You are the nursing representative on a working group that is providing advice to a Maternal and Child Health Centre on implementing a program designed to prevent infant sleep problems and postnatal depression. You volunteer to search the literature and find the following article:

Hiscock, H., Cook, F., Bayer, J., Le, H. N., Mensah, F., Cann, W., Symon, B., and St James-Roberts, I. (2014). Preventing Early Infant Sleep and Crying Problems and Postnatal Depression: A Randomized Trial. Pediatrics, 133(2), e346-e354. doi: 10.1542/peds.2013-1886

You wonder if the article is any good and whether the approach they take would be useful and suitable for your Maternal and Child Health Centre.

The aim of this assignment is for students to critically appraise a selected published randomised controlled trial (RCT) and to apply what is found to a clinical scenario. Students are required to complete the following activities.

Summarise the provided study using the PICOT framework

Critically appraise the validity of the study using an established framework • Explain the primary study results
Relate appraised study evidence to the clinical scenario

Memo
(Individual)
Unit 4
150 points

You are the Chief Operating Officer of a large healthcare system, composed of acute, long term care, and community based organizations in addition to long term care managed care plans. Given your current studies in health policy and management, the Chief Executive Officer of this large healthcare system has requested that you prepare a high-level briefing for the system’s Board of Directors in which you describe: (a) factors that have contributed to dramatic growth in health care spending over the past 50 years; and (b) how health care payment and delivery models are transforming to promote greater accountability for cost and quality in the health care system. Please conclude your memo with your analysis of the most promising approaches for constraining cost growth while maintaining or improving quality, as well as the limitations or open questions that accompany new reimbursement and delivery models that are intended to promote “accountable care.”

The memo must be four pages in length. Please include references to course readings as well as any relevant outside sources that support your analysis. Citations and a references page (not included in page length) are required. **You must use a recognizable memorandum format for this exercise—and it is recommended that subject areas be segmented using sub headers. Include your institution’s logo on the first page of the memo (fictitious). Be creative.

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