ASPEN HCA320 Healthcare Policy and Economics All Modules Discussion

Module 1 Discussion

An ongoing challenge for advanced practice registered nurses (APRNs) has been changing state legislation that allow APRNs to practice to the fullest extent to which they were academically prepared. For this discussion question, contact the Board of Nursing (BON) in your state or access your BON online. Examine laws that govern APRNs in your state. Consider the following: do APRNs in your state have prescriptive authority; is there legislation in place that allows them to practice autonomously; and finally, if a bill has been passed and adopted, which legislator introduced the bill and who were the strongest advocates for the bill? Then post an initial response that addresses the following:

Explain how the lack of autonomy for APRNs impact patients in rural populations? As a health care professional in an advocacy role, what resources could you utilize to guide you in changing policies that impact APRNS in your state? Include in your discussion the type of stakeholders and collaborative partners you would seek to guide or assist you on this cause.

DQ1 UMBO – 2

DQ1 PLG – 5

DQ1 CLO – 5, 7

HCA320 Healthcare Policy and Economics

Module 2 Discussion

Use the learning materials and additional resource readings from this Module and reflect on whether you oppose or support the Affordable Care Act (ACA). Consider the nursing professional’s position as a caregiver and/or the healthcare leader as an administrator. Explore two significant components of the ACA that could potentially impact specific populations unjustly. Appraise the current political climate as it relates to repealing and replacing the ACA. For this Modules’ discussion, identify at least two reasons for keeping the ACA and at least two reasons that it should be repealed, replaced, or revised. Provide rationale for each.

DQ1 UMBO – 3

DQ1 PLG – 4

DQ1 CLO – 6

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HCA320 Healthcare Policy and Economics

Module 3 Discussion

Reflecting on what you have learned about the social determinants of health, SDOH, how can nurses work collaboratively with physicians and other health care professionals to improve primary care, reduce overutilization and improve underutilization of healthcare services? Include in your response how fostering an environment of diversity and cultural awareness among healthcare providers builds a stronger healthcare team and improves care delivery to healthcare consumers.

DQ1 UMBO – 2

DQ1 PLG – 5

DQ1 CLO – 6

HCA320 Healthcare Policy and Economics

Module4 Discussion

The Joint Commission determines the highest priority patient safety issues and how best to address them, including as a National Patient Safety Goal (NPSG). Access the Joint Commission website for the most current NPSGs. Select one or more NPSGs and address the following: Explain the rationale for applying the NPSG in nursing practice. Discuss some of the benefits and/or challenges of implementing the NPSG in a health care organization? How does appropriate application of the elements of performance in the NPSG reduce negative patient outcomes?

DQ1 UMBO – 3

DQ1 PLG – 4

DQ1 CLO – 2, 6

HCA320 Healthcare Policy and Economics

Module 5 Discussion

Discuss your experiences/research with policies implemented to protect vulnerable populations such as patients with mental illness. How does the mental health Parity Act of 2008 improve mental health services?  Describe ethics as it relates to vulnerable populations and you as a healthcare professional. Include values, beliefs, and laws in your discussions.

DQ1 UMBO – 2

DQ1 PLG – 5

DQ1 CLO – 4, 6

HCA320 Healthcare Policy and Economics

Module 6 Discussion

How do hospitals ensure they are meeting the needs of vulnerable populations within the communities that they serve?  What factors should be considered to ensure that nurses working in acute care settings meet the six Institute of Medicine’s (IOM) Aims for Improving Healthcare Quality?

DQ1 UMBO – 2, 3

DQ1 PLG – 4, 5

DQ1 CLO – 1

HCA320 Healthcare Policy and Economics

Module7 Discussion

Discuss managed care, the initiatives implemented by private insurers to transform healthcare, and the various roles nurses play to improve quality patient outcomes tied to healthcare reimbursement. What are some strategies nurses can use to advocate for healthcare consumers and reduce the increasing cost of healthcare?

DQ1 UMBO – 3

DQ1 PLG – 4

DQ1 CLO – 1, 8

HCA320 Healthcare Policy and Economics

Module8 Discussion

You have a patient who only has Medicare Part A and B. She has limited income most of which is used to pay for Medicare Part B. She is in dire need of placement into a nursing home as she can no longer care for herself at home. You gleaned from your reading that long-term care needed by low-income elderly people is paid by Medicaid, and you feel your patient meets the criteria. What are the steps you would take to advocate for your patient while she is still in the acute care setting? Who are some of the other health care professionals you would collaborate with to ensure your patient receives the additional healthcare coverage she needs? Analyze the role Medicaid plays in supporting long-term care for the elderly and disabled.

DQ1 UMBO – 3

DQ1 PLG – 4

DQ1 CLO – 5