Healthcare Policy and Analysis

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Policy

Evidence-Based Practice II

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Legal and Ethical Implications

care coordination and the quality of patient care delivered

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  • Do you think there is a correlation between care coordination and the quality of patient care delivered?
  • Do you think care coordination can reduce hospital readmissions, improve quality of life, and curb health care expenditures? Provide examples.

Week 8 Discussion Health Policy and Ethics Nr503 Reply

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 Martha Snyder

In Indiana, Governor Holcomb signed House Enrolled Act (HEA) 1313 into law on March 10, 2022, requiring healthcare practitioners to confirm that children under seven have been tested for lead and, if not, to offer this testing to the child’s parent or guardian. The measure is set to go into force on January 1, 2023 (Lead and Healthy Homes Division, 2023). The bill states, “Screening children for lead poisoning. Requires the state Department of Health to establish guidelines and standards for health care providers for screening children in Indiana for lead poisoning from January 1, 2023, through December 31, 2026. Requires a health care provider who provides health care services to a child under six to take certain actions concerning a blood lead screening test from January 1, 2023, through December 31, 2026. Specifies that a parent or guardian is not required to have their child receive a blood lead screening test.”  The bill was sponsored by Rick Niemeyer, Mike Bohacek, Dan Demulc, Lonnie Randolph, Ed Charbonneau, and Ron Alting (Barret, 2022).

There is no known safe level of blood lead levels that are noted. Children exposed to lead can cause damage to the brain and nervous system, slow growth and development, and possibility cause learning and behavioral problems. Mandating tests can lower the risks and improve the health of Hoosier children.

Since April 1995, CDC has monitored children’s blood lead through a grant given to 35 high-risk states. The CDC pays 35 state and local health departments for lead surveillance. Grantees must submit quarterly statistics as part of their financing agreement. Non-funded states submit data voluntarily. Even in high-risk locations, Blood Lead Levels (BLL) have declined over 30 years. The NHANES population-based estimate of children with BLLs at or above the reference value has likewise reduced over time (Learn More about CDC’s Childhood Lead Poisoning Data, 2019). Government authorities, health care and social service providers, and at-risk communities have collaborated to regulate or eliminate lead sources in children’s settings, reducing BLLs in U.S. children.

References

Barret, B. (2022). Indiana General Assemby House Bill 1313. Retrieved from Indiana General Assembly: https://iga.in.gov/legislative/2022/bills/house/1313

Lead and Healthy Homes Division. (2023). Retrieved from Indiana Department of Health: https://www.in.gov/health/lead-and-healthy-homes-division/information-for-health-care-providers/testing-requirements/#:~:text=Indiana%20statute%20requires%20that%20ALL,screening%20test%20must%20receive%20one.

Learn More about CDC’s Childhood Lead Poisoning Data. (2019, July 30). Retrieved from Centers for Disease Control and Prevention: https://www.cdc.gov/nceh/lead/data/learnmore.htm#:~:text=CDC%20Data,health%20departments%20for%20lead%20surveillance.

Week 8 Discussion Health Policy and Ethics Nr503 Reply

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 Paulina Kluszczynska

Week 8 Discussion: Bill CS/SB 7016 — Health Care

          Bill CS/SB 7016 — Health Care become effective March 21, 2024, in Florida state. The CS/SB 7016 — Health Care Bill was designed by the Fiscal Policy Committee and Health Policy Committee. This Bill is a big part of the initiative “Live Healthy” which the main goal is to increase access to health care services for very fast-growing Florida population (The Florida Senate, 2024). It is a very complex bill containing multiple provisions such as:

  • The Telehealth Minority Maternity Care Program – which increase access to health care providers via telehealth for minority ethnic groups
  • Mobile Response Teams – is a provision extending access to obtain behavioral health during behavioral crisis
  • Charitable Care at Free Clinics – a provision that increases the maximum income range from 200% to 300% of the federal poverty level to increase access to charitable free clinics to eligible population
  • And many more programs and regulations that will enhance the growth of health care centers and medical personnel (The Florida Senate, 2024).

          According to the Nursing Code of Ethics Provision 8 nurses should cooperate with other health care professionals and advocate for reduction of health disparities and to protect human rights (ANA, 2015). This Bill will significantly increase access to healthcare services for underserved populations. Florida has been experiencing intense population growth ranging from 350,000 to 375,000 yearly and become third most populated state in the US with over 23 million permanent residents with addition of seasonal residents and tourists (U.S.News, 2024). Florida has also the highest rate of people over the age 75 reaching 10% of permanent residents (U.S.News, 2024). These are very alarming numbers, as the growth of the health care system to meet demands will be very challenging. It can significantly increase the disparities in obtaining quality health care.

          Access to health care is one of many determinants of health (Artiga, S., & Hinton, E., 2018). Telehealth is developing rapidly, and it has great potential to positively influence patients’ health outcomes especially in rural and undeserved areas where access to healthcare providers is very limited (Curley, 2020). It is also one of the Heathy People 2030 goals to increase access to high quality healthcare by using technology and improving health and decreasing hospitalization rate (Office of Disease Prevention and Health Promotion, 2023) This Bill will allow more undeserved people to have access to free preventive, primary and behavioral healthcare.

References

American Nursing Association. (2015). Code of ethics for nurses. American Nurses Publishing. Retrieved December 18, 2024, from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/Links to an external site.

Artiga, S., & Hinton, E. (2018). Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity. Kaiser Family Foundation. Retrieved December 16, 2024, from https://www.kff.org/racial-equity-and-health-policy/issue-brief/beyond-health-care-the-role-of-social-determinants-in-promoting-health-and-health-equity/Links to an external site.

Curley, A.L. (2020). Population-based nursing: Concepts and competencies for advanced practice. (3rd ed.). Springer Publishing Company.

Office of Disease Prevention and Health Promotion. (2023). Healthy People 2030. Retrieved December 18, 2024, from https://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-access-and-quality/increase-proportion-adults-who-get-recommended-evidence-based-preventive-health-care-ahs-08Links to an external site.

The Florida Senate. (2024). CS/SB 7016—Health Care. Retrieved December 16, 2024, from https://www.flsenate.gov/Committees/BillSummaries/2024/html/3515Links to an external site.

U.S.News. (2024) Florida’s Population Passes 23 Million for the First Time Due to Residents Moving From Other States. Retrieved December 18, 2024, from https://www.usnews.com/news/us/articles/2024-07-23/floridas-population-passes-23-million-for-the-first-time-due-to-residents-moving-from-other-statesLinks to an external site.

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WK 5 DIS THEO

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WK 5 ASSIGN Health

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WK 5 DIS # 2 Health

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