Describe two supportive factors within the system that will facilitate your recommended change.

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Consider the case scenario you described in Week 6. Continue with this unfolding case scenario by assuming that the change process is proceeding in an effective manner, and address the following.

  1. Provide a concise introduction for your posting.
  2. Identify the stakeholders who are impacted by the change at the micro-, meso-, and macro-levels, and discuss how you will engage those stakeholders in the change process.
  3. Describe two supportive factors within the system that will facilitate your recommended change.
  4. Provide an example of one barrier that may occur that would impede your recommended change.
  5. Explain one leadership strategy to address or resolve the barrier, and include your rationale.
  6. Recommend one leadership strategy to sustain the change within the context of a complex system, and explain your rationale.
  7. Conclude with a succinct synopsis of key points and concise self-reflection of how this topic contributes to your growth as a future leader in the chosen specialty track.

Please note that the requirements for the Peer Engagement Forum are different from what you are accustomed to in the traditional discussion boards in your previous classes. Refer to the assignment guideline and rubric listed below for specific requirements regarding expectations for postings within the peer engagement forum.

Instructors reserve the right to alter assigned peer engagement groups to maximize the student experience and course outcomes.

Case Study, Chapter 9, Chronic Illness and Disability

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  1. Case Study, Chapter 9, Chronic Illness and Disability

    1. Mr. Edwards is 20-year-old male patient who is admitted for treatment of recurring pyelonephritis (kidney infection) and surgical treatment of a urinary stricture, which has decreased the urinary stream. Mr. Edwards has paraplegia; he is paralyzed from the waist down secondary to an automobile accident when he was 16. He came by ambulance to the hospital, leaving his wheelchair and wheelchair pressure-relieving cushion at home. According to the nursing history, the patient is a nonsmoker and he does not drink alcohol or take any illegal drugs.

    1. What nursing considerations should be made for Mr. Edwards related to his disability?
    2. What health promotion and prevention education does Mr. Edwards need?

    2. Ms. Fulton is a 38-year-old mother who was recently diagnosed with myasthenia gravis, a chronic disease of the neuromuscular system. Management of this disease process requires strict adherence to a medication regimen. The disease also affects ADLs for the patient and her family. Additionally, because myasthenia gravis is characterized by exacerbations that may require hospitalizations, Ms. Fulton has had to resign from her position as president of a marketing firm. She has remained as an employee of the same company, but now serves as a consultant with more flexible work hours.

    1. In discussing management of her chronic disease, the nurse focuses on what types of strategies?
    2. Describe supportive nursing care that may be helpful to Ms. Fulton.

Policy/Regulation Fact Sheet

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Assignment: Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

· Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.

· Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).

· Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

· Briefly and generally explain the policy or regulation you selected.

· Address the impact of the policy or regulation you selected on system implementation.

· Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

· Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

Use the below resources for references;

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 8, “Legislative Aspects of Nursing      Informatics: HITECH and HIPAA” (pp. 145–166)

American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program 

Centers for Medicare and Medicaid Services. (n.d.). MACRA. Retrieved January 18, 2019, from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov. (2018a). Health IT legislation. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

HealthIT.gov. (2018b). Meaningful use and MACRA. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

U.S. Department of Health and Human Services. (n.d.). Laws & regulations. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html

Required Media

Laureate Education (Producer). (2018). Health Informatics & Population Health Analytics: Privacy, Security, and Ethics [Video file]. Baltimore, MD: Author.

Review Agenda Priorities

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It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

To Prepare:

  • Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.
  • Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
  • Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
  • Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:

  • Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
  • Describe the administrative agenda focus related to the issue you selected.
  • Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
  • Explain how each of the presidential administrations approached the issue.

(A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Discussion Board by Day 3 of Week 1.)

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:

  • Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
  • How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
  • Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

Part 3: Fact Sheet or Talking Points Brief

Based on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.

Then, using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:

  • Summarize why this healthcare issue is important and should be included in the agenda for legislation.
  • Justify the role of the nurse in agenda setting for healthcare issues.

