CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation NUR 514

CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation

This is a Collaborative Learning Community (CLC) assignment.

As an advanced registered nurse leader, you have an opportunity to be a catalyst for change and lend your voice to important health care issues. One of the ways you can do this is through lobbying and engaging with the legislative process as both participant and patient advocate.

In this assignment, you will work in a group to identify a current health care legislative issue and prepare a PowerPoint presentation with slide notes. This health care issue can impact your role, the setting, the scope of practice, or the population in the community you serve. Refer to the website of your state legislature to research current legislative issues and identify appropriate steps.

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Sample Introduction

Affordable Care Act (ACA) is one of the major legislative processes in the United States. This health insurance plan is expected to increase health coverage for millions of Americans. Advance  Practice Registered Nurses (APRNs)  play critical role in health care reforms in different roles among them being change agents or catalysts. Imperatively, APRNs are lobbyists and advocates who champion for better healthcare through enactment of effective policies and healthcare laws for the benefit of patient populations and community. This presentation discusses the Affordable Care Act that was enacted in 2010 and its effects on APRNs role, scope of practice and on the population in the community where they serve.

Affordable Care Act (ACA) is one of the major healthcare policies passed to improve healthcare delivery to Americans. The policy was implemented in the year 2010 by President Obama’s administration to solve the challenges brought about by the lack of accessibility to healthcare services. Imperatively, APRNs are lobbyists and advocates who champion for better healthcare through enactment of effective policies and healthcare laws for the benefit of patient populations and community. The current healthcare reforms offer APRNs an opportunity to lobby and advocate for policies as well as take their position or stance on such issues. APRNs should engage and lobby in the legislative process as a participant and patient advocate by identifying current health care issues that impact these roles, their setting, and scope of practice as well as the population in the communities that they serve (Chen et al., 2016). As such, this presentation discusses the Affordable Care Act that was enacted in 2010 and its effects on nursing role, the practice environment, and scope of practice. The presentation also considers the effects of the ACA on the population in the community where nurses serve.

CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation

Include the following in a 12-15 slide PowerPoint submission:

• A description of the health care issue, and how it relates to your role, setting, scope of practice, or community population.
• A description of the proposed legislation and your group’s stance on whether it should be passed.
• Methods to track a bill and participate in lobbying efforts.
• An outline of lobbying remarks, appropriate for the target audience, bill’s intent, and goal of supporting or not supporting its passage.
• Implications if lobbying efforts do not succeed.

Make sure to include slide notes of 100-250 words for each slide.

Description

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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 not required to submit this assignment to LopesWrite.

Course Code Class Code Assignment Title Total Points
NUR-514 NUR-514-O501 CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation 150.0

Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation 100.0%
The Health Care Issue, and How it Relates to Role, Setting, Scope of Practice, or Community Population 10.0% A description of the health care issue and how it relates to role, setting, scope of practice, or community population is not included. A description of the health care issue and how it relates to role, setting, scope of practice, or community population is present, but it lacks detail or is incomplete. A description of the health care issue and how it relates to role, setting, scope of practice, or community population is present. A description of the health care issue and how it relates to role, setting, scope of practice, or community population is clearly provided and well developed. A comprehensive description of the health care issue and how it relates to role, setting, scope of practice, or community population is thoroughly developed with supporting details. CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation

The Proposed Legislation and Stance on Whether It Should Be Passed 10.0% A description of the proposed legislation and the stance on whether it should be passed is not included. A description of the proposed legislation and the stance on whether it should be passed is present, but it lacks detail or is incomplete. A description of the proposed legislation and the stance on whether it should be passed is present. A description of the proposed legislation and the stance on whether it should be passed is clearly provided and well developed. A comprehensive description of the proposed legislation and the stance on whether it should be passed is thoroughly developed with supporting details.

Methods to Track a Bill and Participate in Lobbying Efforts 10.0% A discussion of methods to track a bill and participate in lobbying efforts is not included. A discussion of methods to track a bill and participate in lobbying efforts is present, but it lacks detail or is incomplete. A discussion of methods to track a bill and participate in lobbying efforts is present. A discussion of methods to track a bill and participate in lobbying efforts is clearly provided and well developed. A comprehensive discussion of methods to track a bill and participate in lobbying efforts is thoroughly developed with supporting details.

