understanding of health care delivery and financing

SYLLABUS

COURSE NUMBER: NGR 5891

COURSE TITLE: Health Care Policy COURSE CREDITS: 3 credits

PREREQUISITES: SEE STUDENT HANDBOOK

SEMESTER: Summer, 2020

PROFESSOR: Claudia Davis, PhD. RN-BC (Please state name and course with contact).

PROFESSOR’S EMAIL: cdavis@fnu.edu; virtual meetings by appointment only, Wednesday evenings between 6-7 PM. No exception.

· Required Text and Materials:

Mason, D. J., Leavitt, J.K., Chaffee, M.W. (2016). Policy and Politics: In Nursing and Health Care. (7th• Ed) St. Louis, Missouri: Elsevier, Saunders. ISBN-13: 9780323299886

Publication Manual American Psychological Association (APA) (6th ed.). 2009 ISBN: 978-1-4338-0561-5 (Required).

Recommended Text and Readings:

Milstead, A. J. (2016). Health Policy and Politics: A Nurse’s Guide. (7th. Ed) Burlington, MA: Jones & Bartlett Learning. ISBN: 978-1-284-06824-5

· Course Description: This course focuses on providing the nurse leaders with an understanding of health policy, finance, and legislation on health care. Political advocacy and the health policy change process will be explored.

· Learning Outcomes:

Upon successful completion of this course, the MSN student will be able to:

4

· Analyze the history, structure, and process of health care policy and politics in nursing and in health care delivery systems in the United States. (AACN Essentials III, IV, VI, VIII; QSEN: QI, Safety, & EBP).

· Critically appraise health policy proposals and policies that encompass the ethical dimensions of policy and politics, global health, health care disparities, uninsured, underinsured, complex health care financing issues, and the health care reform (Affordable Care Act). (AACN Essentials III, IV, VI, VIII; QSEN: QI, Safety, & EBP).

· Translate health services research, evidence-based practice policy and politics for implementation at multiple systems’ levels, such as institutional, local, state, and federal. (AACN Essentials III, IV, VI, VIII; QSEN: QI, Safety, & EBP).

· Advocate for social justice, health equity, and new policies to improve health care delivery, patient outcomes, and the profession of nursing. (AACN Essentials III, IV, VI, VIII; QSEN: QI, Safety, & EBP).

· Apply leadership skills in the development and implementation of policies and politics in the four spheres where nurses are politically active: the workplace, government, professional organizations, and the community. (AACN Essentials III, IV, VI, VIII; QSEN: QI, Safety, & EBP).

· Learning Objectives: The MSN student will be able to:

· Demonstrate understanding of health care delivery and financing.

· Participate in health services research and policy and economic analysis.

· Discuss strategies to influence Policy and Politics in the workplace, workforce, associations, interest groups, communities, and the Government.

· Demonstrate knowledge of Policy and Politics in Research and Nursing Science using evidence-based health care practice.

· Identify a policy for health system improvement addressing health care disparities, ethics, dilemma, financing issues, and the health care reform. (Affordable Care Act/American Care Act)

· Demonstrate understanding of Policy and Politics in Nursing and Health Care through discussion and forum groups.

· Identify key policy issues in contemporary health systems that affect nursing and patient care outcomes.

· Compare and contrast cost, quality, and access issues across health care sectors in the United States and globally.

Course Outline

Date Module/Topic Assigned Readings Assignments
WEEK 1:

05/03/2020

Unit 1 Introduction to Policy and Politics in Nursing and Health Care Chapters 1-4, 7,8

Frameworks, Historical Perspectives, Advocacy &

Research

Introduction on blackboard.

Due 5/11/2020 by 11:59 PM

WEEK 2:

05/10/2020

Unit 1 Introduction to Policy and Politics in Nursing and Health Care Chapters 9,11,14,15

Political Analysis, Research, Professional Ethics and Power of Media to Influence Health Policy

Online Discussion 1: Media Influence on Health Policy
WEEK 3:

05/17/2020

Unit 2 Health Care Delivery and Financing Chapters 16,18,19,20

The Changing Health Care System, Financing Health Care & the Affordable Health Care Act

Online Discussion 2: National Healthcare System &UK Health System
WEEK 4:

05/24/2020

Unit 2 Health Care Delivery and Financing Chapters 23,25,27, 89

Policy Approaches to Health

Disparities, Women’s Benefit and

Reproductive Health Policies

Online Discussion 3: Women’s Health Policies
WEEK 5:

05/31/2020

Unit 2 Health Care Delivery and Financing Chapters 30,31,33,34

Emergency Preparedness,

Medical Homes & Nurse- Managed Health

Online Discussion 4:

Community Health Issues

WEEK 6:

06/07/2020

Unit 3

Policy and Politics in the

Government

Chapters 39-43

Veterans’ Admin., Nurses in

Congress & Legislation/Regulation

States Strategies DUE

6/13/2020 by 11:59 PM

Reflection Post #1

WEEK 7:

06/14/2020

Unit 3

Policy and Politics in the Government

Chapters 44,45,46,49

Lobbying & Elss

Online Discussion 5: Nurses Politics
WEEK 8:

06/21/2020

Unit 4

Policy and Politics in The Workplace

Chapters 53,54,57,58

Nursing and the Courts, Licensure, Regulation & Safety

Online Discussion 6: Quality & Safety Policy Issues
WEEK 9:

06/28/2020

Unit 4

Policy and Politics in The Workplace

Chapters 59, 60, 64, 66, 68

EBP, Politics, The Nursing

Workforce & APRN Practice

Online Discussion 7: APRN Advocacy
WEEK 10:

07/05/2020

Unit 5

Policy and Politics in The Government

Chapters 70,72,74

Interest Group & Nursing Associations

Interest Group Presentation due 7/05/2020 by 11:59 PM

Reflection Post #2

WEEK 11:

07/12/2020

Unit 5

Policy and Politics in The Government

Chapters 75,76,78

Coalitions as a Powerful Strategy, Nursing as a Unified

Voice & LGBTQ Health

Online Discussion 8: LGBTQ Health Concerns
WEEK 12:

07/19/2020

Unit 6 Policy and Politics in Associations and Interest Groups Chapters 79,80,81,82

Community Issues, Big Tobacco & Activism

Online Discussion 9: Community Activism & Big Tobacco
WEEK 13:

07/26/2020

Unit 6

Policy and Politics in Associations and Interest Groups

Chapters 83,84,85,90

Taking action on Community

Health

Online Discussion 10: Medicinal Marijuana

Prepare Policy Analysis Paper due next week

WEEK 14:

08/02/2020

Unit 7

Policy and Politics in

the Communities

Chapters 86, 87

Sexual Violence & Human

Trafficking

Reflection Post #3

WEEK 15:

08/09/2020

Unit 7

Policy and Politics in

the Communities

Chapters 91, 92 International Nursing Policy & Infectious Diseases Online Discussion 11: Global Perspectives on Infectious Diseases

Policy Analysis Paper DUE

08/15/2020 BY 11:59 PM

WEEK 16:

6

08/16/2020

FINAL WEEK FINAL WEEK NO ASSIGNMENT

***Course Outline is subject to changes at faculty’s discretion. In addition, special attention should be paid to all starred, bolded, and underlined information.

Submitted Papers

All paper submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.). 2009 ISBN: 978-1-4338-0561-5

This course will use a variety of learning experiences to attain the course objectives, including but not limited to lecture, discussion, case study, assessment strategies, group and or individual exercises, team, and individual presentation.

