1. Submit an essay of the developed action plan for a community educational project. The project plan should include 2 (two) goals and objectives based on your topic from Healthy People 2020, an implementation plan for implementing these activities, a budget (if necessary, not required), a justification for the project, a description of where and when the plan will be implemented, and a description of the teaching materials which will be utilized during the execution of the project. Then recommend nursing actions/interventions to improve the health concern and achieve your stated goals and objectives. Discuss potential public and private partnerships that could be formed to implement your recommendations and create a timeline (i.e. 3 month, 6 month) for potential expected outcomes.

The assignment should be written in an APA-formatted essay. The essay should be between 1250 and 1500 words in length and include at least two scholarly sources other than provided materials.

1. Discuss your state NP community in terms of scope of practice. Include the your state’s scope of practice for NPs including: ( I leave in Maryland)
   • Level of independence of practice 
   • Prescribing authority 
   • Any limitations of practice 
   • Process for obtaining licensure in your state 
   • Certification and education requirements for licensure. 
2. If you live in a restricted or reduced practice state, how has patient care been impacted in your local community from these barriers?  For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent care clinics readily available? Is there adequate access to primary care?  If you live in a full practice, how has independent practice of the APN resulted in improved patient access to healthcare?   
3. How does access to NPs impacts any healthcare disparities?  

• Consider how patient care has been impacted in your local community by these practice barriers.
  • For instance, is the ED used for primary care?
  • Are the EDs overcrowded with long wait times?
  • Are there urgent care clinics readily available?
  • Is there adequate access to primary care?
  • Are your rural communities adequately served?
  • What healthcare limitations are present in your communities?
• Consider how unrestricted, independent practice of the APRN resulted in improved patient access to healthcare?
• Include in your discussion how access to NPs impacts any healthcare disparities. 
  • Be sure you clearly understand the concept of “health disparities” as you address this portion of the discussion.

As a reminder, all writing submitted should reflect graduate student quality and APA writing rules. All writing informed by outside sources should include APA formatted citations and associated scholarly, current references.

Buppert, C. (2017). Nurse practitioner’s business practice & legal guide (6th ed.). Burlington, MA: Jones & Bartlett.

• Chapter 8 – Risk Management

Letz, K. (2017). The NP guide: Essential knowledge for nurse practitioner practice. (3rd ed.). American College of Nurse Practitioner Faculty. Las Vegas, NV.

• Chapter 11 – Justifying and promoting the profession

Teitelbaum, J. B., & Wilensky, S. E. (2017). Essentials of health policy and law (3rd ed.). Burlington, MA: Jones & Bartlett Publishers.

• Chapter 13 – Public Health Preparedness policy

 Course Outcome covered in this Assignment:

Analyze financial models of reimbursement and their effects on patients and health care providers.

Directions

For this Assignment, you will distinguish between Medicare and Medicaid. Your paper must include the following topics:

• Provide a brief history of both Medicare and Medicaid.
• Define the populations that they are intended to serve.
• Determine whether your state has expanded Medicaid.
• Articulate the reasons that states choose not to participate in Medicaid expansion.
• Analyze your role in your specialized area of nursing practice when interfacing with Medicare and/or Medicaid recipients. 

The word count for your paper, excluding the title page and references page, will be 800–1200 words. You must include a minimum of (5) different scholarly references.

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors. 

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA formatting and citation style.

Directions

For this Assignment, you will distinguish between Medicare and Medicaid. Your paper must include the following topics:

• Provide a brief history of both Medicare and Medicaid.
• Define the populations that they are intended to serve.
• Determine whether your state has expanded Medicaid.
• Articulate the reasons that states choose not to participate in Medicaid expansion.
• Analyze your role in your specialized area of nursing practice when interfacing with Medicare and/or Medicaid recipients. 

The word count for your paper, excluding the title page and references page, will be 800–1200 words. You must include a minimum of (5) different scholarly references.

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors. 

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA formatting and citation style.

 This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles and four boxes approach.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize the four principles and four boxes approach and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, non maleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected. 

After reading chapters 13 and 14, answer the following questions: 

1.      Describe at least three possible reasons that reimbursement is provided for medical procedures for pain relief rather than for comforting strategies that nurses could provide.

2.     Describe two safety risks that could result from the following health problems: hypertension, arthritis, right-sided weakness, and Alzheimer’s disease.

Discussion Protocol

1.   Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

2.   All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009, ISBN: 978-1-4338-0561-5

3.   Minimum of two references, not older than 2015.

An applicant’s professional history and qualifications are outlined in a resume. A cover letter is a way for the applicant to make a professional introduction to the hiring manager and demonstrate an interest in the company.

Develop a current resume and create a formal cover letter for a position for which you would like to apply. Create both the cover letter and resume using a professionally accepted format provided on the Resume-Resources website, located in the Topic Materials.

