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This Competency Assessment assesses the following outcome(s): MN507-1: Examine U.S. healthcare policy structures and the role of the nursing leader as a change agent at the public policy table.
Directions
You will decide on a policy issue that needs to be addressed. You may choose a policy issue that interests you. Below are suggested topics for proposed policy change, however if you wish to address another topic please contact your instructor for approval:
You will write a letter using professional business format to one of your Federal legislators outlining what the issue is and why it is important. The letter will address:
Assignment Requirements
Before finalizing your work, you should:
Your writing Assignment should:
Submit your Assignment to the Competency Assessment Dropbox.
Minimum Submission Requirements
If work submitted for this Competency Assessment does not meet the minimum submission requirements, it will be returned without being scored.
CRITERIAMETNOT METCurrent Policy Structure [Current policy structure is discussed, including any relevant historical information about the policy.] Need for Policy Change [Need for policy change is discussed, including specific rationale for change.] Suggested Policy Change [Suggested policy change is discussed, including information about the characteristics of the change that differ from the current policy structure.] Cost Implications if Change Is Implemented [Cost implications are discussed, including both monetary and other potential costs as applicable.] Role of the Nurse as a Change Agent at the Policy Table [Role of the nurse as a change agent at the policy table is discussed, including actions that the nurse can take to influence policy-makers.] Overall # Bold Criteria Met/Not Met [Overall # Mastery Criteria Met/Not Met]The criterion statements in bold are the minimum requirement to show competent performance on the course outcome; all bold criteria must be met to pass this Course Outcome.
The criterion statements in [Brackets] represent mastery achievement. A predefined number of mastery criteria must be achieved to earn an A grade, indicating mastery of the Course Outcome.
The Nursing Affairs Director
American Nurses Association
155 E 44th Street. New York, NY 10017
CC/BCC Block:
Change of Regulations on APRNs in the US States
Dear Sir:
This letter showcases the importance of changing the current policy frameworks regulating APRNs roles in certain states. The federal government lacks a clear framework regulating these important nursing roles (APRNs). The federal government leaves the duty to the state regulations, specifically the state board of nursing under the nursing practice act (NPA). Thus, some states such as Alaska, Arizona, and Colorado are full practice states that allow nurse practitioners to practice independently (Schorn et al., 2022). However, States such as California, Georgia, and Florida fully restrict APRN independent practice.
APRNs are important persons with advanced skills and knowledge. Their skills and expertise allow them to perform advanced roles such as diagnosing and treating conditions within their practice scope. Independent practice allows these individuals to open their clinics and hospitals, bringing these skills closer to the communities and availing advanced care (Ortiz et al., 2018). There is a need to remove the practicing restrictions to utilize their skills to ensure better patient outcomes. It is also crucial to the APRNs’ personal and professional growth.
The proposed change is developing a federal policy that lifts restrictions on APRN and APN roles. The policy will decrease the restriction on these roles and promote their independent practice. Lifting the regulations will ensure these nurses exploit all their knowledge and skills because these restrictions underutilize their expertise and training (Neprash et al., 2021). Thus, it will improve their morale and job satisfaction and promote healthier communities. Therefore, the federal government should develop a policy instructing states to lift practice restrictions on APRNs and APNs.
The costs of implementing the proposed change will be minimal. Allowing APRNs independent practice will reduce the cost of absorbing all of these professionals in hospitals, decreasing healthcare spending. In addition, it will avail specialized services to the communities, further reducing healthcare costs.
As a change agent at the policy table, the nurse plays various roles. They play the advocacy role by ensuring fairness to their profession and the patients. They assess the patients, hospital, and professionals to determine areas of need and provide carefully collected and analyzed data to support their claims (Salvage & White, 2019). They also provide data to validate or refute various policies based on their relevance and merits to the patients. They are change management agents and promote the acceptance of policies in healthcare institutions among peers and other healthcare professionals. Thus, nurses’ involvement as change agents at the policy table is integral.
Sincerely,
Name
Nursing Officer
St. Claire Medical Center
Neprash, H. T., Smith, L. B., Sheridan, B., Moscovice, I., Prasad, S., & Kozhimannil, K. (2021). Nurse practitioner autonomy and complexity of care in rural primary care. Medical Care Research and Review, 78(6), 684-692. https://doi.org/10.1177/1077558720945913
Ortiz, J., Hofler, R., Bushy, A., Lin, Y. L., Khanijahani, A., & Bitney, A. (2018, June). Impact of nurse practitioner practice regulations on rural population health outcomes. In Healthcare (Vol. 6, No. 2, p. 65). Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/healthcare6020065
Salvage, J., & White, J. (2019). Nursing leadership and health policy: everybody’s business. International nursing review, 66(2), 147-150.
Schorn, M. N., Myers, C., Barroso, J., Hande, K., Hudson, T., Kim, J., & Kleinpell, R. (2022). Results of a National Survey: Ongoing Barriers to APRN Practice in the United States. Policy, Politics, & Nursing Practice, 15271544221076524. https://doi.org/10.1177/15271544221076524
This Competency Assessment assesses the following outcome(s):
MN507-2: 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:
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:
Your writing Assignment should:
Submit your Assignment to the Competency Assessment Dropbox.
Minimum Submission Requirements
If work submitted for this Competency Assessment does not meet the minimum submission requirements, it will be returned without being scored.
CRITERIAMETNOT METHistory of Medicare and Medicaid [History of Medicare and Medicaid are discussed, including the initial need that was identified for both programs.] Identification of Populations Served by Medicare and Medicaid [Populations served by Medicare and Medicaid are described, specifying which specific populations are applicable to both.] Status of Medicaid Expansion in Student’s Own State [Status of Medicaid expansion in student’s own state is discussed, including any relevant background information for this status.] Reasons That States Choose Not to Expand Medicaid [Reasons that states choose not to expand Medicaid are discussed, including potential financial implications to states.] Role of the Nurse When Interfacing With Medicare and Medicaid Patients [Role of the nurse when interfacing with Medicare and Medicaid patients specific to the student’s specialty track is discussed.] Overall # Bold Criteria Met/Not Met [Overall # Mastery Criteria Met/Not Met]The criterion statements in bold are the minimum requirement to show competent performance on the Course Outcome; all bold criteria must be met to pass this Course Outcome.
The criterion statements in [Brackets] represent mastery achievement. A predefined number of mastery criteria must be achieved to earn an A grade, indicating mastery of the Course Outcome.
This Competency Assessment assesses the following outcome(s):
MN507-3: Recommend Public Policy Options To Meet The Needs Of Various Stakeholders.
Directions:
For this Assignment, you will create a slide and audio presentation in which you will present information to support the passage of HR 5223. You may use PowerPoint, Google Slides, or another presentation software of your choosing. Your audio presentation should put forth a convincing argument based on your research and should be designed as if you were addressing a group of legislators whose support you are trying to obtain.
Your slide and audio presentation must address:
Assignment Requirements
Before finalizing your work, you should:
Your writing Assignment should:
Minimum Submission Requirements
If work submitted for this Competency Assessment does not meet the minimum submission requirements, it will be returned without being scored.
CRITERIAMETNOT METCurrent Risks That Healthcare Providers Face From Violence in the Workplace [Current risks that healthcare providers face from violence in the workplace are discussed, including risks to personal safety and identification of high-risk areas.] Information From Professional Nursing Associations That Support Minimizing the Risk of Workplace Violence [Information from professional nursing associations that support minimizing the risk of workplace violence is discussed, including its relevance to HR 5223.] Identification of a Theoretical or Regulatory Model That Would Be Applicable to the Passage of HR 5223 [Identification of a theoretical or regulatory model that would be applicable to the passage of HR 5223 is discussed, including its specific relevance to the bill.] Identification of Stakeholders Who Will Benefit From the Passage of HR 5223 [Identification of stakeholders who will benefit from the passage of HR 5223 is discussed, including how the bill will be relevant to them.] Analysis of How Stakeholders Will Benefit [How stakeholders previously identified will benefit is discussed on both a unit and facility level.] Potential Barriers to Passage of HR 5223 [Potential barriers to passage of HR 5223 and their sources are discussed.] How Barriers Can Be Overcome [How barriers described above can be overcome is discussed, including actions that the nurse can take.] Overall # Bold Criteria Met/Not Met [Overall # Mastery Criteria Met/Not Met]The criterion statements in bold are the minimum requirement to show competent performance on the Course Outcome; all bold criteria must be met to pass this Course Outcome.
The criterion statements in [Brackets] represent mastery achievement. A predefined number of mastery criteria must be achieved to earn an A grade, indicating mastery of the Course Outcome.
MN507M4
This Competency Assessment assesses the following outcome(s):
MN507-4: Synthesize the effect that healthcare reform has on stakeholders
Directions
For this Assignment, you will examine the stakeholders impacted by the implementation of the Affordable Care Act (ACA).
Your paper must include the following topics:
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:
Your writing Assignment should:
Submit your Assignment to the Competency Assessment Dropbox.
Minimum Submission Requirements
If work submitted for this Competency Assessment does not meet the minimum submission requirements, it will be returned without being scored.
CRITERIAMETNOT METDifferentiation Between at Least Three Groups of Stakeholders Impacted by the ACA [Differentiation between groups of stakeholders impacted by the ACA is discussed, specifically identifying each group and the similarities and differences between them as related to the ACA.] Financial Impact of the ACA on Each Group of Stakeholders [Financial impact of the ACA on the previously identified groups of stakeholders is discussed, including potential short- and long-term impacts.] Benefits of the ACA on Each Group of Stakeholders [Benefits of the ACA on groups of stakeholders is discussed, including any financial or other benefits as applicable.] Drawbacks of the ACA on Each Group of Stakeholders [Drawbacks of the ACA on groups of stakeholders are discussed, including financial or other drawbacks as applicable.] Overall # Bold Criteria Met/Not Met [Overall # Mastery Criteria Met/Not Met]The criterion statements in bold are the minimum requirement to show competent performance on the Course Outcome; all bold criteria must be met to pass this Course Outcome.
The criterion statements in [Brackets] represent mastery achievement. A predefined number of mastery criteria must be achieved to earn an A grade, indicating mastery of the Course Outcome.
The Accountable Care Act or the Obamacare is an act that has increased healthcare access for many US citizens and has dramatically addressed the gap in n healthcare access and healthcare coverage. The ACA is an act that was enacted in 2010 and was developed to increase access to healthcare insurance by providing subsidies to help lower premiums for individuals with low household incomes. Medicaid expansion is the primary development under the healthcare law reform. Medicaid raised the eligibility for the program to about 137% of the national poverty level and lifted restrictions on having dependents and pregnant mothers’ access to quality healthcare services (McKenna et al., 2018). The Act has various effects on different stakeholders, as shall be discussed in this essay.
The Act affects stakeholders differently. The primary aim was to increase access to healthcare services because financial barriers have been for long the most significant barriers to access quality healthcare services. ACA requires input from the state and federal governments (implementers), patients (consumers/ beneficiaries), and health care prov
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