NUR-550 Benchmark – Population Health Policy Analysis
Benchmark – Population Health Policy Analysis
Racial or ethnic minorities continue to suffer from diabetes-related mortality and morbidity which is relatively twice as higher as compared to the non-Hispanic whites. Among those, 12.6% of African American adults have been diagnosed with diabetes as compared to that of all the non-Hispanic whites at 7.1% (Berkowitz et al., 2015). consequently, minorities have a higher tendency of being hospitalized as a result of diabetes-related complications including diabetes retinopathy, lower extremity amputations, and end-stage renal disease. However, in order to address the challenges that contribute to several health disparities among ethnic or racial minorities effectively, several interventions will need to be formulated with the utilization of multifactorial approaches including health care policies NUR-550 Benchmark – Population Health Policy Analysis. According to most research findings, culturally tailored interventions which involve the collaboration of the public, community and healthcare system to reduce health disparities, improve disease management and improve health outcome are well suited to solve the problem of disease burden among populations that are underserved such as…
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Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:
Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it?
To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals? NUR-550 Benchmark – Population Health Policy Analysis.
Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this NUR-550 Benchmark – Population Health Policy Analysis assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Course Code
Class Code
Assignment Title
Total Points
NUR-550
NUR-550-XO0905XB
Benchmark – Population Health Policy Analysis
160.0
NUR-550 Benchmark – Population Health Policy Analysis
Criteria
Percentage
Unsatisfactory (0.00%)
Less than Satisfactory (80.00%)
Satisfactory (88.00%)
Good (92.00%)
Excellent (100.00%)
Content
70.0%
Financially Sound Health Care Policy That Incorporates the Nursing Perspective and Relevant Ethical, Legal, and Political Factors (2.1)
20.0%
A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is not included.
A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is present, but it lacks detail or is incomplete.
A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is present.
A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is clearly provided and well developed.
A comprehensive discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is thoroughly developed with supporting details.
Integration of Appropriate State, Federal, and Global Health Policies and Goals Related to Equitable Health Care for Populations (4.2)
20.0%
A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is not included.
A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is present, but it lacks detail or is incomplete.
A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is present.
A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is clearly provided and well developed.
A comprehensive discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is thoroughly developed with supporting details.
Advocacy Strategies for Improving Access, Quality, and Cost-Effective Health Care for Diverse Populations (2.2)
10.0%
A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is not included.
A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is present, but it lacks detail or is incomplete.
A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is present.
A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is clearly provided and well developed.
A comprehensive discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is thoroughly developed with supporting details.
The Professional and Moral Obligation of Advanced Registered Nurses to Respect Human Dignity and Advance the Common Good Through Working to Promote Health and Prevent Disease Among Diverse Populations from a Christian Perspective (4.3)
15.0%
A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is not included.
A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is present, but it lacks detail or is incomplete.
A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is present.
A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is clearly provided and well developed.
A comprehensive discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is thoroughly developed with supporting details.
Required Sources
5.0%
Sources are not included.
Number of required sources is only partially met.
Number of required sources is met, but sources are outdated or inappropriate.
Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.
Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Organization and Effectiveness
20.0%
Thesis Development and Purpose
7.0%
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not clear.
Thesis is apparent and appropriate to purpose.
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction
8.0%
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5.0%
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
Writer is clearly in command of standard, written, academic English.
Format
10.0%
Paper Format (Use of appropriate style for the major and assignment)
5.0%
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
5.0%
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
NUR-550 Benchmark – Population Health Policy Analysis
Total Weightage
100%
Benchmark – Population Health Policy Analysis
Racial or ethnic minorities continue to suffer from diabetes-related mortality and morbidity which is relatively twice as higher as compared to the non-Hispanic whites. Among those, 12.6% of African American adults have been diagnosed with diabetes as compared to that of all the non-Hispanic whites at 7.1% (Berkowitz et al., 2015). consequently, minorities have a higher tendency of being hospitalized as a result of diabetes-related complications including diabetes retinopathy, lower extremity amputations, and end-stage renal disease. However, in order to address the challenges that contribute to several health disparities among ethnic or racial minorities effectively, several interventions will need to be formulated with the utilization of multifactorial approaches including health care policies. According to most research findings, culturally tailored interventions which involve the collaboration of the public, community and healthcare system to reduce health disparities, improve disease management and improve health outcome are well suited to solve the problem of disease burden among populations that are underserved such as African Americans (King, Moreno, Coleman, & Williams, 2018). This is precisely true for diabetes as the decisions that impact diabetes self-management comprises the importance of regular physical exercise and a healthy diet, which are greatly influenced by infrastructure and support provided by the government or the community. This paper focuses on the affordable care act as a healthcare policy designed to improve the quality of healthcare at an affordable cost for the management of diabetes among the African American population. NUR-550 Benchmark – Population Health Policy Analysis.
