Discussion 4.1: Patient Protection Affordable Care Act (PPACA) Interview

Discussion 4.1: Patient Protection Affordable Care Act (PPACA) Interview

Patient Protection and Affordable Care Act is among the groundbreaking health policies ever to be implemented by the United States federal government in the recent era. The act obliges nurses to carry on healthcare technological advancement, transformation leadership, and collaborative care as principal partners/factors in the delivery of the new age of cost containment, accessible care, and quality advancements (Bong, 2019). In the current case, a nursing administrator performing in one of the medium-sized urban-based hospitals in Nevada was interviewed in relation to the recently implemented PPACA healthcare reform countrywide. During the interview process, the interviewee responded to a set of questions aimed at inquiring about her perceptions and insights into the notion of PPACA, its realistic implementation by the nurses, and potential reforms to improve the outcomes of the policy.

Based on the results of the interview, the interviewee noted her precise viewpoints and understanding of the subsequent policy. For instance, she indicated that PPACA is a revolutionary health reform that aims to address three integral public health issues such as reduced cost of care, improved care quality, and enhanced access to medical care. According to her, the policy challenges nurses to respond to or advocate for the pre-existing transformations in the context of healthcare practices with a sense of professional and innovative responsibilities. As principal crusaders of better healthcare reforms, nurses have major roles to play in order to support and positively impact the implementation of the PPACA countrywide.

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The interviewee expressed that while the PPACA policy is currently impactful in fostering better health and wellbeing of the public, she indicated that the policy could be further reformed to warrant its greatest implications on the patients’ health. For instance, she indicated that the policy could be altered to allow the state nursing boards to increase their intakes or employment of nurses to meet the rising healthcare demands of the surging patient population nationwide. Throughout the interview, there were no misconception concerns brought out by the patient. Noteworthy, the outcomes of the interview offered me adequate insights into the potential roles of nurses as both implementers and advocates of public health reforms (Zahnd et al., 2020).

Discussion 4.1: Patient Protection Affordable Care Act (PPACA) Interview

References

Bong, H. E. (2019). Understanding moral distress: How to decrease turnover rates of new graduate pediatric nurses. Pediatric Nursing45(3), 109-114. DOI: https://www.mghpcs.org/MunnCenter/Documents/weekly/nov-21/Understanding-Moral-Distress-Decrease-turnover-rates.pdf

Links to an external site.

Zahnd, W. E., Crouch, E. L., Probst, J. C., McKinney, S. H., Abshire, D. A., & Eberth, J. M. (2020). Factors Associated with Perceived Job Preparedness among Registered Nurses: Results from a National Survey. The Journal of Nursing Administration50(5), 251. DOI: https://dx.doi.org/10.1097%2FNNA.0000000000000879

Links to an external site.

Hello Romina.

Thanks for the insightful discussion. From the interview that you conducted, I concur that PPACA is a revolutionary health reform that aims to address three integral public health issues such as reduced cost of care, improved care quality, and enhanced access to medical care (Feder et al., 2017). The Patient Protection and Affordable Care Act, also known as “Obamacare”, is a revolutionary health reform that was signed into law in 2010. The goal of the PPACA is to make healthcare more affordable and accessible for all Americans (Barlas, 2017). Before the PPACA was enacted, millions of Americans were without health insurance coverage. This meant that they could not access quality medical care when they needed it. The PPACA addresses this problem by requiring all Americans to have health insurance coverage (Labrum et al., 2017). The PPACA also makes healthcare more affordable by providing financial assistance to those who need it. For example, the act provides subsidies to low-income individuals and families to help them pay for their premiums.

References

Barlas, S. (2017). Republicans Resolve to Address High Drug Prices: Rhetoric Meets Reality With PPACA Replacement. Pharmacy and Therapeutics42(4), 242. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358681/

Links to an external site.

Feder, K. A., Mojtabai, R., Krawczyk, N., Young, A. S., Kealhofer, M., Tormohlen, K. N., & Crum, R. M. (2017). Trends in insurance coverage and treatment among persons with opioid use disorders following the Affordable Care Act. Drug and alcohol dependence179, 271-274. https://doi.org/10.1016/j.drugalcdep.2017.07.015

Links to an external site.

Labrum, J. T., Paziuk, T., Rihn, T. C., Hilibrand, A. S., Vaccaro, A. R., Maltenfort, M. G., & Rihn, J. A. (2017). Does Medicaid insurance confer adequate access to adult orthopaedic care in the era of the patient protection and Affordable Care Act?. Clinical Orthopaedics and Related Research®475(6), 1527-1536. https://link.springer.com/article/10.1007/s11999-017-5263-3

Grading Rubric Guidelines

Performance Category 10 9 8 4 0
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.

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  • Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.
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  • The posting uses information that is not valid, relevant, or reliable
  • No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.
  • Information is not valid, relevant, or reliable
Performance Category  10 9 8 4 0
Application of Course Knowledge –

Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations

  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
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  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
  • No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category  5 4 3 2 0
Interactive Dialogue

Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.

(5 points possible per graded thread)

  • Exceeds minimum post requirements
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  • Replies to a post posed by faculty and to a peer
  • Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
  • Replies to a question posed by a peer

Summarizes what was learned from the lesson, readings, and other student posts for the week.

  • Meets expectations of 2 posts on 2 different days.
  • The main post is not made by the Wednesday deadline
  • Does not reply to a question posed by a peer or faculty
  • Has only one post for the week
  • Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments
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  Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA

Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

  • 2-3 errors in APA format.
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  • Writing style is generally clear, focused, and facilitates communication.
  • 4-5 errors in APA format.
  • Writing responses have 4-5 grammatical, spelling and punctuation errors.
  • Writing style is somewhat focused.
  • 6-7 errors in APA format.
  • Writing responses have 6-7 grammatical, spelling and punctuation errors.
  • Writing style is slightly focused making discussion difficult to understand.
  • 8-10 errors in APA format.
  • Writing responses have 8-10 grammatical, spelling and punctuation errors.
  • Writing style is not focused, making discussion difficult to understand.
  • Post contains greater than 10 errors in APA format.
  • Written responses have more than 10 grammatical, spelling and punctuation errors.
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  0 points lost       -5 points lost
Total Participation Requirements

per discussion thread

The student answers the threaded discussion question or topic on one day and posts a second response on another day.       The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement

per discussion thread

The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.       The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.