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Imagine that you are a legislative consultant hired to

Overview

Imagine that you are a legislative consultant hired to assess the influence of stakeholders and interest groups on a health policy issue. Your supervisor has asked that you present your assessment findings to the senior leadership of your organization to inform their decisions on how best to approach their intended organization-wide position statement regarding this issue.

As a first step, you will select one of three health policy issues from the Project Two Health Policy Issue Scenarios document. As part of the background study, you will conduct preliminary research about the selected issue and analyze the impact of the selected issue on various stakeholders. This background study and assessment of the selected issue will serve as a foundation for your Project Two final presentation. In this Project Two Preparation assignment, you will essentially analyze the selected health policy issue and describe how it influences the decision-making process in healthcare.

Your research in this Project Two Preparation will be specific to the nonfinancial impact of the selected policy on various stakeholders. In your second Project Two Preparation, which is due in Module Seven, you will explore the financial implications of the selected issues. Together, both of these Project Two Preparation assignments will prepare you for the Project Two submission due in Module Nine.

Prompt

Create a research report summarizing your assessment findings on your chosen health policy issue. This research report will serve as a support document in the Project Two final submission.

You must cite at least three sources to support your claims. You may cite no more than one source from the module resources; all other resources must come from your own research. In other words, you may cite no more than one resource from the Resources section of this module. For additional help completing this assignment, refer to the Shapiro Library Guide: Nursing – Graduate item in the Start Here module. You may also use the Online Writing Center, located in the Academic Support module.

Use this resource to help you complete this assignment: IHP 610 Project Two Health Policy Issue Scenarios Word Document

Specifically, you must address the following rubric criteria:

  1. Introduction
    1. Health Policy Issue: Describe your chosen health policy issue in a clear, concise manner. Consider the following guiding questions in your response:
      • Why did you choose this health policy issue for your Project Two work?
      • How might this health policy issue be explained to someone who has never heard of it before?
    2. Key Stakeholders and Interest Groups: Identify three key stakeholders and/or interest groups impacted by your chosen issue. Consider the following guiding questions in your response:
      • Who are the stakeholders and/or interest groups that will be primarily affected by this issue, either positively or negatively?
      • How might vulnerable populations and underserved areas be affected by this issue?
  2. Influence on Decision Making
    1. Stakeholder Needs: Describe the nonfinancial needs of the identified three key stakeholders and/or interest groups with respect to your chosen issue. Consider the following guiding questions in your response:
      • How are the nonfinancial needs of the identified stakeholders and/or interest groups affected by the selected issue?
      • How does this issue impact vulnerable populations or underserved areas?
    2. Health Policy Influence: Describe the kinds of nonfinancial influence that the three identified key stakeholders and/or interest groups can have on health policies. Consider the following guiding questions in your response:
      • Which three stakeholders and/or interest groups can have significant nonfinancial influence on the selected issue?
      • Which three stakeholders and/or interest groups have subtle or covert nonfinancial influence on the selected issue?
    3. Benefits and Disadvantages: Describe how the identified three stakeholders and/or interest groups might benefit or be disadvantaged by your chosen issue. Do not include any financially related benefits and disadvantages. Consider the following guiding questions in your response:
      • Which of the identified stakeholders and/or interest groups benefit from this issue?
      • Which of the identified stakeholders and/or interest groups are disadvantaged by this issue?
      • How might those in vulnerable populations or underserved areas be benefited or disadvantaged by this issue, not including financial benefits or disadvantages?
    4. Value Conflict Analysis: Describe the potential value conflicts between identified stakeholders and/or interest groups relating to your chosen issue. Consider the following guiding question in your response:
      • What nonfinancial value conflicts might the identified stakeholders have concerning this issue, and why?

Overview

Imagine that you are a legisla!ve consultant hired to assess the influence of stakeholders and interest groups on a health

policy issue. Your supervisor has asked that you present your assessment findings to the senior leadership of your

organiza!on to inform their decisions on how best to approach their intended organiza!on-wide posi!on statement regarding

this issue.

