reporting mandates. In addition, based on data drawn from the quarterly dental reports, the State Department of Health will be required under S21 to develop a numerical quality assessment score on the status of dental health in a particular facility ranging from a 4 (excellent care) to a 1 (poor care).
The State Long Term Care Facility Association (LTCFA) testified in opposition to S21. Beyond cost concerns, LTCFA is arguing that information on individual patient dental hygiene cannot be provided to the HIX without patient or guardian consent as doing so violates HIPAA (S21 has no consent requirements). In addition, LTCFA argues that the State lacks the authority to mandate reporting requirements for patients covered by Medicaid that for those receiving Medicaid, additional reporting requirements, such as S21, must be also approved by CMS. The State Senate Committee on Health to prepare a memorandum assessing the feasibility of Senator Wood’s bill, S21, has retained you. The Senate Chair has asked you to review (1) the structure and functions of the Health Insurance Exchange in the state, (2) the determination of whether the legal authority of the State’s HIX is sufficient to collect public health data (is this a function in other states), (3) the role of HIPAA in HIX operations, (4) the need for patient (guardian) informed consent in mandated public health data reporting, (5) steps the state needs to take in ensuring health care data report card schemes are not vulnerable to legal challenge, and (6) the impact of Medicaid on State mandated public health reporting laws.
Summary
The question belongs to Nursing and it discusses about writing a report on the poor dental hygiene in nursing homes. A report to the State Senate Committee on Health has been written. The structure of the report and its contents have been discussed in detail in the solution.
Total Word Count 2647
WHAT OUR STUDENTS SAY
During my second trimester one of my class-mates told me about TheReliableTutor.com. However, back then I thought I do not require any help. But I was proved wrong shortly and contacted them. The nursing assignment tutors are really fantastic and they work tirelessly till you get what you exactly asked for. Really happy with the service I got
William Turner Student
1. As an undergraduate statistics student at one of the leading institutes in London I was finding it increasingly difficult keeping up with the assignments with the rest of the class. I was lost, and not in a good way, in probability, displaying data etc. That is when I found TheReliableTutor.com. Here the stats homework solver helped me out with all my assignments and I have been getting great reviews and grades since then.
Jeremy Schein Student
While I took occasional help for my different assignments from TheReliableTutors, I kept on wondering whether they could actually help with my dissertation paper. When I first approached them, they sounded confident and they already knew what is needed to be done. That was very relieving as even before my professor told me what to be done next, the thesis help tutor knew what to do. I have got an “A†in my master’s dissertation report and now I have assigned them by PhD thesis paper also.
Keegan Betts Student
I found it very difficult in keeping up with the assignments with the rest of the class and also had problems with the topics like probability, displaying data etc. Then I found TheReliableTutor.com and all my misery has come to an end. The stats experts here helped me out with all my assignments and since then I have been getting better grades. Thanks a lot….
Evan Nicholas Student
I was pursuing my MSN degree when I thought of specializing in musculo-skeletal patients and it was back in 2008 when I came across HwA and learned a lot about the interventions and assessment strategies.
Laura Beales Student
Comments
this is a very good website
I have 50 questions for the same test your page is showing only 28
hi can you please help or guide me to answer my assignments. thanks
hi can anyone help or guide me to my assignments. thanks
This solution is perfect ...thanks
Hello Allison,I love the 2nd image that you did! I also, had never heard of SumoPaint, is something that I will have to exolpre a bit! I understand completely the 52 (or so) youtube videos that you probably watched. Sometimes they have what you want, sometimes they don't! However, it is always satisfying when you are able to produce something that you have taught yourself. Great job!Debra 0 likes
Perfect bank of solution.
great !
thanks for the quick response. the solution looks good. :)
thnx for the answer. it was perfect. just the way i wanted it.
works fine.