NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)

Grand Canyon University NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal) assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)                           

Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal) depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)                         

The introduction for the Grand Canyon University NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal) is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)                         

After the introduction, move into the main part of the NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal) assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)                         

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)                           

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)

Re: Topic 7 DQ 1

One of the major health policy reforms that made an impact on health equity and disparity in the US is the Affordable Care Act (ACA). ACA is a comprehensive reform law that was enacted in 2010, which aimed to increase health insurance coverage for the uninsured and implement reform in the insurance market. Patients who may have been uninsured due to preexisting conditions or limited finances can secure affordable health plans through the health insurance marketplace in their state (AMA, n.d.). In 2017, the Tax cut and Jobs removed the penalty for individuals not having insurance which scaled back the outreach program to help Americans sign up for ACA, and caused the number of Americans covered by ACA to drop by almost 5 million the next year. In 2021, President Biden signed an executive order to focus on rules and policies that limit Americans’ access to health care. The American rescue plan act (ARPA) extended the eligibility of ACA health insurance subsidies to those buying healthcare coverage in the marketplace with incomes over 400% of poverty.

In California, Assembly Bill 890 (AB 890) Nurse Practitioner, the scope of practice is one of the more recent bills passed. This was initially proposed during the pandemic when there was a shortage of physicians. With the passage of AB 890, Nurse Practitioners may be able to practice independently once certain provisions have been met. A nurse practitioner must first complete the transition to practice by practicing under one or more physicians for 3 full-time equivalent years of practice or 4600 hours. For nurse practitioners to expand their practice outside of those settings, they must practice within the limits of their knowledge, experience, and certification in good standing for at least another 3 years after completion of the initial 3 years of transition to practice. The CA Board of Nursing is expected to implement AB 890 by January 1, 2023 (California Board of Nursing, 2022).

Another related bill is SB 1375 which will increase access to affordable, quality abortion care and reproductive health services in California. It clarifies existing laws so that trained and experienced nurse practitioners can provide this critically needed care without physician supervision. With the shortage of primary care physicians in California, especially in the Latino, Black, and Native American communities, over 40% of the counties do not have clinics that provide abortion (California Association for Nurse Practitioners, 2022).

References:

American Medical Association (AMA). (n.d.) Understanding the affordable care act. https://www.ama-assn.org/delivering-care/patient-support-advocacy/understanding-affordable-care-act

California Board of Nursing. (2022). Assembly bill 890. https://www.rn.ca.gov/practice/ab890.shtml

California Association for Nurse Practitioners. (2022). 2022 Legislation status: The legislative and regulatory process. https://canpweb.org/advocacy/ab-890-implementation/2022-legislation-status/

Sample Answer 2 for NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)

Population groups that experience the most profound healthcare disparities are the ones that can most benefit from the full and unrestricted use of nurse practitioners (NPs) as primary care providers. As a result of the decreased numbers of physicians choosing primary care as their specialty in favor of better-paid specialties, there is a shortage of primary care providers, especially in areas of higher ethnic and racial diversity (Poghosyan & Carthon, 2017). Nurse practitioners are an ideal solution to this problem. With the increased numbers of nurse practitioners now practicing, one would think that the problem would solve itself. However, varying healthcare policies governing the ability of nurse practitioners to provide primary care as well as reimbursement disparities have hampered this ready-made solution. One problem limiting the successful implementation of nurse practitioners are the varying and inconsistent scope of practice guidelines between states. These inconsistencies affect aspects of practice such as the ability of NPs to prescribe medications, practice independently without the oversight of a physician and the ability to admit patients to the hospital. Another issue impacting NPs ability to meet the primary care shortage is the inconsistency in billing practices and reimbursement. Some insurance companies recognize NPs as primary care providers as reimburse them for care and others do not. Medicare reimburses NPs at 85% of what they reimburse MDs for providing the same care. These factors lead to NPs being drawn to practice in regions that allow for full practice and better reimbursement. Unfortunately, this situation exacerbates the shortage of NPs providing primary care in underserved areas.

References:

Poghosyan, L. & Carthon, J. (2017). The untapped potential of the nurse practitioner workforce in reducing health disparities. Policy, Politics, & Nursing Practice, 18(2):84-94. doi:10.1177/1527154417721189

Sample Answer 3 for NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)

Irrespective of where people live, socioeconomic conditions, and education, optimal health and well-being should be their right. However, many issues affect health care delivery and increase health inequities. Two major policy issues that affect health care delivery and population health equity are poor access to care and variances in the scope of practice across states. Typically, the access to care problem is multifaceted since provider shortages, high health care costs, implicit bias, and long distances to health care facilities determine when and where people receive health care services (Labban et al., 2023; Lopes et al., 2023). Indeed, these issues widen health disparities and have been at the center of policymaking for a long time. On the other hand, the scope of practice determines the availability of care depending on the authority given to nurses to treat patients and prescribe medications. Nursing research shows that states with full practice authority have a higher prevalence of nurse practitioners, particularly in rural areas (DePriest et al., 2020). The situation differs in reduced and restricted practice states where nurse practitioners are supervised or collaborate with a physician. Addressing these issues through policies and appropriate initiatives is vital for governments and health care providers to reduce health disparities across populations.

Population health policies and initiatives centered on addressing access to health problems and scope of authority differences have profound implications on advanced nursing practice. For instance, they require advanced practice nurses to actively participate in policymaking and advocacy to improve care delivery and equity. Such policies also prompt advanced nursing practice nurses to play a pivotal role as change agents in organizations and communities to address barriers to health, including access problems, inequities, and discrimination. As change agents, nurses identify population health problems and implement positive, innovative changes (Cusson et al., 2020). Importantly, nurse practitioners should readily embrace interventions, frameworks, and care delivery models that reduce health care disparities. Achieving this goal requires nurses to integrate a global perspective on health into their routine practice.

References

Cusson, R. M., Meehan, C., Bourgault, A., & Kelley, T. (2020). Educating the next generation of nurses to be innovators and change agents. Journal of Professional Nursing, 36(2), 13-19. https://doi.org/10.1016/j.profnurs.2019.07.004

DePriest, K., D’Aoust, R., Samuel, L., Commodore-Mensah, Y., Hanson, G., & Slade, E. P. (2020). Nurse practitioners’ workforce outcomes under implementation of full practice authority. Nursing Outlook, 68(4), 459–467. https://doi.org/10.1016/j.outlook.2020.05.008

Labban, M., Chen, C. R., Frego, N., Nguyen, D. D., Lipsitz, S. R., Reich, A. J., … & Trinh, Q. D. (2023). Disparities in travel-related barriers to accessing health care from the 2017 National Household Travel Survey. JAMA Network Open, 6(7), e2325291-e2325291.  doi:10.1001/jamanetworkopen.2023.25291

Lopes, L., Presiado, M., & Hamel, L. (2023). Americans’ challenges with health care costs. KFF. https://www.kff.org/health-costs/issue-brief/americans-challenges-with-health-care-costs/