Health care policy

It is two parts..

First part:
Write discussion by answering the following question: ( 150 words enough )
Give some examples of “painless” cost controls and why they should be implemented prior to the “painful” controls.

____________________________

Second part:
Write response to each of the following 4 discussions ( your opinion, comment , agree or not ..etc ) .. ( 25 words enough for each one ).

First discussion:  (((There are two different types of controls for the rising health care costs; “painless” and “painful” cost controls. Hopefully Health Care Organizations choose the painless options before the painful options.

Some examples of painless cost controls are cutting employee’s who have very large salaries. An organization can also seek discounts on supplies, and try to buy what they need in bulk. I believe this type of cost control may be somewhat difficult, but defiantly manageable.

Some examples of painful cost controls can include cutting how much medical service they provide, denying patients for a preexisting condition, and lower level staff cutting. Unfortunately with the rising cost of health care more organizations have to use painful cost controls. This not only can affect our economy and workforce, but can be difficult for some individuals to get the care they need.))))

____________________________

Second discussion:  ((( The need to cut health care costs is inevitable, the system must find a balance in spending and improving the care and delivery of care. In the process of cutting costs there are two outcomes as the book states: painful and painless cuts.

Painless cost cutting measures are those that do not directly cause a difference in patient care. Painless controls can be reducing administrative costs and wastes, reducing care prices rather than the quantity provided, as well as eliminating unneeded medical tests and treatments. These should be implemented prior to painful measures due to the reduced likely hood that they will effect patients negatively.
I believe that these measures, whether they are painless or painful, will help to transform our society into to one who puts a higher priority on population health. ))))

_______________________________

Third discussion:  ((( According to the readings of this chapters, painful costs controls includes the cost cutting techniques where the staff as well as the patients have to suffer because there is downsizing in the hospitals which eventually result in the cutting of staffs and there are also constraints of costs saving being applied in order to use less expensive technologies which could even make the patients suffer. On the other hand, the painless cost control includes the management of usage of various technologies and services like the cost control would include using the CT scan only when it is needed and save the cost with respect to the fact when it is not needed; don’t use it. These techniques are harmless for the patients as well as the staff members because they are not being suffered instead the changes are being made within the health care working services by making their optimized use.)))

___________________

Fourth discussion:  (((Painful cost controls can have negative impacts on the health industry whereas painless cost controls have a smaller impact on the health industry. Some examples of painless cost control include Administrative Waste and eliminating ineffective and inappropriate care. The book states that “eliminating purely wasteful quantities of health care services, be they ineffective clinical services or unnecessary administrative activities, is a relatively straightforward approach to painless cost control.”  This should be implemented before Painful cost controls because no stopping Administrative waste would produce inefficiency and zero benefit in the industry. Another Painless cost control is eliminating ineffective and inappropriate care. This should be implemented before a painful cost control because this gets rid of unnecessary costs from care that shouldn’t have been provided, so using the painless cost control would help health care providers stay away from the hassle that comes from painful cost control.)))

•Select one public policy that currently is impacting RN in Emergecy Dept.. Consider the following: ◦What health care driver was the policy designed to address: cost, quality, access, or a combination?
◦Does the policy appear to be achieving its intended results? On what data are you basing your assumption?
◦What have been the effects (adverse or positive) of this policy on health care cost, quality, and access?
◦How is this policy affecting your nursing practice?

•Next, select a health care issue—something you see or experience on a daily basis—about which you would like to influence a practice change through the policy process.
•Review the Learning Resources, focusing on Kingdon’s Model. How would you utilize this model to guide your policy development?

Template
The introduction to your paper will provide a brief overview of your work.
Public Policy Criterion #1
a.Provide a brief description of a public policy that is having an impact on your practice (use only existing state or federal public policies – not hospital policies).

Public Policy Analysis Criterion #2
a.Summarize the analysis of the policy using the following as a guide
1.What health care driver was the policy designed to address: a.Cost
b.Quality
c.Access
d.Combination of the above

2.Does the policy appear to be achieving the intended results? On what are you basing your assumption?
3.What have been the effects (adverse or positive) of this policy on health care cost, quality, and access?
4.How is this policy affecting nursing practice?

Analyze – Synthesize – Apply = Critical Thinking!

Public Policy Change Criterion #3
a.Summarize the issue you would like to influence through a change in public policy
b.Outline how you would utilize Kingdon’s Model to guide policy development
Conclusion/Summary

References
•Milstead, J. A. (2013). Health policy and politics: A nurse’s guide (Laureate Education, Inc., custom ed.). Sudbury, MA: Jones and Bartlett Publishers. ◦Chapter 1, “Advanced Practice Nurses and Public Policy, Naturally” (pp. 1–27)

◦Chapter 2, “Agenda Setting” (pp. 19–44)

◦Chapter 3, “Government Response: Legislation—Politics: Playing the Game” (pp. 45–71)
•Coalition for Patients’ Rights. (2012). Retrieved from http://www.patientsrightscoalition.org/