Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health

This assignment focuses on the methods to develop a change in policy to improve the public’s health by using a health policy model.

Tasks:

Suppose you want to initiate a policy of taxing sugared sodas/pop/beverages in your community. Use the Longest’s policy cycle model to ponder the following questions:

• What arguments would you use to make the case for the policy?
• What argument(s) would your opponents make?
• How would you go about getting buy-in for your proposed policy?
• What stakeholder groups need to be involved in promoting your policy?

Submission Details:

• Submit your response in a 2-page Microsoft Word document (500 words).
• Name your document SU_NSG4068_W1_Project_LastName_FirstInitial.doc.
• Cite sources in the APA format on a separate page.

 

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Part 1

           In 2008, the Institute of Medicine partnered with the Robert Wood Johnson Foundation to not only assess, but also respond to the need of nursing profession transformation. Their report titled the “Future of Nursing: Leading Change, Advancing Health” set a path for advancing the responsibilities or role of nurses in the United States. The report proposes eight recommendations: a nurse ought to practice to the full extent of his or her education and training; and a nurse should attain higher levels of training plus education through improved educational system that enhances seamless educational progression. Thirdly, nurses ought to be full partners with other healthcare practitioners in redesigning the United States healthcare practice. Finally, there is need for better data collection plus improved information infrastructure for effective workforce planning as well as policy making (RWJF & IOM, 2010).   

           Since 2010, various states across United States have established coalition to help realize the recommendations of the Institute of Medicine and the Robert Wood Johnson Foundation report. One such action coalition is the Florida Action Coalition. This coalition, headquartered at the Florida Nursing Working Center, conducted a statewide study whose findings were used as a foundation for a training program of promoting nursing leadership. The coalition also established a program for emerging nurse leaders to provide a 90 day learning experience through group and individual coaching, online courses as well as webinars. The Florida Action Coalition’s website features graduates who are linked with new organizations searching for nurse leaders join their boards. So far, 18 out of 26 graduates of the initiative are working on policy making boards and other agencies. Finally, the coalition has partnered with the Florida Blue- a component of the Blue Cross and Blue Shield Association-to strengthen its ability to not only sustain itself, but also for statewide health improvement (FAC, 2018).   

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Part 2

you did a good job in researching and developing your response.  You stated, ” the coalition has partnered with the Florida Blue- a component of the Blue Cross and Blue Shield Association-to strengthen its ability to not only sustain itself, but also for statewide health improvement.”  What initiatives has Florida developed to help sustain itself and to improve health statewide?  

 

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Nurse’s Role in Influencing the Legislative Process

For this week’s project, you’ll answer three questions related to your opportunity as a nurse and an advocate. The first two questions relate to influencing a bill is traveling through the legislative process. The third question refers you to the social determinants of health as described in your course textbook reading and asks you to think specifically on your role as a nurse in influencing social determinants of health.( SEE ATTACHED)

In a brief paper (no more than 2 typed pages, 1 inch margins, 12 font Times New Roman or Courier New), answer the questions below. Write each question as a new topic area and then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

Answer the following questions:

· What parts of the lawmaking process does a nurse have an opportunity to influence the final bill passage?

· List at least two ways that this influence can take place. In your opinion, would one way be preferable over the other?

· Reviewing the social determinants of health, select one to respond to this question:

o What role can nurses play in promoting health status through policy changes directly affecting this social determinant?

Submission Details:

· Submit your response in a 2-page Microsoft Word document (500 words).

 

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The ACA or the AHCA: Imperfect Solutions to Increasing Access to Health Care?

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To support your work, use your course and text readings and also use the —————–University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

This week’s discussion focuses on the federal government’s role in protecting the public’s health using the ACA and current efforts to “repeal and replace” the ACA. Please note that the government’s role in protecting the public’s health did not begin with the ACA. In the late 1800s, Lilian Wald brought health care to the community. And in 1965, Congress passed bills authorizing Medicare and Medicaid. Since 1965, Congress has expanded government-sponsored health care to pregnant women and children.

Answer the following question:

· Compare the current provisions in the ACA with those in the failed first version of the AHCA. Share your opinions about why the AHCA failed in the first attempt at passage.

Continue to read daily from one of the policy briefs that are included in your weekly readings list. POLITICO Pulse is a daily briefing from POLITICO, and the Kaiser Health News Morning Briefing is a daily briefing from the Kaiser Family Foundation. Both focus on health care. Either one will keep you abreast of what is happening in health care policies and politics.

In addition, subscribe to the “HealthCetera” podcast and listen to the podcast weekly. This is a production of WBAI, free speech radio of Pacifica Foundation Radio in New York City. Diana Mason and Barbara Glickstein are founders and codirectors of the Center for Health Media Policy (CHMP). Both are recognized as experts in media, nursing, health, and health policy. They have a longstanding relationship as producers and moderators of HealthCetera (https://www.wbai.org/index.php?option=content&task=view&id=384&Itemid=42), a live, award-winning radio program on public radio and iTunes. They are bloggers for Disruptive Women in Health Care( http://www.disruptivewomen.net/)and for the American Journal of Nursing (AJN) (https://journals.lww.com/ajnonline/pages/default.aspx). The CHMP is an interdisciplinary initiative for advancing the health of the public and healthy public policies through media, research, education, and public forums. Listen to the podcast throughout the course and think on the topics that are discussed, especially as they relate to how we advocate for issues of importance in this contemporary political environment.

 

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RI..

The AHCA was written to solve a crisis that doesn’t exist and accordingly accepts sacrifices it doesn’t need to ( Q1,2018). It’s akin to a doctor who wants to amputate a patient’s leg, a reasonable solution if gangrene has set in, but disastrous in case of a botched diagnosis. Everyone will face the specter of getting priced of health insurance altogether if they lose coverage. For them this is functionally a mandate, except instead of a financial penalty the AHCA punishes them by withholding access to care. I think one of the somewhat surprising elements of the bill was the fact that they kept in the essential health benefits, the ten classes of benefits that need to be covered just because it’s covered doesn’t mean that you’re going to be able to afford them. For the people who have coverage, meaning they are in an insurance plan, what is the extent of the out of pocket exposure they have to get the care they need. As it turns out, studies showing better health outcomes for those with insurance looked at individuals having private insurance. On the other hand, multiple studies, assessing the effect of the Medicaid expansion, found no improvement in health outcomes for those on Medicaid.  In fact, other investigations have found worse outcomes for those with Medicaid as compared to those with no insurance at all.

 

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