The purpose of this assignment is for you to identify an issue of concern for your role as an advanced practice nurse and to formulate a potential policy change to address that issue. There are many potential issues which can influence your practice setting or other issue which may negatively affect the patients with whom you work. All of the course reading will help you to identify a topic for this assignment. You can think about the issue as related to your health promotion project. The policy you consider may be in reaction to the health promotion issue or something larger that is still related to that issue. There are hundreds of possible issues, but here is a list of a few to consider:
Recommendation or solution By Friday, submit a Power Point presentation to the W3 Assignment 2 Dropbox. This will include the notes pages to explain the content within each slide. Be sure to use APA style and include all of your references. Grading Criteria Maximum Points Identify the type of legislation, such as state, federal, scope of practice, reimbursement, loan repayment, or others. 20 Review of the literature consists of a minimum of 3–4 peer-reviewed articles and 6–7 other outside sources. 30 Describe the current policy or health policy issue and specify how it would impact nursing or healthcare. 10 Describe the specific aspects of the proposed policy or policy change. 20 Identify the individuals who would benefit from the policy change and explain where support for the change would be found. 20 Describe the impact of the policy change on nursing practice and health care. 10 Provide an analysis of the policy from your point of view and how this will influence your practice. 20 Uses good writing skills, appropriate grammar, and application of APA formatting throughout paper, citations, and references. 10 Total: 140
|Number of Pages||2 (500 words)|
Health Policy Change Medicaid
Created to ensure access to [blur] health care for American citizens
Eligible parties include low-income earners, children, pregnant women, elderly adults and[/blur] people with disabilities.
Access to care aims [blur]at improving the health outcomes for all citizens
It should be made possible for all residents at all times
Increased access to affordable health care for all Americans is a [/blur] major goal of Access to care
The federal government[blur] reimburses states for a specified percentage of program expenditures, called the Federal Medical Assistance Percentage [/blur](FMAP).
FMAP [blur]varies by state[/blur]
States must [blur] ensure they can fund their share of Medicaid expenditures for the care and services available under [/blur] their state plan.
Current Health Policy
Access to health care [blur] services in the United States is regarded as unreliable; many people do not receive the appropriate and[/blur] timely care they need.
Health insurance is [blur] not available for all individuals and those without it face different treatment from those who have paid [/blur] for their health insurance.
With the current policy insurance [blur] companies were able to manipulate insurance covers at the expense of users e.g., health insurer uses errors in the insurance application to revoke coverage and sometimes even attempt to force a pay back [/blur] of what had been paid out for claims.
Changes to Health Policy
The 2010 Affordable Care Act (ACA):
This Act fundamentally [blur]restructures Medicaid to cover all citizens and legal U.S. residents, it is an expansive healthcare [/blur]reform legislation.
It places emphasis on[blur] preventive services and primary care through the provision of insurance coverage to millions of Americans who[/blur] are currently uninsured
Given the supply of advanced [blur] practice nurses currently delivering primary care and the shorter time frame required for training new entrants, broadening scope-of-practice laws for APNs is a possible avenue to expand primary care capacity more rapidly. The implementation of the [/blur]ACA will make this possible.
The ACA opens [blur] up a venue for federal policy makers to play a role in the jurisdiction over scope-of-[/blur]practice laws
Access to [blur]health care for all American citizens will greatly improve.[/blur]
Access to care [blur]will be a positive experience for both the practitioners and [/blur]patients
A collaboration with [blur]Medicare will improve the quality and access of care for [/blur] elderly.
Support for the Policy Change
The Act has received[blur] support from various camps who are in favor of the policy change[/blur]
Impact of Policy Change On Nursing Practice
The policy change will allow nurse practitioners to [blur]practice to the full extent of their education.[/blur]
The Act expands the affordability,[blur] quality, and availability of access to care through consumer protections, subsidies, taxes, regulations, insurance[/blur] exchanges and other reforms.
The adoption of [blur]payment policies will foster increased productivity of [/blur]primary care practitioners
Analysis of Policy Change
The policy change will allow [blur] nurse practitioners to practice to the full extent of their education.[/blur]
All states should work to embrace[blur] the ACA to improve access to care throughout the country.[/blur]
Through payment reforms the policy will ensure[blur] that NPs are properly reimbursed for primary care.[/blur]
2010. Mar 23, The Patient Protection and Affordable Care Act (PPACA), Pub. L. No. 111-148, 124 Stat. 119.
Association, A. M. (2012). Health Care access. American medical association. Retrieved from: http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-sections/medical-student-section/advocacy-policy/health-care-access.page
Charles Feng, M.D. & ABC News Medical Unit, (2012). Medical Organizations Respond to ACA Ruling – ABC News. (n.d.). Retrieved from http://abcnews.go.com/Health/medical-organizations-respond-aca-ruling/story?id=16673570
Cleary, B., & Wilmoth, P. (2011). The affordable care act- what it means for the future of nursing. Tar Heel Nurse 73(2), 8-9, 12.
Coddington, J.A., & Sands, L.P. (2008). Cost of health care and quality outcomes of patients at nurse-managed clinics. Nursing Economics, 26(2), 75-83.
Financing & Reimbursement | Medicaid.gov. (n.d.). Retrieved from http://www.medicaid.gov/medicaid-chip-program-information/by-topics/financing-and-reimbursement/financing-and-reimbursement.htmlSupplemental Health Insurance. (n.d.). Retrieved from http://obamacarefacts.com/health-insurance/supplemental-health-insurance/
Naylor, Mary D., and Ellen T. Kurtzman (2010). “The Role of Nurse Practitioners in Reinventing Primary Care,” Health Affairs 29, no. 5. 893-9.
Ormond BA & Bovbjerg RR, (2011). Assuring Access to Care Under Health Reform – Robert Wood Johnson Foundation. (n.d.). Retrieved from http://www.rwjf.org/en/library/research/2011/10/assuring-access-to-care-under-health-reform.html
Pittman, P., & Williams, B. (2012). Physician wages in states with expanded APRN scope of practice. Nursing Practice and Research, doi: 10.1155/2012/671974.
Starfield B, Shi L (2004). The medical home, access to care, and insurance. Pediatrics.113(5 suppl):1493-8.
Williams, D.R., McClellan, M.B., & Rivlin, A.M. (2010). Beyond the affordable care act: Achieving real improvements in Americas’ health. Health Affairs, 29(8), 1481-1488.
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