Include the following:

1. Resume: Detail your overall education, credentials, and professional experience, such as licenses, earned degrees, certifications, professional experiences, previous positions held, membership in professional organizations, publications, and skills.
2. Write a one-page double spaced introductory cover letter in which you explain your professional objectives, professional interests, and strengths as an applicant.
3. Prior to submission, share your resume with a colleague and obtain feedback. Revise your resume as needed

Module 2 – Case

HEALTHY PEOPLE 2020: UNDERSTANDING AND IMPROVING HEALTH

Case Assignment

Healthy People 2020: Understanding and Improving Health

For this assignment, I would like for you to expand your knowledge and understanding of the goals and mission of Healthy People 2020 and its predecessor Healthy People 2010.

Please answer the following questions:

1. Discuss whether or not you believe that the mission and goals for Healthy People 2020 are reasonable given the major health concerns facing our communities. Of the 2020 topics, choose one and discuss its impact on public health—support your discussion with at least 2 articles using ProQuest.
2. Please compare and contrast the focus areas for Healthy People 2010 with the topics for Healthy People 2020. What are their similarities? Are there any differences? In your opinion and given the current health trends, what might be a single most important health priority or topic for Healthy People 2020?
3. Briefly discuss how a commitment by a state and/or local health department to meet the objectives of Healthy People 2020 can affect public policy. Use one of the assigned readings as a reference.
4. What is the role of “Healthier US” and what are the policy and environmental changes that are directed toward achieving a healthier lifestyle? Identify a policy of environmental change that you believe will result in actually achieving a healthier lifestyle. Justify your position.
5. Do you consider it to be appropriate for a state or county health department to set objectives which are not compatible with CDC’s Healthy People 2020 topics and objectives? Please support your position. Use one of the assigned readings as a reference.

Please submit your Case Assignment by the end of Module 2. Please refer to the Trident calendar for exact due dates. Please contact me at any time should you have any questions.

Assignment Expectations

1. You are expected to consult the scholarly literature in preparing your paper; you are also expected to incorporate relevant background readings.
2. Your paper should be written in your own words. This will enable your instructor to assess your level of understanding.
3. In order to earn full credit, you must clearly show that you have read ALL required Background materials.
4. Be sure to cite your references in the text of all papers and on the reference list at the end. For examples, look at the way the references are listed in the modules and on the Background reading list. Remember, any statement that you make that is not common knowledge or that originates from your synthesis or interpretation of materials you have read must have a citation associated with it. For guidelines on in-text citations, visit the following website: https://owl.english.purdue.edu/owl/resource/560/02/
5. Proofread your paper to be sure grammar and punctuation are correct and that each part of the assignment has been addressed clearly and completely.
6. Your assignment will not be graded until you have submitted an Originality Report with a Similarity Index (SI) score <15% (excluding direct quotes, quoted assignment instructions, and references). Papers not meeting this requirement by the end of the session will receive a score of 0 (grade of F). Papers with a lower SI score may be returned for revisions. For example, if one paragraph accounting for only 10% of a paper is cut and pasted, the paper could be returned for revision, despite the low SI score. Please use the report and your SI score as a guide to improve the originality of your work.

Length: Your paper should be 4-6 double-spaced pages (800-1,300 words) in length, excluding title page and references.

Note: Wikipedia is not an acceptable source of information. 

The problem is pain control in dying patient or at the end of life – Hospice care

In this week’s Discussion, you shared your experiences with health care practice problems as a consumer and/or as a practitioner. Now, consider your current practice setting and think about something specific and relevant to your practice setting that you would like to see improved or changed. Interview a key leader in your practice setting who can confirm that your practice problem is one that should be addressed to enhance delivery or performance in the field. It is important to remember from the beginning that your practice problem must be measurable, and that you identify data that suggests a problem exists, and although this comes up more specifically in Week 2, it is important to consider this from the start.

This will be the problem discussed in your Practice Experience Project, Capstone Paper, and Storyboard.

By Day 4

Identify a measurable patient-centered practice problem related to quality or safety and relevant to your practice setting that you will also focus on in your Capstone Paper, and post a brief description of the problem and an explanation of why you selected it. Explain how the conversation you had with the key leader in your practice setting impacted your decision to address this particular practice problem. Be sure to support your practice problem with the literature that indicates the relevance of this problem for nursing practice. Provide evidence from your practice area and describe the data that is available.

You will not be collecting any data during the practice experience project; you will use data already available to you in your workplace or other practice setting. Think about the different kinds of data that is shared with you in your work area. For example, data may include patient satisfaction scores, medication error rates, fall, CLABSI or CAUTI rates. Analyzing the data available to you is how you will identify that a quality problem exists. Data identifies potential areas for improvement, and monitors the effectiveness of any changes. It is important to obtain baseline data before beginning a quality improvement project and to analyze results during and at the end of a project.

Identify a research topic that you intend to investigate and write about as an evidence-based practice report.

Create a list of at least 10 references (at least 7 must be primary research from peer-reviewed journals) on your topic of interest.

Create an annotated bibliography for your references. Each reference must include approximately 100-150 words describing why it is useful (or not) for your project and which parts of your report you might be able to incorporate the resource information into.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.  An abstract is not required.

Assignment attached