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4 pages/≈1100 words
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Health, Medicine, Nursing
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English (U.S.)
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Topic:
Advocacy Through Legislation: Children with Chronic Health Conditions
Essay Instructions:
Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.
For this assignment, identify a problem or concern in your state (California), community (Riverside), or organization (Kaiser Permanente) that has the capacity for advocacy through legislation. Research the issue and use the "Advocacy Through Legislation" template to complete this assignment.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.
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.
Essay Sample Content Preview:
Advocacy Through Legislation
Identify a problem or concern in your state, community, or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria should be identified and discussed. Add more rows as is appropriate for the topic/proposal.
Problem
In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.
The management of children with chronic health conditions has been a major challenge across contemporary healthcare systems. It is estimated that more than twenty percent of children in the US have a chronic condition that requires medical intervention. Just like their adult counterparts, children with chronic conditions require special medical care to attain the best results (Ng et al. 2018). In 2018, a large proportion of children (0-11 years) who enrolled in Medi-Cal had weight issues compared to children of the same ages with employment-based coverage. A similar trend was observed in adolescents (12-17 years). Overweight or obese increases the risk of developing several health issues including chronic conditions such as diabetes, high blood pressure, and asthma (Varty & Popejoy, 2020). Despite the worrying increase in the number of children suffering from chronic conditions, it is reported that they receive half of the recommended care. In most cases, the care provided is episodic and oriented towards acute events, without any long-term intervention measures for better outcomes. Hospitalization for children with chronic illnesses is consuming a large portion of inpatient care and resources.
Idea for Addressing Solution
In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.
To achieve optimal clinical and functional outcomes, children suffering from chronic conditions need access to outpatient, specialty-based follow-up after discharge. In 2017, the Senate enacted the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017. The Act aimed to improve the medical care of chronic conditions among patients who have enrolled in Medicare (Schor, 2018). The target beneficiaries of the legislation are mainly people aged 65 and above, as well as those with permanent health conditions under the age of 65. However, the policies of the Act can be amended to provide outpatient and clinical follow-up care for children and adolescents with chronic illnesses.
The Act was purposely meant for the Medicare population, but it can be integrated with the state Medicaid programs to benefit children and adolescents with special health care needs. For example, Medicaid can adopt most of the Act’s policies by change state regulations or provision of waiver applications to the Centers for Medicare and Medicaid Services (Schor, 2018). The need for appropriate provision of chronic pediatric care can be demonstrated in California’s effort to transition children enrolled in the California Children’s Service program (CCS) into health care plans under the Medi-Cal program. Affordable access to home health services can potentially improve the health of children with chronic conditions as well as the wellbeing of their families. Many hospitals in California have well-established child-care units that can be the starting point for out-patient services (Ng et al. 2018). Medicare experience can be utilized by Med-Cal and its managed care partners to lead in implementing policies that promote out-patient care services for children with chronic conditions.
Research the Issue
Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.
Evidence 1
According to Lorts and Bucuvalas (2016), the best patient treatment outcome can only be achieved when there is a mutual relationship between proactive health care and informed patients. They proposed a chronic care model that focuses on developing a proactive system to sustain good health instead of responding to active incidences of sick patients. In this case, the anticipated results of clinical care depend on community support, a reliable care delivery system, an efficient clinical information system, effective self-management, and an outstanding decision support mechanism.
Evidence 2
The Department of Public Health in Illinois acknowledges the economic and social impact of chronic conditions (Illinois Department of Public Health. 2021). In response, it had a Division of Chronic Disease Prevention and Control whose main focus is to mediate the issue of chronic illnesses by encouraging multi-directional intervention mechanisms in public health, community mobilization, surveillance, and epidemiology as well as public health evaluation and sensitization. The state has invested heavily in enhanced methods of delivering clinical and prevention services for intermediating and managing chronic conditions.
Stakeholder Support
Discuss the stakeholders who would support the proposed idea and explain why they would be in support.
Stakeholder(s) Supporting 1
The California Chronic Care Coalition (CCCC) comprises several public hea...
Identify a problem or concern in your state, community, or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria should be identified and discussed. Add more rows as is appropriate for the topic/proposal.
Problem
In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.
The management of children with chronic health conditions has been a major challenge across contemporary healthcare systems. It is estimated that more than twenty percent of children in the US have a chronic condition that requires medical intervention. Just like their adult counterparts, children with chronic conditions require special medical care to attain the best results (Ng et al. 2018). In 2018, a large proportion of children (0-11 years) who enrolled in Medi-Cal had weight issues compared to children of the same ages with employment-based coverage. A similar trend was observed in adolescents (12-17 years). Overweight or obese increases the risk of developing several health issues including chronic conditions such as diabetes, high blood pressure, and asthma (Varty & Popejoy, 2020). Despite the worrying increase in the number of children suffering from chronic conditions, it is reported that they receive half of the recommended care. In most cases, the care provided is episodic and oriented towards acute events, without any long-term intervention measures for better outcomes. Hospitalization for children with chronic illnesses is consuming a large portion of inpatient care and resources.
Idea for Addressing Solution
In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.
To achieve optimal clinical and functional outcomes, children suffering from chronic conditions need access to outpatient, specialty-based follow-up after discharge. In 2017, the Senate enacted the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017. The Act aimed to improve the medical care of chronic conditions among patients who have enrolled in Medicare (Schor, 2018). The target beneficiaries of the legislation are mainly people aged 65 and above, as well as those with permanent health conditions under the age of 65. However, the policies of the Act can be amended to provide outpatient and clinical follow-up care for children and adolescents with chronic illnesses.
The Act was purposely meant for the Medicare population, but it can be integrated with the state Medicaid programs to benefit children and adolescents with special health care needs. For example, Medicaid can adopt most of the Act’s policies by change state regulations or provision of waiver applications to the Centers for Medicare and Medicaid Services (Schor, 2018). The need for appropriate provision of chronic pediatric care can be demonstrated in California’s effort to transition children enrolled in the California Children’s Service program (CCS) into health care plans under the Medi-Cal program. Affordable access to home health services can potentially improve the health of children with chronic conditions as well as the wellbeing of their families. Many hospitals in California have well-established child-care units that can be the starting point for out-patient services (Ng et al. 2018). Medicare experience can be utilized by Med-Cal and its managed care partners to lead in implementing policies that promote out-patient care services for children with chronic conditions.
Research the Issue
Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.
Evidence 1
According to Lorts and Bucuvalas (2016), the best patient treatment outcome can only be achieved when there is a mutual relationship between proactive health care and informed patients. They proposed a chronic care model that focuses on developing a proactive system to sustain good health instead of responding to active incidences of sick patients. In this case, the anticipated results of clinical care depend on community support, a reliable care delivery system, an efficient clinical information system, effective self-management, and an outstanding decision support mechanism.
Evidence 2
The Department of Public Health in Illinois acknowledges the economic and social impact of chronic conditions (Illinois Department of Public Health. 2021). In response, it had a Division of Chronic Disease Prevention and Control whose main focus is to mediate the issue of chronic illnesses by encouraging multi-directional intervention mechanisms in public health, community mobilization, surveillance, and epidemiology as well as public health evaluation and sensitization. The state has invested heavily in enhanced methods of delivering clinical and prevention services for intermediating and managing chronic conditions.
Stakeholder Support
Discuss the stakeholders who would support the proposed idea and explain why they would be in support.
Stakeholder(s) Supporting 1
The California Chronic Care Coalition (CCCC) comprises several public hea...
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