In creating a force field analysis, I first had to look at the presenting problem of what I plan to change within my agency. For my field practice assignment, I am working in conjunction with my supervisor (Assistant Director) and the Director of the program on implementing changes to the provider’s contract. There are many policies and procedures that are being violated on the provider’s end of the contract that are in turn causing violations with the Department of Health and A.C.D. (Agency for Child Development). First I will give a brief history of the program and its presenting issues that we face with the providers. In consultation with my supervisor and other caseworkers, it was a unanimous decision that our provider’s …show more content…
Child care providers must re-apply for their license every two years and then once they submit their new license to the network, they then sign a new contract. What could cause the contract from not being revised would be its disapproval from the Vice President of the child care division. In addition, if the provider’s contract were to stay the same there would be no progression or drive from the providers to adhere to the guidelines that have changed within the Department of Health and the Child Care Network. The Critical Actors of the change would be the Vice President, the Director and the Assistant Director. The driving force of the Vice President would be that she is very much for a change in the providers’ behavior and professional attitudes toward the parents and the caseworkers. She would also like to establish a more business like attitude with the caseworkers, other network staff, and the parents. Lastly, she is looking for the providers to learn more educational techniques from the trainings and workshops that are offered for them through the network. The restraining forces would be that she would not approve the contact because its trying to implement “too much” change at one time. Another restraining factor would be that the providers would contact the UFT union (United Federation of Teachers) because of the extra demands that are being asked of them without extra monetary compensation. A final restraining force of why she wouldn’t approve
The department is using privatization to address longstanding foster care issues, such as the concern for children’s safety in their foster placements (Texas State Legislature 2011). However, Texas’ foster care privatization is not maximizing its effectiveness—in terms of addressing the issues that the bill sought to resolve—due to a lack of investment in contract monitoring and not factoring in contract monitoring costs. Furthermore, DFPS is currently transitioning from its previous single-source, contracting system to a new multi-source system, Foster Care Redesign (Sunset Advisory Commission 2014, 46). Since there is no set timeline for when the transition is supposed to be complete, the challenge is two-fold: ensuring that children in the process of transitioning from one system to another are not overlooked during the transition and ensuring that contract monitoring of both of these systems occurs simultaneously (Sunset Advisory Commission 2014,
Research has been completed for Leslie Bryan. The plan selection is Care Improvement Plus Dual Advantage RPPO SNP that requires full Medicaid for enrollment, selected as no the the application. If the client does not have full Medicaid a new application is needed for the correct plan in reference to having a chronic condition. If further assistance is needed, please contact the Producer Help Desk at
First, we will examine my initial clinical note on 8/15/16 with client, Rhonda Smith, session one. During this first session, I collected Rhonda’s demographic and intake information (Murphy & Dillon, 2015; Reamer, 2001). This included a signed consent for treatment, which we reviewed and all her questions were answered, as well as signed medical releases for previous therapy and agency records, i.e., DVIS, CPS, CASA, that will be requested (Murphy & Dillon, 2015; Reamer, 2001). Additionally, she was informed about HIPAA, patient privacy rights, billing practices, professional boundaries and expectations, and how to contact me during business hours, and after-hours crisis lines, and on-call assistance phone numbers for resources if it is outside of my business hours (Murphy & Dillon, 2015).
The program is designed to promote improved care, more affordable care, and healthier people and communities, as well as to ensure a choice of
Reviewing school data provides information to teachers to address the areas where students are in most need. After identifying the students’ needs, teachers can identify factors that promote the students achievement and factors that prevent students from performing and reaching the standards. This force field analysis will identify the areas my students are struggling in physical education, the desire change, the factors that are driving and restraining the forces, and ways these barriers are restraining the students’ achievement.
Force field analysis is a very useful decision making technique. It helps individuals to make decisions by analysing the forces for and against a change and it helps them to communicate with the reasoning behind the decision. It can be used for two purposes: to decide whether to go ahead with a change and to increase your chances of success by strengthening the forces supporting the change
The current US Health Care delivery system Affordable Care Act (Obamacare), allows its citizens access to healthcare by NPs who practice autonomously providing healthcare to underserved rural populations, and in clinical settings, (McClelland, 2014; Stanley, 2011). The term autonomously and under prescriptive authority allows the NP establish realistic outcome measures, prescribe medications to provide secure, real, patient centered, appropriate, effective and reasonable care without a physician. Tiplady and Cook, (2015) stated that “outcome-based practice focuses on what an individual wants to achieve, and not only what the service wants to achieve (p. 406). For example the NP and the San Rafael patient in their relationship establish
Care should be integrated, and incentives should be aligned to the well-being of the enrolled population. The fundamental objective of implementation of the transition plan should be improving patient health. Primary care should be a major focus, and the goal should be improving the health of the enrolled population. The program should survive long enough to lead to improvements that can be measured.
CM spoke with Ms. Mudada-Smith, Client dropped off Child Enrollment Confirmation letter. Client stated she received a letter in mail as of 10/17/2017 ACS will no longer pay for any child care that is provide for her child(ren). Ms. Mudada-Smith went to Child Care Support Service 10/06/17 to inquire what happened.
Thinking about Clinical Outcomes in Medicaid Journal of Ambulatory Care Management Journal of Ambulatory Care Management. ( 2016). Retrieved from http://journals.lww.com/ambulatorycaremanagement/Fulltext/2016/04000/Thinking_About_Clinical_Outcomes_in_Medicaid.9.aspx
Healthcare is often driven by consumers and insurance companies; there is strong pushes for insurance companies to start paying better through Patient Care Medical Homes (PCMH) or Accountable Care Organizations (ACO) rather than paying at a per-visit basis (Hamlin, 2015). With PCMH or ACOs payment is made on a continuum of care, encouraging the provider to be involved in all aspects affecting health of the patient (Derksen, & Whelan,
Thinking about Clinical Outcomes in Medicaid Journal of Ambulatory Care Management Journal of Ambulatory Care Management. ( 2016). Retrieved from http://journals.lww.com/ambulatorycaremanagement/Fulltext/2016/04000/Thinking_About_Clinical_Outcomes_in_Medicaid.9.aspx
The Patient-Centered Outcome Research has shown favorable evidence that the PPACA is accomplishing its goal of patient-centered care and better outcomes. The research is of interest to insurers and other researchers. Although the research is in its infancy the PPACA has shown an improvement in patient-provider relationships.
Objective – just like in the military, business operations need to have a clear sense of direction and a set of goals to be achieved within a particular pre-determined time. For example, open two new branches within five years.
As Bourdieu pointed out, “no cultural product exists by itself, i.e., outside the relations of interdependence which link it to other products” (Bourdieu, 1993: p. 32). These goods are also produced under specific conditions, not in a vacuum. This assumption is valid to art, literature, but also to journalism as a massive cultural production, like Bourdieu and other authors had demonstrated (Benson & Neveu, 2005; Benson, 2006; Bourdieu, 1994; English, 2015; Marlière, 1998; Murrell, 2015; Schultz, 2007). Thus, cultural products are entangled in a net knitted by different players, with diverse –even opposite- interests, forces, and strategies struggling to dominate what Bourdieu had called the field.