The Affordable Care Act was formulated to help improve access to healthcare services by expanding insurance coverage. In as much as some aspects of the affordable care act applied to people from all socioeconomic strata, key features of the law were focused in increasing healthcare coverage among people with low income who were the ethnic minorities such as the African Americans (Buchmueller, Levinson, Levy, & Wolfe, 2016). These key features of the law include federal subsidies which are aimed at expanding eligibility for Medicaid to every American citizen with an income of up to 138% of the federal poverty level, and for those with income of between 100 to 400% of poverty, who are able to purchase insurance on the recently created exchange, large premium subsidies have been set aside. In 2014, the number of uninsured African American citizens reduced significantly as a result of the affordable care act as compared to the whites (Schmittdiel et al., 2017) NUR-550 Benchmark – Population Health Policy Analysis. Generally, the affordable care act has greatly reformed the healthcare system by boosting primary care as providers are more focused on aligned attention to the sickest, “high need, high cost,” as these patients account for most of the national health spending, making the policy financially sound. The policy has also reduced the cost of healthcare while improving the quality as clinicians are paid for their outcome (quality) rather that their workload (quantity).
In June 2012, the supreme court upheld the Patient Protection and Affordable Care Act (PPACA) policy which was aimed at providing guidance to the state, employers, insurers and consumers on what is expected of them when implementing the ACA, to avoid ethical, legal or political disparities (Griffith, Evans, & Bor, 2017). The PPACA comprises of reforms such as expanding Medicaid eligibility, preventing insurers from repudiating coverage for pre-existing health conditions, giving incentives for enterprises to provide health care benefits and subsidizing insurance premiums. When implementing the policy, the nursing perspective of not dropping a client in case they become ill by insurance companies is also included in the PPACA (Islam et al., 2015). As a nurse, it is important to ensure that the policy ensures ethical rights of the patient such as, improved quality of health, freedom of choice for the patient on “who”, “when”, and “where” they can access health care, and affordability of healthcare NUR-550 Benchmark – Population Health Policy Analysis.
With the emergence of the Accountable Care Organizations (ACOs), under the ACA, healthcare organizations have incentives to prioritize on population-centered health and collaborate with providers, clients and other healthcare personnel’s in the public health, social service sector, and community, to broaden the impact of the health system, control health costs, and promote quality in healthcare so as to reduce the burden of chronic diseases such as diabetes and improve healthcare outcome (Myerson, & Laiteerapong, 2016). Given that the burden of chronic diseases such as diabetes is increasing especially among ethnic or racial minorities, the policy is aimed at creating evidence-based interventions to address diabetes management in both community and healthcare settings to achieve the goal of ending disease burden among ethnic minorities such as African Americans.
To ensure that all communities members within this marginalized population enjoy maximum benefit from ACA, I will enhance patient education and public awareness through multiple integrated systems and community linkages. African Americans, with diabetes, need to be informed on the importance of health coverage in the management of diabetes. For instance, they need to be aware of the fact that treatment for diabetes contributes approximately 18% of the national GDP in the US on healthcare expenses NUR-550 Benchmark – Population Health Policy Analysis. Consequently, associated care costs the country approximately $237 billion annually in direct medical cost (Hayes, Riley, Radley, & McCarthy, 2017). And as a result of late detection of the complication among other psychosocial barriers, the African Americans are more likely to receive medical services during tertiary stages which is even more costly and prevents productivity. It is only through insurance coverage that they will be able to afford early detection and effective disease management. The insurance cover will give them the privilege of taking part in routine clinical services including HbA1c testing, comprehensive dilated eye exams and complete foot exams, which helps in reducing complications of diabetes and mortality rates (Ramírez, Estrada, & Ruiz, 2017). With the above information, individuals from this marginalized population will see the need of applying for an insurance cover and maximumly benefit from the affordable care act. Additionally, I will encourage the development of support groups for diabetic patients where they will enjoy educational support on healthy living such as balanced diet, and what kind of exercise to engage in. finally, I will ensure that as stated in the policy, healthcare resources are distributed equally so as to benefit even the homeless and those with low income NUR-550 Benchmark – Population Health Policy Analysis.
