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MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 1 Discussion

Discussion Topic: Introduction and Policy Involvement

Please introduce yourself and describe how you, as an advance practice nurse, could be involved in the political system. Describe any involvement that you have had. If you have not had any involvement, describe an area in which you would like to see public policy changed.

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 2 Discussion

Discussion Topic: Polypharmacy and Policy

The incidence of PolyPharmacy, or the use of five or more medications on a daily basis, is common in the US particularly among the elderly population. It occurs for a variety of reasons, including the need to treat multiple conditions, the patient obtaining treatment from numerous physicians, and a lack of communication among those physicians about medications prescribed. PolyPharmacy increases the risk of adverse drug effects and increased costs to patients. Formulate a policy to reduce the practice of multiple drug prescriptions. What tools might be included in the design phase of the policy process to increase the probability of success? What research from other countries could be helpful in addressing this issue? Support your reasoning.

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 3 Discussion

Discussion Topic: Third-party Payment

How does third-party payment distort the market for health care? If it is so distorted why does every wealthy country insist on using third-party intermediaries to purchase health care? Why do we carve out a separate payment program for our elder citizens?

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 4 Discussion

Discussion Topic: Managed Care

In what way does managed care actually manage cost? Does it do so without diminishing the quality of care? If so, how does it accomplish this?

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 5 Discussion

Discussion Topic: Accountable Care Organizations Improve Quality of Care

How can the formation of Accountable Care Organizations improve quality of care and make providers more responsible for cost of care? Give an example of a study that has addressed coordination of care and has had documented success. Describe the study and its implications for care.

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 6 Discussion

Discussion Topic: Model Implementation

Describe a model that you might use to introduce a policy change of your choosing other than what you will address in the upcoming assignment. Why is it relevant to this policy change? How would you implement that model?

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 7 Discussion

Discussion Topic: Regulating Professional Practice

Compare the roles of state board of nursing with the role of professional organizations in regulating professional practice. What are the major methods of credentialing? List the benefits and weaknesses of each method from the standpoint of protecting the public and the protection of the professional scope of practice.

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 8 Discussion

Discussion Topic: Genomics and Genetics

Differentiate between genetics and genomics. From the perspective of your specialty area, articulate how nurses can be involved in policy making in the field of genomics. How can research in the field be tied to practice? Identify organizations that are open to nurses in the field of genomics.

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 9 Discussion

Discussion Topic: Policy Implications of Patient Safety Standards and Practices

Why is it important that health professionals share a common understanding of patient safety standards and practices? What are the policy implications from accepting that “mistakes are normal and all humans err”? How would you approach health care systems leaders or employers about changing employment policies related to punitive actions when errors occur?

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 10 Discussion

Discussion Topic: Global Health Agenda

What are some of the opportunities that are available to develop an interdisciplinary approach to the advance of the World Health Organization (WHO) global health agenda? Describe how the application of multiculturalism and diversity practices and policies can impact the organization you work in respect to those opportunities. Summarize what you have learned in this course to advance how the role of an advanced practice nurse can influence this global approach.

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 2 Assignment

Course Outcome covered in this Assignment:

MN507-1: Analyze U.S. healthcare policy structures and the role of the nursing leader as a change agent at the public policy table.

Directions

You will decide on a policy issue that needs to be addressed. You may choose a policy issue that interests you. Below are suggested topics for proposed policy change, however if you wish to address another topic please contact your instructor for approval:

Treatment of veterans after deployment and post-traumatic stress disorder (PTSD).

Cost of end of life care.

Costs of drugs in the United States as compared to other countries.

Quarantine of health care workers that have been exposed to communicable diseases.

Medical care for illegal immigrants.

Right to die with euthanasia methods.

Disclosure of medical records of pilots and other safety sensitive professionals and HIPAA violations.

Restrictions of roles of nurse practitioners and advanced practice nurses in certain states.

Health care reform.

Requirements of meaningful use to meet core measures.

ICD-10 issues.

Entry into practice issues.

Mandatory vaccination of children.

Allowing nurses educated in other countries to practice in the United States.

Faculty shortages in U.S. nursing education programs.

You will write a letter using professional business format to one of your Federal legislators outlining what the issue is and why it is important. The letter will address:

The current policy structure.

The need for the change.

The suggested change.

Cost implications if the change is implemented.

The role the nurse as a change agent will take at the policy table.

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 4 Assignment

Course Outcome covered in this Assignment:

MN507-2: Explore financial models of reimbursement and their effects on patients and health care providers.

Directions

For this Assignment, you will distinguish between Medicare and Medicaid. Your paper must include the following topics:

Provide a brief history of both Medicare and Medicaid.

Define the populations that they are intended to serve.

Determine whether your state has expanded Medicaid.

Articulate the reasons that states choose not to participate in Medicaid expansion.

Analyze your role in your specialized area of nursing practice when interfacing with Medicare and/or Medicaid recipients.

The word count for your paper, excluding the title page and references page, will be 800–1200 words. You must include a minimum of (5) different scholarly references.

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 6 Assignment

Course Outcome covered in this Assignment:

MN507-3: Align public policy options to meet the needs of various stakeholders.

Directions:

For this Assignment, you will create a slide and audio presentation in which you will present information to support the passage of HR 5223. You may use PowerPoint, Google Slides, or another presentation software of your choosing. Your audio presentation should put forth a convincing argument based on your research and should be designed as if you were addressing a group of legislators whose support you are trying to obtain.

