NUR 550 DQ: Policy Issues Affecting the State of Health Care Delivery

Sample Answer for NUR 550 DQ: Policy Issues Affecting the State of Health Care Delivery Included After Question

NUR 550 DQ Policy Issues Affecting the State of Health Care Delivery

Three Major Policy Issues That Affect the Current State of Health in the United States

Policy reforms in the United States health service delivery address major challenges that affect equitable access to care. Despite the formulation of policy initiatives, access to care is still a major challenge for many Americans especially those in the low-income bracket. One of the major policy issues of the Trump administration is on the changes to Medicaid and Medicare (Mulligan & Castañeda, 2017). Reforming the Obamacare will affect access to quality care especially among the poor citizens who rely on the services of third-party payers during treatment. Instituting higher premiums to the Medicaid beneficiaries alters equitable access to care which limits the purchasing of health coverage for poor populations.

The second policy issue relates to the Opioid Crisis majorly prescribed for chronic pain management. A disparity is identified among the care providers in which African Americans are denied the medication due to prescriber bias (Weinstein et al., 2017). However, over-prescription of the opioid medications results in compulsive use especially among populations vulnerable to drug abuse. The U.S. Food and Drug Administration (FDA) relies on the services of the doctors to address the challenge of over-prescription. The third health policy issue relates to drug prices which continue to rise affecting the American spending as they seek care services (Mulligan & Castañeda, 2017). This is majorly evident in the introduction of new drugs and thus alter quality access to health especially for populations in the low-income category.

The population health policies and initiatives alter the pattern of care delivery as advanced nurse practitioners have to comply with the regulations of the state. For instance, nurses are obliged to deny or administer an opioid prescription to selected groups of patients to avoid addiction. Moreover, nurses are in a better position to advice patients on a range of medications that are affordable and guarantee quality care.

References

Mulligan, J. M., & Castañeda, H. (Eds.). (2017). Unequal coverage: the experience of health care reform in the United States. Newy York, NY: NYU Press.

Weinstein, J. N., Geller, A., Negussie, Y., Baciu, A., & National Academies of Sciences, Engineering, and Medicine (U.S.). (2017). Communities in action: Pathways to health equity. Washington, DC: The National Academies Press.

Topic 7 DQ 1

Description:

Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (maybe state or federal). What impact do these population health policies and initiatives have on advanced nursing practice?

Description:

The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5
“Evidence-Based Practice Project: Evaluation of Literature” assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review.

A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT. You will use the literature review in this assignment in NUR-590, during which you will write a final paper detailing your evidence-based practice project proposal.

In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:

1. Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.
2. Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.
3. Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.
4. Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).
5. Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.
6. Conclusion – Provide a summary statement of what you found in the literature.
7. Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

3.2: Analyze appropriate research from databases and other information sources to improve health care practices and processes.

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NUR 550 DQ: Policy Issues Affecting the State of Health Care Delivery

Description

Objectives:

Identify major policy issues affecting the state of health care delivery and population health
Analyze the components of effective population-based health
Discuss the impact of population health policies and initiatives on advanced nursing

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

Read Chapter 9 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Population Health: Creating a Culture of Wellness

Description:

Read Chapter 7 and review Chapter 10 in Population Health: Creating a Culture of Wellness.

Evidence-Based Practice in Nursing and Healthcare

Description:

Review Chapter 19 in Evidence-Based Practice in Nursing and Healthcare.

Health Policy and Health Services Delivery

Description:

Read “Health Policy and Health Services Delivery,” by Tullai-McGuinness and Reimer, from Encyclopedia of Nursing Research(2017).

The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities

Description:

Read “The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities,” by Poghsyan and Carthon, from Policy, Politics, and Nursing Practice (2017).

How to Write a Literature Review in 30 Minutes or Less

Description:

View “How to Write a Literature Review in 30 Minutes or Less,” by Taylor, located on YouTube (2017).

NUR 550 DQ: Policy Issues Affecting the State of Health Care Delivery Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. 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; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content 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 Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. 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	Does not post to the thread No connections are made to the topic
	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. Written responses have 2-3 grammatical, spelling, and punctuation errors. 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. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	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.

A Sample Answer For the Assignment: NUR 550 DQ: Policy Issues Affecting the State of Health Care Delivery

Title: NUR 550 DQ: Policy Issues Affecting the State of Health Care Delivery

Major Policy Issues that Affect Current State of Health Care Delivery in America

The health service delivery in the United States of America is readily influenced by a myriad of policy reforms. One of the changes is the comprehensive reform aimed at lowering prescription drug prices. The policy issue is timely due to the high cost of prescription medications which alters equitable access to health especially among populations in the low-income class. According to Wilensky (2019), Americans spend twice as much on drug purchasing when compared citizens from other parts of the world.

The second policy reform is on the changes to the Affordable Care Act (ACA) also known as Obamacare. The latest legislation aims to reduce the Premium Tax Credit contributed by the state government to the health policy. This means that Americans are required to pay more premiums to the third party payers in order to access quality care (Melo & Fleuriet, 2016). Changes to this policy affect the health seeking pattern of low-income earners in the United States of America. The policy to address the prescription opioid (PO) crisis is a major aspect that affects health care delivery. According to the National Institute on Drug Abuse (NIDA), 91 Americans die daily due to an overdose of opioid. Policymakers have proposed increased funding to fight the PO menace (Wilensky (2019). However, the policy intervention is bias on certain racial groups in America. Particularly, the African Americans diagnosed with chronic pain disproportionately receive PO therapies due to a presumption that the population will use the drug for non-medical purposes.

The advanced nurse practitioners are integral in the implementation of the population health reforms since they spend the longest time with patients. The nurses are required to ensure equity in service delivery (Wilensky (2019). Besides, advanced nurse practitioners need to adhere to stipulated guidelines on PO administration to minimize the rates of opioid addiction (Melo & Fleuriet, 2016). Nonetheless, nurses need to avail accurate and adequate information about the patient to those on Medicaid services to minimize cost on total care that might arise due to errors in medication.

References

Melo, M., & Fleuriet, K. J. (2016). Who Has the Right to Health Care and Why? Immigration, Health Care Policy, and Incorporation. Mexican migration to the United States: Perspectives from both sides of the border, 159-183.

Wilensky, S. A. R. A. E. (2019). SUPP: 2019 annual health reform update supplement. New York, NY: Jones & Bartlett Learning