As a first step, you will select one of three health policy issues from the Project Two Health Policy Issue Scenarios document.

As part of the background study, you will conduct preliminary research about the selected issue and analyze the impact of the

selected issue on various stakeholders. This background study and assessment of the selected issue will serve as a founda!on

for your Project Two final presenta!on. In this Project Two Prepara!on assignment, you will essen!ally analyze the selected

health policy issue and describe how it influences the decision-making process in healthcare.

Your research in this Project Two Prepara!on will be specific to the nonfinancial impact of the selected policy on various

stakeholders. In your second Project Two Prepara!on, which is due in Module Seven, you will explore the financial

implica!ons of the selected issues. Together, both of these Project Two Prepara!on assignments will prepare you for the

Project Two submission due in Module Nine.

Prompt

Create a research report summarizing your assessment findings on your chosen health policy issue. This research report will

serve as a support document in the Project Two final submission.

You must cite at least three sources to support your claims. You may cite no more than one source from the module

resources; all other resources must come from your own research. In other words, you may cite no more than one resource

from the Resources sec!on of this module. For addi!onal help comple!ng this assignment, refer to the Shapiro Library Guide:

Nursing – Graduate item in the Start Here module. You may also use the Online Wri!ng Center, located in the Academic

Support module.

Use this resource to help you complete this assignment: IHP 610 Project Two Health Policy Issue Scenarios Word Document

Specifically, you must address the following rubric criteria:

1. Introduc!on

A. Health Policy Issue: Describe your chosen health policy issue in a clear, concise manner. Consider the

following guiding ques!ons in your response:

Why did you choose this health policy issue for your Project Two work?

How might this health policy issue be explained to someone who has never heard of it before?

B. Key Stakeholders and Interest Groups: Iden!fy three key stakeholders and/or interest groups impacted by

your chosen issue. Consider the following guiding ques!ons in your response:

Who are the stakeholders and/or interest groups that will be primarily affected by this issue, either

posi!vely or nega!vely?

How might vulnerable popula!ons and underserved areas be affected by this issue?

2. Influence on Decision Making

A. Stakeholder Needs: Describe the nonfinancial needs of the iden!fied three key stakeholders and/or interest

groups with respect to your chosen issue. Consider the following guiding ques!ons in your response:

How are the nonfinancial needs of the iden!fied stakeholders and/or interest groups affected by the

selected issue?

How does this issue impact vulnerable popula!ons or underserved areas?

!

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B. Health Policy Influence: Describe the kinds of nonfinancial influence that the three iden!fied key stakeholders

and/or interest groups can have on health policies. Consider the following guiding ques!ons in your response:

Which three stakeholders and/or interest groups can have significant nonfinancial influence on the

selected issue?

Which three stakeholders and/or interest groups have subtle or covert nonfinancial influence on the

selected issue?

C. Benefits and Disadvantages: Describe how the iden!fied three stakeholders and/or interest groups might

benefit or be disadvantaged by your chosen issue. Do not include any financially related benefits and

disadvantages. Consider the following guiding ques!ons in your response:

Which of the iden!fied stakeholders and/or interest groups benefit from this issue?

Which of the iden!fied stakeholders and/or interest groups are disadvantaged by this issue?

How might those in vulnerable popula!ons or underserved areas be benefited or disadvantaged by this

issue, not including financial benefits or disadvantages?

D. Value Conflict Analysis: Describe the poten!al value conflicts between iden!fied stakeholders and/or interest

groups rela!ng to your chosen issue. Consider the following guiding ques!on in your response:

What nonfinancial value conflicts might the iden!fied stakeholders have concerning this issue, and

why?

Guidelines for Submission

Your submission should be a 2- to 3-page Word document. You must also include an APA-style !tle page. Use 12-point Times

New Roman font, double spacing, and 1-inch margins. Sources should be cited according to APA style.

