Policy and Impact

For this Assessment, you will answer a series of short-answer questions to demonstrate your understanding of the way that historic and current healthcare policies impact the accessibility, delivery, and cost of care in the United States.

Before submitting your Assessment, carefully review the rubric. All submissions must follow the conventions of scholarly writing. Properly formatted APA citations and references must be provided where appropriate 

CI3004: Policy and Impact Analyze the impact of policy on healthcare in the U.S.

Written Response Submission Form

Your Name: First and last

Your E-Mail Address: Your email here

Instructions

Write your responses where it reads “

Enter your response here.

” Write as much as needed to satisfy the requirements indicated. Each item contains the Rubric, which will be used to evaluate your responses.

Item 1

The Healthcare Legislation Table (located in the Healthcare Policy Tables document) lists the major pieces of U.S. healthcare policy passed into law in the last century. Choose a piece of healthcare legislation from the table. Research the policy further and write 2–3 paragraphs discussing it according to the following guidelines:

· Identify the policy’s name and the year in which it was enacted.

· Explain the principal health issues that led to the development of the policy.

· Succinctly explain how the healthcare policy addresses those issues.

Reference at least one scholarly resource in APA format.

Your Response
Enter your response here.
Rubric

0

Not Present

1

Needs Improvement

2

Meets Expectations

Module 1: The Impact of Policy on Healthcare Cost and Access

Choose a piece of healthcare legislation from the Healthcare Legislation Table.

LO1.1: Identify a healthcare policy.

Response is not present.

Response does not select a piece of healthcare legislation from the Healthcare Legislation Table.

Response selects a piece of healthcare legislation from the Healthcare Legislation Table.

Explain the principal health issues that led to the development of the policy.

LO1.2: Explain health issues that led to the development of existing healthcare policy.

Response is not present.

Response provides an unclear or not thorough explanation of the principle health issues that the healthcare policy was designed to address.

Response provides a clear and thorough explanation of the principle health issues that the healthcare policy was designed to address.

Succinctly explain how the healthcare policy addresses those issues.

LO1.3: Explain how healthcare policy addresses specific health issues.

Response is not present.

Response does not succinctly or clearly explain how the healthcare policy planned to address the identified health issues.

Response succinctly and clearly explains how the healthcare policy planned to address the identified health issues.

Reference at least one scholarly resource in APA format.

LO1.4: Reference scholarly resources.

Response is not present.

Response is unclear, inaccurate, or incomplete.

Response is clear, accurate, and complete.

Item 2

Using the healthcare policy that you selected for Item 1, research the policy and write 2–3 paragraphs discussing the policy’s impact, according to the following guidelines:

· Succinctly analyze how the policy has broadly impacted the landscape of healthcare.

· Assess the policy’s impact from at least two of the following perspectives: patient access; care delivery; affordability of care; quality of care.

Reference at least one scholarly resource in APA format.

Your Response
Enter your response here.
Rubric

0

Not Present

1

Needs Improvement

2

Meets Expectations

Module 1: The Impact of Policy on Healthcare Cost and Access

Succinctly analyze how the policy has broadly impacted the landscape of healthcare.

LO1.5: Analyze the broad impact of healthcare legislation.

Response is not present.

Response does not succinctly or clearly analyze the broad impact of the policy on the landscape of healthcare.

Response succinctly and clearly analyzes the broad impact of the policy on the landscape of healthcare.

Assess the policy’s impact from at least two of the following perspectives: patient access; care delivery; affordability of care; or quality of care.

LO1.6: Assess the impact of healthcare policy on patient access, care delivery, affordability of care, and quality of care.

Response is not present.

Response inaccurately or unclearly assesses the policy’s impact from at least two of the following perspectives: patient access; care delivery; affordability of care; or quality of care.

Response accurately and clearly assesses the policy’s impact from at least two of the following perspectives: patient access; care delivery; affordability of care; or quality of care.

Reference at least one scholarly resource in APA format.

LO1.4: Reference scholarly resources.

Response is not present.

Response is unclear, inaccurate, or incomplete.

Response is clear, accurate, and complete.

Item 3

Using the healthcare policy that you selected for Item 1, research the policy and write 2–3 paragraphs analyzing the policy’s impact on subsequent proposed and/or enacted healthcare policies. These can be policies that are also listed on the Healthcare Legislation Table or another policy that was developed after your selected policy.

