...Kiley Overholt HCS/455 June 24, 2013 Elaine Bobo Legislative and Implementation In health care there are five stages involved when policies are introduced into the health care system. Policies are at a constant pace of being reviewed to better the health care system, with each one having an effect on the changes in health care. Since each stage takes special consideration before policies are proposed and accepted, in this paper we will talk about two, the Legislative and Implementation stages. Legislative The Legislative phase is similar to the steps of passing a bill; with the exception that it is only for the health care aspect. It all begins with an idea in which evolves into something more, where steps are to be taken in order to get the policy into action. Congress is involved in this phase to help legislative officers in making executive decisions by offering guidance on actions. The Office of Legislative Policy and Analysis (OLPA) “helps by providing information and advice on Congressional actions that affect those involved” (Office of Legislative Policy and Analysis (ofm)-Other Related Resources”,). The functions that are involved to help support during the process is: • “To serve as the principle legislative with the congress, and other Federal agencies • Prepare if there is need to testify • Analyzes pending legislation • Monitor and keep those involved informed • Brief members of Congress and staff;...
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...insurance companies, state and federal health agencies, professional organization such as ANA (American Nurses Association) (2017), and the coalition for APRNs in Texas and Texas Nurse Practitioner’s Association. First of all, APRN has to bring the practice problem that her face to the steering committee of American Nurses Association Texas Region Committee. APRN can involve in this process of committee by requesting to testify and committee communicates their decision of testimony through conducting the hearing. This committee usually consists of fifteen ANA members who will deeply delve into the problem and will get back within a three month period. If...
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...HIV/AIDS Policy Process Sheila Zinnerman HCS/455 Health Care Policy: The Past and the Future University of Phoenix, Augusta Campus June 9th, 2011 Sharon E. Reed. MA, MPA HIV/AIDS Policy Process Part I The Offices of HIV/AIDS Policy spear-headed by the president of the United States promotes health and human services policies concerning implementation and development of HIV/AIDS policy, programs and resources. This paper will describe the first three stages of the policy process. The stages of interest here are the formulation, legislative and implementation stages. The goal of the HIV/AIDS Policy is to engage individuals, schools, organizations, and communities for the fight against HIV/AIDS. The policy’s objective is to change people’s attitudes about those living with HIV and those who are most at-risk for the disease (OHAP, 2010). In order to attain these goals unified groups and agencies are needed to form a policy. The Formulation Stage During this stage of the policy process information from institutional and national research programs are gathered from reports, research projects, resource flows like human resources and development patterns, medical research councils, and ministries whose activities affect the health of people. Within this stage long and short term goals are stated considering future of health scenarios and relative research needs. Policy guidelines specifying priority topics and themes are formulated. Listed below are eight other factors...
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...2014 The Policy Process: Part I – Health Care Reform Policies are considered and reviewed on a daily basis with intentions of solving problems and improving quality of life. The policies that are implemented in order to improve the health care system for Americans have an affect on every individual person. With this being said, it is especially essential that all policies are carefully contemplated before they are actually implemented. This paper will address how topics become policies. This will include three stages, which consist of the formulation stage, the legislative stage, and the implementation stage. There are several stages that a policy must go through before it can be established. These steps are essential to the process and need to be efficiently followed through throughout the policy process in order to be certain the the policy will in fact solve the problem that is at hand as well as be able to improve the quality of life for all citizens. The stages included in the establishment of a policy include: agenda building, formulation, adoption, implementation, evaluation, and termination. There are many situations that represent the economic need that America has for an improvement in health care as well as the introduction of the Patient Protection and Affordable Care Act, which is also known as the Health Care Reform. Before the country was able to experience the benefits of this policy, going through the formal legislative process was necessary. Formulation...
