NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 1 Discussion
Describe
how you will utilize and implement the IOM Nursing Reports from 2010 and 2016
in your role as an Advanced Practice Nurse
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 2 Discussion
Discuss how
health policy and initiatives are used to guide and direct your clinical
practice as an Advanced Practice Nurse
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 3 Discussion
Identify
the role of patient safety and the influence on the Federal initiatives that
are used to prevent unintentional death as a result of medical mistakes.
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 4 Discussion
Describe
what specific resources or federal agencies that you will utilize to remain
informed and current in public health trends and practices
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 5 Discussion
Discuss the
changing landscape of the US health care system through the ACA and specific
initiatives that have been funded, enacted and currently implemented to improve
health care for all Americans
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 1 Project
Provide
Instructor with the Topic of Health Promotion Paper for Approval
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 2 Project
Student
will develop a Legislative Matrix based upon the specific legislators in a
residential/geographical legislative district. State and Federal legislators
will be identified: State Representatives, Senators, Congressman and Governor.
Each legislator’s assigned committees and any active legislation bills and/or
past legislative initiatives will be identified. This information will be used
to assist in the development of the Legislative Communication assignment.
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 3 Project
This
written assignment requires the student to investigate his/her local, state and
federal legislators and explore their assigned committees and legislative
commitments. The student is expected to investigate current and actual
legislative initiatives that have either passed or pending approval by the
house, senate or Governor’s office. The student will draft a letter to a
specific legislator and offer support or constructive argument against pending
policy or legislation. The letter must
be supported with a minimum of 3 evidence based primary citations.
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 4 Project
Health
Policy Paper
Forward the
topic of the health policy paper to faculty at the end of Week One,
Health
policy unfolds daily and drives clinical practice in the US. The student will
investigate current policies or legislation underway for a specific
health-related issue. The Student will develop a scholarly APA formatted paper
supported by evidence. The policy paper rubric:
Introduction
to population or problem (incidence, prevalence, epidemiology, cost burden etc)
Description
of how the policy is intended for a specific population, program or
organization
Specific
legislators involved in the policy development and dissemination
Identify
the role of the APRN in assisting with the policy or refuting the policy – this
requires the evidence to support opinion, ideas and/or concepts.
Discuss how
the policy influences clinical practice and is used to promote best outcomes
Examine how
the policy can be used by the interprofessional team to ensure coordinated and
comprehensive care for the specific population
Conclusion
– summarize findings
APA format
– use of primary peer-reviewed references as much as possible
Submission
Details:
Support
your responses with examples.
Cite any
sources in APA format.
Submit your
document to the Submissions Area by the due date assigned.
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 1 Knowledge Check
Question 1 How
has the Quality Chasm Report been used to direct US health care?
Question 1
options:
a) Is not used to direct health care in
the US
b) IOM designed this document to direct
medical practices in the US
c) This report has been used as the
framework and foundation for multiple health policy initiatives since its
release in 2001
Question 2 What
are the differences in patient safety and effective health care since the 1999
release of To Err is Human and the 2016 report from the CDC regarding medical
mishaps and quality of care in the US?
Question 2
options:
There is no
correlation between these 2 reports
There has
been little improvement in health care practices and patient safety between the
2 reports
Care
quality in the US is the most comprehensive when compared to other country
health care practices.
Question 2 What
are the differences in patient safety and effective health care since the 1999
release of To Err is Human and the 2016 report from the CDC regarding medical
mishaps and quality of care in the US?
Question 2
options:
There is no
correlation between these 2 reports
There has
been little improvement in health care practices and patient safety between the
2 reports
Care
quality in the US is the most comprehensive when compared to other country
health care practices.
Question 4 How
does health policy specifically influence health care practice in the US?
Question 4
options:
Directs
efforts by the CDC and protects Americans against population based disease.
Influences
how health care is reimbursed and determines APN payment for services.
Directs
specific evidence based practice guideline development and dissemination
All of the
above
Question 5 What
specific developments have primarily occurred because of the Affordable Care
Act (ACA)?
Question 5
options:
ACA has
been appealed and no longer enacted
Development
of patient centered outcomes, use of comparative effectiveness research,
quality payment structures that impact APN reimbursement
Nothing has
been changed by the ACA other than Medicaid Expansion and Affordable Health
Care
None of the
Above
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 2 Knowledge Check
Question 1 The
United States Protective and Safety Task Force determines specific screening
requirements for age groups in the US – what agency houses the USPSTF?
Question 1
options:
The US
Department of Health and Human Services
Centers for
Disease Control and Prevention
Agency for
Health, Research and Quality
Question 2 Examples
of Behavioral Changes that support and help to improve lifestyle choices and
prevent the development of chronic conditions include:
Question 2
options:
Self-management,
home care and annual physical examinations
Shared
decision making, self-management and evaluation of literacy levels
Advance
directives, living will and having a Durable Power of Attorney
Question 3 The
Affordable Care Act has directed the US Department of Health and Human Services
and multiple agencies to develop and disseminate initiatives on meeting the
care needs of patients with Multiple Chronic Conditions (MCC). What is the
primary purpose for this national direction?