Reference at least one scholarly resource in APA format.

Your Response
Enter your response here.
Rubric

0

Not Present

1

Needs Improvement

2

Meets Expectations

Module 1: The Impact of Policy on Healthcare Cost and Access

Using the healthcare policy that you selected for Item 1, research the policy and write 2–3 paragraphs analyzing the policy’s influence on subsequent proposed and/or enacted healthcare policies.

LO1.7: Analyze healthcare policy’s impact on subsequent healthcare policies.

Response is not present.

Response is unclear or does not succinctly analyze the policy’s influence on subsequent proposed and/or enacted healthcare policies.

Response clearly and succinctly analyzes the policy’s influence on subsequent proposed and/or enacted healthcare policies.

Reference at least one scholarly resource in APA format.

LO1.4: Reference scholarly resources.

Response is not present.

Response is unclear, inaccurate, or incomplete.

Response is clear, accurate, and complete.

Item 4

Use the Local Healthcare Policy Resources Table (located in the Healthcare Policy Tables document) to research a healthcare policy that currently affects acute care in your local community. (Note that you are addressing only acute care in this item.)

Write a 2- to 3-paragraph discussion of its impact in your community. 

Note: You may not select the same policy for Item 4 and Item 5.

· Your response should: 

· Briefly introduce your community and 2–3 of the acute care options that are available in the area.

·
Note: If you do not live in the U.S., use a community in which you intend to practice.

· Include the formal name (and acronym, if applicable) of the policy and the year in which it was enacted.

· Explain the impact of this policy on acute care.

· Analyze what stakeholders are responsible for the creation and implementation of the policy. 

· Explain the specific impact of the policy on your local community from at least two of the following perspectives: accessibility; delivery; affordability; quality of care.

Reference at least one scholarly resource in APA format.

Your Response
Enter your response here.
Rubric

0

Not Present

1

Needs Improvement

2

Meets Expectations

Module 2: Policy and the Current Landscape of Healthcare

Briefly introduce your community and 2–3 of the acute care options that are available in the area.

LO2.1: Describe the community and the acute care options available.

Response is not present.

Response is unclear or incomplete or 2–3 acute care options are not addressed.

Response includes a clear and complete description of the community and 2–3 acute care options.

Include the formal name (and acronym, if applicable) of the policy and the year in which it was enacted.

LO2.2: Describe healthcare policy.

Response is not present.

Response is unclear or incomplete.

Response clearly and completely identifies the policy selected.

Explain the impact of this policy on acute care.

LO2.3: Explain the impact of this policy on acute care.

Response is not present.

Response is unclear, inaccurate, or incomplete.

Response clearly, accurately, and completely explains the impact of policy on acute care.

Analyze what stakeholders are responsible for the creation and implementation of the policy. 

LO2.4: Identify key features in the creation of healthcare policy affecting acute care.

Response is not present.

Response is unclear, inaccurate, or incomplete.

Response clearly, accurately, and completely analyzes the role of the stakeholder in the creation and implementation of the selected policy.

Explain the specific impact of the policy on your local community from at least two of the following perspectives: accessibility; delivery; affordability; quality of care.

LO2.5: Explain the impact of healthcare policy on a local community.

Response is not present.

Response is unclear, inaccurate, or incomplete.

Response clearly, accurately, and completely explains the impact of the policy on the local community from two of the listed perspectives.

Reference at least one scholarly resource in APA format.

LO2.6: Reference scholarly resources.

Response is not present.

Response is unclear, inaccurate, or incomplete.

Response is clear, accurate, and complete.

Item 5

Use the Local Healthcare Policy Resources Table (located in the Healthcare Policy Tables document) to research a healthcare policy that currently affects long-term care in your local community. (Note that you are addressing only long-term care in this item.)

Write a 2- to 3-paragraph discussion of its impact in your community. 

Note: You may not select the same policy for Item 4 and Item 5.

· Your response should: 

· Briefly introduce your community and 2–3 of the long-term care options that are available in the area.

·
Note: If you do not live in the U.S., use a community in which you intend to practice.

· Include the formal name (and acronym, if applicable) of the policy and the year in which it was enacted.

· Explain the impact of this policy on long-term care.

· Analyze what stakeholders are responsible for the creation and implementation of the policy. 

· Explain the specific impact of the policy on your local community from at least two of the following perspectives: accessibility; delivery; affordability; quality of care.