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...Health care policy goals toward the society are delivery and financing of health care services. Health policy generally clarifies the movements occupied by governments---local, state, and national---to improve the society's health. It is a policy that stays focus more on discussing the health needs on majority of the population. The United States of America is the foremost spender on health care than any other country on earth (policy almanac, 2010). For a number of years, health care expenditures grew at a far more rapid rate than the Gross Domestic Product (GDP), using majority of the country‘s capitals. The cost of health care and the determination to control the intensification in spending is a major conflict. The upsurge in cost and spending of health care affects many policies as well as the consumer, physicians, government, children, and senior citizens. The focal focus is based on the first three phases of how the procedure works with Medicare/SCHIP. Policies are dynamic. There are three interconnected phases of health care policy making: the formulation stage, legislative stage, and implementation stage. These three important organized stages occur in the process in order to convert a topic such as Medicaid, into a policy. To begin, the formulation stage is a planning cycle by stating a theory. It is the main and frequently most challenging stage in obtaining proper decision methods. The obligation of this stage is to set priorities, set objectives and goals, define...
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...Mental illness policy under “The Patient protection and Affordable care Act” (ACA) According to Medicaid office, the Patient Protection and Affordable Care Act, provides Americans with better health security by putting in place comprehensive health insurance reforms that expand coverage, hold insurance companies accountable, lower health care cost, guarantee more choice, and enhance the quality of care for all Americans. The attempts of 1985 case “Metropolitan Life Insurance Company V. Massachusetts to improve mental health system Act was extensively amended and failed coverage of certain mental health conditions. How? The Court went on to apply the deemer clause to conclude that the mandated benefit law could not be enforced-. Blackman J. (1985). This is an example of the health care dilemma. The healthcare disparity was shining upon the general population. The issue was patchwork in the public and private health care providers (hospitals, clinics, and doctors ‘offices) resulting in clear differences and no underlying safety among the vulnerable...
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...Governor’s Efforts to Improve Access to Health Care The Arizona Health Care Cost Containment System (AHCCCS) is the state of Arizona’s alternative to the conventional fee-for-service Medicaid system. Established in 1982, the system is built on a health maintenance organizational model (contracted providers are paid a prearranged capitation payment for services that are delivered to enrolled members) (Betlach, 2011). Eligibility into the AHCCCS program is gained through a mixture of state and federal programs, which for some, include also being qualified for a cash assistance program (for example, Supplemental Security Income (SSI)). The program operates on state, county, and federal funding to provide health care coverage to low-income families, acute and long-term care Medicaid patients, and small businesses. In essence, AHCCCS is a managed care system that allows members to choose their own providers, mainstreams clients, and emphasizes preventative services and high-quality health care (McCall, 1997). The AHCCCS program is responsible for three main areas: * Acute Care: Consists of a majority of pregnant women and children and also contains an emergency services only program for the population who does not qualify for full AHCCCS benefits due to immigration status (Kirkman-Liff, B., and Kronenfeld, J. (1994). * Arizona Long Term Care System (ALTCS): Provides long term care, acute care, case management, and behavioral health to the elderly, developmentally disabled...
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...Benedictine University MPH 610 – D1B4 Health Policy Developing New Policies: Policy Proposal Suicide Prevention Week Eight N. De Shields Instructor Dr. Yasmin Dada-Jones ABSTRACT This policy proposal attempts to abate the increasing number of suicides in the United States, a survey from 2001 to 2009 list fatal self-injuries span world-wide demographics, male and female, age, ethnic disparity and economic disposition. From 1999 to 2007 the number of suicides in the United States increased from 10.46 to 11.26 per 100,000 people, between ages 10 to 24 it is the 3rd leading cause of death, 2nd leading cause in 24 to 35 year olds and the 10th from all age groups. Globally one in every 40 seconds, 800,000 a year, suicide is absolutely preventable, these are not accidents and 90% sought treatment for mental health prior. Thoughts and ideation are higher among young adults’ ages 18 to 25 years where the greatest attempts are made; among 18 and older 8.3 million report having suicidal thoughts, 2.2 million made plans, 1 in every 25 succeed in committing suicide. Between the ages 15 to 24 years old 100 to 200 attempts are made, 500,000 in the United States seek help in emergency rooms; an estimated 6.5 billion in non-fata, self-inflicted medical cost. The initiative seeks to apply ecological approaches normally dedicated to specialized populations; the approach will intrinsically identify suicide victims through venues and or genres. Public suicide prevention efforts could...