In conclusion, the healthcare system in the current world is based on the “medical model,” where most of the healthcare providers only focus on the diagnosis and treatment of physical and mental conditions. However, as Christians, an advanced registered nurse, must uphold human dignity and provide patient-centred care that is customized according to the needs, values, choices, and preferences of the patient (Balint, & George, 2015). While promoting health and preventing diseases among diverse populations, an advanced registered nurse should incorporate spiritual dimension in nursing practice which is not separate from the science of nursing. As such, spiritual care will ensure that the nurse does not only focus on the patient physical recovery but also, his or her quality of life, well-being, and general functioning. NUR-550 Benchmark – Population Health Policy Analysis.
References
Balint, K. A., & George, N. M. (January 01, 2015). Faith community nursing scope of practice: extending access to healthcare.
Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship, 32,
1, 34-40.
Berkowitz, S. A., Meigs, J. B., DeWalt, D., Seligman, H. K., Barnard, L. S., Bright, O.-J. M., Schow, M., … Wexler, D. J. (February 01, 2015). Material Need Insecurities, Control of Diabetes Mellitus, and Use of Health Care Resources: Results of the Measuring Economic Insecurity in Diabetes Study.
Jama Internal Medicine, 175,
2, 257.
Buchmueller, T. C., Levinson, Z. M., Levy, H. G., & Wolfe, B. L. (January 01, 2016). Effect of the Affordable Care Act on Racial and Ethnic Disparities in Health Insurance Coverage.
American Journal of Public Health, 106,
8, 1416-21.
Griffith, K., Evans, L., & Bor, J. (August 01, 2017). The Affordable Care Act Reduced Socioeconomic Disparities In Health Care Access.
Health Affairs, 36,
8, 1503-1510. NUR-550 Benchmark – Population Health Policy Analysis.
Hayes, S. L., Riley, P., Radley, D. C., & McCarthy, D. (January 01, 2017). Reducing Racial and Ethnic Disparities in Access to Care: Has the Affordable Care Act Made a Difference?.
Issue Brief (Commonwealth Fund), 2017,
1-14.
Islam, N., Nadkarni, S. K., Zahn, D., Skillman, M., Kwon, S. C., & Trinh-Shevrin, C. (January 01, 2015). Integrating Community Health Workers Within Patient Protection and Affordable Care Act Implementation.
Journal of Public Health Management and Practice.
King, C. J., Moreno, J., Coleman, S. V., & Williams, J. F. (December 01, 2018). Diabetes mortality rates among African Americans: A descriptive analysis pre and post-Medicaid expansion.
Preventive Medicine Reports, 12,
20-24.
Myerson, R., & Laiteerapong, N. (April 01, 2016). The Affordable Care Act and Diabetes Diagnosis and Care: Exploring the Potential Impacts.
Current Diabetes Reports, 16,
4, 1-8.
Ramírez, A. S., Estrada, E., & Ruiz, A. (August 01, 2017). Mapping the Health Information Landscape in a Rural, Culturally Diverse Region: Implications for Interventions to Reduce Information Inequality.
The Journal of Primary Prevention, 38,
4, 345-362.
Schmittdiel, J. A., Gopalan, A., Chau, C. V., Adams, A. S., Lin, M. W., Banerjee, S., & Chau, C. V. (May 01, 2017). Population Health Management for Diabetes: Health Care System-Level Approaches for Improving Quality and Addressing Disparities.
Current Diabetes Reports, 17,
5. NUR-550 Benchmark – Population Health Policy Analysis)