CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation
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Prescription Drugs Pricing
The current charges on prescription drugs offered by the pharmaceutical industries in the United States are adversely affecting almost every American citizen. A report by the AARP Public Policy Institute (PPI) showed that about 754 widely used prescription drugs have their prices increasing faster than inflation from 2006 to 2017 (Jo Ann, 2019). An average of 4.2 percent annual increase rate was reported in 2017, a rate which doubles that of inflation. This has increased the health premiums and expenditures on programs funded by taxpayers such as Medicare thereby affecting everyone. In 2017, an average of $20,000 annual retail cost was recorded for therapies involving prescription drugs. This was way more than the average retail cost the Social Security retirement benefit of the same year, $16,848 (Jo Ann, 2019). Furthermore, insurance companies are adopting different forms such as deductibles, co-payments, and high insurance premiums to divert the increasing costs of prescription drugs on consumers. The situation has made it difficult for most consumers to acquire these drugs. The report has it that 1 out of 10 adult Americans fail to buy their medication to save money (Trooskin, Reynolds, & Kostman, 2015). Therefore, strategies should be developed to address the increasing prices of prescription drugs to help save lives.
Re: Topic 7 DQ 1
In the age of rapid technological advancement, we are all working in healthcare during a pivotal period of systemic development. Technology and healthcare are colliding and becoming increasingly more intertwined, especially with the ever-increasing use of informatics and EHRs. One quality standard that is of utmost importance to use in the NICU and pediatrics world is that of immunization tracking. In fact, immunization tracking is a Core Quality Measure developed in collaboration with the National Quality Forum, America’s Health Insurance Plans, and the Centers for Medicare and Medicaid Services (CMS) (Core Qualities Measurement Collective, 2020) as reported on the AHIMA website.
The dawn of EHRs and informatics has made it much easier to track a child’s immunization status and allows kids to get their immunizations from different organizations throughout their lives. Gone are the days of paper immunization consent sheets or tables filled out with each specific vaccination’s detailed information. There is a recommended immunization schedule beginning at birth, and though we do not have toddlers and children in the NICU, infants are on a specific schedule that can be challenging to coordinate between team members and providers. EMRs and the use of informatics for tracking purposes provide a centralized place to document immunizations that communicate with the state immunization information system. This aligns with the goal of the CMS Meaningful Use—now called Data Interoperability—is to increase communication between providers and government public health agencies (Centers for Disease Control and Prevention, 2021). Electronic reporting of public health is being improved by the use of informatics and EHR tracking of pediatric immunizations.
Centers for Disease Control and Prevention. (2021). Public health data interoperability: goals and benefits of data interoperability. US Department of Health and Human Services. https://www.cdc.gov/datainteroperability/goals-and-benefit.html)—iwhich
Core Qualities Measurement Collective. (2020). Consensus core set: pediatrics. file:///Users/alibeliveau/Downloads/pediatrics_core_measure_set.pdf
RESPOND HERE (150 WORDS, 2 REFEFERENCES)
I do agree with your elaborate discussion on how use of information technology especially the incorporation of electronic medical records (EMRs) has made the process of child immunization proceed seamlessly throughout the child’s immunization schedule. The data has been synchronized and made available to pediatricians making it needless for them to keep tables, charts or hardcopy records. The data is easily available just by the click of a button. This is crucial as it enhances efficiency, systematic storage of all the immunization records, easy to access or retrieve the data, easy usage of the reports for example in guiding the public health decision making process (Namageyo-Funa et al., 2018). Utilization of the EMRs and EHRs among healthcare providers and practitioners has resulted to improved collaboration, teamwork hence makes multidisciplinary teams’ approach in healthcare possible. Therefore, there are minimal errors of commission, duplication or omission in care. Patients’ safety is guaranteed and the data from the patient can be available at every visit to the healthcare facility (De Benedictis et al., 2020).
Namageyo-Funa, A., Aketch, M., Tabu, C., MacNeil, A., & Bloland, P. (2018). Assessment of select electronic health information systems that support immunization data capture – Kenya, 2017. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3435-9
De Benedictis, A., Lettieri, E., Gastaldi, L., Masella, C., Urgu, A., & Tartaglini, D. (2020). Electronic Medical Records implementation in hospital: An empirical investigation of individual and organizational determinants. PLOS ONE, 15(6), e0234108. https://doi.org/10.1371/journal.pone.0234108
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Also Check Out: NUR 514 The Evolution of Nursing Informatics Presentation
Affordable Care Act (ACA) is one of the major legislative processes in the United States. This health insurance plan is expected to increase health coverage for millions of Americans. Advance Practice Registered Nurses (APRNs) play critical role in health care reforms in different roles among them being change agents or catalysts. Imperatively, APRNs are lobbyists and advocates who champion for better healthcare through enactment of effective policies and healthcare laws for the benefit of patient populations and community. This presentation discusses the Affordable Care Act that was enacted in 2010 and its effects on APRNs role, scope of practice and on the population in the community where they serve.