Your slide and audio presentation must address:

A description of current risks that healthcare providers face from violence in the workplace.

Information from professional nursing associations which support your argument for minimizing the risk of violence in the healthcare setting.

Identification of a theoretical or regulatory model which would be applicable to the passage of HR 5223.

Identification of stakeholders who will benefit from the passage of HR 5223 and how they would benefit.

Potential barriers to passage of HR 5223 and how they can be overcome.

Include a minimum of 8 slides (not counting the title or reference slide).

Your slides should contain speaker notes, to assist in your audio delivery.

Your slides should be professional in appearance and tone, and reflect a thoughtful and meaningful application of your research to your argument. Speak clearly and convincingly. Your presentation should not be longer than 10 minutes.

You must include a minimum of (5) different scholarly references.

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 8 Assignment

Course Outcome covered in this Assignment:

MN507-4: Synthesize the effect that healthcare reform has on stakeholders

Directions

For this Assignment, you will examine the stakeholders impacted by the implementation of the Affordable Care Act (ACA). Your paper must include the following topics:

Differentiate between at least three groups of stakeholders impacted by the ACA.

Examine the financial impact of the ACA on each group of stakeholders.

Summarize benefits of the ACA on each group of stakeholders.

Summarize drawbacks of the ACA on each group of stakeholders.

The word count for your paper, excluding the title page and references page, will be 800-1200 words. You must include a minimum of (5) different scholarly references.

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 10 Assignment

Course Outcome covered in this Assignment:

MN507-5: Evaluate the role of health policy and organizational structure on quality improvement within health care environments.

Directions

For this Assignment, you will write a position paper in which you will choose and support a policy change which reinforces the role of the nurse as a leader in ensuring access to quality health care in developed and underdeveloped countries. You should approach this assignment from the perspective of your specialty track. Information which may be helpful in selecting a proposed policy change can be found in your textbook Health Policy and Politics: A Nurse’s Guide The word count for your position paper will be 1000 to 1600 words. You must support your work with at least eight scholarly peer reviewed articles. Your paper must include the following topics:

Current nursing issues related to globalization of healthcare

The proposed policy change

Agenda setting strategies (Process by which your proposal will gain attention of stakeholders and/or the public)

A model or theory that can be used to bring about the change

Design strategies

Implementation strategies

Evaluation strategies

Conclusion

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 1 Quiz

Question 1

When is your initial response to the discussion question due each week?

a) By Saturday of that week at 11:59 p.m.

b) By Friday of that week at noon

c) By Sunday of that week at 11:59 p.m.

d) By Tuesday of that week at 11:59 p.m.

Question 2

How many graded seminars are in MN507?

a) 4

b) 5

c)3

d) 1

Question 3

When must written assignments be submitted during the weeks that they are due?

a) By Saturday of that week at 11:59 p.m.

b) By Friday of that week at noon

c) By Sunday of that week at 11:59 p.m.

d) By Tuesday of that week at 11:59 p.m.

Question 4

Where can you obtain assistance with APA format?

a) APA Manual 6th ed.

b) Writing Center

c) Your instructor

d) All the above

Question 5

What would be the generally preferred way to obtain an answer to a question from your instructor about course content?

a) Post a question in the classroom in Virtual Office

b) Email your instructor using their personal email address

c) Just wait until someone else asks the same question

d) Text your instructor on their personal cell phone

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 5 Quiz

Question 1

In the acronym SMART that is used to describe the establishment of goals for a policy change, what does the A represent?

a) Actual

b) Average

c) Attainable

d) Adequate

Question 2

In the acronym SMART that is used to describe the establishment of goals for a policy change, what does the S represent?

a) Standard

b) Specific

c) Sensitive

d) Steps

Question 3

Which of the following is true of a policy change?

a) It is not static or an ongoing process

b) It does not involve working with the public

c) It does not involve public interest groups

d) It involves working with elected and appointed officials including legislators

Question 4

When is it appropriate to revise a goal?

a) Never

b) When you meet resistance that you can overcome

c) When you cannot effectively measure it

d) Whenever you feel like it

Question 5

Establishing measurable goals includes answering which of the following questions?

a) Where do I want to accomplish it?

b) What is the desired outcome of achieving this goal?

c) When do I want to accomplish it?

d) All the above

MN507 Promoting Optimal Models and Systems for Health Care Delivery

Unit 7 Quiz

Question 1Which is a benefit to patients of the U.S. healthcare system?

a) Cost of care

b) Use of evidence-based practice

c) Reasonable insurance premiums

d) Decreasing use of technology

Question 2 Which is a drawback to patients of the U.S. healthcare system?

a) Educational level of providers

b) Use of technology

c) Cost of insurance premiums

d) Use of evidence-based practice

Question 3 When comparing the healthcare system in the U.S. to the system in another country what should be considered?

a) Governmental structures of the countries

b) Cost of care

c) Perceived quality of care

d) All of the above

Question 4 Which of these is not a primary component of the U.S. healthcare system?

a) Consumer

b) Regulatory agency

c) Policy maker

d) Social media

Question 5 Which is a characteristic of healthcare systems in some European countries?

a) Universal healthcare coverage

b) BSN entry into practice

c) No migration of nurses from those countries to the U.S.

d) High costs for prescriptions

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