DNP 840 Grand Canyon Political Activism Essay

DNP 840 Grand Canyon Political Activism Essay

Political Activism

Current policy issues must be understood to identify how practice may be impacted and, ultimately, be able to critically assess the justifications for laws that have been passed in an era when advanced nurse practitioners are continuing to diversify and evolve in response to changes in healthcare (Pacheco & Maltby, 2019). The purpose of this paper is to examine how government regulations affect healthcare careers and to describe a policy brief about proposed changes to Virginia’s legislature that would give APRNs a wider range of practice.

ORDER A PLAGIARISM-FREE PAPER HERE ON;DNP 840 Grand Canyon Political Activism Essay

Current Health Care Policy

The need to control rising healthcare costs and deliver better, more coordinated patient care is driving proposals to change how medical care is provided and paid for in the United States (Han et al., 2022). These proposals place a strong emphasis on team-based approaches. For instance, the Affordable Care Act of 2012 (ACA) suggests the creation of accountable care organizations (ACOs), which are networks of doctors, hospitals, and other service providers that work together to give patients coordinated, high-quality, cost-effective care. However, with greater cooperation and shared accountability among various specialties and professions, come new legal difficulties, especially concerning physician liability and antitrust laws (Buchmueller & Levy, 2020). Recent legislation that promotes team-based care and acts as a superb example of how doctors and nurse practitioners can work together better addressed some of these issues in Virginia.

Personal Stance

This team-based care law is the result of statewide efforts to promote team-based practice among doctors and other healthcare providers. Due to conflicts between NP and physician groups over how much independence NPs should have and a doctor shortage that affects two-thirds of the nation, the Virginia law represents a compromise that puts the needs of patients first. The law, which became operative in July 2012, maximizes the contributions of NPs to the healthcare team(Callaghan et al., 2020). The law specifically changes the role of doctors from managing NPs to managing healthcare teams. However, nurse practitioners may only work as a part of a team providing patient care.

At the same time, doctors can remotely supervise a larger number of NPs. All team members need to understand their specific patient care responsibilities, NPs and doctors need to work together effectively, and there should be less administrative work involved in hiring and keeping NPs(Gluck & Scott-Railton, 2019). Collaboration entails the sharing of data and information regarding the treatment and care of a patient, as well as the exchange of clinical observations and assessments, and the creation of a suitable care plan that takes decisions regarding the provision of healthcare, the access to and evaluation of suitable additional resources or expertise, and the organization of suitable referrals, testing, or studies.

Conclusion

`The Virginia law is a significant step toward creating legal requirements for team-based care. I did observe, however, that several important legal issues raised by collaborative care and ACOs are not addressed by the law, including physician liability, reimbursement, and whether cooperation between specific clinicians is unlawful under antitrust laws.

References

Buchmueller, T. C., & Levy, H. G. (2020). The ACA’s Impact On Racial And Ethnic Disparities In Health Insurance Coverage And Access To Care. Health Affairs, 39(3), 395–402. https://doi.org/10.1377/hlthaff.2019.01394

‌Callaghan, T., Karch, A., & Kroeger, M. (2020). Model State Legislation and Intergovernmental Tensions over the Affordable Care Act, Common Core, and the Second Amendment. Publius: The Journal of Federalism, 50(3), 518–539. https://doi.org/10.1093/publius/pjaa012

Gluck, A. R., & Scott-Railton, T. (2019). Affordable Care Act Entrenchment. Georgetown Law Journal, 108, 495. https://heinonline.org/HOL/LandingPage?handle=hein.journals/glj108&div=19&id=&page=

Han, X., Zhao, J., Yabroff, K. R., Johnson, C. J., & Jemal, A. (2022). Association Between Medicaid Expansion Under the Affordable Care Act and Survival Among Newly Diagnosed Cancer Patients. JNCI: Journal of the National Cancer Institute, 114(8), 1176–1185. https://doi.org/10.1093/jnci/djac077

Pacheco, J., & Maltby, E. (2019). Trends in State-Level Opinions toward the Affordable Care Act. Journal of Health Politics, Policy, and Law, 44(5), 737–764. https://doi.org/10.1215/03616878-7611635

Sommers, B. D. (2020). Health Insurance Coverage: What Comes After The ACA? Health Affairs, 39(3), 502–508. https://doi.org/10.1377/hlthaff.2019.01416

Appendix: Letter to Policymaker

March 28,2023

The Honorable Senator Jennifer A. Kiggans

Pocahontas Building, Room E518

900 East Main Street

Richmond, Virginia 23219

(804) 698-7507

email: district07@senate.virginia.gov

Re: Reconsider AmendingSB 414 Nurse practitioners; patient care team physician supervision capacity increased.

Dear Representative Book:

My name is _________and I currently reside at _________. I am a Doctoral in Nursing Practice student in ________. I am writing to ask for your support to reconsider amending SB 414 Nurse practitioners; “patient care team physician supervision capacity increased.” As an advocate for nurse practitioners providing healthcare services to your constituents, I urge you to endorse the re-establishment of this bill. Several important legal issues raised by team-based care and ACOs, such as physician liability, reimbursements, and whether collaboration between specific clinicians violates antitrust laws, are not addressed by this law.

Physicians can care for more patients if they are willing and able to delegate patient education, counseling, and protocol-based services to non-physician staff. Additionally, it has been established that the primary care given by NPs is just as safe as that given by doctors. However, there are legal restrictions on NPs’ independent practice, especially at the state level.