One of the major healthcare policies passed to improve healthcare delivery to Americans is the Affordable Care Act (ACA). President Obama’s administration implemented the policy in 2010 to address the challenges caused by a lack of access to healthcare services. APRNs are lobbyists and advocates who fight for better healthcare by enacting effective policies and laws for the benefit of patient populations and the community. The current healthcare reforms provide APRNs with the opportunity to lobby for policies and take positions on such issues. APRNs should participate in and lobby for legislation as a participant and patient advocate by identifying current health care issues that affect these roles, their setting, and scope.
Topic 5 DQ 1
The American Nursing Informatics Association (ANIA) is a professional organization comprising of professional nurses and associates who are committed to the specialty of informatics through the integration of nursing science, computer science and information science focused on managing and communicating data, information, knowledge and wisdom in both nursing and informatics practice.
According to the website, informatics practice is an essential specialty that is important to the delivery of high quality and cost effective care interventions (ANIA, n.d.). The website that a lot of resources that information on upcoming events that include Webinar series, the ANIA annual conference and multispecialty education programs that offer 4.9 contact hours. The Website offers resources that include publications from scholarly journal articles like the latest issue of Journal of Informatics Nursing and the new report of 2020-2030 National Academy of Medicine on “Future of Nursing” (ANIA) (2021). These resources are fundamental and demonstrate the effective role that the organization plays in providing quality information and other important data and events that shape the nursing profession.
Nurse informatics and other related professionals can use the website to find conferences, seminars, and networks where they can network in their field. Many people who want to specialize in nursing informatics use the website as a starting point because it provides a wealth of resources on how to network and become a member of the association (Collins et al., 2017). The website links to other important websites and information that informatics nurses can use to improve their professional development and specialize in the industry as equal primary healthcare providers. The website provides training and educational opportunities to help nurses grow and improve their qualifications in order to meet the requirements for expanding their practice scope.
American Nursing Informatics Association (ANIA). (n.d.). About Us.
American Nursing Informatics Association (ANIA) (2021). ANIA News.
Collins, S., Yen, P. Y., Phillips, A., & Kennedy, M. K. (2017). Nursing informatics competency
assessment for the nurse leader: The Delphi study. JONA: The Journal of Nursing Administration, 47(4), 212-218. doi: 10.1097/NNA.0000000000000467.
Welcome to Week 4
This week we will analyze how innovative models of care affect collaboration among advanced registered nurses and other stakeholders across the industry, explore the role of the nurse leader in implementing innovative care models to promote cost‐effectiveness and quality patient care, examine various reimbursement models and how they impact health care costs and the delivery of patient care, and analyze how patient care delivery models impact staffing efficiency within health care organizations. This week’s reading assignments will discuss the components of the workplace management process and the translation of these elements into a staffing plan that incorporates evidence-based practice changes to achieve the highest possible outcomes. CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation
In the discussion forum, we will discuss professional barriers involved with the legislative process and the nursing’s profession’s lack of representation in health care policymaking.
I can do all things through Christ who strengthens me.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to LopesWrite.
Course Code Class Code Assignment Title Total Points
NUR-514 NUR-514-O501 CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation 150.0
Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation 100.0%
The Health Care Issue, and How it Relates to Role, Setting, Scope of Practice, or Community Population 10.0% A description of the health care issue and how it relates to role, setting, scope of practice, or community population is not included. A description of the health care issue and how it relates to role, setting, scope of practice, or community population is present, but it lacks detail or is incomplete. A description of the health care issue and how it relates to role, setting, scope of practice, or community population is present. A description of the health care issue and how it relates to role, setting, scope of practice, or community population is clearly provided and well developed. A comprehensive description of the health care issue and how it relates to role, setting, scope of practice, or community population is thoroughly developed with supporting details. CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation
The Proposed Legislation and Stance on Whether It Should Be Passed 10.0% A description of the proposed legislation and the stance on whether it should be passed is not included. A description of the proposed legislation and the stance on whether it should be passed is present, but it lacks detail or is incomplete. A description of the proposed legislation and the stance on whether it should be passed is present. A description of the proposed legislation and the stance on whether it should be passed is clearly provided and well developed. A comprehensive description of the proposed legislation and the stance on whether it should be passed is thoroughly developed with supporting details.
Methods to Track a Bill and Participate in Lobbying Efforts 10.0% A discussion of methods to track a bill and participate in lobbying efforts is not included. A discussion of methods to track a bill and participate in lobbying efforts is present, but it lacks detail or is incomplete. A discussion of methods to track a bill and participate in lobbying efforts is present. A discussion of methods to track a bill and participate in lobbying efforts is clearly provided and well developed. A comprehensive discussion of methods to track a bill and participate in lobbying efforts is thoroughly developed with supporting details.
