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Benchmark – Population Health Policy Analysis Assignment NUR 550
Benchmark – Population Health Policy Analysis Assignment NUR 550
Policy Description and its Implications on Health Delivery
The burden of chronic diseases such as diabetes is increasing, necessitating the establishment of policies and effective ways at the municipal, state, and federal levels to address them. Diabetes management and treatment costs were predicted to reach $245 billion in 2012, and it is anticipated that they would continue to rise (Herman & Cefalu, 2015). Implementation of the Affordable Care Act policy aimed at enhancing public health by expanding the population’s access to health care. The policy was created in 2010 with the goal of increasing access to care, enhancing the quality of care delivered, lowering medical costs, and adding new consumer protections. The policy resulted in the Medicaid program’s expansion. This phase was designed to close gaps in Medicaid eligibility, which would result in a considerable rise in the number of people receiving benefits from the program.
The ACA was projected to cost $940 billion between 2010 and 2019. The health budget deficit would be decreased by $143 billion under this strategy (Blewett, Planalp, & Alarcon, 2018). The insurance plan would lower the cost of medications and make preventive healthcare more affordable for the American public (Herman & Cefalu, 2015). Notably, persons with chronic diseases such as diabetes require routine healthcare examinations and monitoring. The majority of populations are able to get medical treatments as expected under this approach, which results in an improved prognosis. From a cost-effectiveness standpoint, the policy is sound. Assignment – Benchmark – Population Health Policy Analysis
Access to healthcare services is determined by a variety of factors, including socioeconomic position. The ACA seeks to eliminate current inequities in access to healthcare treatments between wealthy and impoverished persons diagnosed with diabetes. The policy encourages equity from an ethical standpoint. Healthcare professionals, particularly nurses, are expected to provide equitable and fair care to their patients. On the other hand, budgetary constraints may make achieving such a goal and perspective in nursing practice difficult. However, the execution of this legislation addresses disparities in health access. Medicaid expansion would provide states with 100% federal funding for the first three years, after which it would be lowered to 90%. (Herman & Cefalu, 2015). Additionally, the policy incorporates a variety of techniques to ensure that healthcare providers give the most helpful and high-quality services to patients.
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The Scope of the Policy
Initially, the states administered the Medicaid programs as guided by the federal policies; though, they were mandated to determine the eligibility, provider payment levels, and the benefits. The income levels for the eligibility were strict compared to the provisions in the new policy. Furthermore, no special considerations were made for patients with disabilities, elderly without dependent children and the non-pregnant women (Schembri & Ghaddar, 2018). Therefore, the policy was developed with collaboration between the state and the federal government. However, most of the regulations would be done by the federal government. For example, the states that failed to expand Medicaid to accommodate more people would lose federal funding. A larger portion of the healthcare funding would come from the federal government under the new policy. Benchmark – Population Health Policy Analysis Assignment
The design and scope of the policy are well developed to meet the intended goal. The insurance agencies monitor the activities of the healthcare providers to ensure that they are giving their best in terms of quality service delivery. Various parameters such as the readmission within 30 days, number of days patient stay in the hospital and nosocomial infection rates among others have been used in monitoring the performance of the healthcare facilities (Hilliard, Liebenberg, Liebenberg, & Ruhland, 2018). Therefore, all institutions are obliged to comply with the provisions by offering high-quality care services to the patients and in the process improve their outcomes and minimize their spending. With the implementation of the new policy, the number of patients with diabetes covered in the Medicaid program increased significantly. This indicates that diabetes care would improve and the financial barriers limiting their access and utilization of the healthcare services reduced. On the other hand, despite the introduction of the policy, the number of people going for health screening has remained significantly low (American Diabetes Association, 2016). As a result, the measures to improved health outcomes for diabetes patients are thwarted because the number of undiagnosed diabetes patients is likely to remain high.
