Benchmark – Population Health Policy Analysis Essay NUR 550

Benchmark – Population Health Policy Analysis Essay

Benchmark – Population Health Policy Analysis Essay – NUR 550

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it?

To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?

Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

ORDER NOW FOR CUSTOM PAPERS ON Benchmark – Population Health Policy Analysis Essay NUR 550

SAMPLE SOLUTION APPROACH

Benchmark – Population Health Policy Analysis Essay

There are more than 30 million Americans with diabetes, a disease that costs the U.S. more than “$327 billion per year” (Cefalu, 2018). Diabetes imposes a huge impact on people’s lives in higher medical costs, lost productivity, early deaths, and reduced quality of life. The Diabetes isn’t going away and it’s patient group has continued to grow.  Unfortunately, so has the price of the lifesaving medication insulin.  Rising costs of insulin, an essential medication that has more than triples in costs, are creating difficult situations for individuals with diabetes.  Some are even forced to choose between purchasing their medications or paying for other essentials, exposing them to serious short- and long-term health consequences. The question is, why has a medication that was invented in the 1920’s and undergone little changes, continue to get more and more expensive, and what can we do to help offset those costs?

Benchmark - Population Health Policy Analysis Essay

History of Insulin

The discovery of insulin in 1922 marked a major breakthrough in medicine and therapy in patients with diabetes.  Long before the discovery of insulin, it was hypothesized that the pancreas secreted a substance that controlled carbohydrate metabolism. For years, attempts at preparing pancreatic extracts to lower blood glucose were unsuccessful due to impurities and toxicities.  It was Frederick Banting, an orthopedic surgeon, who first isolated the pancreatic islet extracts from the pancreatic duct of dogs (Quianzon, n.d.).  Relatively few changes have happened to insulin since its invention, save for the introduction of some preservatives that enabled it to act longer.  Finally, in 1982 we were able to ‘create’ a human analogue of the insulin, and there have been no real changes since (Quianzon, n.d.).

Improving Access

In the spring of 2017, the American Diabetes Association (ADA) Board of Directors convened an ‘Insulin Access and Affordability Working Group’ (Working Group) to determine the full scope of the insulin affordability problem.  Their main goal was to recommend “strategies, and to provide high-level direction to the ADA related to this issue” (Cefalu, 2018).   One major finding of the Working Group was that the average price of insulin nearly tripled between 2002 and 2013 in the United States, yet other countries pay significantly less.  In fact, “Americans pay more than 10 times as much for insulin as Canadians do, according to a commentary published in the Nov. 7 issue of the New England Journal of Medicine, despite a single vial of current analog insulin only costing around $3 to $6 to make” (Healthday, 2019).  Because of this, lawmakers in the US are trying to stop ‘price-gouging’ and regulate the costs of insulin.

Addressing the Issue

In an era when healthcare is extremely expensive, there are many opinions on how involved our federal government should be in bringing drug prices down. However, there is one particular drug-pricing crisis that many can agree needs to be addressed sooner rather than later: the insulin crisis. New legislation in Washington and Colorado cap the price of insulin at $100 per 30-day supply, and several federal bills have also been introduced.  While none of the bills specify how they make this work, they have created a law “cap[ping] the total amount that a covered person is required to pay for a covered prescription insulin drug at an amount not to exceed one hundred dollars per thirty-day supply of insulin, regardless of the amount or type of insulin needed to fill the covered person’s prescription” (Roberts et al, 2019).

Implications

If we don’t put an end to unnecessarily high insulin costs, many more people will lose the fight against diabetes, succumbing to problems associated with a lack of insulin. While these measures suggest there’s finally some attention and progress on the issue of insulin price gouging, there are several significant things to consider: Colorado and Washington are just two states, and people with diabetes live in all over the US, and these caps only apply to people who have health insurance coverage.  For people without insurance, or those living outside of the states, mentioned,  they continue to face high costs with no clear end in sight.

While much of the cost of diabetes appears to fall on insurers (especially Medicare) and employers (in the form of reduced productivity at work, missed work days, and higher employer costs for health care), in reality such costs are passed along to all of society in the form of higher insurance premiums and taxes, reduced earnings, and reduced standard of living.

Patient Advocacy

As an APRN we are responsible for ensuring that our patients receive the best care possible.   This includes providing them with the different ways they can get access to their medications.   Until there is a ‘universal’ health care and coverage program, then we have to be  ready to help patients find things like rebates, coupons, sponsorships, etc for their more expensive medications – medications like insulin.  Directing patients to the these programs can help them mitigate the costs of their disease and improve quality of life.

Conclusion

“Insulin is a flashpoint in the drug-pricing debate, and it’s still an ongoing issue. It’s a relatively unique product that will require special solutions because so many people rely on it to ensure they can live day to day,” said commentary co-author Dr. Aaron Kesselheim, a professor of medicine at Harvard Medical School (HealthDay, 2019). Dramatic improvements in how we treat diabetes have transformed the lives of patients, but this innovation isn’t enough if patients can’t afford their insulin and other medicines at the pharmacy.  While the bills introduced are a start, we still have a long way to go.

ORDER NOW

References

American Diabetes Association. (1 Jun. 2018.) “Economic Costs of Diabetes in the U.S. in 2017.” Diabetes Care. American Diabetes Association. Web. 30 Jan. 2020. Https://care.diabetesjournals.org/content/41/5/917

Beran, David. (1 Jun. 2018.) “Why Are We Failing to Address the Issue of Access to Insulin? A National and Global Perspective.” Diabetes Care. American Diabetes Association. Web. 30 Jan. 2020. <https://care.diabetesjournals.org/content/41/6/1125>

Cefalu, Wiliam.( 1 Jun. 2018.) “Insulin Access and Affordability Working Group: Conclusions and Recommendations.” Diabetes Care. American Diabetes Association, Web. 30 Jan. 2020. Https://care.diabetesjournals.org/content/41/6/1299

Healthday. (2019). Why Are Insulin Prices Still So High for U.S. Patients? Retrieved January 30, 2020, from US News & World Report website: https://www.usnews.com/news/health-news/articles/2019-11-07/why-are-insulin-prices-still-so-high-for-us-patients

Quianzon, Celeste C. (n.d.) “History of insulin.” pubmed Central (PMC). Taylor & Francis, Web. 30 Jan. 2020. Https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3714061/

Roberts, Arndt, Caraveo, Coleman, Galindo, G., Gonzales-Gutierrez, … Bridges, P. (2019.). House Bill 19-1216.  Retrieved from https://leg.colorado.gov/sites/default/files/2019a_1216_signed.pdf

NUR-550 – Benchmark – Population Health Policy Analysis Essay Rubric

Course Code Class Code Assignment Title Total Points
NUR-550 NUR-550-XO09

05XB

Benchmark – Population Health Policy Analysis 160.0
Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
Content 70.0%
Financially Sound Health Care Policy That Incorporates the Nursing Perspective and Relevant Ethical, Legal, and Political Factors (2.1) 20.0% A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is not included. A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is present, but it lacks detail or is incomplete. A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is present. A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is clearly provided and well developed. A comprehensive discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is thoroughly developed with supporting details.

Integration of Appropriate State, Federal, and Global Health Policies and Goals Related to Equitable Health Care for Populations (4.2) 20.0% A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is not included. NUR-550 – Benchmark – Population Health Policy Analysis A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is present, but it lacks detail or is incomplete. A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is present. A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is clearly provided and well developed. A comprehensive discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is thoroughly developed with supporting details.
Advocacy Strategies for Improving Access, Quality, and Cost-Effective Health Care for Diverse Populations (2.2) 10.0% A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is not included. A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is present, but it lacks detail or is incomplete. A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is present. A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is clearly provided and well developed. A comprehensive discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is thoroughly developed with supporting details.
The Professional and Moral Obligation of Advanced Registered Nurses to Respect Human Dignity and Advance the Common Good Through Working to Promote Health and Prevent Disease Among Diverse Populations from a Christian Perspective (4.3) 15.0% A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is not included. A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is present, but it lacks detail or is incomplete. A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is present. A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is clearly provided and well developed. A comprehensive discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is thoroughly developed with supporting details.
Required Sources 5.0% Sources are not included. NUR-550 – Benchmark – Population Health Policy Analysis Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Organization and Effectiveness 20.0%
Thesis Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
Format 10.0%
Paper Format (Use of appropriate style for the major and assignment) 5.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) NUR-550 – Benchmark – Population Health Policy Analysis Essay 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage 100%
Get a 10 % discount on an order above $ 100
Use the following coupon code :
nursingbay