Assignment: Assessing a Healthcare Program/Policy Evaluation, NURS 6050 Policy and Advocacy for Improving Population Health

 

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

  • Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
  • Select an existing healthcare program or policy evaluation or choose one of interest to you.
  • Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

  • Describe the healthcare program or policy outcomes.
  • How was the success of the program or policy measured?
  • How many people were reached by the program or policy selected?
  • How much of an impact was realized with the program or policy selected?
  • At what point in program implementation was the program or policy evaluation conducted?
  • What data was used to conduct the program or policy evaluation?
  • What specific information on unintended consequences was identified?
  • What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
  • Did the program or policy meet the original intent and objectives? Why or why not?
  • Would you recommend implementing this program or policy in your place of work? Why or why not?
  • Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

Personal Philosophy of Nursing

  

In a Microsoft Word document of 5-6 pages formatted in APA style, describe your personal approach to professional nursing practice. Be sure to address each one of the following criteria:

  • Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it?
    • Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.
  • Formulate and discuss your personal definition of nursing, person, health, and environment.
  • Discuss a minimum of two beliefs and/or values about nursing that guide your own practice.
  • Analyze your communication style using one of the tools presented in the course.
    • Discuss the strengths and weaknesses associated with your style of communication.
    • Impact of your communication style on your ability to collaborate as part of an interdisciplinary team.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper.

Submission Details:

W#9 Pharma replies

Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2). 

INSTRUCTIONS:

Your responses should be in a well-developed paragraph (300-350 words) to each peer. Integrating an evidence-based resource!

Note: DO NOT CRITIQUE THEIR POSTS, DO NOT AGREE OR DISAGREE, just add informative content regarding to their topic that is validated via citations. 

– Utilize at least two scholarly references per peer post. 

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.

– Minimum of 300 words per peer reply.

– TURNITIN Assignment.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

Discussion 05: Ethical Development

HA3300D – Healthcare Policy and Ethics

 Discussion 05: Ethical Development

Imagine you’re the CEO of a major hospital system that’s recently come into a large endowment from a recently deceased philanthropist. The conditions on the endowment are that the hospital must use it for the ethical development of its staff members. You decide to use the money to create a professional development seminar that “fills the gaps” you see in your staff’s ethics education.

.What ethical issues or topics will your seminar address? Write 3 – 5 sentences describing it and the ethical questions at stake.

.Why is this the most important issue or topic to address? How will this “fill the gaps” in your staff’s training?

Your initial post should be 8 – 10 sentences in length and include an APA-style references list.

You may wish to get ideas for your presentation from these websites:

.National Center for Ethics in Health Care

.“Five Top Ethical Issues in Healthcare”

Migraine

The patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of severe right-sided headache. She states that this is the sixth time in the last 2 months she has had this headache. She says the headaches last 2–3 days and have impacted her ability to concentrate at work. She complains of nausea and has vomited three times in the last 3 hours. She states, “the light hurts my eyes.” She rates her pain as a 10/10 at this time. Ibuprofen and acetaminophen ease her symptoms somewhat but do not totally relieve them. No other current complaints.

Proposing a New Initiative (Ass#1) 6008

Assessment 1

• Proposing a New Initiative

Research an economic opportunity that might be available within your health care setting that will provide ethical and culturally equitable improvements to the quality of care. Then, write a 2–4-page proposal for an initiative to take advantage of that opportunity, supported with economic data and an analysis of the prospective benefits.

Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.

Master’s-level health care practitioners are charged with the responsibility of constantly scanning the external environment for shifts in the supply of, and demand for, services. Concurrently, leaders must examine their organization’s strategic direction and determine whether adjustments must be made to current service offerings, whether equipment updates are needed, whether staffing models should be changed, and whether other decisions must be made. Each decision that is proposed must be evaluated in terms of the organization as a system, alignment with the organization’s mission and strategy, available internal resources, potential contract and payer source implications, and the short- and long-term economic effects at both the micro and macro levels.

Health Care Supply and Demand

The following multimedia animation illustrates elastic and inelastic demand curves, with changes in price.

Medical Care Demand Elasticities.

The following multimedia simulation presents the many concerns of stakeholders about the potential effects on an existing hospital system of a proposed mobile clinic for veterans with PTSD.

Vila Health: A New Mobile Clinic.

The following multimedia self-check activities will aid you in defining terms commonly used in discussions of health care economics.

The Demand for Health.

U.S. Health Care System Issues.

Understanding supply and demand in health care can be crucial to effective cost management and fiscal responsibility. This author explains the concept well by the use of examples and strategies for success.

Indresano, R. (2016). How to rebalance the supply-demand scales in healthcare. Retrieved from https://www.beckershospitalreview.com/patient-engagement/how-to-rebalance-the-supply-demand-scales-in-healthcare.html

The following article addresses the how and why behind the concept of spending efficiently in health care organizations. Examining the costs and benefits of economic opportunities is the key to success for leaders that know how to do more with less.

Doi, S., Ide, H., & Takeuchi, K., Fujita, S., & Takabayashi, K. (2017). Estimation and evaluation of future demand and supply of healthcare services based on a patient access area model. International Journal of Environmental Research and Public Health, 14(11), 1367–1381.

Health Care Costs

The following article provides a good example of the impact that the current health care environment has had on the practice of nurse practitioners. Many of these restrictions are similar toother disciplines, while others are unique to health care providers. This is important from the perspective of both the care giver and patients.

Chattopadhyay, S., & Zangaro, G. (2019). The economic cost and impacts of scope of practice restrictions on nurse practitioners. Nursing Economics, 37(6), 273–283.

The following article addresses the financial impact of health care and why health care executives and leaders play such a fiduciary role between the organization and environment. What is revealed is why the application of research and best practices becomes paramount for successful fiscal management for health care organization’s viability and sustainability.

Lyford, S., & Lash, T. A. (2019). America’s healthcare cost crisis: As the costs of U.S. healthcare continue to escalate, three commonsense reforms could reverse this unsustainable trend. Generations, 7–12.

Economic Initiatives

The following articles address the critical importance of aligning the quality of patient care initiatives with cost-effectiveness. The creation of service lines and the improvement of current practices must be sustainable and realistic to meet the challenges of ongoing performance improvement from the perspective of productivity standards.

Bennett, L. E., Jewell, V. D., Scheirton, L., McCarthy, M., & Muir, B. C. (2019). Productivity standards and the impact on quality of care: A national survey of inpatient rehabilitation professionals. Open Journal of Occupational Therapy, 7(4), 1–11.

Lin, C., Romley, J. A., & Carlin, C. (2018). The relationship between the patient-centered medical homes, healthcare expenditures, and quality of care among children with special health care needs. Maternal & Child Health Journal, 22(12), 1751–1760.

The following article addresses the provision of free health care services and the evaluation of the program’s impacts.

Edoka, I., Ensor, T., McPake, B., Amara, R., Tseng, F.-M., & Edem-Hotah, J. (2016). Free health care for under-fives, expectant and recent mothers? Evaluating the impact of Sierra Leone’s free health care initiative. Health Economics Review, 6(19), 1–15. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4877339/

The following interesting article provides the perspective of the cost evaluation process with use of a trial for a new initiative. It can be identified why a trial run can be benefit when exploring the opportunities for management of the costs from before and after the plan is implemented.

Panagioti, M., Reeves, D., Meacock, R., Parkinson, B., Lovell, K., Hann, M., . . . Bower, P. (2018). Is telephone health coaching a useful population health strategy for supporting older people with multimorbidity? An evaluation of reach, effectiveness and cost-effectiveness using a ‘trial within a cohort’. BMC Medicine, 16(1), 1–15.

The following article addresses the impact of an economic initiative on cost, utilization, and outcomes.

Rhodes, K. V., Basseyn, S., Gallop, R., Noll, E., Rothbard, A., & Crits-Christoph, P. (2016). Pennsylvania’s medical home initiative: Reductions in healthcare utilization and cost among Medicaid patients with medical and psychiatric comorbidities. Journal of General Internal Medicine, 31(11), 1373–1381. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5071276/

Ethical and Cultural Issues

The systemic review findings in the following article include evidence that interventions to improve cultural competency can improve patient or client health outcomes.

Truong, M., Paradies, Y., & Priest, N. (2014). Interventions to improve cultural competency in healthcare: A systematic review of reviews. BMC Health Services Research, 14, 99. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3946184/

Library Research Guides

You may choose other resources to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The following library guides can help direct your research.

MHA Program Library Guide.

MSN Program Library Research Guide.

Public Health Masters Program Library Guide.

Additional Resources for Further Exploration

Review the following:

Centers for Disease Control and Prevention. (n.d.). National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/

Centers for Medicare & Medicaid Services. (n.d.). Retrieved from http://cms.gov/

National Institutes of Health. (n.d.). Retrieved from http://www.nih.gov/

Assessment Instructions

Research an economic opportunity that might be available within your health care setting—at both micro (departmental, neighborhood) and macro (organizational, community) levels—that you believe will provide ethical and culturally equitable improvements to the quality of care. Then, propose an initiative to take advantage of that opportunity. Support your proposal with economic data (sector growth, supply versus demand, cost versus reimbursement, et cetera) and an analysis of the prospective benefits for your department and for the organization overall.

Such economic opportunities might include offering a new service line, working to improve a service line already offered, retiring an outdated or unprofitable service line, or any other initiative you believe will be of benefit to your organization in the short and long term. One example is a recently launched partnership with a local bicycle sharing company. Your organization partners with them to host healthy community events that offer free screenings for early detection of various health issues. Free screenings help fulfill some of your organization’s preventive and healthy lifestyle initiatives, while also potentially driving referrals to other services provided by your organization.

Note: Your proposal will serve as the basis for subsequent assessments in this course.

Note: Remember that you can submit all, or a portion of, your draft proposal to Smarthinking for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Requirements

The requirements for your proposal, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format, length, and supporting evidence.

Explain why your proposed initiative presents a viable and beneficial economic opportunity for your organization.

Describe your proposed service line or economic initiative.

Explain why your proposal presents an economic opportunity at the micro level and macro level.

Explain how your proposed initiative will provide ethical and culturally equitable improvements to the quality of care.

Analyze the economic factors of supply and demand associated with your proposed initiative, within a context relevant to your organization or care setting.

What do economic and demographic data suggest is the supply and demand?

What additional information would improve your analysis?

Explain how relevant economic and environmental data support your proposed initiative.

How does the data illustrate a potential opportunity and the economic viability of your proposal?

Write concisely and directly, using active voice.

Proofread your proposal before you submit it to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.

Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Assessment 1 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

Format: Format your proposal using current APA style. Use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial [DOCX] is also provided to help you in writing and formatting your proposal. Be sure to include:

A title page and references page. An abstract is not required.

A running head on all pages.

Appropriate section headings.

Length: Your proposal should be 2–4 pages in length, not including the title page and references page.

Supporting evidence: Cite 3–5 authoritative and scholarly resources to support your proposal. Be sure that your sources include specific economic data.

Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, after your work has been evaluated.

Portfolio Prompt: You may choose to save your proposal to your ePortfolio.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment scoring guide criteria:

Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.

Analyze the economic factors of supply and demand associated with a proposed initiative, within a context relevant to a particular organization or care setting.

Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.

Explain why a proposed initiative presents a viable and beneficial economic opportunity for an organization.

Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.

Explain how relevant economic and environmental data support a proposed initiative.

Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.

Write concisely and directly using active voice.

Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Benchmark – Professional Capstone and Practicum Reflective Journal (TOPIC Fall prevention strategies in hospitals.)

 

Benchmark – Professional Capstone and Practicum Reflective Journal (TOPIC Fall prevention strategies in hospitals)

Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3:     Understand and value the processes of critical thinking, ethical reasoning, and decision making.

4.1:     Utilize patient care technology and information management systems.

4.3:     Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3:     Provide culturally sensitive care.

5.4:     Preserve the integrity and human dignity in the care of all patients.

RUBRIC

Attempt Start Date: 26-Oct-2020 at 12:00:00 AM

Due Date: 01-Nov-2020 at 11:59:59 PM

Maximum Points: 95.0

Discussion: Special Topics in Child and Adolescent Psychiatry (WEEK 11)

To Prepare for the Discussion:

  • Review the Learning Resources.
  • Select one of the following topics for the Discussion:
    • Adoption
    • Foster care
    • Gender dysphoria
    • Forensic issues
    • Impact of terrorism on children

 

Post:

  • Write your selected disorder in the subject line of your Discussion post.

  • Explain the psychological issues that may result from your topic.

  • Describe the most effective assessment measure that could be used, and explain why you selected this.

  • Explain the treatment options available for children and adolescents involved with your selected disorder.

  • Explain how culture may influence treatment.

 Provide a minimum of three academic references. Including Introduction and Conclusion  

Statistical analyses in nursing

 

Statistical Analyses in Nursing

Researchers must make informed choices about the type of statistical analysis that best addresses the research question. For the past several weeks, you have been considering how and when a particular statistic should be employed. This week, you have focused on the use of nonparametric tests.

Nonparametric methods are useful to researchers in performing statistical analyses of quantitative data sets that do not follow normal distributions and that have inconsistent variation. Nonparametric methods are often applied when ordinal-level data are collected and, as such, rely on fewer assumptions than their parametric counterparts.

In this Discussion, you examine the two articles in this week’s Learning Resources, both of which employ nonparametric methods of statistical analysis. In addition, as the final week of exploring quantitative statistics, you consider which statistical method is most frequently used in your area of nursing practice.

Note: This Discussion takes place in small groups, which should have been assigned by your Instructor.

To prepare:

  • Review the articles presented in this week’s Learning Resources and analyze each study’s use of nonparametric tests.
  • Critically analyze each article, considering the following questions in your analysis:
    • What are the goals and purpose of the research study each article describes?
    • How are nonparametric tests used in each study? What are the results of their use?
    • Why are parametric methods (t tests and ANOVA) inappropriate for the statistical analysis of each study’s data?
    • What are the strengths and weaknesses of each study (e.g., study design, sampling, and measurement)?
    • How could the findings and recommendations of each study contribute to evidence-based practice in the health care field?
  • Reflect on the quantitative statistical analyses presented throughout this course in the research literature, the Learning Resources, media presentations, and those articles you reviewed for your abbreviated research proposal.
  • Ask yourself: Which method is most commonly used in research studies that pertain to my area of nursing practice, and why this might be so?

By Day 3

Post a cohesive response in your small group that addresses the following:

  • Critically analyze each article, including the items noted above.
  • Identify one statistical analysis method that you found recurring in many of the articles you used in your literature review for your research proposal. This method does not necessarily have to be nonparametric.
  • Based on your area of nursing practice, which method of statistical analysis is most frequently used in the research literature? Why do you think other forms of statistical analysis are less frequently used? Provide a rationale for your response.

FALLS

 Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project? 

MY TOPIC IS FALL