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NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 1 Discussion

Describe how you will utilize and implement the IOM Nursing Reports from 2010 and 2016 in your role as an Advanced Practice Nurse

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 2 Discussion

Discuss how health policy and initiatives are used to guide and direct your clinical practice as an Advanced Practice Nurse

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 3 Discussion

Identify the role of patient safety and the influence on the Federal initiatives that are used to prevent unintentional death as a result of medical mistakes.

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 4 Discussion

Describe what specific resources or federal agencies that you will utilize to remain informed and current in public health trends and practices

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 5 Discussion

Discuss the changing landscape of the US health care system through the ACA and specific initiatives that have been funded, enacted and currently implemented to improve health care for all Americans

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 1 Project

Provide Instructor with the Topic of Health Promotion Paper for Approval

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 2 Project

Student will develop a Legislative Matrix based upon the specific legislators in a residential/geographical legislative district. State and Federal legislators will be identified: State Representatives, Senators, Congressman and Governor. Each legislator’s assigned committees and any active legislation bills and/or past legislative initiatives will be identified. This information will be used to assist in the development of the Legislative Communication assignment.

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 3 Project

This written assignment requires the student to investigate his/her local, state and federal legislators and explore their assigned committees and legislative commitments. The student is expected to investigate current and actual legislative initiatives that have either passed or pending approval by the house, senate or Governor’s office. The student will draft a letter to a specific legislator and offer support or constructive argument against pending policy or legislation. The letter must be supported with a minimum of 3 evidence based primary citations.

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 4 Project

Health Policy Paper

Forward the topic of the health policy paper to faculty at the end of Week One,

Health policy unfolds daily and drives clinical practice in the US. The student will investigate current policies or legislation underway for a specific health-related issue. The Student will develop a scholarly APA formatted paper supported by evidence. The policy paper rubric:

Introduction to population or problem (incidence, prevalence, epidemiology, cost burden etc)

Description of how the policy is intended for a specific population, program or organization

Specific legislators involved in the policy development and dissemination

Identify the role of the APRN in assisting with the policy or refuting the policy – this requires the evidence to support opinion, ideas and/or concepts.

Discuss how the policy influences clinical practice and is used to promote best outcomes

Examine how the policy can be used by the interprofessional team to ensure coordinated and comprehensive care for the specific population

Conclusion – summarize findings

APA format – use of primary peer-reviewed references as much as possible

Submission Details:

Support your responses with examples.

Cite any sources in APA format.

Submit your document to the Submissions Area by the due date assigned.

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 1 Knowledge Check

Question 1 How has the Quality Chasm Report been used to direct US health care?

Question 1 options:

a) Is not used to direct health care in the US

b) IOM designed this document to direct medical practices in the US

c) This report has been used as the framework and foundation for multiple health policy initiatives since its release in 2001

Question 2 What are the differences in patient safety and effective health care since the 1999 release of To Err is Human and the 2016 report from the CDC regarding medical mishaps and quality of care in the US?

Question 2 options:

There is no correlation between these 2 reports

There has been little improvement in health care practices and patient safety between the 2 reports

Care quality in the US is the most comprehensive when compared to other country health care practices.

Question 2 What are the differences in patient safety and effective health care since the 1999 release of To Err is Human and the 2016 report from the CDC regarding medical mishaps and quality of care in the US?

Question 2 options:

There is no correlation between these 2 reports

There has been little improvement in health care practices and patient safety between the 2 reports

Care quality in the US is the most comprehensive when compared to other country health care practices.

Question 4 How does health policy specifically influence health care practice in the US?

Question 4 options:

Directs efforts by the CDC and protects Americans against population based disease.

Influences how health care is reimbursed and determines APN payment for services.

Directs specific evidence based practice guideline development and dissemination

All of the above

Question 5 What specific developments have primarily occurred because of the Affordable Care Act (ACA)?

Question 5 options:

ACA has been appealed and no longer enacted

Development of patient centered outcomes, use of comparative effectiveness research, quality payment structures that impact APN reimbursement

Nothing has been changed by the ACA other than Medicaid Expansion and Affordable Health Care

None of the Above

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 2 Knowledge Check

Question 1 The United States Protective and Safety Task Force determines specific screening requirements for age groups in the US – what agency houses the USPSTF?

Question 1 options:

The US Department of Health and Human Services

Centers for Disease Control and Prevention

Agency for Health, Research and Quality

Question 2 Examples of Behavioral Changes that support and help to improve lifestyle choices and prevent the development of chronic conditions include:

Question 2 options:

Self-management, home care and annual physical examinations

Shared decision making, self-management and evaluation of literacy levels

Advance directives, living will and having a Durable Power of Attorney

Question 3 The Affordable Care Act has directed the US Department of Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of patients with Multiple Chronic Conditions (MCC). What is the primary purpose for this national direction?

Question 3 options:

Medicare reimbursement must meet quality payment standards under MACRA legislation

Advanced Practice Nurses are responsible for addressing the multiple issues associated with this patient population

Patients with MCCs represent the largest, fastest growing and costliest US patient population

Question 4 Medicare Access and Summary CHIP Reauthorization Act of 2015, (MACRA) legislation is:

Question 4 options:

Bipartisan

Replaces the 1997 Sustainable Growth Index

Requires measurement of quality metrics

All of the Above

Question 5 The providers who are eligible for merit-incentive based payment (MIPS) include:

Question 5 options:

Physicians, Physician Assistants, Physical Therapists and Radiologists

Physicians, Physician Assistants, Nurse Practitioners, Clinical Nurse Specialists, Certified Registered Nurse Anesthetist

Physicians, Physician Assistants, Nurse Practitioners, Physical Therapists and Midwives

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 3 Knowledge Check

Question 1 The US Department of Health and Human Services has funded multiple agencies focused on patient safe and effective care. As an Advanced Practice Nurse (APN), what specific agency would you refer too when learning more about reimbursement based upon patient focused value driven quality care?

Question 1 options:

Agency for Health, Research and Quality

Centers for Medicare and Medicaid Services

Patient Centered Outcomes Research Institute (PCORI)

None of the above

Question 2 Team STEPPS training through the Agency for Health, Research and Quality is focused on patient safety. The primary tenets of this training are focused specifically on:

Question 2 options:

Interdisciplinary collaboration

Communication

Teamwork

All of the above

Question 3 As an APN providing patient-specific care and seeking Medicare reimbursement under MACRA legislation demonstrating value and quality. You will bill under which payment system?

Question 3 options:

Accountable Care Organization

Advanced Payment Models

Merit Incentive Based Payment

All of the above

Question 4 As an APN seeking the best evidence to ensure optimal patient-centered outcomes, which agency will you refer to when seeking the current evidence based guidelines directing standard of care?

Question 4 options:

Patient Centered Outcomes Research Institute (PCORI)

Agency for Health Research and Quality

Centers for Disease Control and Prevention

US Protective and Safety Task Force

Question 5 Comparative Effectiveness Research (CER) is patient centric and provides specific outcomes that compare one intervention from another. What specific agency will you rely on as an APN to gain CER data for your professional practice?

Question 5 options:

Centers for Medicare and Medicaid Services

Patient Centered Outcomes Research Institute

Food and Drug Administration

All of the above

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 4 Knowledge Check

Question 1 When seeking specific epidemiology information on disease statistics and prevention of deadly conditions. What specific agency under the US Department of Health and Human Services would you rely upon?

Question 1 options:

National Institutes of Health

American Cancer Society

Centers for Disease Control and Prevention

All of the above

Question 2 Observational study designs are primarily used in public health data collection and help to determine efficacy of specific interventions. What is an example of a public health concern that is frequently evaluated by the CDC to ensure population-based health and wellness?

Question 2 options:

Drug safety and efficacy

Pasteurization

Environmental toxins

Vaccinations

Question 3 Advanced Practice Nurses (APNs) committed to ensuring the safety of an aging society and reducing escalations in mental health disorders will require the following practice to promote wellness in this patient population:

Question 3 options:

Certification as a Psychiatry Nurse Practitioner

Understanding the current health policy directing clinical practice recommendations

Seek ongoing continuing education credits in mental health and aging

All of the above

Question 4 When collecting important patient outcome data the APN must collect this information through:

Question 4 options:

Certified Electronic Health Record (EHR) by the Centers for Medicare and Medicaid

EHR that is connected to all disciplines and settings participating in the care needs of a specific patient

Paper dictations and charts

Meaningful Use criteria

Question 5 Examples of Public Health Surveillance data include/s:

Question 5 options:

Zika virus

Tuberculosis

Trends in Obesity

All of the above

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices

Week 5 Knowledge Check

Question 1 As an Advanced Practice Nurse (APN) who wants to lobby for state practice changes in modifying scope of practice. What specific resource would you use when communicating with your state legislators?

Question 1 options:

Institutes of Medicine 2010 Nursing Report

Federal Trade Commission Report 2014

National Governors Report 2013

Institutes of Medicine 2016 Report on Nursing

Question 2 The APN with interests in diversity, health care access and mental parity would access what specific agency for current resources as evidence to suggest improvements in community-based health care delivery?

Question 2 options:

Centers for Disease Control and Prevention

National Heart Lung and Blood Institute

American Cancer Society

Agency for Health, Research and Policy

Next Page

Question 3 Currently, 10,000 Baby Boomers are entering the Medicare system daily. The Affordable Care Act was designed to improve health care delivery through prevention and promotion programs. What initiative specifically focuses on the aging American?

Question 3 options:

Team STEPPS

Multiple Chronic Conditions

Shared Decision Making

Literacy Tool Kit

Question 4 What specific Federal entity determines the direction and funding for health care research, initiative’s and innovation in the United States?

Question 4 options:

World Health Organization

National Institutes of Health

US Department of Health and Human Services

None of the above

Question 5 The APN should focus care, education and practice based upon the 3-tenets of the Affordable Care Act – these include:

Question 5 options:

Better Health, Better Quality and Use of Evidence

Better Care, Better Health and Increase in Care Access

Better Care, Better Health, Cost Effective Care

Better Health, Comprehensive Care and Inter-professional

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