Week 3 Public Policy Meeting Written Assignment

Public Policy Meeting Assignment

 Submit a 3-4 page summary paper on the public policy meeting. Include headings in your paper that address these components:

• The purpose of the meeting, key participants, key agenda items, and meeting logistics
• Background information and a description about the committee
• One specific topic that was discussed at the meeting and an explanation of the committee process
• An analysis of the key stakeholder positions related to the topic discussed
• Key interactions that occurred at the meeting
• Outcomes of the meeting including the specific topic focus
• APA format (6th ed.), proper grammar, and references as appropriate

Due Sunday, 11:59 p.m. (Pacific time)

1. Prepare examples of various coding and billing issues that you have experienced in the clinical setting (Peds and women’s health).

2. Provide a brief description about the NPI numbers for nurse practitioners.

Read the following article: 

https://journals.lww.co m/jwocnonline/Fulltext/ 2012/03001/Reimburse ment_of_Advanced_Pra ctice_Registered.4.aspx

 Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

• Read the articles by Sikka, Morath, & Leape (2015);      Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016)      provided in the Resources.
• Reflect on how EBP might impact (or not impact) the      Quadruple Aim in healthcare.
• Consider the impact that EBP may have on factors      impacting these quadruple aim elements, such as preventable medical errors      or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

• Patient experience
• Population health
• Costs
• Work life of healthcare providers

Community Action Report essay; A recent volunteer experience that you did about during covid 19, and your individual and collective hopes and dreams for your communities and our world. Change happens due to our shared convictions and effective relationships.  in 2 pages.

Question one 

Evidence Based Practice on Managing Hypertension

Hypertension can lead to more serious cardiac disorders such as CHF so interventions to prevent it from progressing are important. Here is a Cochran’s Report below that analyzed Research on management of hypertension with recommendations on interventions that are effective. In 100 words, Review the summary and share some of the findings and recommendations to earn credit. link https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005182.pub4/full

Question two

Evidence Based Practice Integration to Nursing Practice

Research using Cochrane Systematic Reviews or Guidelines from the AHRQ. This is the type of source/database you should use when asked to provide EBP or research. Explore the sites, look over an area related to Cardiac/ CHF or respiratory disorders that interests you and in 100 words, share an EBP intervention from the site that nursing could use and share a link to the article or guideline. Replying with EBP from the sites will count as one substantial post for the week.Link 

https://www.cochranelibrary.com/cdsr/about-cdsr

Question three

Scholarly Sources for Academic Work and Practice

Class for your academic undergraduate work you should be using assigned readings and other scholarly sources designed for the health care professional. Posts that use consumer web sites, patient ed sites or news stories designed for the layman do not earn credit. It is important that you understand what constitutes a scholarly source. GCU has a wonderful tutorial on evaluation sources.

To earn credit for one substantive reply post for the week:

1. Visit GCU’s evaluating resources library guide , https://libguides.gcu.edu/EvaluatingSources

2. Review the site. In 100 words Briefly discuss two things you learned. 

Question four

 Evidence Based Practice Guidelines CHF and other Cardiac Complexities

Class here is a link to research from 2019 that seeks to reduce readmission rates for CHF patients. The article has links to EBP in the reference section that may be useful for your study this week. The Clinical section of the American College of Cardiology also provides EBP on common cardiac disorders. In 100 words,review the article and site and share something new that you learned. 

https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12336

Question five

Risk Factors for Alzheimer’s Disease

1. Research scholarly sources designed for health care professionals, and provide a ONE risk factor for Alzheimer’s.

2. State the risk factor

3. State whether it is a modifiable risk factor.

4. Summarize why it is a risk factor.. ie the physiological impact

5. Include your reference/source with the required doi or url/ web link

Question 6

 Types of Stroke

 In 100 words describe one type of cerebrovascular accident/stroke (CVA)  the cause and related physiology. In short, what occurs within the body to cause the stroke? Use our text and other scholarly sources to research your answer (Include the reference in your reply). Posts that use consumer web sites like Mayo Clinic and Web MD will not earn credit.

Write a 5 page research paper about the effects of breastfeeding in the baby and the mother. 

Answer the following questions:

– What are the negative effects of breastfeeding?

– What are the advantages of breastfeeding?

Include an introduction, a conclusion, and 3 references within the last 5 years.

tate Strategies (20% of grade)

The purpose of this assignment is to familiarize students with health reform strategies adopted by states. Students will select a state health policy reform innovation and describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. Students should summarize their findings in a 1-2 page, single-spaced memo.

Sample memo attached. A memo is required, see attached sample.

A few examples of state innovations include Vermont’s single payer system, Massachusetts’ health reforms and Kentucky’s Medicaid healthcare program (none of these can be used).

Please see attached rubric.

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

4). ALSO, IN ADDITION TO RUBRIC DETAILS, I HAVE ATTACHED THE INSTRUCTOR’S EXPECTATION GUIDELINE. (Please and Please, let me know if there is any clarification needed from me).

Thank you.  

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Assignment: Analysis of a Pertinent Healthcare Issue

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

 Follow up discussion response , add information and support the idea for the above post. One paragraph use the same reference and citation 

According to our lesson this week, variables are expressed as numbers in order to analyze them statistically, but different types of numbers have different levels of measurement (Houser, 2018). In my project I’m focusing on the risk race/ethnicity has on hospitalization/death in patients with Covid-19. This level of measurement is nominal. Our lesson discusses that nominal variables are categorized data, classified, and not ordered (Houser, 2018). An implication for this statistical testing is that subjects cannot be compared (Houser, 2018).

A study conducted that investigates Covid-19 mortality affecting the Black population in the US. The study used 505,992 patients receiving care at Bronx Montefiore Health System (BMHS) between 1/1/18 and 1/1/20 to evaluate the risk of hospitalization and death in two time periods- pre-Covid time and Covid time period (Golestaneh et al., 2020). The study was conducted using a retrospective cohort study of patients that were outpatient at BMHS (Golestaneh et al., 2020). In a retrospective cohort study is a type of observation research in which the investigator looks back in time at archived or self-report data to examine whether the risk of the disease was different between exposed and non-exposed patients (El-Masri, 2014). The variable was race/ethnicity (Golestaneh et al., 2020). Race/ethnicity data was patient self-defined at time of initial registration at BMHS. Patients were able to register as Non-Hispanic White, Non-Hispanic Black, Hispanic, and Other (Golestaneh et al., 2020).

References:

El-Masri, M. M. (2014, April 1). Terminology 101: Retrospective cohort study design. Retrieved September 28, 2020, from https://canadian-nurse.com/en/articles/issues/2014/april-2014/terminology-101-retrospective-cohort-study-design

Golestaneh, L., Neugarten, J., Fisher, M., Billett, H. H., Gil, M. R., Johns, T., . . . Bellin, E. (2020). The association of race and COVID-19 mortality. EClinicalMedicine, 25, 100455. doi:10.1016/j.eclinm.2020.100455

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett.