Program/policy evaluation

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve.  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.

policy evaluation

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?
•  many people were reached by the program or policy selected?
•  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?
•  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

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper. Oiscuss action taken for reform and restructuring. And the role of the nurse within this changing environment.

Include the following:

1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice. And describe the expectations and responsibilities of the nursing role in these situations.
3. Discuss professional nursing leadership and management roleshat have arisen. And how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
4. Research emerging trends. Predict two ways in which the practice of nursing. And nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years. And appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide. Located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Title of Assignment

Professional Identity of the Nurse: Role of the Nurse and Scope of Practice

Purpose of Assignment:

According to Larson, Brady, Engelmann, Perkins, and Shultz (2013), “the development of professional identity is a continuous process that begins with admission to the nursing program and evolves throughout one’s professional career in a dynamic and fluid process where interacting relationship of education and practice lead to self-reflection, growth, and human flourishing” (p. 138).

Larson, J., Brady, N., Engelmann, L., Perkins, B., & Shultz, C. (2013). The formation of professional identity in nursing. Nursing Education Perspectives.34 (2). p 138.

Course Competency(s):

Identify roles and responsibilities for safe nursing practice in the healthcare environment.

Explain the roles and scope of practice for members of the intraprofessional team.

Role of the Nurse and Scope of Practice

Instructions:

This course includes a project with three parts. Each part builds off prior knowledge to help you create your nurse professional identity. In the first part. You examine the role of the nurse and scope of practice, which will help you identify the nurses’ role. In the second part. You describe the importance of the code of ethics in nursing, and examine the standards of nursing practice for the role you are obtaining during the nursing program. The final submission requires you to use the first two parts of your assignment to explain your belief of caring in nursing, describe your professional identity, and identify a potential professional organization that you may join to help support your development.

Content:

Prepare a two to three page written assignment that includes the following:

· Introduction to the assignment (sections of the assignment; roles of the nurse, scope of practice, compare and contrast scope of practice)

· Describe the roles of the nurse for the program you are currently enrolled, Identify the scope of practice for the nurse in the state where you intend to practice

· Using the Nurse Practice Act for the state where you intend to practice. Compare and contrast the scope of practice for the LPN and RN

· Conclusion (reflect on the assignment including how you will use the scope of practice to support your role)

· Use at least two credible resources to support your findings. For example, one of the resources could be the State Board of Nursing website, and another resource could be a textbook. These resources must be integrated into the body of your paper using at least two in-text citations. Be sure to use proper APA format and style.

The Value Based Care the Affordable Care Act & Health Outcomes

I’m working on a health & medical discussion question and need support to help me understand better.

Please write a discussion and respond to this 2 peers’ Discussion Prompts

discussion:

• Identify two features of the Affordable Care Act (ACA) that affect healthcare reimbursement.
• Which one to you think will have the most impact on providers?
• Why?
• Respond to at least two (2) of your classmates’ or your instructor’s posts. Your responses should include elements such as follow-up questions, a further exploration of topics from the initial post, or requests for further clarification or explanation on some points made.
• ALL citations and references needs to be APA 7th edition format. THANK YOU!

Peer #1

When the Affordable Care Act, ACA, was signed into law in March of 2010, one of the main goals was to reduce healthcare costs. Under the ACA. Payment systems are linked to provider accountability to reduce costs and improve health outcomes. The ACA puts major emphasis on primary care, making primary care physicians the first line of service for everything (Clarke, 2016). If physicians provide 60% of their services in primary care codes. They are eligible for a bonus (Rapfogel et al., 2020).

The Value Based Care the Affordable Care Act & Health Outcomes

The bonus to each individual physician is dependent on the care that is provided and the number of Medicare patients they see (Rapfogel et al., 2020). Another feature of the ACA that affects reimbursement is the Hospital Readmission Reduction Program, HRRP. Under the HRRP, Medicare payments to hospitals are reliant on readmission rates of Medicare patients (Boccuti et al., 2017). If the readmission rate of the hospital is higher than the national average, the payments across all Medicare admissions for the hospital will be reduced (Boccuti et al., 2017).

I think the emphasis that the ACA puts on primary care will affect providers the most because reimbursement is directly linked to the care that they provide. For primary care physicians, this emphasis will affect them positively. The ACA pushes patients to primary care providers as the first line of service. Meaning that these providers will see more patients and will receive greater reimbursement. The ACA also has incentives in place to push aspiring physicians towards primary care. Like scholarship funding and loan forgiveness programs (Clarke, 2016). But the strong emphasis on primary care negatively affects specialists. With more patients seeing primary care providers as the first line, specialists may see a decline in patients. Sievert (2016) found that 41% of physicians took an additional job because their income decreased after the passage of the ACA.

The Value Based Care the Affordable Care Act & Health Outcomes

Peer #2

One feature of the ACA is the Pay for Performance (P4P). It is a reimbursement method for providers that give incentive payments to those providers meeting certain predetermined quality and patient satisfaction outcomes (Cleveland et al., 2019). It is an encouragement for hospitals, physicians, and other providers to meet performance standards (Delbanco et al., 2018). While the evidence indicates that pay-for-performance may not be able to alter provider behavior dramatically on its own, it may be effective if incorporated with other incentives (Delbanco et al., 2018). One drawback for providers is that under pay-for-performance, bonuses are paid too long after providers deliver patient care, making it difficult for them to connect rewards to their behavior.

“The ACA benefits low-income families by lowering health costs through Obamacare. The strategy of Obamacare was to provide tax credits for insurance to the middle class. Those whose incomes fall between 100% and 400% of the poverty level. It limits out-of-pocket costs to $8,150 for an individual plan and $16,300 for a family plan in 2020, and $8,550 for an individual plan and $17,100 for a family plan in 2021” (Amadeo 2021). Under the ACA, parents are also allowed to cover their children up to 26 on their plans. This plan has the most effect on providers.