NUR 550 Topic 7 DQ 1 Recent

Sample Answer for NUR 550 Topic 7 DQ 1 Recent Included After Question

Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal). What impact do these population health policies and initiatives have on advanced nursing practice?

 A Sample Answer For the Assignment: NUR 550 Topic 7 DQ 1 Recent

Title: NUR 550 Topic 7 DQ 1 Recent

Population groups that experience the most profound healthcare disparities are the ones that can most benefit from the full and unrestricted use of nurse practitioners (NPs) as primary care providers. As a result of the decreased numbers of physicians choosing primary care as their specialty in favor of better-paid specialties, there is a shortage of primary care providers, especially in areas of higher ethnic and racial diversity (Poghosyan & Carthon, 2017). Nurse practitioners are an ideal solution to this problem. With the increased numbers of nurse practitioners now practicing, one would think that the problem would solve itself. However, varying healthcare policies governing the ability of nurse practitioners to provide primary care as well as reimbursement disparities have hampered this ready-made solution. One problem limiting the successful implementation of nurse practitioners are the varying and inconsistent scope of practice guidelines between states. These inconsistencies affect aspects of practice such as the ability of NPs to prescribe medications, practice independently without the oversight of a physician and the ability to admit patients to the hospital. Another issue impacting NPs ability to meet the primary care shortage is the inconsistency in billing practices and reimbursement. Some insurance companies recognize NPs as primary care providers as reimburse them for care and others do not. Medicare reimburses NPs at 85% of what they reimburse MDs for providing the same care. These factors lead to NPs being drawn to practice in regions that allow for full practice and better reimbursement. Unfortunately, this situation exacerbates the shortage of NPs providing primary care in underserved areas.

NUR 550 Topic 7 DQ 1 Recent References:

Poghosyan, L. & Carthon, J. (2017). The untapped potential of the nurse practitioner workforce in reducing health disparities. Policy, Politics, & Nursing Practice, 18(2):84-94. doi:10.1177/1527154417721189

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS:NUR 550 Topic 7 DQ 1

 A Sample Answer 2 For the Assignment: NUR 550 Topic 7 DQ 1 Recent

Title: NUR 550 Topic 7 DQ 1 Recent

Health policies are broad statements that serve as broad guidelines for organizations, with goals ranging in abstraction and scope. Public policy is established to establish policies and regulations to govern practices that benefit the entire population while also ensuring equity for all (Tullai-McGuinness, 2017). In my home state of Washington, many health-care policies have been implemented to help protect the public’s health. Health was defined by the World Health Organization in 2003 as “a state of complete physician mental and social well-being in the absence of disease” (Tullai-McGuinness, 2017). Ricky’s Law, enacted in Washington state, allows the state’s mental health system to involuntarily detain adults and minors who pose a serious risk to themselves due to substance abuse disorder (WHSA, 2020) While the intention is for anyone who meets the criteria to be seen and evaluated, the policy states that if there isn’t enough room in the ER, there are no other options, which can make it difficult for many facilities and patients to receive the care they require in an emergency.

Washington state is a state with large cities and very rural area, another public health policy in Washington that is helping to protect the delivery of care in rural areas.  THis policy is designed to help keep hospitals, clinics and health care access in areas of our most vulnerable populations of all cultures especially native American and Hispanic cultures where the majority live. Rural health care in Washington serves about 70% if the states area and 15% of the population (WSHA, 2020a). This policy initiative is designed to engage the communities, provide innovative access and redefining hospitals to adapt the change of health care today.

Topic 7 DQ 1

Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal). What impact do these population health policies and initiatives have on advanced nursing practice?

Re: Topic 7 DQ 1

Health policies are broad statements that serve as broad guidelines for organizations, with goals at various levels of abstraction and scope. Public policy is established to establish policies and regulations to govern practices that benefit the entire population and ensure that practices are equitable for all (Tullai-McGuinness, 2017). Many health-care policies have been implemented in my home state of Washington to help protect the public’s health. The World Health Organization defined health in 2003 as “a state of complete physician mental and social well-being in the absence of disease” (Tullai-McGuinness, 2017). Ricky’s Law, passed in Washington state, allows the state’s mental health system to detain adults and minors who pose a serious risk to themselves due to substance abuse disorder involuntarily (WHSA, 2020) While the intention is for anyone who meets the criteria to be seen and evaluated, the policy states that if there isn’t enough room in the ER, there are no other options, which can make it difficult for many facilities and patients to get the care they need in a crisis.

Washington is a state with both large cities and very rural areas; another public health policy in Washington that is assisting in the protection of rural care delivery. This policy is intended to assist in the preservation of hospitals, clinics, and health care access in areas populated by our most vulnerable populations of all cultures, particularly Native Americans and Hispanics. Rural health care in Washington serves approximately 70% of the state’s land area and 15% of the population (WSHA, 2020a). In order to adapt to current changes in health care, this policy initiative aims to engage communities, provide innovative access, and re-define hospitals.

These policies are to help guide our practice as advanced practice nurses, whether in leadership, education, or practicing medicine, to ensure the population is protected and access is provided to all. The advance practice nurse’s role is to use policy guidance to add evidence-based practice and create accessible care for all within the policy guidance.

Tullai-McGuinness, S. (2017). Health Policy and Health Services Delivery. Encyclopedia Of Nursing Research, 251. https://doi.org/https://search-credoreference-com.lopes.idm.oclc.org/content/entry/spennurres/health_policy_and_health_services_delivery/0?institutionId=5865

WHSA. (2020). Information about RIcky’s Law: Involuntary Detention for Substance Use Disorders. Washington State Hospital Association. https://www.wsha.org/policy-advocacy/issues/information-about-rickys-law-involuntary-detention-for-substance-use-disorders/

WSHA. (2020a). Protecting Rural Health Care. Washington State Hospital Association. https://www.wsha.org/policy-advocacy/issues/protecting-rural-health-care/

READ ALSO: NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse?

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS:NUR 550 Topic 7 DQ 1

 A Sample Answer 3 For the Assignment: NUR 550 Topic 7 DQ 1 Recent

Title: NUR 550 Topic 7 DQ 1 Recent

Hello,

I agree that healthcare policies are established at both the state and federal levels to ensure that healthcare guidelines are streamlined to promote access to high-quality care. Politicians in the Houses of Representatives and Congress work with the committee to develop policies that are relevant to emerging healthcare needs and challenges. The Ricky Law of Involuntary Treatment Act is one such example in the state of Washington (ITA). The proposed changes to the law went into effect in 2018. The changes were that designated mental health professionals would also work as designated crisis responders (DCRs) (Saya et al., 2019). Furthermore, members of the community who are a danger to themselves, others, or property.

NUR 550 Topic 7 DQ 1 Recent References

Dey, S., Mellsop, G., Diesfeld, K., Dharmawardene, V., Mendis, S., Chaudhuri, S., Deb, A., Huq, N., Ahmed, H. U., Shuaib, M., & Khan, F. R. (2019). Comparing legislation for involuntary admission and treatment of mental illness in four South Asian countries. International Journal of Mental Health Systems, 13(1). https://doi.org/10.1186/s13033-019-0322-7

Saya, A., Brugnoli, C., Piazzi, G., Liberato, D., Di Ciaccia, G., Niolu, C., & Siracusano, A. (2019). Criteria, Procedures, and Future Prospects of Involuntary Treatment in Psychiatry Around the World: A Narrative Review. Frontiers in Psychiatry, 10. https://doi.org/10.3389/fpsyt.2019.00271KELLI

 A Sample Answer 4 For the Assignment: NUR 550 Topic 7 DQ 1 Recent

Title: NUR 550 Topic 7 DQ 1 Recent

Re: Topic 7 DQ 1

The Affordable Care Act (ACA) has shifted our focus in health care delivery from a fee for service base to more of a quality of care focus. In the specialty of oncology, the Centers for Medicare and Medicaid Services (CMS) has created the Oncology Care Model (OCM). The goal of OCM is to financially incentivize high quality oncology care (Centers for Medicare and Medicaid Services [CMS], 2021). The practice where I work, participates in the OCM, and every year we are audited by CMS where they look at certain criteria in the patient’s charts. For example, one criterion they have a focus on is oral oncolytic adherence protocols. We have to show documentation in the patient’s chart that we are monitoring the patient’s adherence to their oral medications. If our practice meets the guidelines set by OCM, then we are awarded financially. On the other hand, if we do not meet the guidelines, we can actually be penalized financially as well. This encourages the practice as a whole to implement policies and procedures to ensure the best quality of care is being provided to our patients.

