NURS 8100 Issues in Health Care Reform (Interview)

NURS 8100 Issues in Health Care Reform (Interview)

Potential Challenges with the Health Reform

We discussed the potential challenges of enacting mandatory nurse staffing ratios and approaches to address them with Rep. Greenwood. I explained that the main shortcoming of the health reform is that health organizations will be mandated to increase the number of nurses without getting increased reimbursement for patient care. Besides, the costs of hiring additional nurses needed for the increased mandated ratios will not be compensated by additional payments to health organizations (de Cordova et al., 2019). This will lead to unfunded mandates. Fortunately, the challenge can be addressed by providing a market-based incentive to healthcare organizations to improve nurse staffing levels (de Cordova et al., 2019). This will separate nursing care from the current room and board charges and adjust healthcare payments for optimum nursing care.

Preventative screening for chronic diseases gives individuals clarity and a sense of security, protecting them, and allowing them to live a longer, healthier life. To achieve this, the word needs to be spread about these wonderful immunizations and screenings. One way to do this is by creating a patient profile. This patient profile would be essentially a portal with all of their medical info, immunizations, medical history, and family history. This patient portal will remind them of the dates to be tested. For example, every year a woman should have a pap smear. It will alert them when it is needed, while also showing various health centers near them. Another example would be when their immunizations expire, such as the Tdap and tetanus shots. Based on family history, it would alert you at certain ages to be tested or screened for cancer. For example, if you have a history of breast cancer, should be tested at 30 and every year after. There is a lot of information out there and it tends to get lost in translation. This app or patient profile helps track and keep your medical history up to date.

According to the AACN (2006), “Political activism and commitment to policy development are central elements of professional nursing practice” (p. 13). Throughout this course, you will hone the skills and competencies required for this type of involvement in policy.

Interviews are one type of research that can serve as a helpful source of knowledge. Research is an important element in the process of developing skills and competences. As a result, this Assignment (which you will begin this week and complete by the end of Week 9) allows you to choose a health reform problem of interest and debate it with a state or national lawmaker (or their aide).

NURS 8100 Issues in Health Care Reform (Interview)

Thank you for your informative discussion this week addressing unintended consequences of health care reform with a focus on accountable care organizations. This response will expand on your posting based on additional research.

Cost as you mentioned is a determinant for a health care reform historically and also in the current times. ACOs offered a hopeful solution to better health care. According to Kaufman, Spivack, Stearns, Song & O’Brien (2019), ACOs have contributed to less patients going to the emergency rooms, and more preventative care especially for those who suffer from chronic diseases with occasional exacerbations.

Another research done by Ouayogodé, Mainor, Meara, Bynum, Colla, (2019), validated the role of ACO in health care management and coordination. ACOs have proved to transform primary care and decreased fragmented health care that has been existence for a long time. This has especially affected those who have complex health care needs requiring different clinicians to provide care. Although ACOs may not be perfect, clinicians are offered incentives to help improve care coordination which in turn leads to decreased overall spending.

References

Kaufman, B. G., Spivack, B. S., Stearns, S. C., Song, P. H., & O’Brien, E. C. (2019). Impact of Accountable Care Organizations on Utilization, Care, and Outcomes: A Systematic Review. Medical Care Research and Review, 76(3), 255–290. https://doi.org/10.1177/1077558717745916

Ouayogodé, M.H., Mainor, A.J., Meara, E., Bynum, J.P.W., Colla, C.H. (2019) Association Between Care Management and Outcomes Among Patients With Complex Needs in Medicare Accountable Care Organizations: JAMA Network Open, 2(7). https://doi:10.1001/jamanetworkopen.2019.6939

To get ready:

Choose a state or national politician or assistant to question about current health care reform issues (state representative or lawmaker, senator, congressman, governor, etc.).
Request a meeting with the individual’s office as soon as feasible. Remember that getting on their calendar may be challenging, so plan ahead of time. The interview might take place either in person or over the phone.
Before the interview, consider the following question: What health-care policy problem is most important to me?
What issue do I wish to bring to this person’s attention?
With this in mind, prepare a list of interview questions focusing on your selected health policy problem. You might also want to include the following questions about health care reform:
In terms of health-care reform, what are your constituents most concerned about?
What are the costs and benefits of the recently passed health-care reform legislation?
Week 9’s seventh day

To finish:

Write a three- to four-page report summarizing and analyzing the interview and the health-care reform themes you discussed.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS:NURS 8100 Issues in Health Care Reform (Interview)

Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in-text citations and reference list are correct. Due by Day 7 of Week 9.

Week in Review

This week, you reviewed health-care reform-related concerns and analyzed significant health-care reform legislation for good outcomes and potential unintended repercussions.

