06 Jan Include at least three

NUR4837 Healthcare Policy, Advocacy, and the Political Process

Unit 2 Assignment 1

Influencing policy at the community level

Sphere of influence: The Community

Choose one of the two options to explore how to impact one’s community. Have fun with this ~ Be creative! Explore the literature and support your ideas with scholarly sources/supporting literature.

This should be a 1-2 page paper with at least 2 references that support your ideas.

CHOICE 1: You are completing a clinical rotation in a small community agency that provides services to pregnant women or women with children under the age of 3 in an urban area of the southern United States. The racial composition of the community is 78.1% white, 9.6 % African American, 8.0% Hispanic, 0.3% American Indian/Alaska Native, 2.0% Asian, and 2.0% other.

In 2009, 110,800 women of child-bearing age resided in the county with 5,300 total births.

Recently you and your fellow students learned that current statistics for the county reveal that from 2016 to 2018, the infant mortality (number of deaths per 1000 live births) rate was 8.2%; an increase from 6.5% in 2005-2007. For African Americans, the rates were 10.0% in 2015 to 2017 and increased to 14.4% in 2016 to 2018.

The local Healthy Start agency confirms that these data are accurate for the community. In fact, based on a review of deaths by the coroner, in the last year, the major causes of neonatal and infant demise were low birth weight, babies sleeping in bed with an adult (roll over/unintentional deaths), and SIDS.

Task: You and your peers decide to take action. With the assistance of the staff from the agency and your nursing faculty, you decide to develop a community awareness campaign.

1. Name your campaign.

2. Identify community partners to help with your campaign.

3. Identify the stakeholders.

4. Name the resources you will need.

5. Establish a task list.

6. Assign responsibilities.

7. Define a timeline.

8. Describe an evaluation process ( you may want to review some ways healthcare organizations evaluate implementing change).

You will be evaluated on:

1. Your ability to creatively engage the interest of the community by the name of the campaign……………………………………………..…..10 pts

2. Your understanding of the community partners and stakeholders needed to ensure success of your cause …………………………….30 pts

3. Your ability to cite the extent of the resources needed and the time frame to develop the community awareness campaign…..20 pts

4. Your knowledge of the steps involved in evaluating the success of your campaign or what is needed to improve in the future..40 pts

CHOICE 2:

Task: You are going to design a health system that addresses a specific health care problem and implements a significant component of Patient Protection and Affordable Care Act (PPACA). (For this assignment, you may incorporate Box 13-2, “Six Drivers of High Performance Health Care Systems” into your responses.)

1. Choose a health care problem.

2. Choose a community, or select an age group most impacted by the problem.

3. Design a Medical Home (Health Home) for patients identified in #2.

4. Who is the current primary care provider and why?

5. Who is the primary care provider in your Medical Home (Health Home) and why?

6. What specialists currently are needed, and what is the accessibility?

7. How will specialists be handled in your Medical Home (Health Home)?

8. How is access to medical information currently handled?

9. How will you ensure that clients have easy access to medical information in your Medical Home (Health Home)?

10. How will you inform the community about your Medical Home (Health Home)?

11. Who are the stakeholders you need to get on board?

12. What opposition do you project will occur with the opening of the Medical Home (Health Home)?

You will be evaluated on:

1. Your choice/development of a health care problem…………………………………….………………………………………….20 pts

2. Your ability to choose a community or select an age group most impacted by the problem………….…..20 pts

3. Your creativity to design a Medical Home (Health Home) for pts identified in #2 & to determine the following: …40 pts

• The current primary care provider and why you identified that person

• The primary care provider you select for Medical Home (Health Home) and why

• The specialists currently needed and the accessibility to the specialists

• How the specialists will be handled in your Medical Home (Health Home)

• How the access to medical information is currently handled

• How you will ensure that clients have easy access to medical information in your Medical Home (Health Home)

4. Your ability to engage the community by determining the following: ………………………………….. 40 points

• How you will inform the community about your Medical Home (Health Home)

• The stakeholders you need to get on board

• The opposition you project to opening the Medical Home (Health Home)

NUR4837 Healthcare Policy, Advocacy, and the Political Process

Unit 2 Assignment Midterm Assignment

Let’s look a bit closer at some of the “hot topics” for nurses in the workplace and the workforce as these areas are facing some significant changes in the near future ~ the need for change in these areas are being driven by the patient outcomes and financial impact. Many of us are resistant to change because we don’t know what it may bring ~ but things are changing ~ So, let’s embrace it! However, let’s look at some strategies to bring about change in an orderly fashion in the workplace.

We will be reading a bit more about innovations to address areas facing changes as the semester goes on . Some of these include the emergence of new models of care such as telemonitoring/telehealth, and the emerging role of the advance practice nurse. Additional topics are violence in the workplace and staffing ratios are being discussed at every level.

