Demographic information

Include the following information – use bullet format with complete sentences as appropriate.

  • Age
  • Gender
  • Ethnicity
  • Marital status
  • Education level
  • Profession
  • Health insurance status

o     Health insurance through employment?

o     Market Exchange of ACA?

o     Medicaid or Medicare?

o     PPO?

o     HMO?

o     Co-pay fees?

o     Limited coverage?

2. Description of health care issues

Describe in complete sentences and paragraphs the issues this person has had or is having with his/her health care services.  This may include concerns related to access and/or benefits of health insurance or to problems with health care services (physician, group practice, or hospital/medical centers).  Be concise.   (Do not write a medical history of the individual.)

3. Federal resources and rationale

Federal resources: U.S. Department of Health & Human Services (DHHS) or any .gov site used in class or for Assignments (such as www.healthit.gov).

  • Go to:http://www.hhs.gov/secretary/about/appendixa.html

Scroll down to “Operating Divisions”

Read the Mission and explanation of each of the 11 Divisions of DHHS under “Operating Divisions – text version” or click on each of the Division boxes to access the same information.

1)      Identify at least one DHHS resource or agency or .gov site to address the issues identified by the person interviewed. (DO NOT USE AHRQ)

List the name and website address of the resource or agency.

2)      Provide a rationale (at least a paragraph) as to why the resource or agency identified may be suitable to address the issues.

4. State resources and rationale

State resources: New Jersey Department of Health (NJDH)

  • Go to:http://www.state.nj.us/health/about.shtml

State Agencies

1)      Identify at least one NJDH resource or agency to address the issues identified by the person interviewed.

List the name and website address of the resource or agency.

2)      Provide a rationale (at least a paragraph) as to why the resource or agency identified may be suitable to address the issues.

5. Strategies based on application of knowledge gained in this course

Based on knowledge gained in this course, list 3 strategies that may assist the person interviewed with his/her situation:

 
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