By Day 3 of Week 1

Submit a draft of Part 1: Agenda Comparison Grid to the Module 1 Discussion Board

Considering the feedback you received in the Module 1 Discussion on Part 1: Agenda Comparison Grid, revise and further develop Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis. Consider how the feedback you received might influence your Fact Sheet or Talking Points and revise as necessary.

By Day 7 of Week 2

Submit your final version of Part 1: Agenda Comparison Grid, Part 2: Agenda Comparison Grid Analysis, and Part 3: Fact Sheet or Talking Points Brief.

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Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Template for Part 1 and Part 2

Part 1: Agenda Comparison Grid

Use this Agenda Comparison Grid to document information about the population health/healthcare issue your selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas.

You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment.

Identify the Population Health concern you selected. HEALTHY PEOPLE 2020 TOPIC: AHS-6.4 “Reduce the proportion of persons who are unable to obtain or delay in obtaining necessary prescription medicines” (2019a).

 
Describe the Population Health concern you selected and the factors that contribute to it. America is at the cutting edge of pharmaceutical technology. But exotic drugs cannot benefit the patient that cannot afford them. Prescription drug costs have been a hot topic for political debates for some time. Navigating our economic delivery system to steer the trend of drug costs is a complicated task. The following presidents have all taken different avenues at what they felt were contributing factors and how to address them.

 
Administration (President Name) President Donald Trump President Barack Obama President George W. Bush
Describe the administrative agenda focus related to this issue for the current and two previous presidents. Trump desires to streamline the process for new medication production (2016).

 

 Obama wanted to increase healthcare coverage as a whole with special focus on drug benefits of target populations such as geriatrics (2012). Bush changed to way that drugs were paid for by shifting the amount to be paid in the benefit of the consumer (2004).
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. This can contribute to both lower prices and high-quality products as drug companies are then directed to be more competitive for patient preference.

 

 The creation of lower cost was to be achieved by the balance of fees and incentives for the extra costs to the companies for selling to certain populations such as seniors. Medicare recipients would only have to pay up to 25% of their initial drug costs. For more vulnerable populations such as geriatrics, coverage would increase more still. Financial support for this benefit would come from regular premiums and higher deductibles.

 
Explain how each of the presidential administrations approached the issue. Introduction of the American Health Care Act, specifically Americans Patients First to address lowering drug costs (2019b).

 

 The creation of the Affordable Care Act. The signing of the Medicare Prescription Drug Improvement and Modernization Act.

References

Healthy People 2020. (2019a). AHS-6.4 Data Details. Retrieved from https://www.healthypeople.gov/node/3985/data_details

Robbins RA. (2016). Trump proposes initial healthcare agenda. Southwest Journal of Pulmonary and Critical Care, (5), 240. https://doi-org.ezp.waldenulibrary.org/10.13175/swjpcc117-16

Dabbous, M., François, C., Chachoua, L., & Toumi, M. (2019b). President Trump’s prescription to reduce drug prices: from the campaign trail to American Patients First. Journal Of Market Access & Health Policy, 7(1), 1579597. https://doi-org.ezp.waldenulibrary.org/10.1080/20016689.2019.1579597

Wechsler, J. (2012). Budget crunch, political battles shape 2012 policy agenda. Formulary, 47(1), 41. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=70868407&site=eds-live&scope=site

Iglehart, J. K. (2004). The new medicare prescription-drug benefit – A pure power play. The New England Journal of Medicine, 350(8), 826-33. Retrieved from https://ezp.waldenulibrary.org/login?qurl=https%3A%2F%2Fsearch.proquest.com%2Fdocview%2F223943974%3Faccountid%3D14872

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue your selected

Administration (President Name) (Current President) (Previous President) (Previous President)
Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?

 

      
How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?      
Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?      
Note: Part 3: of the Module 1: Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief is a 1-page Fact Sheet or Talking Points Brief the you will create in a separate document.

Agenda Comparison Grid Template