Cost or Quality? Which is the Right Focus for Health Policy?

Reflecting on the information found in the following Youtube videos, write a two-page paper about the fact the current health policy discussions are focused so heavily on cost and relatively little on quality.

Youtube videos:

1.  Access to Quality and cost:     https://youtu.be/O1nk4mctb7Y 

2.  Introduction to U.S. Health Policy and Health Policy making:   https://youtu.be/MdCMRrnVKu4 

– APA style

– TURNITIN ASSIGNMENT (Free of Plagiarism!)

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Watch the following videos and read the assignments in preparation for this discussion.

Medicare Parts A & B

1. https://youtu.be/0hERCpthpUE 

2. https://youtu.be/qV155vnVNBY 

3. https://youtu.be/JfH7D81IgRw  (4 minutes video)

4. https://youtu.be/hUGXP4omhRo (5 mins video)

5. https://youtu.be/lbAL4g3cOb8 

Republicans have been undermining the ACA and oppose various Medicare-for-all proposals. In addition to party politics and differences, sections of the healthcare industry oppose certain changes in the Medicare-for-all options.

– Using 500-750 words, write a post that describes the political alliances and positions by party and in the industry. In your analysis, include the financial arguments and the political/ideological arguments about the role of government versus the private sector changes that are intended to increase coverage. You must reference the KFF comparison of proposals!

FREE OF PLAGIARISM (TURNITIN ASSIGNMENT) 

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GUIDELINES FOR THE 2nd FIELD EXPERIENCE REQUIREMENT:
You must “attend” 1 policy event, at least approximately 1 hour in length. 

The event may be online and it must have a health policy focus. Online health policy events/ webinars will be posted from which you may choose.  Event must be health-related. 

GENERAL GUIDELINES:
1.  At the event, take notes, and then write up an account and analysis of the event, using the template for field experience logs (below), and the Field Experience Rubric.

FIELD LOG GUIDELINES:

As a way of demonstrating completion of this course requirement, you must submit, in writing, field logs that detail certain aspects of the event. The template for field experience logs is below.

·  Each event log should be three to five double-spaced pages of text.

·  Provide only a brief summary of the event itself.

·  The analysis section should be 550 to 800 words, and be the most developed component of the report. In the analysis section, you can write about the process of policy being made at this event, and/or you can write about the actual health policy issue being discussed/considered.

·  Your analysis should reference at least two sources. They can be from the learning materials in this course or other sources, but should be current (within the last 3 months).

·  Use APA format for citations and references.

TEMPLATE FOR FIELD EXPERIENCE LOGS :
·  The name of the event/meeting and who has sponsored it.

·  The name of the event/meeting and who has sponsored it.

·  Describe the steps taken in preparation for the event (beyond listening or attending the event).

·  Place, date, time, and length of hearing/meeting/event.

·  Topic under discussion.

·  Names of participants and their titles (to the extent you can get them).

·  Brief description of the testimony/meeting/event. (If more than one issue is presented, discuss a sampling of issues.)

·  Analysis of the health policy issue and its implications for healthcare. Integrate course content and readings in your analysis. This section should be approximately 500 to 750 words.

TURNITIN ASSIGNMENT (FREE OF PLAGIARISM)!!!

Note: Attached, you will find a Field Experience Log work you did for me last week as a Reference for this new 2nd Field Log assignment. 

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Why Are So Many People Uninsured and Underinsured?

Introduction:

Many Americans are still confronting medical bills that are large enough to threaten their family financial health, up to and including personal bankruptcy. While more people have health insurance under the ACA, some people still lack coverage or have significant gaps in coverage for a variety of reasons. Some expenses are related to the high cost of treatments for certain diseases and conditions. Other expenses are related to the “routine” costs associated with insurance premiums and cost sharing for covered benefits.

Using 500 to 700 words, complete the following:

1. Analyze the major current contributors to insurance coverage gaps (no coverage and gaps in coverage).

APA Style.

This is a TURNITIN ASSIGNMENT. FREE OF PLAGIARISM!

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Assignment 2: Health Policy Proposal Analysis (Policy Brief)

Nurses engaged in the policy arena often are asked to provide information on a health care topic of interest to policy makers. This is frequently accomplished through developing a policy brief. A policy brief advocates for a particular recommendation (prior to the enactment of a policy). Learning how to write a policy brief in a clear, succinct, scholarly, and professional manner is an essential skill for advanced practice nurses.

For this Assignment, you will assess one of the recommendations from the Institute of Medicine’s “The Future of Nursing: Leading Change, Advancing Health: Report Recommendations. You will then develop a policy brief to advocate for this recommendation (the written policy brief is due in Week 7). 