Outline of Lobbying Remarks, Appropriate for the Target Audience, Intent of Bill, and Goal of Supporting or Not Supporting Its Passage 10.0% An outline of lobbying remarks, appropriate for the target audience, intent of bill, and goal of supporting or not supporting its passage is not included. An outline of lobbying remarks, appropriate for the target audience, intent of bill, and goal of supporting or not supporting its passage is present, but it lacks detail or is incomplete. An outline of lobbying remarks, appropriate for the target audience, intent of bill, and goal of supporting or not supporting its passage is present. An outline of lobbying remarks, appropriate for the target audience, intent of bill, and goal of supporting or not supporting its passage is clearly provided and well developed. A comprehensive outline of lobbying remarks, appropriate for the target audience, intent of bill, and goal of supporting or not supporting its passage is thoroughly developed with supporting details.
Implications If Lobbying Efforts Do Not Succeed 5.0% A discussion of the implications if lobbying efforts do not succeed is not included. A discussion of the implications if lobbying efforts do not succeed is present, but it lacks detail or is incomplete. A discussion of the implications if lobbying efforts do not succeed is present. A discussion of the implications if lobbying efforts do not succeed is clearly provided and well developed. A comprehensive discussion of the implications if lobbying efforts do not succeed is thoroughly developed with supporting details.
Required Sources 5.0% Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Presentation of Content 20.0% The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear. The content is vague in conveying a point of view and does not create a strong sense of purpose. The project includes some persuasive information. The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other. The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. The project includes persuasive information from reliable sources. The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea. CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation
Layout 10.0% The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident. The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text. The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability. The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text. The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.
Language Use and Audience Awareness (includes sentence construction, word choice, etc.) 10.0% Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately. Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately. Language is appropriate to the targeted audience for the most part. The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly. The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Slide errors are pervasive enough that they impede communication of meaning. Frequent and repetitive mechanical errors distract the reader. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Slides are largely free of mechanical errors, although a few may be present. Writer is clearly in control of standard, written, academic English.
Re: Topic 5 DQ 2
Accountable Care Organizations (ACO’s) are an innovative healthcare delivery model developed by Centers for Medicaid and Medicare Services from the Affordable Care Act. ACO’s are organizational structures where hospitals, physicians and others can work together to provide the most cost-effective care and be held accountable for outcomes achieved (Accountable Care Organizations, 2020). The goal of ACO’s is to ensure that patients get appropriate and timely care while avoiding unnecessary duplication of services and preventing medical errors; and thus; are performance based with financial rewards paid out with the savings achieved for the Medicare program (Accountable Care Organizations, 2020). This innovation will produce healthcare cost savings not only for Medicare but also private insurers. ACO’s drive cost effectiveness by rewarding stakeholders financially when they provide high quality care and produce cost savings at the same time. To achieve the desired quality of care and the incentive returns for cost effectiveness many ACO’s focus on lifestyle modification programs and interventions that may produce a high return on the investment such as preventative and primary care to obtain their objectives (Blackstone & Fuhr, 2016). Because ACO’s are patient-centered, the final ruling by CMS requires providers to notify patients about any affiliation with an ACO. Providers must tell patients that they are eligible for shared savings, because the ACO offers incentives to improve quality of care while reducing costs. Providers must alert patients that the ACO is financially bound to CMS requirements and may have to pay penalties if the ACO fails to provide high-quality and cost-effective care. Patients must also be informed that they can seek care from other providers at any time.
An ACO differs from the HMO’s in that they come together voluntarily and are not compiled together by an insurance provider. ACO’s are managed by healthcare professionals rather than insurance industry employees. “An important distinction between health maintenance organizations and ACO’s is that in ACO’s the providers themselves (rather than an insurance company) control the diagnosis and treatment decisions” (Weberg, Mangold, Porter-O’Grady & Malloch, 2019). ACO’s will enable innovation through the motivation to create methods to save healthcare dollars that benefit insurance companies and patients. Collaboration between providers in order to meet the common goal of cost-savings enhances communication through the disciplines and lends to understanding of and respect for the various disciplines involved.
Accountable care Organizations. (2020). Retrieved from https://www.cms.gov/Medicare/Medicare-Free-for-Service-Payment/ACO/index?redirect=/aco/
Blackstone, E.A., & Fuhr, J.P., (2016). The Economics of Medicare Accountable Care Organizations. American health & drug benefits, 9 (1), 11-19.
Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2019). Leadership in nursing practice: Changing the landscape of health care (3rd ed). Retrieved from https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3ephp