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...I must say when I was told of Advocacy Days I really had no clue what I was in for. I was so excited and the event surpassed my expectations and I was in awe. For this paper I will discuss my professional experience at Advocacy days and the itinerary we had. Then I will discuss my insights to what I observed and what it entailed. I will then describe the legislative process that I was able to see. Last I will use sources to tell you about the controversial issue of minimum wage while we were there. I highly recommend Advocacy Days with the Idaho Chapter of the NASW to anyone looking to get into the social work profession. A great learning experience. My professional experience during these two days was a lot to absorb. The first day...
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...Government has to be drawn from Parliament * No strict separation of powers between legislative and executive – fusion of powers * Government must be accountable to Parliament Features of a Presidential Government: * Legislature and executive have separate sources of power – separately elected * President is not part of the legislature * The President (and therefore executive) is accountable directly to the people, not the legislature * Clear separation of powers between executive and legislature – there is therefore codified constitutional arrangements that separates those powers What is parliamentary sovereignty? * Parliament in the UK is legally sovereign * It is the source of all political power * It may restore to itself any powers that have been delegated to others * It may make any laws it wishes and they shall be enforced by the courts and any other authorities * It is not bound by its predecessors – laws passed by parliaments in the past are not binding on the current parliament – neither can it bind its successors * In reference to political sovereignty, Parliament has lost much of its sovereignty * Parliament in the UK is legally sovereign, but the political sovereignty is less clearly located (it lies with the people at elections, with the government between elections) The erosion of Parliamentary sovereign: * Legislative power has been moved to the...
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...Global Econ – Luis California Department of public health Trough the Medical Cannabis Dispensary program and Medical Marijuana Program (MMP), the California Department of public health regulates, permits and inspects medical cannabis dispensaries in cities like San Francisco Medical Cannabis Dispensary Program This program regulates medical cannabis dispensaries in accordance with the state and local laws, it has the duty to inspect per permitted medical cannabis dispensary twice annually and respond to complaints. The California Department of Public Health (CDPH) administers the Medical Marijuana Identification Card (MMIC) program. The Medical Marijuana Program (MMP) was established to provide a voluntary medical marijuana identification card issuance and registry program for qualified patients and their caregivers. What is the Medical Marijuana Program (MMP) and what does it do? The California Department of Public Health (CDPH) manages the State’s MMP as authorized by SB 420. Several counties also use the term “MMP” for their programs. The MMP developed the “Medical Marijuana Identification Card” or “MMIC” and operates the internet system to verify these MMICs. The MMIC identifies the cardholder as a person protected under the provisions of Prop 215 and SB 420. It is used to help law enforcement identify the cardholder as being able to legally possess certain amounts of medical marijuana under specific conditions. In order to qualify for it the person...
