DNP 825 Topic 5 Discussions 2 GCU Nov 2021

DNP 825 Topic 5 Discussions 2 GCU Nov 2021   DNP 825 Topic 5 Discussions 2 GCU Nov 2021 Topic 5 DQ 2 In reviewing the Affordable Care Act, what are potential effects of having the option for insurance coverage in both the private and public sectors? How will this impact the discussion about population-based nursing? Provide examples and relevant literature to support your response. In reviewing the Affordable Care Act (ACA), uninsured people were able become insured and had accessible healthcare. Statistics show that ACA decreased the probability of being uninsured by 20.9 to 25 percent. Gaining insurance coverage also increased the probability of having a usual place of care by between 47.1 percent and 86.5 percent. These findings suggest that not only has the ACA decreased the number of uninsured Americans but has substantially improved access to care for those who gained coverage (Glied, Ma, & Borja, 2017). ACA was able to meet one of its major goals of health reform: expanding insurance coverage and increasing access to care by decreasing uninsured Americans from 41 million to 27 million. Although many Americans in underserved populations were able to become insured, it was also difficult for the working-class Americans who had to deal with the increase of the marketplace. Working class Americans experience increase in cost of premiums, making it difficult to decide on the quality of care vs the cost. Selecting a plan with lower premiums meant less quality services. Middle-class and older adults are especially vulnerable to high insurance costs for ACA coverage because of two features of the law. One is a “cliff” in which premium subsidies end at 400 percent of the federal poverty line, nearly $49,000 for an individual and just over $100,000 for a family of four (Goldstein, 2019). Having insurance and access to care will greatly impact discussion for population-based nursing because more education about preventive care need to echo to the population who are at risk. Individuals need to understand their risk factors and get educated about how to prevent chronic diseases and manage healthcare cost as a society. Nurses are in the best position due to their direct relationships with patients and their families. Nurses need to implement more population health models to meet the health needs of the population. The population health model “seeks to eliminate healthcare disparities, increase safety, and promote effective, equitable, ethical and accessible care” (Cupp Curley, 2020). Improving the quality of care and decreasing the cost of care will take nurses driving the force on prevention, screening, and patient self-care management. For example: if nurses can implement programs to prevent diabetes, they can help lower the rates of diabetic patients who progress to End Stage Renal Disease (ESRD), therefore increasing the healthcare cost with dialysis and other treatment for ESRD. Preventing diabetes will save cost in the long-term. Cupp Curley, A. L. (Ed.). (2020). Population-based nursing: Concepts and competencies for advanced practice (3rd ed.). New York, NY: Springer Publishing Company. ISBN-13: 6749 Glied, S. A, Ma, S., & Borja, A. (2017). Effect of the Affordable Care Act on health care access. Retrieved from Goldstein, A. (2019). ACA premiums rising beyond reach of older, middle-class consumers. Retrieved from Attempt Start Date: 13-Aug-2020 at 12:00:00 AM Due Date: 17-Aug-2020 at 11:59:59 PM Maximum Points: 5.0 Case Report: Application of Public Health Concepts for the Uninsured In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in this course and potentially solving an identified practice problem. General Guidelines: Use the following information to ensure successful completion of the assignment: • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included. • You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Directions: Review "Key Facts About the Uninsured Population" and "America’s Uninsured Crisis: Consequences for Health and Health Care" to develop a case report that identifies a clinical or health care problem and proposes methods of intervention, implementation, and evaluation using an appropriate research instrument. Construct a 2,500-3,000 word (approximately 10-12 pages) case report that includes a problem or situation consistent with a area of DNP practice. Your case report should include the following components: 1. Introduction with a problem statement 2. Brief literature review 3. Description of the case, situation, and conditions as explained from a theoretical perspective 4. Synthesis of literature findings 5. Summary of the case 6. Identification of gaps or inefficiencies in the research and a proposal for evidence-based solutions to remedy each 7. Evaluation of the selected research instrument used and an explanation of the rationale or empirical evidence to support its selection 8. Explanation of how this case report advocates for social justice, equity, and ethical health care policies for uninsured populations. 9. Conclusion Portfolio Practice Immersion Hours: Practice immersion assignments are based on your current course objectives and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours and are indicated in the assignment by a Portfolio Practice Immersion Hours statement that reminds you, the learner, to enter a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10. You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network. To earn portfolio practice immersion hours, enter the following after the references section of your paper: Practice Immersion Hours Completion Statement DNP-825 I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor. RUBRIC Attempt Start Date: 13-Aug-2020 at 12:00:00 AM Due Date: 19-Aug-2020 at 11:59:59 PM Maximum Points: 100.0