Course description

Course Catalog Description:

In this course, learners are introduced to healthcare policy and finance. Special emphasis is placed on examining policies that shape responses to organizational, local, national, and global issues of equity, access, affordability, and social justice in healthcare. Economic competencies needed for professional nursing practice are explored.

Course Student Learning Outcomes (CSLOs): 1. Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends. 2. Appraise how healthcare is organized and financed, including the implications of business principles, such as patient and system cost factors. 3. Examine the major forms of reimbursement in healthcare. 4. Examine legislative and regulatory processes relevant to the provision of healthcare. 5. Analyze how the roles and responsibilities of regulatory agencies affect patient care quality, workplace safety, and the scope of nurses’ and other health professionals’ practice. 6. Analyze the legal, ethical, and political contexts of healthcare policy. 7. Evaluate the consequences of policy implementation on issues of access, equity, and affordability in healthcare delivery.

Unit 2 Policy Advocacy Project - Part A: Proposal

Policy Advocacy Project Overview: Nurses are important advocates for patients and health policy. For the Policy Advocacy Project you will need to identify a piece of legislation that you would like to advocate for by speaking with an appropriate elected official in your district, state, etc. The project contains two parts that you will submit for grading, the proposal and the report. In the Part A, the proposal, you will explain the legislation you have selected to advocate for and identify the appropriate elected official (or staff member) with whom you will speak. In Part B, the report, you will research the position of the elected official on the legislation you chose. Then, you will summarize the meeting with that elected official. The report component will be due near the end of the course. Proposal Directions: 1. Identify an appropriate piece of legislation that you would like to advocate for as a nurse. 2. There are multiple ways to find your legislation information and the legislator involved: a. To determine your state representatives, visit https://openstates.org/find_your_legislator/ b. Also, provide the names of your US Congressperson and Senator. This person will go to Washington DC to represent your district/state. c. For the US Congress/House of Representatives, visit http://www.house.gov/representatives/find/. d. For the US Senate, visit https://www.senate.gov/reference/reference_index_subjects/Directories_vrd.htm e. Visit Congress.gov to track progress: https://www.congress.gov/ to find the legislation. 3. Follow the brief video tutorial that will show you how to find the legislation: a. https://galen.screencasthost.com/watch/cqioYsOrtW 4. In your assignment submission, please provide the following information: a. Your name b. The full name of the legislation c. Name of the State d. Identify whether the legislation is State or Federal bill/law e. Where will the bill be voted on The House or The Senate f. Identify the name of the legislator to be contacted i. Provide the URL link to the legislator’s website g. Describe the proposed legislation. Explain why you think the legislation is important or relevant. Please note that the elected official or staff member whom you plan on contacting to advocate for this legislation should work at the State (senator or representative) or Federal level. Please include APA citations and references for any cited materials. The proposal should be about 100-200 words in length. Please keep in mind: • You are advocating for pending legislation. You cannot choose something that has already passed because if that is the case, no advocacy is necessary. • You must specify the exact piece of legislation in your proposal. You must refer to this by the appropriate title. For example Title VIII funding, H. R. 952, etc. • The elected official you contact must have the authority to vote for the proposed legislation. The mayor, governor, or assemblyman (woman) of a city would have no legislative authority and therefore would not be appropriate. You are most likely going to contact a state or federal member of Congress (House or Senate).

 

What will i learn?

  • 1. Synthesize knowledge from the arts and sciences to form a foundation for the practice of professional nursing.
  • 2. Provide holistic, culturally competent care for individuals, families, and populations through health promotion and disease prevention across the lifespan and healthcare continuum
  • 3. Integrate professional values and behaviors when delivering standards-based nursing care to diverse patients and populations.
  • 4. Develop leadership skills to provide and continuously improve the delivery of safe, patient-centered quality healthcare
  • 5. Incorporate best practices and the most current evidence when using clinical reasoning to make practice decisions
  • 6. Incorporate the use of information systems and technology in order to communicate, manage knowledge, mitigate error, and support decision-making.
  • 7. Integrate effective communication and collaboration skills to improve patient satisfaction and health outcomes.

Requirements

Frequently asked question

Directions: There are two components to this assignment. First Component: Identifying two State Nurse Practice Acts (NPAs) 1. Please visit the National Council of State Boards of Nursing: https://www.ncsbn.org/npa.htm 2. Select two State Nurse Practice Acts (NPAs) to compare. Second Component: Presentation Component Create a presentation comparing the two nurse practice acts by addressing each of the following items: 1. Identify and compare the two state agencies overseeing the practice of nurses. 2. List the professions included in the nurse practice act. • Indicate RN, LPN, APN, APRN, ARNP • If APN: indicate the type (delineated /not delineated) – nurse practitioner, certified nurse midwife, certified registered nurse anesthetist, clinical nurse specialist. 3. Describe LPN capabilities according to the NPA for each state (i.e.: pass medications, IVs?). 4. List any professions or job titles other than that of a nurse (e.g., dialysis tech, community health worker, nurse’s aide, medication aide, massage therapist, etc.). 5. List any protected professional titles (i.e., prohibitions against anyone not possessing a license calling her/himself an RN, LPN or APN). 6. Describe rules for the Board of Nursing (or its equivalent). • How many members are required? • Must the board represent certain specialties of nursing? • If so, what are those specialties? • If the Board of Nursing does not require APN members, is there some other board or council or committee or other entity that specifically oversees APN practice? • If so, is there a requirement that physicians be members of this other board/council/committee, and if so, how many? 7. Define delegation restrictions in each state (limits to the kinds of tasks an RN can delegate and to whom the RN can delegate those tasks). 8. Continuing education requirements, if any, for each type of nurse delineated in the NPA. (Note: APNs might have different requirements from other types of nurses). 9. Criminal background check requirements. 10. Scope of the APNs or APRNs Role: • If APNs are delineated in the NPA, must they possess separate RN and APN licenses in order to practice as an APN? • Are APNs required to have a graduate degree and/or certification specific to their type ofAPN? • The requirement for an APN to practice: Must there be physician oversight? If so, is it: Supervision (written or unwritten agreements) or collaboration (written or unwritten agreements)? Alternatively, does the APN practice independently? • Are APNs regulated by the same body as other nurses (e.g., the Board of Nursing, or its equivalent)? The Board of Medicine? Both the Board of Nursing and Board of Medicine? Some other entity (e.g., Department of Health)? • Are APNs allowed to prescribe medication? Are they allowed to prescribe controlled substances? If so, which schedules are they allowed to prescribe (options include some or all of SchedulesV, Galen College of Nursing – NSG 4150 Syllabus – Version 12.v3 IV, III, and II). Does their prescriptive authority require supervision or collaboration of a physician? 11. Identify any nurse license compacts (special agreements with states so that nurses may practice across state lines)? 12. Are there any unique features required of nurses in either state (e.g., passing a jurisprudence examination, having to complete specific types of continuing education, such as HIV)? 13. Are nurses (RNs or APNs) allowed to perform certain procedures (e.g., determine a cause of death, sign death certificates)?

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Lectures

7

Skill level

Beginner

Expiry period

Lifetime

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