The current rule that a doctor may lead a patient care team with a maximum of six nurse practitioners at a time is retained in all other situations. I propose expanding the number of registered nurses who can work alongside a single physician. Therefore, the agreement should permit the nurse practitioner to practice independently after receiving approval from the assigned physician.

I implore you to support ARNPs in our state so that we can carry out our duties and assist patients more effectively. If you need any additional details or explanations of the talking points I’ve included with this letter, don’t hesitate to get in touch with me.

BUY A CUSTOM- PAPER HERE ON; DNP 840 Grand Canyon Political Activism

Many careers are influenced by government regulations. Health care is one of those careers, similar to education, in which workers are hesitant to be involved in the political process. In order to advance the cause of quality patient care, it is very important that doctorally prepared advanced practice nurses get involved in the political process.

This assignment will prepare you to determine what policy you may want to be involved in changing by creating an objective policy brief. A policy brief is a concise summary of a particular issue, the policy options to deal with it, and some recommendations on the best option. This assignment consists of two parts.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic and at least one in-text citation from each source.
• 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
• Upload both parts of the assignment to the assignment drobox.
• Learners will submit this assignment using the assignment dropbox in the digital classroom. In addition, learners must upload this deliverable to the Learner Dissertation Page (LDP) in the DNP PI Workspace for later use.

Directions:

Part 1: In 500-750 words, address the following:

1. Identify a current health care policy in your community or state.
2. Research the issue and determine your personal stance based on the current evidence.

Part 2:

1. Locate the contact information for a state, local, or federal official for your area.
2. Locate information regarding the official’s stance on the issue.
3. Send the official a letter or email that explains your position and offers suggestions on how the official should move forward with the agenda from your policy brief.

Portfolio Practice Immersion Hours:

It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the References section of your paper:

Practice Immersion Hours Completion Statement DNP-840A

I, (INSERT NAME), verify that I have completed and logged (NUMBER OF) clock minutes/hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Lopes Activity Tracker for verification purposes and will be sure that all approvals are in place from my faculty and practice immersion preceptor/mentor before the end of the course.

BUY A CUSTOM- PAPER HERE ON; DNP 840 Grand Canyon Political Activism

Rubric Criteria

Criterion	1. Unsatisfactory	2. Insufficient	3. Approaching	4. Acceptable	5. Target
Current Health Care Policy – Community or State Current Health Care Policy – Community or State	0 points Discussion of a current health care policy in the community or state is not present. Application to practice is not present.	20 points Discussion of a current health care policy in the community or state are present but incomplete. Application to practice is identified but is incomplete.	22 points Discussion of a current health care policy in the community or state is present but rendered at an inadequate level. Application to practice is identified with discussion at an inadequate level.	23 points Discussion of a current health care policy in the community or state is clearly present but not as complete as expected. Application to practice is identified with a detailed discussion of barriers and support to advance health care delivery or practice.	25 points Discussion of a current health care policy in the community or state is thoroughly presented. Application to practice is identified with comprehensive discussion of barriers and support to advance health care delivery or practice.
Personal Stance Personal Stance	0 points Discussion of personal stance is not present.	20 points Discussion of personal stance is incomplete and does not establish an evidence-based approach or is not supported by current evidence.	22 points Discussion of personal stance is present with an evidence-based approach and is supported by current evidence, but only at an inadequate level.	23 points Discussion of personal stance is well developed with an evidence-based approach and supported by current evidence.	25 points Discussion of personal stance is comprehensive with an evidence-based approach and supported by current evidence.
Policymaker or Influencer Identification Policymaker or Influencer Identification	0 points Identification of a policymaker or influencer is not present; or an overview of the stance on the identified policy is not provided.	8 points N/A	8.8 points Identification of a policymaker or influencer is present with contact information and an inadequate overview of the stance on the identified policy.	9.2 points N/A	10 points Identification of a policymaker or influencer is present with contact information and a robust overview of the stance on the identified policy.
Letter to Policymaker or Influencer Letter to Policymaker or Influencer	0 points Implications and recommendations offered are not offered.	8 points Implications and recommendations offered are incomplete.	8.8 points Implications and recommendations offered are presented at an inadequate level.	9.2 points Implications and recommendations offered are convincing, insightful, and forward-thinking.	10 points Implications and recommendations offered are convincing, insightful, and forward-thinking. Information presented is supported by evidence.
Thesis, Position, or Purpose Communicates reason for writing and demonstrates awareness of audience	0 points The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.	5.6 points The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.	6.16 points The thesis, position, or purpose is adequately developed. An awareness of the appropriate audience is demonstrated.	6.44 points The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.	7 points The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience.
Development, Structure, and Conclusion Advances position or purpose throughout writing; conclusion aligns to and evolves from development.	0 points No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.	6.4 points Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.	7.04 points The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.	7.36 points The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and plausible conclusion aligns to the development of the purpose.	8 points The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose.
Mechanics of Writing Mechanics of Writing (includes spelling, punctuation, grammar, language use)	0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.	4 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.	4.4 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.	4.6 points Few mechanical errors are present. Suitable language choice and sentence structure are used.	5 points No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.
Format/Documentation Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc.,	0 points Appropriate format is not used. No documentation of sources is provided.	8 points Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.	8.8 points Appropriate format and documentation are used, although there are some obvious errors.	9.2 points Appropriate format and documentation are used with only minor errors.	10 points No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated.