Author Question: The team has reviewed several research studies regarding treatment of pancreatitis in older adult ... (Read 108 times)

RRMR · **on:** Jul 8, 2018

The team has reviewed several research studies regarding treatment of pancreatitis in older adult women. One intervention is found to be particularly effective, but it requires a specific piece of expensive equipment and complex provider training.

In which part of the FAME framework does this intervention score poorly? 1. F
2. A
3. M
4. E

Question 2

If you were explaining Medicare and Medicaid, which of the following statements would you include? Select all that apply

1. Medicare is funded by the state and federal government.
2. Poverty levels impact enrollment in Medicaid.
3. The Affordable Care Act of 2010 has had an impact on Medicare and Medicaid.
4. Social security payments impact Medicare.
5. DRGs were developed to improve Medicare reimbursement.

canderson530 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

1
Explanation: 1. F stands for feasibility and determines if the evidence is immediately practicable or if it requires extensive training and resources. Some evidence is also found to be impracticable. The evidence in this scenario falls in the middle to lower range.
2. A stands for appropriateness. Appropriateness concerns the ethics of using the evidence or intervention. There is no information to suggest that this intervention is not ethical.
3. M stands for meaningfulness. The standard ranges from evidence that provides a rationale for practice development to evidence that is unlikely to make sense to practitioners. This intervention is effective and there is no evidence that the rationale for using it is not clear.
4. E stands for effectiveness. The standard ranges from extensive validation with limited contradictory findings to concepts that need development. There is no indication that this intervention would score poorly on this rating.

Answer to Question 2

2, 3, 4
Explanation: 1. Medicaid is funded by state and federal government, not Medicare.
2. The poverty level has an impact on who can enroll in Medicaid, with those below the poverty level given more access.
3. The ACA had had an impact on Medicare and Medicaid, for example Medicaid has expanded in some states and some provisions related to required covered services also apply to Medicare and Medicaid.
4. Social security payments fund current Medicare expenses.
5. Diagnosis-related groups was developed for Medicare reimbursement.