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...PRIMARY HEALTH CARE CLINICS IN WILLIAMSON COUNTY, TEXAS MARKET RESEARCH AND ANALYSIS AUSTINTATIOUS CONSULTING, LLC PREPARED FOR: DR. CHAU NGUYEN TABLE OF CONTENTS I. PURPOSE AND SCOPE OF ENGAGEMENT ........................ 1 A. YOUR CLINIC ........................................................................... 1 B. OUR EVALUATION.................................................................... 2 II. THE EVOLUTION AND CURRENT STATE OF THE HEALTH CARE INDUSTRY IN THE UNITED STATES............................... 2 A. THE IMPACT OF MEDICARE ...................................................... 3 B. IMPACTS OF THE THIRD-PARTY PAYER SYSTEM ........................ 3 C. THE AFFORDABLE CARE ACT AND BEYOND .............................. 5 III. MARKET STRUCTURE........................................................... 5 A. QUALITATIVE ASSESSMENTS .................................................... 5 B. QUANTITATIVE MEASURES ....................................................... 7 IV. COMPETITIVE ENVIRONMENT .......................................... 9 A. THE FIVE FORCES ................................................................. 10 B. SYNTHESIS ........................................................................... 11 V. LEGISLATIVE AND REGULATORY CONCERNS ............... 12 VI. CONCLUSION .................................................................... 12 ABSTRACT This analysis and memorandum were prepared by Marshall Coover, Chau ...
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...Selection, and Performance Appraisal of Personnel Instructor: Dr. Souha R. Ezzedeen Date of Submission: Thursday, November 25, 2010 An emerging health and safety issue in today’s organizations which has detrimental effects on employees as well as employers is workplace violence. This type of violence can be physical or verbal assault. Healthcare organizations recognize that there is a potential for four types of violence. The most common of these four types is client or patient. This occurs when the patient, a visitor or family of a patient is violent towards workers or another patient. Type two is criminal intent which occurs when the perpetrator has no relationship to the workplace. Type three is worker-to-worker. This often includes the perpetrator either employed or previously employed by the organization. Type four which is often not recognized by employers is personal relationship violence (PRV). This type raises the issue of domestic violence in the workplace. The perpetrator has a personal relationship with an employee or a client and is trying to intimidate/hurt the victim through the use of physical force, verbal harassment or manipulation (financial or emotional) in order to maintain control over the victim. Statistics have shown that in 2005, 34% of Canadian nurses providing direct care in hospitals or long-term care facilities reported physical assault by a patient in the previous year; 47% reported verbal/emotional abuse (Stats Canada, 2010). Evidently, government...
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...for the Democratic nomination, Obama handily defeated Senator John McCain of Arizona, the Republican nominee for President, in the general election. When President Obama took office, he faced very significant challenges. The economy was officially in a recession, and the outgoing administration of George W. Bush had begun to implement a controversial "bail-out" package to try to help struggling financial institutions. In foreign affairs, the United States still had troops deployed in Iraq and Afghanistan, and warfare had broken out between Israel and Hamas in the Gaza Strip, illustrating the ongoing instability of the Middle East. During his first term, President Obama was able to work with Congress to improve the U.S. economy, pass health-care reform, and withdraw U.S. troops from Iraq. Still the President spent significant time and political effort negotiating, for the most part unsuccessfully, with Congressional Republicans about taxes, budgets, and the deficit. After winning...
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...CONSUMER PRODUCT SAFETY COMMISSION AND THE CONSUMER PRODUCT SAFETY IMPROVEMENT ACT ANNETTE MCCLENDON Table of Contents History about CPSC Congressional Actions on the Improvement Act * CRS Summary * Major Congressional Actions * Public Law 112-28 * Chronology CPSC Commissioners The Consumer Product Safety Commission (CPSC) is an independent federal regulatory agency, which was established with the passage of the Consumer Product Safety Act in 1972, and began operating in 1973. The primary responsibilities of the CPSC were to protect the public from unreasonable risks of injury associated with consumer products. The CPSC also promotes the evaluation of consumer products for potential hazards, establishes uniform safety standards for consumer products, eases conflicting state and local regulations concerned with consumer safety, and selectively conducts research on potentially hazardous products. In a 1970 precursor study to the establishment of the CPSC, the National Commission on Product Safety’s Final Report (Final Report) was issued to the President and Congress. This report included extensive surveys – on product hazards, accident information systems, voluntary product standards, consumer education, the state of product safety law, the relationship between Federal law and State law, product safety policy in other countries – and also contained proposals for general product safety legislation, the core of which was to be the creation...
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