Discussions:

Each student must be actively engaged in course discussions. Each student must respond to the discussion questions weekly with a minimum of 250 words addressing the assigned question or topic of the week. Postings must be original, clear, and relevant to weekly assigned course topic. Weekly postings must also contain two peer-reviewed reference articles/sources to support posting. Students must also create a relevant response post with a minimum of 150 words that addresses peers’ initial posts regarding the specified discussion topic. A rule of thumb for all DQ responses is the 3-3 rule: 3 paragraphs minimum, 3 sentences per paragraph minimum. Responses to peers cannot be posted on the same day. Thus, in total students should post at twice weekly; one original post and one response. Each week thread opens from Sunday at 12 midnight to Saturday at 11:59 PM. Students should post original responses to the discussion question by Wednesday 11:59 PM and all responses to peers by Saturday 11:59 PM. Please refer to the late submission policy outlined in the syllabus.

Discussion Question (DQ) Submission Guidelines

Students must submit their initial, weekly DQ post in two separate areas. First, the student will submit

their initial response via that week’s assignment link provided under the assignments tab as a Word

document. Once this is done, the student will then copy and paste their answer onto that week’s DQ

thread under the Discussions tab. Thereafter, all discussions and peer replies will be conducted via the

DQ board. Failure to submit your initial DQ response to BOTH the assignments tab and the DQ thread

will result in a “0” for that week’s DQ. Note: All DQ submissions will be monitored for plagiarism.

Assignments

Specific assignments, their due dates, and grading criteria are listed in this syllabus. You are accountable for both individual assignments and for providing a significant contribution toward your learning team’s collaborative assignments. Your course grade includes scores from both your individual and group assignments. You are also responsible for completing all assignments including readings, written papers,

presentations, and class discussions. You will be graded on the achievement of the objectives, not on the

effort you put into your assignments. All online discussions, written assignments, and documentation of

others’ ideas and words in presentations must be in APA 6th edition format. You have one opportunity

to complete each assignment. Papers cannot be rewritten, and presentations cannot be re-submitted in an

attempt to obtain a higher grade. All written assignments should be completed according to the rubric and

guidelines provided in the course syllabus.

Late Assignments:

Due dates are established for reasons of equity. It is not fair to peers who complete assignments on time if other classmates have extra time to work on their assignments. It is also not fair to the professor who must grade assignments in a timely fashion. Late discussion posts will NOT be accepted and will be graded a zero. Late assignments will receive 10% deduction of the assignment points (i.e., 2 out of 20, 2.5 out of 25, 10 out of 100) deduction each day past the deadline for late submissions. Late assignments will not be accepted past 48 hours after the previously established deadline listed on the syllabus. Submissions past the 48hr mark will be graded as zero. For exceptions to this rule,

students must make prior arrangements with course instructor as needed in cases of extenuating circumstances like illness and/or emergencies.

8. Class Policies: All students are responsible for reviewing the School Catalog

POLICIES

http://www.fnu.edu/publications/Cataloggeneral.pdf

STUDENT CODE OF ETHICS

students must make prior arrangements with course instructor as needed in cases of extenuating circumstances like illness and/or emergencies.

7. Class Policies: All students are responsible for reviewing the School Catalog

POLICIES

http://www.fnu.edu/publications/Cataloggeneral.pdf

STUDENT CODE OF ETHICS

Cheating or plagiarism is dishonest, undermines the necessary trust upon which relations between students and faculty are based, and is unacceptable conduct. Students who engage in cheating or plagiarism will be subject to academic sanctions, including a lowered or failing grade in a course; and the possibility of an additional administrative sanction, including probation, suspension, or expulsion. Cheating is the act of obtaining or attempting to obtain credit for academic work by using dishonest means. Cheating at FNU includes but is not limited to: Copying, in part or whole from another’s examination, paper, mathematical analysis, research or creative project, or the like; Submitting as one’s own work an examination, paper, mathematical analysis, research or creative project, or the like which has been purchased, borrowed, or stolen; or fabricating data; Consulting notes, sources, or materials not specifically authorized by the instructor during an examination; Employing a surrogate to take an examination, write a paper, do mathematical analysis, or complete, in part or wholly, an evaluation instrument; Aiding or abetting any act that a reasonable person would conclude, when informed of the evidence, to be a dishonest means of obtaining or attempting to obtain credit for academic work; and committing any act that a reasonable person would conclude, when informed of the evidence, to be a dishonest means of obtaining or attempting to obtain credit for academic work. Plagiarism is the act of obtaining or attempting to obtain credit for academic work by representing the work of another as one’s own without the necessary and appropriate acknowledgment. More specifically, plagiarism is: The act of incorporating the ideas, words of sentences, paragraphs, or parts thereof without appropriate acknowledgment and representing the product as one’s own work; and the act of representing another’s intellectual work such as musical composition, computer program, photographs, painting, drawing, sculpture, or research or the like as one’s own. If a student is in doubt about the nature of plagiarism, he/she should discuss the matter with the course instructor. All written assignments submitted via TurnitIn should have limited similarity indexes. Similarity index of greater than 20% is not acceptable and is viewed as an indication of high plagiarism content. Papers containing higher indexes can and will be considered as plagiarism and will receive a grade of zero.