You will study the process of developing health care policy beginning with agenda setting and the policy proposal next week.

NURS 8100 Issues in Health Care Reform (Interview)

To the following week:

Week 3

Assignment 1: Health Care Reform Issues Interview

LOs for the program: 4, 5

4: Professions/Partners

5: Good Communicators

DNP Requirements: 5, 6

5: Healthcare Policy for Healthcare Advocacy

6: Improving Patient and Population Health Outcomes Through Interprofessional Collaboration

(To view the table, scroll below.)

ASSIGNMENT PROMPT

Target

5 points

Acceptable

3 points

Unacceptable

1 point

Score/Level

Health Care Reform Interview

Part 1:

Define and discuss your list of questions used for the interview around your selected health care reform issue.

Program LO: 4, 5

DNP Essential: 5, 6

Exemplary quality.

Uses advanced critical thinking skills; does not summarize or paraphrase the content of the literature review; instead, demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about

Meets all requirements for LOs 4 and 5.

Exceeds expectations regarding Essentials 5 and 6.

Well-executed, high-quality work.

Content is of professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; includes some summarizing or paraphrasing of the literature review; demonstrates content mastery through examples and/or personalized reflections on the content of the literature review; demonstrates an applied level of understanding through personalized reflections on the content area. It meets all requirements for graduate-level work.

NURS 8100 Issues in Health Care Reform (Interview)

Meets expectations for LOs 4, 5.

Meets expectations for Essentials 5, 6.

Superficially developed, unacceptable quality.

Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50% of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Does not meet expectations for graduate level work.

Insufficient to meet expectations for graduate work.

for LOs 4, 5.

Insufficient Essentials 5, 6.

Part 2:Write a 3- to 4-page paper providing a summary and analysis of the interview and the health care reform issues you discussed (may include social, political, economic, ethical concerns)

Program LOs: 4, 5.

DNP Essential: 5, 6.

Exemplary quality.

Content is of a professional portfolio quality; addresses questions/issues discussed in the interview; the summary and analysis applies advanced critical thinking skills; does not summarize or paraphrase the content of the literature review; instead, demonstrates content mastery using examples of and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work. Fully meets expectations for LOs 4 and 5.

Fully meets expectations for Essentials 5 and 6.

Well-developed good quality work.

Content is of a professional portfolio quality; addresses about 80% of the major subsections in the assignment using adequate critical thinking skills; includes some summarizing or paraphrasing of literature review; demonstration of content mastery using examples of and/or personalized reflections about the content of the literature review; demonstration of an applied level of understanding through personalized reflections about the content area. It meets expectations for graduate level work.

NURS 8100 Issues in Health Care Reform (Interview)

Meets expectations for LOs 4, 5.

Meets expectations for Essentials 5, 6.

Superficially developed, unacceptable quality.

Insufficient to meet expectations for LOs 4, 5.

Insufficient to meet expectations for Essentials 5, 6.

Part 3: References and APA requirements

The majority of references are from scholarly journals, supports the topic well, and are current. Paper stays within page requirements. APA format used correctly throughout.

Excels in meeting expectations for graduate level work.

Most references are from scholarly journals and support the topic. Most references are fairly current. The paper stays within requirements. APA format used with minimal errors.

Meets expectations for graduate level work.

References are not sufficient or are mostly from the lay literature or out of date. The paper is either too long or too short. Weak writing quality and/or little evidence of correctness of APA format.

Does not meet expectations for graduate work.

Assignment:

To prepare:Identify a state or national politician (state representative or legislator, senator, congressman, governor, etc.), or aide, whom you would like to interview regarding current issues in health care reform.
As soon as possible, contact the individual’s office to request a meeting. Keep in mind that it may be difficult to get on their calendar, so plan accordingly. You may conduct the interview in person or by phone.
In advance of the interview, ask yourself:
What health care policy issue is important to me personally?
What issue do I want to bring to this person’s attention?
Develop your list of questions for the interview around your selected health policy issue. In addition, you may wish to include questions related to health care reform:
What are your constituents most concerned about regarding health care reform?
What are the trade-offs associated with recent health care reform policy?

Learning Objectives

Students will:

Evaluate the involvement of professional nursing organizations in health policy
Explain how professional organizations could support a policy proposal/recommendation

NURS 8100 Issues in Health Care Reform (Interview)

By Day 7 of Week 9

To complete:

Write a 3- to 4-page paper providing a summary and analysis of the interview and the health care reform issues you discussed. Part 1 (5 points), Part 2 (5 points), Part 3 (5 points). Total points= 15 maximum