need help with those discussion

QUESTION 1-Post a brief analysis about how the social and economic determinants impact rural population health. Then describe, as an administrator, how you would propose altering the services and programs within your facility to support creating and sustaining a healthier rural community.

My father asserted that there was no better place to bring up a family than in a rural environment…. There’s something about getting up at 5 a.m., feeding the stock and chickens, and milking a couple of cows before breakfast that gives you a lifelong respect for the price of butter and eggs.

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—Bill Vaughan (as cited in Sutherland, 2009)

Rural is a way of life for many. The rural population is now close to 3.4 billion around the world (United Nations, 2014). In the United States alone, 60 million people, or 19.3% of the population, live in rural areas (U.S. Department of Commerce, n.d.-b). Although the list of social and economic determinants may not change between rural communities and inner cities, the impact upon the populations may have a significant difference. For example, consider that you are a health care administrator in a rural health care facility, and your facility is two hours away from the major referral health care delivery system. How can you ensure that you provide consistent, patient-centered and effective wellness and emergency care?

To prepare for this Discussion, review the Learning Resources in Weeks 4 and 5. Consider how the social and economic determinants may impact the health care facility.

QUESTION2- Post a brief description of your selected Accountable Care Organization and a program within that organization that promotes population health initiatives. Evaluate the program’s effectiveness in promoting population health initiatives. Then, within that program, evaluate best practices that promote population health within the community. In your explanation, consider the following:

  • What seems to be working?
  • Have they addressed any barriers?
  • Every year, you may hear more and more about Accountable Care Organizations. Generally referred to as ACOs, these are groups of doctors, hospitals, and other health care providers that come together voluntarily to give coordinated high-quality health care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors (Centers for Medicare, 2015). As a health care administrator, you must ensure that you understand the various types of health care organizations available for your facility, your employees, and your patients.For this Discussion, you examine Accountable Care Organizations and the programs that are supported by them, as well as best practices used by these programs in the effort to guarantee high-quality care to their Medicare patients.To prepare for this Discussion, select an Accountable Care Organization and a program that is mapped to that ACO. Evaluate one of the program’s best practices that have been and continue to be effective at promoting population health.

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