Theft – Copying computer programs owned, leased, or rented by the College for use by the student in his or her course of studies is considered theft and will be dealt with according to the laws covering such actions and to the College norms for disciplinary actions. In cases like these, the Campus Dean will convene a Hearing Committee which will hear, investigate, and render a report to the Campus Dean. This Committee will be composed of three members from the faculty or staff. According to the findings, the Campus Dean has the choice to decide. If this decision is not acceptable to those involved, a petition to the Dean to appoint an Honor Court must be signed by at least three people. The Honor Court procedure is explained in the Student Handbook.

Religious Holidays

Religious holidays are an excused absence, but not beyond the day for the holiday itself Students should make their requests known at the beginning of the semester and arrangements must be made with the faculty member for missed work.

Students with Disabilities

Students with disabilities who may need special accommodations must register with the Office of Disability Services. In addition, students must contact the instructor so that arrangements can be made to accommodate their needs.

Americans with Disability Act(ADA) Statement

FNU is committed to offering accessible courses to all students, in full compliance with the Americans with Disabilities Act (ADA) Amendments Act of 2008 (ADAAA), Titles I and II of the ADA of 1990, and Sections 503 & 504 of the Rehabilitation Act of 1973. If you require special accommodations, you have the right to receive services including but not limited to customized assessments, individualized tutorial services, and other accommodations provided to you by faculty and staff. Please do not hesitate to contact our Student Services Office or Distance Learning department if you require any special accommodations.

8. Grading Criteria and Percentage

State Strategies 20%
Interest Group Presentation 20%
Discussions/Reflections (total of 15) 30%
Policy Analysis Paper 30%
Total 100%

9. Academic Requirements

1. Students are required to obtain a grade of B in all classes and a satisfactory “S” grade in lab,

and practicum. The letter grade “C” is a failing grade. The minimum GPA at the end of each

semester should always be a 3.0. numeric point of 85 – 92. For further information, please

see the FNU catalog.

2. Students will be allowed to repeat a course only once. Two (2) failing grades will result in termination from the program.

10. FNU Graduate Nursing Grading System

Letter Grade Numeric Points Quality Points
A 93-100 4.0
B 85-92 3.0
C 77-84 Unsatisfactory/Failure
I Incomplete

State Strategies (20 points)

***Refer to Syllabus for due date

The purpose of this assignment is to familiarize students with health reform strategies adopted by states. Students will select a state health policy reform innovation and describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. Students should summarize their findings in a 1-2-pages, single-spaced memo.

A few examples of state innovations include Vermont’s single payer system, Massachusetts’ health reforms and Kentucky’s Medicaid healthcare program.

Assignment Grading Criteria

Rationale/Adoption 30 points
Funding Structure 30 points
Impact on Healthcare 30 points
APA Format 10 points

Interest Group Presentation (20 points)

***Refer to Syllabus for due date

Presentations must be submitted via BB Assignments drop box. No Exceptions!

