HMGT 310 DISC 2
ANSWER EACH QUESTION SEPARATELY.

INCLUDE EACH QUESTION REFERENCE UNDER EACH ANSWERED QUESTION.

USE REAL-LIFE EXPERIENCE.

1. Science:

Describe a public healthcare program at the state or federal level, its intended population and how that program is funded.

Application:

Consider your readings on the challenges, debates and successes of the Patient Protection and Affordable Care Act (ACA) of 2010. Using Figure 3, “How a bill becomes a law,” located in the Week 1 resources, and this weeks’ scholarly readings, select any area within the diagram to describe any issue(s) that may have occurred during or after the process of the ACA transforming from a bill to an actual law. For example, you can describe:

? How did “the people” influence the passage of this healthcare bill? (What evidence supports this?)

? Describe a specific state legislature that supported or opposed the bill?

? Describe the “Committee” in the legislative body who was responsible for reviewing the health care bills.

? Describe one debate or amendment to the ACA bill prior to its adoption into law.

? Were there any issues with the budgets associated with the ACA bill.

? Were there any public hearings during the Committee sessions? If so, provide a description.

? Describe any debates to overturn the ACA.

Be sure to cite all sources in APA format. UMGC journal articles can also be used to support your discussion response this week.

· Kaiser Family Foundation. (January, 2013). Policy Options to Sustain Medicare for the Future. https://www.kff.org/medicare/report/policy-options-to-sustain-medicare-for-the-future/

· The Common Wealth Fund (2014) Implementing The Affordable Care Act: The State of the States. http://www.commonwealthfund.org/~/media/files/publications/fund-report/2014/jan/1727_keith_implementing_aca_state_of_states.pdf?la=en

· The Common Wealth Fund (2012)State Medicaid Directors are Driving Payment Reform.

http://medicaiddirectors.org/wp-content/uploads/2015/08/policybrief1_072012final.pdf

· NCSL (2013). Medicaid and CHIP http://www.ncsl.org/research/health/medicaid-home-page.aspx

· (Reference Document) The Patient Accountability and Affordable Care Act 2010 Public Law 111-148 of the 111th Congress http://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf

· Social Security: A Program and Policy History

· Acceptance of New Medicaid Patients by Primary Care Physicians and Experiences with Physician Availability among Children on Medicaid or the Children’s Health Insurance Program

2. Science:

Describe the role of Employer-Sponsored Health Insurance (ESHI). Include a discussion on the impact of ESHI on the uninsured population in the U.S. and any relevant statistics. Discuss any barriers to ESHI, including access to health services.

Application:

Discuss the role of ESHI after healthcare reform. Provide details on how employers changed their approach to healthcare insurance offerings after ACA implementation. What compensatory mechanisms/programs were introduced to offset the health care access barriers? You may also discuss any current policy news that may facilitate or increase access to ESHI.

Be sure to cite sources in APA format.

· Blando, J., Ridenour, M., Hartley, D., and Casteel, C. (2014). Barriers to Effective Implementation of Programs for the Prevention of Workplace Violence in Hospitals. Online Journal for Issues in Nursing 20(1). http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-20-2015/No1-Jan-2015/Articles-Previous-Topics/Barriers-to-Programs-for-the-Prevention-of-Workplace-Violence.html

· Kaiser Family Foundation (2013). Establishing Health Insurance Marketplaces: An Overview of State Efforts. http://kff.org/health-reform/issue-brief/establishing-health-insurance-exchanges-an-overview-of/

· Robert Wood Johnson Foundation (2011). Ensuring Access to Care under Health Care Reform. http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2011/rwjf71704

· Will we have enough physicians? One of life’s ‘unanswerable’ questions

· Are you ready for a shortage of physicians?

· Employer-sponsored insurance: Is it eroding under the ACA, and should we care?

· Employer-Sponsored Insurance Offers: Largely Stable in 2014 Following ACA Implementation

· Employer-Sponsored Health Insurance Erosion Accelerates in the Recession

· Despite Repeal Efforts, ACA Compliance Moves Forward

3. Science:

A number of public policies protect patients from faulty, dangerous, or unnecessary medicines, medical procedures, and services. Note one of these public policies and identify how it protects a patient group.

Application:

Using the policy you chose, explain if it met its projected goals. Provide supporting statistics and your opinion on the efficacy of the policy. Be sure to cite resources in APA format.

· U.S. Department of Health & Human Services (2020). Regulations. http://www.hhs.gov/regulations/

· US FDA (2020). Medwatch Safety Resources (Video). http://www.fda.gov/Safety/MedWatch/ucm133050.htm

· Human Subject Laboratory Testing and CMS https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/index.html?redirect=/clia/

· Human Subject Research Regulation http://www.hhs.gov/ohrp/humansubjects/index.html

· CDC Data Collection and Reporting http://wwwn.cdc.gov/nndss/data-collection.html

· NCSL. (2019). Certificate of Need Laws. http://www.ncsl.org/issues-research/health/con-certificate-of-need-state-laws.aspx

· https://www.researchgate.net/publication/313360341_A_Critical_Insight_into_Policy_Implementation_and_Implementation_Performance

Science:

To ensure efficient healthcare delivery and outcomes, and to maintain adherence to state and federal laws, healthcare institutions implement organizational policies. Describe the purposes of organizational policies in more detail. Also, what impact do such policies have on healthcare institutions and their employees?

Application:

Using your scholarly and/or online resources, provide a specific example of how organizational based policies are implemented in healthcare practice. Be sure to cite your sources in APA format.

Reply to at least two of your fellow student’s posts with substantive information and/or feedback that helps facilitate an ongoing discussion.

· David, P. & Haberlen, S. (July 2005). 10 best resources for … measuring population health. Health Policy Planning, 20 (4): 260-263. This reading is embedded below.

· Plain Language at AHRQ.

· Plain Writing Act April 2019

· Policies and Procedures: Enhancing Pharmacy Practice and Limiting Risk (free subscription- download full-text PDF is in the middle of the page)

· Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model (“view full text” is in the right column on the page)