The Importance of Policy Analysis in Public Health

 

As you prepare your Signature Assignment this week, please keep in mind that for your Week 8 assignment, you will review and respond to the feedback provided for the Week 7 Signature Assignment. You will also reflect on the course content, concepts, and course competencies, and critically analyze and document how these elements impact and/or advance your career interests and degree program pathway. Use an annotated bibliography to support your ideas.
You will continue working with the policy you chose to implement in Week 6. You will utilize the policy analysis worksheet to examine whether the implemented policy is working in the desired way and the impact it is having on the organization.
Policy Analysis: Key Questions
• What is the policy lever—is it legislative, administrative, regulatory, other?
• What level of government or institution will implement?
• How does the policy work/operate? (e.g., is it mandatory? Will enforcement be necessary? How is it funded? Who is responsible for administering the policy?)
• What are the objectives of the policy?
• What is the legal landscape surrounding the policy (e.g., court rulings, constitutionality)?
• What is the historical context (e.g., has the policy been debated previously)?
• What are the experiences of other jurisdictions?
• What is the value-added of the policy?
• What are the expected short, intermediate, and long-term outcomes?
• What might be the unintended positive and negative consequences of the policy?
Public Health Impact: Potential for the policy to impact risk factors, quality of life, disparities, morbidity and mortality
• How does the policy address the problem or issue (e.g., increase access, protect from exposure)?
• What are the magnitude, reach, and distribution of benefit and burden (including impact on risk factor, quality of life, morbidity and mortality)?
o What population(s) will benefit? How much? When?
o What population(s) will be negatively impacted? How much? When?
• Will the policy impact health disparities / health equity? How?
• Are there gaps in the data/evidence-base?
Feasibility*: Likelihood that the policy can be successfully adopted and implemented Political
• What are the current political forces, including political history, environment, and policy debate?
• Who are the stakeholders, including supporters and opponents? What are their interests and values?
• What are the potential social, educational, and cultural perspectives associated with the policy option (e.g., lack of knowledge, fear of change, force of habit)?
• What are the potential impacts of the policy on other sectors and high priority issues (e.g., sustainability, economic impact)?
Operational
• What are the resource, capacity, and technical needs developing, enacting, and implementing the policy?
• How much time is needed for the policy to be enacted, implemented, and enforced?
• How scalable, flexible, and transferable is the policy?
Economic and budgetary impacts: Comparison of the costs to enact, implement, and enforce the policy with the value of the benefits Budget
• What are the costs and benefits associated with the policy, from a budgetary perspective?
o e.g., for public (federal, state, local) and private entities to enact, implement, and enforce the policy?
Economic
• How do costs compare to benefits (e.g., cost-savings, costs averted, ROI, cost- effectiveness, cost-benefit analysis, etc.)?
o How are costs and benefits distributed (e.g., for individuals, businesses, government)?
o What is the timeline for costs and benefits?
• Where are there gaps in the data/evidence-base?

 

Standards for an mHealth App for Trident Hospital

As the Health IT Director at Trident Hospital, you have been asked to create a mobile Health (mHealth) app for patients at the hospital. The app is to be designed to engage patients about their visit to Trident Hospital, how they can access relevant health information through the patient portal, and how they use the mHealth to retrieve relevant educational material about their health condition.
Prior to developing the mHealth app, you need to create a table that contains a list of all the standards that are required. This mHealth application will have connectivity to the Trident Hospital as well.
Utilize the following websites to help you understand the type of data elements (standards) that you will need for your table. Do not copy and paste the standards from the websites into your paper.
Mobile Health Standards and Architecture

Home


Device Software Functions Including Mobile Medical Applications
https://www.fda.gov/medical-devices/digital-health/device-software-functions-including-mobile-medical-application
ASSIGNMENT EXPECTATIONS:
1. Provide a paper that includes your mHealth app standards table. In addition, you must provide an introduction and conclusion paragraph.
2. Your references and citations should be consistent with a particular formatting style such as APA.
3. Provide references from at least 2 scholarly articles (peer-reviewed). Do not include information from non-scholarly materials such as wikis, encyclopedias, or www.freearticles.com (or similar websites). Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.

