You have just been hired as the Director of strategic planning for a health plan that insurers 30% of the residents in a metropolitan area of 500000. Most of those insured by the health plan are employed by large companies in the metropolitan area, and these companies pay for their employees health insurance. The health plan leaders and the employer's both recognized that their business model depends on their success in addressing behavioral risk factors that play a critical role in the prevention and management of chronic diseases caused the containment of healthcare costs, and the enhancement of employee productivity.

In your new role you are asked to create a comprehensive plan for addressing these behavioral risk - by improving both the clinical care provided and the plans Community - based efforts. Specifically, you want to develop strategies to reduce the level of tobacco use, unhealthy diet, and physical inactivity. And constructing your plan, consider the following questions:

1. What mix of intervention would you need to consider that might change in Rowley Behavior, provider behavior, and Community policies and environments and maximize the cost - effectiveness of this plan?

2. What is the evidence that these interventions would work?

3. What would be the implementation challenges of the plan?

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Part 2

The Commissioner of Health in a large, mostly Urban County has secured your services as a consultant to identify strategies to meet the needs of the growing Refugee population legal Lees settling in her region. The refugee is a person who has fled from his or her home country and cannot return because of a Well -founded beer of persecution based on race, religion, nationality, political opinion, or membership in a particular social group. The commissioner of Health has at her disposal both federal and state resources and good relationships with call Lee from other County agencies, such as planning, Transportation, education, agent, and so on.

As a consultant, you have been asked to propose a coordinated plan to use existing resources and relationships to better serve the needs of growing Refugee population. When considering your plan be sure to address the following questions:

1. What type of information would you collect, and how would you use it?

2. Who else would you engage in developing a plan?

3. How would you ensure that the refugees population has access to existing and new services?

4. Explain how your plan will meet the immediate and long-term needs of this group as part of an improved system of healthcare and Social Services.

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Part 3

You have just been promoted to work as an assistant to the CEO of a large, partially integrated Healthcare delivery system. Your first assignment is to identify several innovative ways to improve health system quality, control costs, and maximize access 2 care of citizens in your community. Opportunities exist improve physician - Hospital alignment and to promote more integrated care across health system entities. Draft a memo to your CEO that answer the following questions:

1. What are the innovative ideas that your health system could Implement to meet Improvement goals around cost, quality, and access?

2. What Innovation or Innovative idea is the most critical to ensure the health system achieved its goals?

3. What Innovation will be the most difficult to achieve? Why?

4. Will the implementation of these innovative ideas improve health system performance?