Criteria Exemplary (100%) Proficient (90%) Needs

Improvement (70%) Not Evident (0%) Value

Introduc!on: Health Policy

Issue

Exceeds proficiency in an excep!onally clear, insigh#ul, sophis!cated, or crea!ve manner

Describes the chosen health policy issue in a clear, concise manner

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

7

Introduc!on: Key Stakeholders and Interest Groups

Exceeds proficiency in an excep!onally clear, insigh#ul, sophis!cated, or crea!ve manner

Iden!fies three key stakeholders and/or interest groups impacted by the chosen issue

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

8

Influence on Decision Making:

Stakeholder Needs

Exceeds proficiency in an excep!onally clear, insigh#ul, sophis!cated, or crea!ve manner

Describes the nonfinancial needs of iden!fied three key stakeholders and/or interest groups with respect to the chosen issue

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

15

Influence on Decision Making:

Health Policy Influence

Exceeds proficiency in an excep!onally clear, insigh#ul, sophis!cated, or

Describes the kinds of nonfinancial influence iden!fied three key

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

15

Module Three Project Two Prepara!on Rubric

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crea!ve manner stakeholders and/or interest groups can have on health policies

Influence on Decision Making:

Benefits and Disadvantages

Exceeds proficiency in an excep!onally clear, insigh#ul, sophis!cated, or crea!ve manner

Describes how iden!fied three stakeholders and/or interest groups might benefit or be disadvantaged by the chosen issue, not including financially related benefits or disadvantages

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

15

Influence on Decision Making:

Value Conflict Analysis

Exceeds proficiency in an excep!onally clear, insigh#ul, sophis!cated, or crea!ve manner

Describes the poten!al value conflicts between iden!fied stakeholders and/or interest groups rela!ng to the chosen issue, not including financially related value conflicts

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

15

Ar!cula!on of Response

Exceeds proficiency in an excep!onally clear, insigh#ul, sophis!cated, or crea!ve manner

Clearly conveys meaning with correct grammar, sentence structure, and spelling, demonstra!ng an understanding of audience and purpose

Shows progress toward proficiency, but with errors in grammar, sentence structure, and spelling, nega!vely impac!ng readability

Submission has cri!cal errors in grammar, sentence structure, and spelling, preven!ng understanding of ideas

10

Scholarly Sources Incorporates more than three scholarly, current (within the last five years) sources, including at least one resource from outside research, or use of sources is excep!onally insigh#ul

Incorporates three scholarly, current (within the last five years) sources, including at least one resource from outside research, that support claims

Incorporates fewer than three scholarly, current (within the last five years) sources, does not include at least one resource from outside research, or not all sources support claims

Does not incorporate sources

10

APA Styles Formats in-text cita!ons and reference list

Formats in-text cita!ons and reference list

Formats in-text cita!ons and reference list

Does not format in- text cita!ons and reference list

5

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according to APA style with no errors

according to APA style with fewer than five errors

according to APA style with five or more errors

according to APA style

Total: 100%

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,

IHP 610 Project Two Health Policy Issue Scenarios

Read each of the three scenarios in this document. Choose one to focus on for all your Project Two Preparation assignments, due in Modules Three and Seven, as well as your Project Two submission, due in Module Nine.

Health Policy Issue Option 1: Professional Nursing Licensure and Interstate Compacts

Nurses must complete an accredited nursing program and successfully pass an examination to be eligible for licensure in a state. Each state has a board of nursing that regulates the licensure process for that state. To practice nursing in a particular state, a nurse must have an active license issued by that state’s board of nursing. Some states have entered agreements with other states through a “compact” agreement to recognize nursing credentials among those compact states. However, nurses must still apply for licensure on a state-by-state basis.

You are working as a legislative consultant for the American Nurses Association (ANA). The senior management of the ANA have decided to propose an amendment to the existing interstate compact for professional licensure. They also plan to go a step further and propose a new policy for enabling national licensure for nursing professionals.

Interstate nursing licensure compacts, which enable healthcare providers to more easily apply for and receive permission to practice medicine in other states, are viewed in the healthcare industry as a means of expanding telehealth and telemedicine. Not everyone thinks the licensure compact is a good idea, however. Some say the process creates unnecessary regulatory burdens, whereas others would prefer to see one nationwide license that allows a clinician to practice in any state.

