Pay for Performance (P4P)
The U.S. healthcare system has been criticized for high-cost, inefficacy, and issues on quality. P4P is an approach used to provide incentives to physicians and health care provider organizations to achieve improved performance by increasing quality of care and reducing costs.
Write a three- to five-page double-spaced paper (excluding title and reference pages), addressing the following:
Define the challenges in designing a Pay for Performance (P4P) program.
Discuss the impacts of P4P on provider payment reform.
Describe the health care providers’ reactions to Value-Based Purchasing Programs.
Determine the benefits of P4P on patients.
The Pay for Performance (P4P) assignment
Must be three to five double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center. (Links to an external site.)Links to an external site.
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must include an introduction and conclusion (Links to an external site.)Links to an external site. paragraph.
Must use at least three scholarly, peer-reviewed, and/or other credible sources in addition to the course text.
The Scholarly, Peer Reviewed, and Other Credible Sources (Links to an external site.)Links to an external site. table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment. Be sure to integrate your research (Links to an external site.)Links to an external site. rather than simply inserting it.
Must document all sources in APA style as outlined here (Links to an external site.)Links to an external site. and here (Links to an external site.)Links to an external site..

Details:In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to LopesWrite.
Case Study 1Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”
Laboratory values are as follows:Hemoglobin = 8 g/dlHematocrit = 32%Erythrocyte count = 3.1 x 10/mmRBC smear showed microcytic and hypochromic cellsReticulocyte count = 1.5%Other laboratory values were within normal limits.
QuestionConsidering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.
You are required to submit this assignment to LopesWrite.Rubic for case 1
80.0 %Content
40.0 %Accurate identification of anemia classification and rationale.Identification of anemia classification and rationale is not offered.Identification of anaemia classification and rationale is offered, but incomplete, lacking relevant information, such as rationale.Identification of anemia classification and rationale meets the basic requirements of the assignment.Identification of anemia classification and rationale is offered in detail.Identification of anaemia classification and rationale is offered in detail, while demonstrating evidence of deeper insight and/or reflection.
40.0 %Explanation of patient diagnosis with rationale from case findings. Outside sources and/or medical and nursing references used to support conclusions.Explanation of patient diagnosis is not offered.Explanation of patient diagnosis is offered, but incomplete, lacking relevant information, or does not provide outside sources and/or medical and nursing references to support conclusions.Explanation of patient diagnosis uses outside sources and/or medical and nursing references to support conclusions, and meets the basic requirements of the assignment.Explanation of patient diagnosis uses outside sources and/or medical and nursing references to support conclusions and is offered in detail.Explanation of patient diagnosis uses outside sources and/or medical and nursing references to support conclusions and is offered in detail, while demonstrating evidence of deeper insight and/or reflection.15.0 %Organization and Effectiveness
5.0 %Thesis Development and PurposePaper lacks any discernible overall purpose or organizing claim.Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.Thesis and/or main claim are apparent and appropriate to purpose.Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of arguments and appropriate to purpose.Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.5.0 %Paragraph Development and Transitions
Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.A logical progression of ideas between paragraphs apparent. Paragraphs exhibit unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice, sentence structure, and/or word choice are present.Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.5.0 %Format
2.0 %Paper Format(1- inch margins;12-point-font;double-spaced;Times New Roman, Arial, or Courier)Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present.Template is fully used; There are virtually no errors in formatting style.All format elements are correct.3.0 %Research Citations(In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)No reference page is included. No citations are used.Reference page is present. Citations are inconsistently used.Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.In-text citations and a reference page are complete. The documentation of cited sources is free of error.100 %Total Weightage

Challenges at the workplace not only affects the employees’ performance but also the overall organizational ability to fulfil its primary goals. Evidence from recent research studies show that workplace challenges are the main reason for the intention to leave and the subsequent high employee turnover in organizations (Avey et al. 2009; McNall et al. 2009; Samuel &Chipunza, 2009). However, as Mowday, Porter & Steers (2013) note, challenges vary across organizations and careers. Within the healthcare sector, one of the most challenging work environment, physiotherapists play a major role in implementing health plans and offering services that are critical for the social well-being. Physiotherapists provide primary health care by remediating disabilities and impairments, which promotes functional ability, mobility, movement potential and quality of life by examining, evaluating, diagnosing and making physical interventions (Goyal &Jandyal, 2014). Physiotherapy is a diverse professional career that includes specializations in areas like neurology, pediatrics, sports, cardiopulmonary, wound care, orthopedic and geriatrics. Given their critical role in providing the critical rehabilitation services, Goyal &Jandyal (2014) strongly recommends for their inclusion in the implementation of the organizational goals within the healthcare setting. In this section, the existing empirical and conceptual evidence on the challenges that physiotherapists face and how they affect performance and the intention to leave is reviewed with the aim of identifying the existing research gaps and establishing new knowledge………………………………………

Suppose the scores x on a college entrance examination are normally distributed with a mean of 550 and a standard deviation of 100. A certain prestigious university will consider for admission only those applicants whose scores exceed the 90th percentile of the distribution. Find the minimum score an applicant must achieve in order to receive consideration for admission to the university.