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Steps you might recommend as a healthcare administration leader

The year is 2010 and you are a healthcare administration leader for a large HSO that delivers healthcare in an urban setting across a network of several hospitals, acute care centers, community clinics, and independent physician offices. The Patient Protection and Affordable Care Act (PPACA) has just been signed into law and the board has called an urgent meeting to go over the provisions of the PPACA and to determine how it might affect the HSO and associated network. After meeting for several hours, the board has proposed that you write a brief on the implications of the PPACA on the HSO, including outlining recommendations on what the HSO will need to do to adhere to PPACA guidelines.

For this Assignment, consider how the implementation of the PPACA might affect HSOs. Think about what recommendations a healthcare administration leader might make to ensure that PPACA implementation is ensured for a HSO. Be sure to research and identify three peer-reviewed resources to support your work.

Describe two policy recommendations you might make for your health services organization and explain why these recommendations are important for PPACA implementation.

Explain what steps you might recommend as a healthcare administration leader to ensure that your health services organization will address the implications of PPACA.

Sample Solution

Carrying a lit candle, we learn that “she has light by her continually”. This is a stark juxtaposition to earlier imagery which appeared to shroud Lady Macbeth in darkness, showing a real development in her character and highlighting her withdrawal from the forces of evil. Her sleepwalking is accompanied by a delusional belief that her hands are stained with blood. An unambiguous reference to her own unforgivable crimes, she appears fixated entirely on cleansing herself of sin, and exclaims “Out damned spot!” in desperation. In a jumbled and almost incoherent string of exclamations she recalls the many bloody deeds committed by both Macbeth and herself. She appears particularly focused on the murder of Duncan, wondering incredulously “Who would have thought the old man to have had so much blood in him?” The references to blood, and particularly the blood of the slain King, draws parallels to earlier scenes where Lady Macbeth insisted on the impermanence of their guilt. Only now does she finally admit the weight of their actions and the long-term consequences they will have. She echoes the words of Macbeth following his murder of Duncan in claiming that “all the perfumes of / Arabia will not sweeten this little hand”. Undeniably, Lady Macbeth has changed entirely and bares almost no resemblance to her earlier portrayal. Whether or not we believe her crimes to be forgivable, it is clear that she has begun to atone for them, and this is the most important step on the path to redemption in my opinion. We learn of Lady Macbeth’s death soon after her final scene, apparently committed “by self and violent hands”. Her suicide shows a woman who is truly broken, no longer able to live with her terrible guilt. There is a stark contrast here between the manners in which Lady Macbeth and her husband meet their demise, while Lady Macbeth takes her own life, Macbeth refuses outright to “play the Roman fool”. In many ways this shows a role reversal between the two, with Lady Macbeth, once appearing cold and unfeeling, now allowing her emotions to control her and the originally hesitant and honourable Macbeth now portrayed as a stoic and ruthless tyrant. In this way I believe that it is an unfair assessment to present Lady Macbeth as simply a merciless opportunist. While she may begin this way, she shows her true colours in later scenes and appears truly repentant. Similarly, Macbeth, although possessing many positive traits that help to redeem him, is more than capable of wickedness and, unlike his wife, appears to grow daily in his capacity for wrongdoing.

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