Question 3
options:
Medicare
reimbursement must meet quality payment standards under MACRA legislation
Advanced
Practice Nurses are responsible for addressing the multiple issues associated
with this patient population
Patients
with MCCs represent the largest, fastest growing and costliest US patient
population
Question 4 Medicare
Access and Summary CHIP Reauthorization Act of 2015, (MACRA) legislation is:
Question 4
options:
Bipartisan
Replaces
the 1997 Sustainable Growth Index
Requires
measurement of quality metrics
All of the
Above
Question 5 The
providers who are eligible for merit-incentive based payment (MIPS) include:
Question 5
options:
Physicians,
Physician Assistants, Physical Therapists and Radiologists
Physicians,
Physician Assistants, Nurse Practitioners, Clinical Nurse Specialists, Certified
Registered Nurse Anesthetist
Physicians,
Physician Assistants, Nurse Practitioners, Physical Therapists and Midwives
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 3 Knowledge Check
Question 1 The
US Department of Health and Human Services has funded multiple agencies focused
on patient safe and effective care. As an Advanced Practice Nurse (APN), what
specific agency would you refer too when learning more about reimbursement
based upon patient focused value driven quality care?
Question 1
options:
Agency for
Health, Research and Quality
Centers for
Medicare and Medicaid Services
Patient
Centered Outcomes Research Institute (PCORI)
None of the
above
Question 2 Team
STEPPS training through the Agency for Health, Research and Quality is focused
on patient safety. The primary tenets of this training are focused specifically
on:
Question 2
options:
Interdisciplinary
collaboration
Communication
Teamwork
All of the
above
Question 3 As
an APN providing patient-specific care and seeking Medicare reimbursement under
MACRA legislation demonstrating value and quality. You will bill under which
payment system?
Question 3
options:
Accountable
Care Organization
Advanced
Payment Models
Merit
Incentive Based Payment
All of the
above
Question 4 As
an APN seeking the best evidence to ensure optimal patient-centered outcomes,
which agency will you refer to when seeking the current evidence based
guidelines directing standard of care?
Question 4
options:
Patient
Centered Outcomes Research Institute (PCORI)
Agency for
Health Research and Quality
Centers for
Disease Control and Prevention
US
Protective and Safety Task Force
Question 5 Comparative
Effectiveness Research (CER) is patient centric and provides specific outcomes
that compare one intervention from another. What specific agency will you rely
on as an APN to gain CER data for your professional practice?
Question 5
options:
Centers for
Medicare and Medicaid Services
Patient
Centered Outcomes Research Institute
Food and
Drug Administration
All of the
above
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 4 Knowledge Check
Question 1 When
seeking specific epidemiology information on disease statistics and prevention
of deadly conditions. What specific agency under the US Department of Health
and Human Services would you rely upon?
Question 1
options:
National
Institutes of Health
American Cancer
Society
Centers for
Disease Control and Prevention
All of the
above
Question 2 Observational
study designs are primarily used in public health data collection and help to
determine efficacy of specific interventions. What is an example of a public health
concern that is frequently evaluated by the CDC to ensure population-based
health and wellness?
Question 2
options:
Drug safety
and efficacy
Pasteurization
Environmental
toxins
Vaccinations
Question 3 Advanced
Practice Nurses (APNs) committed to ensuring the safety of an aging society and
reducing escalations in mental health disorders will require the following
practice to promote wellness in this patient population:
Question 3
options:
Certification
as a Psychiatry Nurse Practitioner
Understanding
the current health policy directing clinical practice recommendations
Seek
ongoing continuing education credits in mental health and aging
All of the
above
Question 4 When
collecting important patient outcome data the APN must collect this information
through:
Question 4
options:
Certified
Electronic Health Record (EHR) by the Centers for Medicare and Medicaid
EHR that is
connected to all disciplines and settings participating in the care needs of a
specific patient
Paper
dictations and charts
Meaningful
Use criteria
Question 5 Examples
of Public Health Surveillance data include/s:
Question 5
options:
Zika virus
Tuberculosis
Trends in
Obesity
All of the
above
NSG6002 Health Policy and Health Promotion in Advanced Nursing Practices
Week 5 Knowledge Check
Question 1 As
an Advanced Practice Nurse (APN) who wants to lobby for state practice changes
in modifying scope of practice. What specific resource would you use when
communicating with your state legislators?
Question 1
options:
Institutes
of Medicine 2010 Nursing Report
Federal
Trade Commission Report 2014
National
Governors Report 2013
Institutes
of Medicine 2016 Report on Nursing
Question 2 The
APN with interests in diversity, health care access and mental parity would
access what specific agency for current resources as evidence to suggest
improvements in community-based health care delivery?
Question 2
options:
Centers for
Disease Control and Prevention
National
Heart Lung and Blood Institute
American
Cancer Society
Agency for
Health, Research and Policy
Next Page
Question 3 Currently,
10,000 Baby Boomers are entering the Medicare system daily. The Affordable Care
Act was designed to improve health care delivery through prevention and
promotion programs. What initiative specifically focuses on the aging American?
Question 3
options:
Team STEPPS
Multiple
Chronic Conditions
Shared
Decision Making
Literacy
Tool Kit
Question 4 What
specific Federal entity determines the direction and funding for health care
research, initiative’s and innovation in the United States?
Question 4
options:
World
Health Organization
National
Institutes of Health
US
Department of Health and Human Services
None of the
above
Question 5 The
APN should focus care, education and practice based upon the 3-tenets of the
Affordable Care Act – these include:
Question 5
options:
Better
Health, Better Quality and Use of Evidence
Better Care,
Better Health and Increase in Care Access
Better
Care, Better Health, Cost Effective Care
Better
Health, Comprehensive Care and Inter-professional
