Federalism’s Impact on Policy
The fragmentation of the U.S. health care system, with its differing modes of financing and service delivery, is a reflection of a dispersed government structure. Policy making is shared and distributed across various branches and levels of government. As a result, policy making processes can be slow to respond, manipulated towards personal interests, and often redundant. Consider, for example, the public entitlement programs such as Medicaid, Medicare, the State Children’s Health Insurance Program (SCHIPS), and the PPACA of 2010. Where is there overlap between these policies? How do they demonstrate a dispersed government structure?
This week, you will analyze the role of the federal government in health care policy making.
To prepare:
- Review this week’s Learning Resources focusing on the France article and the textbook readings.
- Identify two nursing or health care policies that address similar needs, one passed at the federal level and the other at another level of government (state or local).
By tomorrow 04/17/2018 3pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below:
Post a cohesive response that addresses the following:
1) Provide an example of two policies that address similar needs, passed at two levels of government (i.e., federal, state, or local).
2) What are the advantages and/or disadvantages of this duplication? How does this example reflect the implications of federalism? Provide support from the literature for your position.
3) To what degree should the federal government get involved in health care policy making? Provide concrete examples to support your position.
Required Readings
Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed.). New York, NY: McGraw-Hill Medical.
- Chapter 15, “Health Care Reform and National Health Insurance”
Chapter 15 discusses the history of legislating national health care insurance in the United States. The chapter focuses on the different methods of financing a national health care reform, from a single-payer government fund to employer and individual mandates.
- Chapter 16, “Conflict and Change in America’s Health Care System”
Chapter 16 highlights the historical relationships between health care purchasers, insurers, providers, and suppliers. Over the decades, these stakeholders have battled for control of the U. S. health care system, as health care costs increase, and more people remain uninsured.
France, C. (2008). The form and context of federalism: Meaning for health care financing. Journal of Health Politics, Policy & Law, 33(4), 649–705. doi: 10.1215/03616878-2008-012
The author argues that the United States’ unique form of federalism works negatively within a fragmented societal context to create an equally fragmented and dispersed health care system. The article highlights the United States health care system by comparing it with systems in Canada, Germany, and Australia.
Frankel, M. S. (2009). Commentary: Public outreach by the FDA: Evaluating oversight of human drugs and medical devices. Journal of Law, Medicine & Ethics, 37(4), 625–628.
Kennedy, E. M. (2005). The role of the federal government in eliminating health disparities. Health Affairs, 24(2), 425–428.
In this article, the late Senator Kennedy discusses health care disparities among marginalized groups in the United States. He proposes the expansion of Medicaid and State Children’s Health Insurance Program (SCHIP), increased cultural competency among health care providers, health care research related to marginalized groups, and an increased public health investment by the United States. He includes a brief history of government involvement in reducing health care disparities.
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Federal Law Or Regulation Related To Patient Safety
/in Uncategorized /by developerSelect a state or federal law or regulation related to patient safety that has been implemented within the last five years requiring hospitals or any other health care organizations to change the way they manage the delivery of care. Discuss the changes that have occurred because of this law or regulation.
Additionally, discuss the technology associated with either your selected law/regulation or a similar one. Are there ethical dilemmas that have resulted from technology changes when delivering care to patients or patient safety? Explain the dilemmas and how they might be resolved.
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Federalisms Impact On Policy
/in Uncategorized /by developerFederalism’s Impact on Policy
The fragmentation of the U.S. health care system, with its differing modes of financing and service delivery, is a reflection of a dispersed government structure. Policy making is shared and distributed across various branches and levels of government. As a result, policy making processes can be slow to respond, manipulated towards personal interests, and often redundant. Consider, for example, the public entitlement programs such as Medicaid, Medicare, the State Children’s Health Insurance Program (SCHIPS), and the PPACA of 2010. Where is there overlap between these policies? How do they demonstrate a dispersed government structure?
This week, you will analyze the role of the federal government in health care policy making.
To prepare:
By tomorrow 04/17/2018 3pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below:
Post a cohesive response that addresses the following:
1) Provide an example of two policies that address similar needs, passed at two levels of government (i.e., federal, state, or local).
2) What are the advantages and/or disadvantages of this duplication? How does this example reflect the implications of federalism? Provide support from the literature for your position.
3) To what degree should the federal government get involved in health care policy making? Provide concrete examples to support your position.
Required Readings
Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed.). New York, NY: McGraw-Hill Medical.
Chapter 15 discusses the history of legislating national health care insurance in the United States. The chapter focuses on the different methods of financing a national health care reform, from a single-payer government fund to employer and individual mandates.
Chapter 16 highlights the historical relationships between health care purchasers, insurers, providers, and suppliers. Over the decades, these stakeholders have battled for control of the U. S. health care system, as health care costs increase, and more people remain uninsured.
France, C. (2008). The form and context of federalism: Meaning for health care financing. Journal of Health Politics, Policy & Law, 33(4), 649–705. doi: 10.1215/03616878-2008-012
The author argues that the United States’ unique form of federalism works negatively within a fragmented societal context to create an equally fragmented and dispersed health care system. The article highlights the United States health care system by comparing it with systems in Canada, Germany, and Australia.
Frankel, M. S. (2009). Commentary: Public outreach by the FDA: Evaluating oversight of human drugs and medical devices. Journal of Law, Medicine & Ethics, 37(4), 625–628.
Kennedy, E. M. (2005). The role of the federal government in eliminating health disparities. Health Affairs, 24(2), 425–428.