In your presentation, you will present your observations and assessment to the senior management of the ANA to help them in their decision making with regard to pursuing this approach. You should also include the challenges with the current policy, how key stakeholders influence and would be affected by these proposed changes, and legal and ethical considerations that impact decision making.

Health Policy Issue Option 2: Certificate of Need

A certificate of need (CON) allows a healthcare provider to build a new facility, make other high-dollar capital investments, and develop new services. A process exists in states with CON laws that requires providers to demonstrate a need for these new services and expenditures. The basic assumption of CON regulations is that this regulatory process is an effective healthcare cost control measure. Several decades ago, all states in the United States had CON laws. Today, approximately two-thirds of states still have CON regulations.

You are a legislative consultant based in West Virginia. A hospital in Kenova, West Virginia, is interested in creating a high-quality long-term care facility for elderly patients. After conducting a market study, the hospital administration has identified Kenova as a region where the local healthcare facilities are currently inadequate to meet the existing and expected future demands. The senior management views this new long-term care facility as an opportunity to rectify this concern.

As they begin to develop a business plan, however, they discover the new project will require authorization by the West Virginia Health Facilities & Services Review Board because of the state’s CON laws. In West Virginia, there is a specific CON law established in 1974 that regulates the construction of a wide range of healthcare facilities, including long-term care facilities, hospitals, birthing centers, and dialysis centers.

You are working for the hospital as a legislative consultant on this project. You have been asked to identify the stakeholders and their interest in this entire process to help the hospital’s senior management understand who will be involved in and affected by moving forward with the construction of this facility. Also, you will be responsible for understanding the end-to-end process of obtaining a CON and providing senior management with the information they need to make decisions related to this. Because the process for obtaining CON is somewhat complicated, the hospital administration has highly recommended that you research the required efforts from each stakeholder involved in the process during your assessment.

The hospital administration was also recently informed that in order to obtain a CON, developers of healthcare facilities must apply to the local governmental authorities by making the case for why the community in question would benefit from that new development. However, the exact criteria used to determine whether an application for a CON is approved can differ widely between states. The senior management is unsure what the Health Facilities & Services Review Board’s criteria are for West Virginia, so they have asked for your recommendations on how best to approach these criteria based on your assessment.

In your presentation to the senior management of the hospital, you should explain the process to obtain the CON and how each stakeholder is associated with this initiative. You should also share the legal and ethical considerations involved in this process.

Health Policy Issue Option 3: Adult Immunization

Vaccine hesitancy refers to the refusal by an individual or group to seek available communicable disease vaccines. This hesitancy can be the result of lack of information, misinformation, distrust of government agencies, or religious or political beliefs. Public health challenges arise when the rights of individuals with regard to vaccine acceptance are in conflict with the overall health of the public.

You are a legislative consultant hired by the governor’s office in your state. Your supervisor—the governor’s special advisor on health—has asked you to explore the perspective and rationale of each stakeholder with regard to requiring adult immunizations for certain state-funded jobs. Your supervisor has also asked you to analyze the impact of each key stakeholder and interest group on the potential success or failure of this process.

Vaccines are proven to be effective in preventing disease and mortality. They are the premier achievement of public health programs in the United States and internationally. However, unlike childhood vaccinations, which are more highly regulated and are administered unless there is a documented exemption, adults over the age of 18 have the option to decline vaccines for any reason, documented or otherwise. Certain state-regulated licensing boards require these immunizations in order to earn or maintain a license, but there are currently no laws or policies at the federal or state level that require adults to be vaccinated with adult-only immunizations.

The state government recently conducted a survey to understand the potential reasons for adults choosing not to be vaccinated with adult-only immunizations. In your state, 39% of adults over the age of 18 have not had one or more adult vaccinations recommended by the Centers for Disease Control and Prevention.

In your presentation, you are asked to share your assessment and analysis of potential barriers to the adult immunization, the impact of each key stakeholder and interest group on the potential success or failure this policy, and your recommendation for whether adult immunizations should be required for certain state-funded jobs.

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