Outline of Lobbying Remarks, Appropriate for the Target Audience, Intent of Bill, and Goal of Supporting or Not Supporting Its Passage 10.0% An outline of lobbying remarks, appropriate for the target audience, intent of bill, and goal of supporting or not supporting its passage is not included. An outline of lobbying remarks, appropriate for the target audience, intent of bill, and goal of supporting or not supporting its passage is present, but it lacks detail or is incomplete. An outline of lobbying remarks, appropriate for the target audience, intent of bill, and goal of supporting or not supporting its passage is present. An outline of lobbying remarks, appropriate for the target audience, intent of bill, and goal of supporting or not supporting its passage is clearly provided and well developed. A comprehensive outline of lobbying remarks, appropriate for the target audience, intent of bill, and goal of supporting or not supporting its passage is thoroughly developed with supporting details.

Implications If Lobbying Efforts Do Not Succeed 5.0% A discussion of the implications if lobbying efforts do not succeed is not included. A discussion of the implications if lobbying efforts do not succeed is present, but it lacks detail or is incomplete. A discussion of the implications if lobbying efforts do not succeed is present. A discussion of the implications if lobbying efforts do not succeed is clearly provided and well developed. A comprehensive discussion of the implications if lobbying efforts do not succeed is thoroughly developed with supporting details.

Required Sources 5.0% Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

Presentation of Content 20.0% The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear. The content is vague in conveying a point of view and does not create a strong sense of purpose. The project includes some persuasive information. The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other. The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. The project includes persuasive information from reliable sources. The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea. CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation

Layout 10.0% The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident. The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text. The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability. The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text. The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Language Use and Audience Awareness (includes sentence construction, word choice, etc.) 10.0% Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately. Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately. Language is appropriate to the targeted audience for the most part. The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly. The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Slide errors are pervasive enough that they impede communication of meaning. Frequent and repetitive mechanical errors distract the reader. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Slides are largely free of mechanical errors, although a few may be present. Writer is clearly in control of standard, written, academic English.

Re: Topic 5 DQ 2

Accountable Care Organizations (ACO’s) are an innovative healthcare delivery model developed by Centers for Medicaid and Medicare Services from the Affordable Care Act. ACO’s are organizational structures where hospitals, physicians and others can work together to provide the most cost-effective care and be held accountable for outcomes achieved (Accountable Care Organizations, 2020). The goal of ACO’s is to ensure that patients get appropriate and timely care while avoiding unnecessary duplication of services and preventing medical errors; and thus; are performance based with financial rewards paid out with the savings achieved for the Medicare program (Accountable Care Organizations, 2020). This innovation will produce healthcare cost savings not only for Medicare but also private insurers. ACO’s drive cost effectiveness by rewarding stakeholders financially when they provide high quality care and produce cost savings at the same time. To achieve the desired quality of care and the incentive returns for cost effectiveness many ACO’s focus on lifestyle modification programs and interventions that may produce a high return on the investment such as preventative and primary care to obtain their objectives (Blackstone & Fuhr, 2016). Because ACO’s are patient-centered, the final ruling by CMS requires providers to notify patients about any affiliation with an ACO. Providers must tell patients that they are eligible for shared savings, because the ACO offers incentives to improve quality of care while reducing costs. Providers must alert patients that the ACO is financially bound to CMS requirements and may have to pay penalties if the ACO fails to provide high-quality and cost-effective care. Patients must also be informed that they can seek care from other providers at any time.

An ACO differs from the HMO’s in that they come together voluntarily and are not compiled together by an insurance provider. ACO’s are managed by healthcare professionals rather than insurance industry employees. “An important distinction between health maintenance organizations and ACO’s is that in ACO’s the providers themselves (rather than an insurance company) control the diagnosis and treatment decisions” (Weberg, Mangold, Porter-O’Grady & Malloch, 2019). ACO’s will enable innovation through the motivation to create methods to save healthcare dollars that benefit insurance companies and patients. Collaboration between providers in order to meet the common goal of cost-savings enhances communication through the disciplines and lends to understanding of and respect for the various disciplines involved.

References

Accountable care Organizations. (2020). Retrieved from https://www.cms.gov/Medicare/Medicare-Free-for-Service-Payment/ACO/index?redirect=/aco/

Blackstone, E.A., & Fuhr, J.P., (2016). The Economics of Medicare Accountable Care Organizations. American health & drug benefits, 9 (1), 11-19.

Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2019). Leadership in nursing practice: Changing the landscape of health care (3^rd ed). Retrieved from https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3ephp