Another policy implemented by the ACA with a focus on health equity is a prohibition on insurance companies using pre-existing conditions to deny coverage or impose waiting periods for coverage (Facing Our Risk of Cancer Empowered [FORCE], 2021). This is also important in the field of oncology. Patients diagnosed with cancer frequently lose their jobs due to their inability to continue working due to treatment schedules or adverse events. Because they may lose their work insurance, these patients will need to find alternative health insurance policies. Previously, health insurance companies could deny coverage for cancer therapies if the patient had previously been diagnosed with cancer prior to beginning the insurance policy.

NUR 550 Topic 7 DQ 1 Recent Rubric

• Grid View
• List View

		Excellent	Good	Fair	Poor
Summarize your interpretation of the frequency data provided in the output for respondent’s age, highest school grade completed, and family income from prior month.		32 (32%) – 35 (35%)The response accurately and clearly explains, in detail, a summary of the frequency distributions for the variables presented. The response accurately and clearly explains, in detail, the number of times the value occurs in the data. The response accurately and clearly explains, in detail, the appearance of the data, the range of data values, and an explanation of extreme values in describing intervals that sufficiently provides an analysis that fully supports the categorization of each variable value. The response includes relevant, specific, and appropriate examples that fully support the explanations provided for each of the areas described.	28 (28%) – 31 (31%)The response accurately summarizes the frequency distributions for the variables presented. The response accurately explains the number of times the value occurs in the data. The response accurately explains the appearance of the data, the range of data values, and explains extreme values in describing intervals that provides an analysis which supports the categorization of each variable value. The response includes relevant, specific, and accurate examples that support the explanations provided for each of the areas described.	25 (25%) – 27 (27%)The response inaccurately or vaguely summarizes the frequency distributions for the variables presented. The response inaccurately or vaguely explains the number of times the value occurs in the data. The response inaccurately or vaguely explains the appearance of the data, the range of data values, and inaccurately or vaguely explains extreme values. An analysis that may support the categorization of each variable value is inaccurate or vague. The response includes inaccurate and irrelevant examples that may support the explanations provided for each of the areas described.	0 (0%) – 24 (24%)The response inaccurately and vaguely summarizes the frequency distributions for the variables presented, or it is missing. The response inaccurately and vaguely explains the number of times the value occurs in the data, or it is missing. The response inaccurately and vaguely explains the appearance of the data, the range of data values, and an explanation of extreme values, or it is missing. An analysis that does not support the categorization of each variable values is provided, or it is missing. The response includes inaccurate and vague examples that do not support the explanations provided for each of the areas described, or it is missing.
Summarize your interpretation of the descriptive statistics provided in the output for respondent’s age, highest school grade completed, race and ethnicity, currently employed, and family income from prior month.		45 (45%) – 50 (50%)The response accurately and clearly summarizes in detail the interpretation of the descriptive statistics provided. The response accurately and clearly evaluates in detail each of the variables presented, including an accurate and complete description of the sample size, the mean, the median, standard deviation, and the size and spread of the data.	40 (40%) – 44 (44%)The response accurately summarizes the interpretation of the descriptive statistics provided. The response accurately explains evaluates each of the variables presented, including an accurate description of the sample size, the mean, the median, standard deviation, and the size and spread of the data.	35 (35%) – 39 (39%)The response inaccurately or vaguely summarizes the interpretation of the descriptive statistics provided. The response inaccurately or vaguely evaluates each of the variables presented, including an inaccurate or vague description of the sample size, the mean, the median, the standard deviation, and the size and spread of the data.	0 (0%) – 34 (34%)The response inaccurately and vaguely summarizes the interpretation of the descriptive statistics provided, or it is missing. The response inaccurately and vaguely evaluates each of the variables presented, including an inaccurate and vague description of the sample size, the mean, the median, the standard deviation, and the size and spread of the data, or it is missing.
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.		5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.	4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.	3 (3%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.	0 (0%) – 2 (2%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation		5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.	4 (4%) – 4 (4%)Contains a few (1 or 2) grammar, spelling, and punctuation errors.	3 (3%) – 3 (3%)Contains several (3 or 4) grammar, spelling, and punctuation errors.	0 (0%) – 2 (2%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.		5 (5%) – 5 (5%)Uses correct APA format with no errors.	4 (4%) – 4 (4%)Contains a few (1 or 2) APA format errors.	3 (3%) – 3 (3%)Contains several (3 or 4) APA format errors.	0 (0%) – 2 (2%)Contains many (≥ 5) APA format errors.
Total Points: 100

Name:  Assignment Rubric