The Importance of Magnet Designation in Improving Patient Outcomes

 

Scenario
Oakridge Hospital is preparing for redesignation of its Magnet Status, which represents diverse populations in primary, secondary and tertiary settings. As the clinical analyst for the hospital, it is your responsibility to ensure that all of the collected and submitted data meets criteria to maintain the covenant status. The Board of Directors asked The Chief Nursing Officer (CNO) to give an update on the hospital’s Magnet status and redesignation efforts.
Student Success Criteria
View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the Details & Information pane.
Instructions
You have been asked by the hospital’s Chief Nursing Officer to create a PowerPoint presentation (using speaker notes for each slide or voiceover narration) on Magnet designation, quality measures and patient outcomes to be presented to the Board of Directors. This presentation should include:
Background on Magnet Recognition Program®.
Summary of the Magnet status model components and diverse data elements that can be used in the hospital’s Quality Improvement initiatives that will be measured for redesignation.
Explain the use of hospital, state and national data comparison requirements in Magnet redesignation and quality improvement.
Three goals that align to Magnet status with an explanation of how these goals can positively impact the hospital’s patient outcomes.

Crisis Management Plan: Response to a Water Main Break at a Healthcare Facility

 

Choose a relevant adverse event that could happen at your healthcare facility. You are welcome to use something you have seen happen at your own organization, or something that could happen to any healthcare facility. You can use the HVA example from module 4 to see some different types of events you might want to choose from. (Example: a water main breaks at a large hospital, leaving them without water until it can be repaired.)
Use the knowledge you have gained in this course to decide the steps you would take to handle this event and describe them. Important details that should be included are:
•    What are some key incident response activities?
•    What information would you need to obtain as soon as possible?
•    If activating HICS, who would be needed in your Incident Management Team, and why those people would be important?
You may submit your plan in outline or essay format. You may use the HIMT Chart template in module 2 as well.

 

Chronic Diseases And Population Health Management

Scenario
The key to an effective and sustainable population health management program is to understand your chronic disease patients and coach them towards a healthy lifestyle. The success of population health and chronic disease management efforts hinges on a few key elements:

Identifying those at risk and the health disparities that may exist within the population
Accessing the right data about patients
Creating actionable insights about patients
Coaching patients daily toward healthier choices
Instructions
As your health system is drafting a strategic framework for the PHM program, you are tasked with creating a PowerPoint presentation with detailed speaker notes in each content discussion slide. Explain the relationship between disease management and population health needed in the following areas:

Describe the prevalent chronic diseases for the population your health system is serving.
Describe the risks associated with the proliferation of these chronic diseases.
Assess how the population will access information and resources to prevent and manage chronic diseases.
Construct a chronic disease communication plan that helps patients with chronic diseases to pursue healthier choices and to use population health resources.
Within the plan, share how you will ensure that all communication incorporates intercultural empathy, community engagement, and understanding of the population.

Diabetic Disease Process

 

Topic 1: Diabetic Disease Process
Choose a payer type that is different from your choices in our discussions this week.
Compare the costs of covering healthcare services provided by this insurance in your area.
What insurance type is best suited for healthcare coverage of your hypothetical patient’s disease type?
Topic 2: Nursing  Healthcare Profession
Estimate the cost of education and training for the healthcare professional you selected.
Research the earnings of such a professional at entry-level, at mid career, and at the top of the career.
How is this professional paid, for example, fee for service, salary, health insurance payment, etc.?

 

Act-utilitarian assess clinical trial

A clinical trial of HIV-infected pregnant women in several African countries and Thailand used a placebo-control group to determine whether a lower, cheaper dose of AZT could substantially reduce the transmission of HIV from pregnant women to their fetuses. The results showed the less expensive AZT treatment (that could be more widely used in poorer countries) could indeed significantly reduce vertical transmission.
However, many questioned the morality of using a placebo (no-treatment) group, which deprived control subjects of an effective treatment that could have prevented many babies from being infected with HIV. How might an act-utilitarian assess his clinical trial.