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)

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

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

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)

5. You are assisting the human resource director at a large general hospital. As part of a report to the chief executive officer (CEO), she has asked you to outline specific roles and goals for at least three clinical, three technical, and three administrative departments (minimum of nine departments).  List these hospital departments, and describe the roles and goals of each.  (1–2 pages)

6. Admission policies can differ between various types of healthcare organizations.  Provide compare and contrast how admission policies could differ between for-profit and nonprofit organizations, and how this difference relates to access to care.

7. There are many different organizations and institutions that are major players in the healthcare system. Briefly describe how each of the following influences healthcare: (4–6 sentences each).  Please consult at least one reference other than the website in formulating your answer, for each organization.

• Pharmaceutical Research and Manufacturers of America (PhRMA)

• Food and Drug Administration (FDA)

• American Medical Association (AMA)

• American Hospital Association (AHA)

• Joint Commission (JC)

• Centers for Medicare and Medicaid Services (CMS)

• State Department of Health (student’s state)

• Centers for Disease Control and Prevention (CDC)

• U.S. Department of Health and Human Services

8. Define vertically integrated health systems and horizontally integrated systems, including the business goals and patient outcomes. Then, explain the impact these systems have on healthcare today. (1page)