Students select one interest group from the following groups provided:(e.g., Children’s Health Fund, National Rural Health Association, Coalition for Health Services Research, Global AIDS Alliance, National Nurses United, National Breast Cancer Coalition) and investigate the group’s key issues; what is their mission; what is their legislative agenda; how is the agenda developed; how is it communicated to members; how is their agenda pushed and promoted (i.e., mechanisms used to engage/attract and

influence policy makers); what are the group’s current lobbying efforts; key partner coalitions; do their partnerships influence policies at the local, state or national level; key obstacles; and spending allocations (consult the Center for Responsible Politics, www.opensecrets.org).

In addition to investigating the interest group’s website and reviewing position statements and testimony, students should consult media reports to obtain more information on the group’s current lobbying efforts.

Students should summarize their findings in a 1-2-pages, single-spaced memo. Students are also to submit a 15-20 slide PowerPoint presentation that addresses all the key questions listed in the first section of this page. Presentation is to be done in APA format and to include both learning objectives and a reference page. Both presentations and written memos must be submitted via BB.

Each group should submit ONLY one presentation and memo.

1-2 pages, single-spaced

Learning objectives 5 points
Introduction 10 points
Investigate the group’s key issues 5 points
The group’s mission 5 points
Legislative agenda 5 points
Mechanisms used to engage/attract and influence

policy makers

5 points
Current lobbying efforts 5 points
Key partner coalitions 5 points
Do their partnerships influence policies at the

local, state, or national level: key obstacles

5 points
Spending allocations (consult the Center for Responsible Politics, www.opensecrets.org). 10 points
Conclusion 5 points
APA References 10 points
Slide PowerPoint presentation 25 points

Policy Analysis Paper

*Refer to Syllabus for due date

Policy Analysis Paper Guidelines

Purpose To investigate & integrate knowledge of advanced nursing practice, scholarly inquiry, & leadership by examining a policy at the level of clinical practice, health care systems, or public/social health policy. Students are to submit a paper between 5-8 pages long excluding title page and reference pages. Paper must be organized according to the guidelines below and should include all the identified sections as required. Paper must be completed in APA format and contain current scholarly sources dated from 2014 until current.

Introduction:10 points – Generally, define and describe the policy issue to be addressed.

– Identify the purpose of analysis, the targeted level of policy (i.e.,

clinical practice, health care systems, or public/social health) &

significance of topic.

-Identify questions the policy analysis is intended to address.

Background: 10 points – Provide details of the issue or problem, including its nature/scope,

relevant literature & history, & the context within which the issue

exists.

– Describe existing policy addressing the issue, if any.

– Discuss strengths and shortcomings in existing policy.

-Identify & describe key stakeholders (individuals & groups) that are or

will be affected by the policy and why.

Analysis:15 points -Identify alternative policies to achieve objectives.

– Establish/identify criteria that will be used for selection of “best”

policy.

– Evaluate each alternative & its potential impact relative to the

healthcare and patient outcomes.

-Assess the trade-offs between alternatives.

Recommendations:

15 points

-Based on the analysis, identify the “best” alternative to address the

current issue & policy situation.

-Provide rationale for selection.

-Describe possible strategies to implement selected alternative.

-Identify barriers to implementation of selected alternative.

– Describe methods to evaluate policy implementation.

Discussion: 20 points -Discuss analysis & recommendations relative to the original questions

identified, and the level of policy it is intended to address (i.e., clinical

practice, health care systems, or public).

– Identify limitations of analysis.

-Discuss implications for practice, education, research, & policy-

making.

Conclusion:15 points -Summarize findings & recommendations of analysis.

– Identify questions to be addressed in future studies or policy analyses.

References:15 points -List all references cited in paper. Must be completed in APA format.

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Acknowledgement of Syllabus Content

“I have read and understand the syllabus, course calendar, and have examined the tabs within Blackboard to find the discussion board, assignments, calendar, gradebook, and course materials”

Signature: Date:

Student must upload this document signed on Blackboard by clicking on Assignments tab and then submitting via the link provided named Syllabus Receipts.