Your midterm assignment will be looking at a the implications of policy and politics in the workplace from the perspective of a budding nurse activist regarding ONE of the following issues:

Intersection of technology and healthcare ~ implications to policy & practice (ch. 71)

Advocating for Nurses Injured in the Workplace (ch. 65)

Increasing the numbers of Advance Practice Nurses (ch. 66)

Influencing the Workplace by Serving on a Hospital’s Board of Directors (ch. 57)

Financial pressures/Value-driven healthcare and the implications to the nurse (ch. 56,58,63)

Initiative directed at retaining the current nursing workforce/Nursing workforce development programs

Nursing staffing ratio debate (ch. 62)

Implications to the community’s health and the role of the nurse in rural health care (ch. 61)

You will be speaking from the perspective of the nurse’s role in addressing the issue:

1. Clearly identify why this is a hot topic

2. After researching the issue, what have you identified as a potential solution to this issue? Please support your choice with quality, peer reviewed references.

3. How would you suggest that the potential solution be implemented? What legislation should be passed/ is being proposed to address this? This can be on at the institutional level, the local level, the regional/state level, or at the national level (Use the guidance given in Chapter 64: Collective strategies for change in the workplace.)

4. What do you see as the primary obstacles in implementing your proposed strategy to address the issue?

5. How would you measure success of your implementation strategy? (Include key players and timeline)

This should be no longer than a 3 page proposal ~ it does not need to meet APA formatting requirements in layout, however it does have to have at least 3 peer reviewed journal references that are < than 3 yrs old. These references should be identified in APA format with corresponding in-text citations (but you're old pros at this!) NUR4837 Healthcare Policy, Advocacy, and the Political Process Unit Assignment 3 Health care reform Assignment 3: Exploring Health Care Reform The idea of "insurance for all" resulted in healthcare reform. You'll have an opportunity to review in a small way what this reform entails and the implications of signing up for insurance through the "market place" ~ Choose a state, but understand the implication of reform can be different from state to state! The other side of the coin is what is going on in the current administration ~ In June, President Trump signed an executive order to make health costs more transparent~ I have included reviews from CBS news and Keiser News ~ they don't necessarily see eye to eye on this issue... President Trump signed an executive order Monday requiring the cost of health care procedures to be published before patients receive the services, a sweeping overhaul of the health care industry, if implemented. Take a look at Keiser News and tell us what you think: https://khn.org/morning-breakout/proposal-to-force-insurers-hospitals-to-disclose-secretly-negotiated-prices-stirs-such-vocal-opposition-it-may-get-dropped/ (Links to an external site.)Link (Links to an external site.) Access the Website http://www.healthcare.org/ and (Links to an external site.)select the state in which they will reside and seek employment. Based on these sites, answer the following questions: 1. What does the Website reveal about health insurance in the state? 2. What is listed about general health statistics of population in the state? 3. What is the state’s health ranking? 4. Does the ranking have any correlation to health insurance? 5. What are the health highlights? 6. What health statistics surprise you? 7. Would you be able to access a health insurance price quote? If yes, what guidelines are provided? If not, why not? 8. List the state legislator(s) that sit(s) on the health committee. 9. What is the state’s position on health care reform? What is/was the support for reform? Is the debate ongoing? 10. What do you anticipate will be the influence of health care reform on your practice in this state? Give your overall opinion of what you have researched. NUR4837 Healthcare Policy, Advocacy, and the Political Process Unit 4 Assignment Final Assignment Emerging Infectious Diseases Please select an emerging infectious disease that is of concern in your community and answer the following questions in a scholarly paper: 1. Name the disease, its cause, and how it is transmitted -include citation that supports information 2. What is the surveillance process and reporting mechanism? -include citation that supports information 3. Are all areas of the community equally at risk? -include citation that supports information 4. What are the public health policies pertaining to the disease? -include citation that supports information 5. How is the community involved in prevention, marketing information, and teaching? -include citation that supports information 6. If you were employed in an acute care setting, what are the implications for practice? -include citation that supports information 7. What changes would you suggest in public health policy or procedure to address the issue?- -include citation that supports information This scholarly paper should include: The paper format should be approx. 3-5 pages (not incl. title page, reference list), APA 6th Ed. formatted Include at least three scholarly sources, no older than 4 yrs. (at least one needs to be a peer reviewed journal) Prepare a reference list of all resources and websites used in your research using APA 6th ed guidelines (please note: IF you include them in your reference list, you must cite the source in your paper) ~ No abstract needed Limit of 1-2 direct quotations per paper Citations should be a paraphrase of of the information with a properly formatted citation at the end example: (Steury, 2019). If you copy and paste text without quotations and a proper citation it is considered plagiarism I will not look at your paper if your TurnItIn report is above 30% (if your report is above 30% fix it before the due date and resubmit it)