Reference at least one scholarly resource in APA format.

Your Response
Enter your response here.
Rubric

0

Not Present

1

Needs Improvement

2

Meets Expectations

Module 2: Policy and the Current Landscape of Healthcare

Briefly introduce your community and 2–3 of the long-term care options that are available in the area.

LO2.7: Describe the community and the long-term care options available.

Response is not present.

Response is unclear or incomplete or 2–3 long-term care options are not addressed.

Response includes a clear and complete description of the community and 2–3 long-term care options.

Include the formal name (and acronym, if applicable) of the policy and the year in which it was enacted.

LO2.8: Describe healthcare policy.

Response is not present.

Response is unclear or incomplete.

Response clearly and completely identifies the policy selected.

Explain the impact of this policy on long-term care.

LO2.9: Explain the impact of this policy on long-term care.

Response is not present.

Response is unclear, inaccurate, or incomplete.

Response clearly, accurately, and completely explains the impact of policy on long-term care.

Analyze what stakeholders are responsible for the creation and implementation of the policy. 

LO2.10: Identify key features in the creation of healthcare policy affecting long-term care.

Response is not present.

Response is unclear, inaccurate, or incomplete.

Response clearly, accurately, and completely analyzes the role of the stakeholder in the creation and implementation of the selected policy.

Explain the specific impact of the policy on your local community from at least two of the following perspectives: accessibility; delivery; affordability; quality of care.

LO2.11: Explain the impact of healthcare policy on a local community.

Response is not present.

Response is unclear, inaccurate, or incomplete.

Response clearly, accurately, and completely explains the impact of the policy on the local community from two of the listed perspectives.

Reference at least one scholarly resource in APA format.

LO2.12: Reference scholarly resources.

Response is not present.

Response is unclear, inaccurate, or incomplete.

Response is clear, accurate, and complete.

References

Provide a citation for each resource you used to write your response to this Assessment. The following citation has been provided as an example:

· Barr, D. A. (2016)
. Introduction to US health policy: The organization, financing, and delivery of health care in America (4th ed.)
. Baltimore, MD: Johns Hopkins University Press.

Mastery Rubric

In order to achieve mastery of this Competency, you must score a “2” on every rubric row and meet the additional expectation indicated in the Mastery Rubric.

Mastery Rubric

No

Yes

Exceeds Expectations: In-Depth Analysis

LO1: Critically assess the impact of healthcare policy on accessibility, delivery, affordability, and quality of healthcare.

Responses to the items do not demonstrate a thorough and accurate analysis of the impact of healthcare policy on individual and community health.

Responses to the items demonstrate a thorough and accurate analysis of the impact of healthcare policy on individual and community health.

Professional Skills Building

The faculty Assessor will provide feedback based on the following Professional Skills: Written Communication, Information Literacy, Interpreting Data & Quantitative Fluency, and Inquiry & Analysis. Although the feedback is here to inform the development of your skills, it is not a barrier to achieving the Competency, unless the writing is too poor to be able to score the content of the Assessment. Review the rubric and check your work based on the learning objectives listed. If you are concerned that your writing will not meet these expectations yet, reach out to your faculty Subject Matter Expert (SME) so he or she can work with you to further develop this important professional skill.

It is highly recommended that you use this opportunity to practice these important skills in the context of this Competency Assessment in order to receive feedback about your current level of proficiency.

Written Communication: Write with clarity, coherence, and purpose.

0

Not Present

1

Needs Improvement

2

Meets Expectations

LO1: Construct complete and correct sentences (AWE 2; Sentence-Level Skills)

Sentences are incoherent and impede reader’s access to ideas.

Sentences are incomplete and/or include fragments and run-on sentences, limiting reader’s access to ideas.

Sentence structure effectively conveys meaning to the reader.

LO2: Demonstrate the effective use of grammar and mechanics. (AWE 2; Sentence-Level Skills)

Multiple inaccuracies in grammar and mechanics impede reader’s access to ideas.

Some inaccuracies in grammar and mechanics limit reader’s access to ideas.

Use of grammar and mechanics is straightforward and effectively conveys meaning to reader.

LO3: Create cohesive paragraphs with a clear central idea. (AWE 2; Paragraph-Level Skills)

Paragraphs, or lack of paragraphs, impede reader’s access to ideas.

Construction of main idea and/or supporting paragraphs limit reader’s access to ideas.

Main idea and/or supporting paragraphs effectively convey meaning to reader.

LO4: Use supporting material to support a claim. (AWE 2; Use of Evidence)

Supporting materials are not present.

Supporting material is used inconsistently or inappropriately.

Supporting material is used to enhance meaning. Writing is appropriately paraphrased and uses direct quotes as applicable.

LO6: Identify sources (AWE 2; Credit to source)

Sources are missing.

Writing inconsistently identifies or misrepresents sources.

Writing clearly identifies the source of nonoriginal material and/or ideas.

Information Literacy:
Apply strategies to evaluate information in order to effectively analyze issues and make decisions.

0

Not Present

1

Needs Improvement

2

Meets Expectations

LO1: Identify and locate credible sources.

No sources or non-credible sources are present.

Sources are inconsistently credible, appropriate, and relevant to the topic and/or assessment.

Sources are mostly credible, appropriate, and relevant to the topic and/or assessment.

LO2: Analyze information sources.

Analysis is not present.

Analysis superficially applies aspects of sources that are most relevant to the topic and/or assessment and/or analysis is unclear.

Analysis thoroughly and clearly applies aspects of sources that are most relevant to the topic and/or assessment.

LO3: Synthesize information from multiple, credible sources.

Synthesis is not present.

Synthesis demonstrates a vague connection between multiple sources and/or the topic.

Synthesis demonstrates a clear and cohesive connection between multiple sources and/or ideas to support a given topic.

Interpreting Data & Quantitative Fluency:
Interpret quantitative data in order to analyze issues and make decisions.

0

Not Present

1

Needs Improvement

2

Meets Expectations

LO1: Identify conclusions from numeric information presented in narrative and/or graphic form.

No conclusions are made based on numeric information.

Connections between conclusions and numeric information are vague or inaccurate.

Conclusions identified are appropriately connected to the numeric information.

LO3: Use quantitative data as evidence for a decision or recommendation.

Quantitative evidence is not used.

Quantitative evidence does not support or is superfluous to the recommendation or decision.

Argument for a decision or recommendation incorporates appropriate quantitative data as evidence.

Inquiry and Analysis:
Apply strategies to identify, frame, and evaluate issues and problems.

0

Not Present

1

Needs Improvement

2

Meets Expectations

LO1: Identify a problem or question in a selected area of study.

No problem or question is presented.

The problem or question is vague or inappropriate to the selected field of study.

The problem or question is clearly stated in a form appropriate to the selected field of study.

LO2: Use a logical organizing principle to identify the key parts or elements of a problem or question in a selected field of study.

Elements or parts of the problem or question are not presented.

Elements or parts of the problem or question are presented in a disorganized manner.

Elements or parts of the problem or question are presented in an organized manner.

LO4: Apply organizing principles and theoretical approaches to identify solutions to a problem.

No attempt is made to connect theories or organizing principles to solutions to the problem.

Connections between theories or organizing principles to solutions to the problem are vague.

Theories and organizing principles are used to make connections, identify gaps, and/or provide evidence for showing solutions to the problem or questions.

©2019 Walden University 1

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CI3004 HEALTHCARE POLICY TABLES

Healthcare Legislation Table (Items 1–3)

Year Legislation

1937 Social Security Act

1946 Hill-Burton Act

1965 Social Security Amendments (Medicare/Medicaid)

1973 Health Maintenance Act (Managed Care)

1983 Introduction of Diagnostic Related Groups (DRGs) by Medicare

1986 Emergency Medical Treatment and Active Labor Act (EMTALA)

1996 Balanced Budget Amendment

1996 Health Insurance Portability and Accountability Act (HIPAA)

2006 Medicare Part D Drug Benefit

2006 Massachusetts (Chapter 58) and Vermont (No. 191) legislation to
expand health coverage for state residents

2010 Patient Protection and Affordable Care Act (ACA)

Local Healthcare Policy Resources Table (Items 4–6)

These resources are “ideas” for where you can go to find information.

State health department website

National Conference of State Legislatures

Professional organizations for healthcare workers, including those that license healthcare
professionals in your state (nurses, physicians, dietitians, etc.)

CI3004 HEALTHCARE POLICY TABLES

Local healthcare organizations including hospitals, clinics, nursing homes

Other local organizations that might provide healthcare services: free clinics, jails, prisons,
schools, worksites

PubMed, for example, by searching for journal articles focused on research or data sets from
your state