To prepare:

• Review      the Lavis et al. article on preparing and writing policy briefs provided      in the Learning Resources (See      attached file).
• Select      one of the recommendations within the IOM The Future of Nursing:      Leading Change, Advancing Health: Report Recommendations to focus      on for this assignment. (For this assignment, I have selected      RECOMMENDATION 1, please see attached file)
• Research      the history of the problem behind the recommendation and what has been      done to try to solve the problem.
• What      does the recommendation say should be done? Are there any groups, nursing      and others, currently supporting work to implement the recommendation      (e.g., Kaiser Family Foundation, professional organizations)? Does the      recommendation suggest specific groups that should be involved in the      implementation? Think critically about how the recommendation should be      implemented – did the IOM get it right? What other strategies are possible      to consider?

By Sunday 04/15/2018 12pm, 

To complete:

• Develop      a scholarly and professionally written 2- to 3-page single-spaced policy      brief on the recommendation you selected from the IOM report following the format presented in      the Lavis et al. article (follow the exact format, including how the layout      of the paragraphs, and the way the references [at least 10 scholarly      references] are displayed at the end, numbered in-text and number plus      citation at the end, copy the same exact format as the article please).      (See attached file for the article). Include the following:
  1. Short       introduction with statement of the problem.
  2. The       selected recommendation (from the IOM Report)
  3. Background
  4. Current       characteristics
  5. The       impact of the recommendation from the perspective of consumers, nurses, other       health professionals, and additional stakeholders
  6. Current       solutions
  7. Current       status in the health policy arena
  8. Final       conclusions
  9. Resources       used to create the policy brief

Required Readings

Hyder, A., Syed, S., Puvanachandra, P., Bloom, G., Sundaram, S., Mahmood, S., … Peters, D. (2010). Stakeholder analysis for health research: case studies from low- and middle-income countries. Public Health, 124(3), 159–166.

This study demonstrates how the engagement of stakeholders in research and policy making can assist in the successful implementation of policy proposals. The authors propose that by engaging stakeholders, researchers and policy makers are provided with multiple perspectives on proposed policies, which can lead to greater success with policy adoption and implementation.

Lavis, J. N., Permanand, G., Oxman, A. D., Lewin, S., & Fretheim, A. (2009). SUPPORT Tools for evidence-informed health Policymaking (STP) 13: Preparing and using policy briefs to support evidence-informed policymaking. Health Research Policy & Systems, 71–79. doi: 10.1186/1478-4505-7-S1-S13

The purpose of a policy brief is to communicate an issue clearly and definitively to policy makers. The authors of this article propose an outline for policy briefs and also stress the importance of using research when creating a policy brief.

Lowery, B. (2009). Obesity, bariatric nursing, and the policy process: The connecting points for patient advocacy. Bariatric Nursing & Surgical Patient Care, 4(2), 133–138.

This article provides an example of nurse involvement in policy making by examining a bariatric nursing issue. The author stresses that nurses, in their patient-advocacy role, have a responsibility to be involved in the health care policy process.

Moore, K. (2006). How can basic research on children and families be useful for the policy process? Merrill-Palmer Quarterly, 52(2), 365–375.

Institute of Medicine. (2010). The future of nursing: Leading change, advancing health: Report recommendations. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf

Introduced in Week 2, this IOM report highlights four key recommendations in its proposal for the future directions of the nursing profession. These recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking.

National Center for Policy Analysis (2010). Ideas changing the world: Free-market health care policy. Retrieved from http://www.ncpa.org/healthcare/

The NCPA is a nonprofit, nonpartisan organization that promotes private sector solutions to public policy issues (See attached file and choose recommendation 1).

Slack, B. (2011). The policy Process. Retrieved from http://people.hofstra.edu/geotrans/eng/methods/ch9c2en.html 

The author presents a policy-making framework and provides details on the four steps of that process: problem definition, policy objectives and options, policy implementation, and policy evaluation and maintenance.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Agenda setting and the policy process. Baltimore: Author. 

Note: The approximate length of this media piece is 17 minutes.

Dr. Kathleen White and Dr. Joan Stanley share their insights into agenda setting and how issues are moved forward into the policy process.

Optional Resources

Barnes, M., Hanson, C., Novilla, L., Meacham, A., McIntyre, E., & Erickson, B. (2008). Analysis of media agenda setting during and after Hurricane Katrina: Implications for emergency preparedness, disaster response, and disaster policy.

 American Journal of Public Health, 98(4), 604–610.

Jennings, C. (2002). The power of the policy brief. Policy, Politics & Nursing Practice, 3(3), 261–263. doi: 10.1177/152715440200300310

Neumann, P. J., Palmer, J. A., Daniels, N., Quigley, K., Gold, M. R., & Chao, S. (2008). A strategic plan for integrating cost-effectiveness analysis into the US health care system. American Journal of Managed Care, 14(4), 185-188.

Plan, Policy, Procedure Relationship Diagram. (n.d.). Retrieved from http://www.informationsecurityintel.com/docs/Fig.%204.3.pdf

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