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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 tered 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
