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Discussion: Agenda Comparison Grids NURS 6050

Discussion: Agenda Comparison Grids NURS 6050

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.

In Part 1 of this module’s Assignment, you were asked to begin work on an Agenda Comparison Grid to compare the impact of the current/sitting U.S. president and the two previous presidents’ agendas on the healthcare item you selected for study. In this Discussion, you will share your first draft with your colleagues to receive feedback to be applied to your final version.

To Prepare:

  • Review the Resources and reflect on the importance of agenda setting.
  • Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.
  • Review Part 1 of the Module 1 Assignment and complete the requirements for this Discussion.

By Day 3 of Week 1

Post a draft of the Agenda Comparison Grid you completed for Part 1 of the Agenda Comparison Grid and Fact Sheets or Talking Points Brief Assignment. Discussion: Agenda Comparison Grids NURS 6050

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By Day 6 of Week 1

Respond to at least two of your colleagues* on two different days and provide a critique on their comparison grids. Suggest at least one feature of your colleagues’ comparison grids that you would revise and explain why. Be specific and provide examples.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 1

To participate in this Discussion:

Week 1 Discussion

Module 1: Agenda Setting (Weeks 1-2

Laureate Education (Producer). (2018). Meet the Experts: Pioneers in Policy [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). The Policy Process [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:
  • Compare U.S. presidential agenda priorities
  • Evaluate ways that administrative agencies help address healthcare issues
  • Analyze how healthcare issues get on administrative agendas
  • Identify champions or sponsors of healthcare issues
  • Create fact sheets for communicating with policymakers or legislators
  • Justify the role of the nurse in agenda setting for healthcare issues
Due By Assignment
Week 1, Days 1–2 Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Begin to compose a draft of your Assignment.
Week 1, Day 3 Post your draft of Part 1 of your Assignment as the initial Discussion post.
Begin to compose your final draft of your Assignment.
Week 1, Days 4-5 Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your final draft of your Assignment.
Week 1, Day 6 Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Continue to compose your final draft of your Assignment.
Week 1, Day 7 Wrap up Discussion.
Week 2, Day 1–6 Review the responses to your initial post in the Discussion and revise your Assignment accordingly.
Continue to compose and refine the final draft of your Assignment.
Week 2, Day 7 Deadline to submit your Assignment.

Photo Credit: [Anuska Sampedro]/[Moment]/Getty Images

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Discussion: Agenda Comparison Grids NURS 6050

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. 11–13 only)
  • Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention?” (pp. 17–36)
  • Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 171–180)
  • Chapter 12, “An Insider’s Guide to Engaging in Policy Activities”
    • “Creating a Fact Sheet” (pp. 217-221)

DeMarco, R., & Tufts, K. A. (2014). The mechanics of writing a policy brief. Nursing Outlook, 62(3), 219–224. doi:10.1016/j.outlook.2014.04.002

Note: You will access this article from the Walden Library databases.

Kingdon, J. W. (2001). A model of agenda-setting, with applications. Law Review, M.S.U.-D.C.L., 2(331).

Note: You will access this article from the Walden Library databases.

Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., … Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521–530. doi:10.1016/j.outlook.2015.06.003

Note: You will access this article from the Walden Library databases.

O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political efficacy and participation of nurse practitioners. Policy, Politics, and Nursing Practice, 18(3), 135–148. doi:10.1177/1527154417728514

Note: You will access this article from the Walden Library databases.

Institute of Medicine (US) Committee on Enhancing Environmental Health Content in Nursing Practice, Pope, A. M., Snyder, M. A., & Mood, L. H. (Eds.). (n.d.). Nursing health, & environment: Strengthening the relationship to improve the public’s health. Retrieved September 20, 2018.

Note: You will access this article from the Walden Library databases.

USA.gov. (n.d.). A-Z index of U.S. government departments and agencies. Retrieved September 20, 2018, from https://www.usa.gov/federal-agencies/a

USA.gov. (n.d.). Executive departments. Retrieved September 20, 2018, from https://www.usa.gov/executive-departments

The White House. (n.d.). The cabinet. Retrieved September 20, 2018, from https://www.whitehouse.gov/the-trump-administration/the-cabinet/

Document: Agenda Comparison Grid Template (Word document)

Required Media

Laureate Education (Producer). (2018). Setting the Agenda [Video file]. Baltimore, MD: Author.

 

NURS 6050 WK1 Response 2

Mental illness not only affects the person who is mentally ill, but also their families, communities, and the national ecomony.  One study reports that mental illness has a multidimensional impact on families dealing with Severe mental illness (SMI). Some of these effects are physical health problems, stress, socioeconomical issues, and psychological difficulties (Fekadu, W., Mihiretu, A., Craig, T. K. J., & Fekadu, A., 2019). For children who live with persons with SMI, the impacts could be performance issues in school, nutritional problems, and higher mortality rates (Fekadu, W., 2019). Communities are impacted indirectly, usually by cost incurred from loss of productivity and absenteeism in jobs (Agboola, A. A., et al., 2018). The effects on the national economy are from indirect (as above) and direct costs which are things such as treatments transportation, and costs of insurance (Agboola, A. A., et al., 2018). Agboola et al., states “Indirect costs are challenging to quantify but are critical for informing public policy and guiding discussion on what should be invested to prevent or treat the illness” (2018). This statement is what drives the Presidential agenda and budget for illness such as mental health.