In this article, the late Senator Kennedy discusses health care disparities among marginalized groups in the United States. He proposes the expansion of Medicaid and State Children’s Health Insurance Program (SCHIP), increased cultural competency among health care providers, health care research related to marginalized groups, and an increased public health investment by the United States. He includes a brief history of government involvement in reducing health care disparities.
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Fema Prevention Protection And Mitigation Planning
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FEMA PREVENTION, PROTECTION AND MITIGATION PLANNING
FEMA PREVENTION, PROTECTION AND MITIGATION PLANNING
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Female And Male Genitalia
/in Uncategorized /by developerFemale Genitalia;male Genitalia.
Midsagittal view of the female pelvic organs.
Summarize the ovulation cycle and identify the functions of the hormones produced.
An older woman who has stopped regular menstruation asks whether she can still become pregnant. What is the best response you can give this patient?
What is the name of the tissue that separates the anterior wall of the vagina from the bladder and urethra?
Name the four bones that form the pelvis
why it is important to teach mothers correct perineal care for their newborn infant daughters.
What possibility must you consider if in a child you observe vaginal swelling of the vulvar tissues accompanied by bruising or foul-smelling discharge?
Describe premenstrual syndrome (PMS).
Identify and explain positions other than the lithotomy in which a pelvic examination can be performed.
You are about to conduct a pelvic examination on an adolescent girl. What should you take time to do before carrying out the examination?
A 12-year-old girl is experiencing a vaginal mucus discharge. What can you tell this girl to decrease her anxiety?
A new mother is frightened by the appearance of blood-tinged mucus at her newborn daughter’s vaginal entrance. What response can alleviate this woman’s anxiety?
MC is a 28-year-old patient who presents to the urgent care for complaints of abdominal pain and cramping. Today she has noticed a yellow vaginal discharge. Her past medical history is noncontributory. She admits to having multiple sexual partners with unprotected intercourse
1-What additional questions regarding her vaginal discharge could you ask at this point?
2- Describe the stages of salpingitis.
3- What physical assessment findings on the vaginal examination and bimanual would you expect to see if the patient has salpingitis?
A 60-year-old man asks you whether it is still possible for him to become a father. How would you respond to this patient? What effect does aging have on male fertility?
Which part of the male genitalia is a soft, comma-shaped structure located on the posterolateral and upper aspect of the testis in 90% of males and provides for storage, maturation, and transit of sperm?
Differentiate between the external genitalia for a male and female fetus at both 8 weeks and 12 weeks of gestation.
Summarize the pros and cons of newborn circumcision.
The mother of a newborn you are examining voices concern that one of her son’s testicles has not yet “appeared.” What can you tell this mother to reassure her? What is the expected time for final descent of the testes into the scrotal sac?
Discuss how do you could effectively work with a child to evaluate the testicles.
You are performing a genital examination on a 12-year-old boy who seems noticeably embarrassed and nervous. What communication measures can be included to decrease anxiety and facilitate the examination?
A patient has an erection while you are performing a genital examination. What is the best response to decrease anxiety and embarrassment?
Describe the cremasteric reflex.
9904
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Few Pages On This Essay 2
/in Uncategorized /by developerNeed this essays to be done on Sunday 10am Pacific Time Zone . Instructions are attached to this post. Follow it to a T. Drop me a PM if you have questions. Please have mercy on the pricing as I’m a broke boy. Thank you.
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Fh Aandg W1a2
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Fh Aandg W2a1 Discussion Question
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Fi 15
/in Uncategorized /by developerA 60-year-old woman has just been diagnosed with osteoporosis. She does not understand how this could be possible, as she has always been a milk drinker.
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Fi 7 Hp
/in Uncategorized /by developerProject 7 – Jane Austen: Addison’s Disease
Prompt
You will choose a well-known individual from history or current popular literature, with instructor approval, who has a known physiological—as opposed to psychiatric or psychological—disease or illness, and, using a systematic approach, you will analyze that disease or illness. You will also develop a plan of care for that disease or illness.
In your analysis, you will describe the pathophysiology for your selected disease or illness, propose historical explanations for variations in findings (when applicable), and demonstrate use of nursing conceptual models to frame your discussion of adaptation and stressors collectively for system analysis.
Your plan of care should utilize the PIE (planning, intervention, and evaluation) format. The planning (P) section should include at least two short-term and two long-term goals that are most appropriate for your chosen case, and each goal should have measurable criteria and have a hypothetical target date or time. The intervention (I) section should include interventions or nursing actions that directly relate to the selected case’s goals and that are specific in action and frequency. The number of interventions should be appropriate for helping to meet individual goals. Finally, the evaluation (E) section of the plan of care should include proposed measures for determining success of the plan and an evaluation of the potential success of the plan, based on those measures.
Specifically, the following critical elements must be addressed:
Be sure to support your claims with scholarly evidence.
claims.
literature.
evidence.
element comprehensively, you should be sure to provide at least two short-term and two long-term goals for your selected case.
claims.
support your claims.
your selected case.
V. Evaluation
determine if your plan worked? Be sure to substantiate your claims with scholarly evidence.
your selected case. In other words, do you feel your proposed plan of care and interventions for your selected case will result in successful outcomes? Be sure to justify your rationale with evidence-based research.
Final Product Rubric
Guidelines for Submission: Your case analysis and plan of care paper should be between 6 and 10 pages, not including title page and reference list. It should be
formatted with 12-point Times New Roman font and one-inch margins; all citations should follow proper APA guidelines.
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