The Advocacy Strategies to Promote Access to the Benefits of the Policy
The realization of the benefits of the policy requires the provision of education to the public. Majority of the populations fail to go for health screening and testing because of the lack of knowledge on the importance of such an exercise. Provision of education is an important strategy for ensuring primary, secondary and tertiary health promotion (Konchak, Moran, O’Brien, Kandula, & Ackermann, 2016). First, educated populations are likely to embrace quality lifestyles that will limit the incidences of diabetes cases. Secondly, the education will aim at encouraging testing and screening behaviors among the populations to enhance the identification and early management of the diabetes conditions. Studies have shown that people from low-income regions and are covered with the Medicaid programs are more likely to be diagnosed with chronic illnesses and their conditions treated in time thus improving their prognosis. Benchmark – Population Health Policy Analysis Assignment
From a Christian, professional and moral perspective, advanced registered nurses ought to advocate for and promote health as well as prevent diseases among the populations. By engaging in translational research, evidence-based practice measures are developed and customized to address specific health needs. Diseases are considered as the dissonance between an individual and their surroundings that affect the body, mind, and spirit. Holistic and biomedical approaches can be integrated to guide health promotion activities among nursing professionals. From the biblical perspective, health is a vital component of human life and that is why only whole animals would be offered for sacrifice in the Old Testament (McDermott-Levy, Leffers & Mayaka, 2018).
From the ethical and professional perspective, the nurses ought to comply with the ethical principles of nonmaleficence and beneficence among others. The ethical principles require that advanced registered nurse practitioners to engage all possible interventions in ensuring the most beneficial outcomes to the patients (Bastable, 2017). Health promotion activities aimed at promoting public health by minimizing diseases and suffering among the people. In the process, healthcare providers must understand the specific health needs of the defined populations. For example, the diabetes patients are in great need of the self-care skills which included proper adherence to the medication and observing an appropriate lifestyle.
Benchmark – Population Health Policy Analysis Assignment NUR 550 Conclusion
Therefore, the ACA has played an integral role in ensuring that diabetics in the United States receive high quality care. The scope and design of the policy is such that both the federal and state governments participate in the implementation of the ACA. The entire process has influenced the role of Advanced Practice Nurses as they work to promote it and advocate for its implementation.
Benchmark – Population Health Policy Analysis Assignment NUR 550 References
American Diabetes Association. (2016). 1. Strategies for improving care. Diabetes Care, 39(Supplement 1), S6-S12.
Bastable, S. B. (2017). Nurse as educator: Principles of teaching and learning for nursing practice. Burlington, MA: Jones & Bartlett Learning.
Blewett, L. A., Planalp, C., & Alarcon, G. (2018). Affordable Care Act Impact in Kentucky: Increasing Access, Reducing Disparities. American Journal of Public Health, 108(7), 924–929. https://doi.org/10.2105/AJPH.2018.304413
Herman, W. H., & Cefalu, W. T. (2015). Health policy and diabetes care: is it time to put politics aside?. Diabetes Care, 38(5), 743-745.
Hilliard, J. I., Liebenberg, A. P., Liebenberg, I. A., & Ruhland, J. (2018). The Market Impact of the Supreme Court Decision Regarding the Patient Protection and Affordable Care Act: Evidence from the Health Insurance Industry. Journal of Insurance Issues, 41(2), 135–167
Konchak, J. N., Moran, M. R., O’Brien, M. J., Kandula, N. R., & Ackermann, R. T. (2016). The state of diabetes prevention policy in the USA following the affordable care act. Current diabetes reports, 16(6), 55.
McDermott-Levy, R., Leffers, J., & Mayaka, J. (2018). Ethical Principles and Guidelines of Global Health Nursing Practice. Nursing Outlook, 66(5), 473-481.
Schembri, S., & Ghaddar, S. (2018). The Affordable Care Act, the Medicaid Coverage Gap, and Hispanic Consumers: A Phenomenology of Obamacare. Journal of Consumer Affairs, 52(1), 138–165. https://doi.org/10.1111/joca.12146
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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Please read through the following information on writing a Discussion question response and participation posts.
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Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource