((The ACA directed CMS to test and implement new approaches for Medicare to pay doctors, hospitals, and other providers to bring about changes in how providers organize and deliver care

Running head: AFFORDABLE CARE ACT 1

 

AFFORDABLE CARE ACT 7

 

 

First point

(please take this point and rewrite the first paragraph same as what they discussed; it does not have to be focused in nursing)

((I copied this from the first article article please paraphrased and cite it))

((The ACA directed CMS to test and implement new approaches for Medicare to pay doctors, hospitals, and other providers to bring about changes in how providers organize and deliver care. The ACA authorized the Secretary of Health and Human Services to expand CMMI models into Medicare if evaluation results showed that they either reduced spending without harming the quality of care or improved the quality of care without increasing spending. CMMI received an initial appropriation of $10 billion in 2010 for payment and delivery system reform model development and evaluation, and the ACA called for additional appropriations of $10 billion in each decade beginning in 2020, The ACA also created incentives for hospitals to reduce preventable readmissions and hospital-acquired conditions, and established new accountable care organizations (ACO) programs. Research has shown declines in Medicare patient readmissions since the Hospital Readmission Penalty Program provisions were introduced))

The act will hold several advantages:

(Please talk about cost effective, care quality, time saving and preventing unnecessary test for patients)

One of the benefits is that it will enhance the wellness and health of the Medicare population. It will also improve the quality of care offered by the health care team. The insurance will also amend the lower cost of medical care accompanied by shared savings.

Negative impact: (please talk about that the HCP may overlook necessary diagnostic measurements because they are focusing in cost reduction).

Every person has to be insured

((I copied this from the second article page 4 please paraphrased and cite it))

((With certain statutory or administrative exceptions all Americans are legally required to provide or enroll in federally approved insurance coverage or pay a tax penalty for refusing to provide such coverage as an employer or to enroll in such coverage as an individual. Federal officials enforce rules governing insurance rating, co-payments and deductible levels, and allowable profit and administrative expenses. Private health insurance is “private” in name only))

ACA law will require nurses to offer education to their clients. The clients will need to be notified on the deadlines of acquiring coverage for individuals and families to avoid being penalized. This will be a crucial strategy to prevent clients from being overwhelmed by substantial season taxes compiled over many unpaid seasons. The possible penalties on the tax preparers which are not compliant together with ACA procedures must be made known.

Positive impact: Educating clients on insurance coverage and the taxpaying system of the ACA act will be very crucial. The law will also boost the nurse’s careers. Additionally, the nurse-to-patient ratios may drastically change due to more people seeking health attention. It will force more American citizens to insure themselves and their families. Besides, the clients will be made aware of the paying systems and the potential repercussions of not being covered by coverage. The demand for new providers will increase, meaning that APRN will be prone to a lot of job opportunities as well as other health care providers.

negative impact on nurses. (talk about the hospital will be busy due to increase patients demand for health care since they become insured. Also, HCPs may need to work overtime to cover patients need)

Third point:

((I copied this from the second article page 21 please paraphrased and cite it))

((Effective in 2010, the ACA prohibited insurers from offering limited-benefit “mini-med” plans. Because these plans did not meet the 2010 federal standards for coverage caps, the plans’ officials either had to raise their rates to comply, making them less affordable for low- income persons who enrolled in them, or go out of business and thus deny those persons access to that coverage.

The problem was that thousands of retail and service industry companies, various organizations, and even unions offered these plans, and an estimated 4 million Americans were enrolled in them.))

Positive: slandered high people will insure having good converge

Negative: many people cannot offer those insurance plans. Thus, low income people will be uninsured

 

 

 

 

 

 

 

 

 

 

 

References

Lindrooth, R. C., Yakusheva, O., Fairman, J. A., Naylor, M. D., & Pauly, M. V. (2015). Increasing the value of health care: The role of nurses.

Tillett, J. (2011). Practicing to the full extent of our ability: The role of nurses in healthcare reform. The Journal of perinatal & neonatal nursing25(2), 94-98.

Dunlap, C., Green, A., Cropley, S., & Estes, L. J. (2017). Making Sense of ACOs: A Guide for Nurse Leaders. Nurse Leader15(3), 193-198.

Health care.gov. (2017). Read the Affordable Care Act, health care law. Retrieved from https://www.healthcare.gov/where-can-i-read-the-affordable-care-act/

 

 

Kaiser Family Foundation’s. (2019). Retrieved from https://files.kff.org/attachment/fact-sheet-summary-of-the-affordable-care-act

Kaiser Foundation. (2019, September 10). The YouToons get ready for ObamaCare: Health insurance changes coming your way under the Affordable Care Act. Retrieved from https://www.kff.org/health-reform/video/youtoons-obamacare-video/

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Use the KFF videos and factsheets as background information only. They were done BEFORE the law went into full effect, so they are based on intended goals and objectives

Once you have completed reviewing the sources, elaborate on 3 points (half page per point) that are of particular interest to you as a future Advance Practice Nurse.

In your discussion:

  • Use the KFF videos and factsheets as background information only. They were done BEFORE the law went into full effect, so they are based on intended goals and objectives
  • Focus your 3 discussion points on your review of the articles in “Implementation” (3 articles) and “Repeal”
  • In your post, include both positive and negative effects of the bill for each point and limit your discussion to information provided in the reading
  • Your discussion should be consistent with the content of the references that you cite

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In pediatric patients who are diagnosed with obesity (P), will an educational intervention focused on diet and exercise (I), compared with no educational intervention (C), result in a reduced body mass index (O), over a 6-month period (T)?

Please reply to this discussion question. See attached for details. Please more than 200 words each one. See the attach document for details.

See bellow

1-

In pediatric patients who are diagnosed with obesity (P), will an educational intervention focused on diet and exercise (I), compared with no educational intervention (C), result in a reduced body mass index (O), over a 6-month period (T)?

Childhood obesity is an epidemic. It is a topic that has been the focus of a variety of research studies for the past few decades. Since there is so much research on this topic, I found all the databases to be useful and each provided a little bit of a different search. As shared by Melnyk and Fineout-Overholt (2019), Medical Subject Headings (MeSH) is the set of terms used by the National Library of Medicine (NLM) to describe the content of articles indexed in MEDLINE. This was helpful since all the articles on childhood obesity would contain information about it regardless of what terms the author used when writing the article. While it could be more time consuming to sift through the results of the MeSH search, it can lead to articles that were possibly not found in other databases.

Overall, I believe that I will mainly use the South University Library search, and then narrow it down from there. I do not know whether it is because I am the most familiar with the South University database, or if I actually find it the easiest to navigate. I do not believe that I will use the Dynamed database often. I found this database to be the least user-friendly while also presenting with the least number of articles.

Reference

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare (4th ed.). Philadelphia, PA: Wolters Kluwer.

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In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

  1. The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
  2. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
  3. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
  4. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
  5. Significance of the topic and its implications for nursing practice.
  6. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.

You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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