Your grid was put together well and easy to understand. I can appreciate your topic as it relates so closely to the topic I chose of the Opioid epidemic. These two health issues cost tax payers billions of dollars every year. I for one am interested in results or data. The Presidential budget allots monies for both health issues yearly, trending upward every year. But, are we actually seeing good outcomes? Statistics on opioid overdoes continue to increase every year, yet we are dumping $34 Billion dollars into efforts to stop the problem. I have no issue supplying the money, however I would like to see better outcomes from our dollars spent. So for your topic, what are the outcomes? Are the issues trending upward or are you seeing improvement with the allocated dollars?

Reference

Agboola, A. A., Esan, O. T., Afolabi, O. T., Soyinka, T. A., Oluwaranti, A. O., & Adetayo, A. (2018). Economic burden of the therapeutic management of mental illnesses and its effect on household purchasing power. PLoS ONE, 13(9), 1-13.

Fekadu, W., Mihiretu, A., Craig, T. K. J., & Fekadu, A. (2019). Multidemsional impact of severe mental illness on family members: systematic reviow. BMJ Open, 9(12), 1.

RE: Discussion – Week 1

Hello K. I found your comparison grid interesting as I to have chosen to address the mental illness topic.

You mentioned that President Trump was very supportive of the research and implementation of mental health services.  According to the American Public Health Association, President Trump released his fiscal year 2020 federal budget proposal in March, recommending huge cuts across the federal government, which includes a budget proposal of a $777 billion cut to Medicaid over 10 years, as well as nearly $600 billion in net Medicare spending reductions, as well as cutting low-income housing assistance, and 1 billion cut to the Health Resources and Service Administration, and a $65 million cut in the Substance Abuse and Mental Health Services Administration (Kim Krisberg, 2019).

I find this proposal to be a threat to the already steps that have been accomplished by President Bush, and President Obama. Medicare and Medicaid already are currently the largest payers of behavioral health services in the country (Caren Howard, 2019). President Trump’s 2020 fiscal proposal for cutting Medicaid and Medicare services will greatly affect those with mental disorders and substance abuse issues from getting the help and services that they require.  For me, this is like taking a step backward.

REFERNCES

Caren Howard (2019). Mental Health Conditions. How Trump’s Budget Will Affect People with Mental Health Conditions.  Retrieved February 28, 2020 from

Kim Krisberg (2019). The American Public Health Association. President’s budget would hinder US public health progress: Huge cuts proposed. Retrieved February 28, 2020  from

Agenda Comparison Grid and Fact Sheet on Mental Illness Issue

Part 1: Agenda Comparison Grid

Identify the Population Heath concern you selected
Mental Illness is selected as the Population Health concern.
Describe the Population Health concern you selected and the factors that contribute to it.
Mental Illness refers to various types of mental problems inhibiting the functionality of the mind, such as thinking, behavior, mood, emotions, and so forth mental patterns. Anxiety, depression, social injustice, drug abuse, and other factors contribute in increasing the susceptibility and vulnerability among the individuals to experience mental illness (Fuhrer & Keyes, 2019).
Administration (President Name)
Donald Trump
Barack Obama
George W. Bush
Describe the administrative agenda focus related to this issue for the current and two previous presidents.
Although Donald Trump focused on improving health in all domains in the campaign, he later focused the administrative agenda more strictly towards eliminating the opioid epidemic after El Paso and Dayton. He further asserted in his agenda to talk more about mental health – marking it the need of the hour. However, apart from the discussion, the focus on passing beneficial bills and expanding parity had been limited in his era (Achenbach et al., 2020).
Barack Obama extended the vision of Bush in providing more easy and affordable mental health access to the individuals with mental disorders. He not only extending the Medicaid service to mentally challenged people, rather increased the federal support in housing. Furthermore, he set in his agenda to conduct dialogues on mental health at state and federal level. Moreover, he extended federal support in various domains, such as housing, etc., to the mentally ill people (Hart, 2016).
George W. Bush for the first time, included mental health on a priority list, and formed a New Freedom Commission on Mental Health to facilitate a debate, in which experts provided 19 recommendations. Furthermore, he included in his administrative agenda to equalize the importance of mental health to that of physical health. Besides, his administrative agenda included treatment and crime prevention corrective measures among the mentally ill individuals (Hart, 2016).
Identify the allocations of the financial and other resources that the current and two previous presidents dedicated to this issue.
Acts

No significant act so far (Achenbach et al., 2020).

Financial and Other Resources

Budget cut in the funding for health, especially eliminating the longstanding policy of compensation by federal to Medicaid eligible individuals receiving mental care through Medicaid programs.

Furthermore, he limited $5 billion budget in federal funding to states for this imperative Population Health issue (Achenbach et al., 2020).
Acts

i. Patients Protection and Affordable Care Act (ACA): Obama signed this bill in 2010, which aimed at extending the federal mental health parity to the existing Medicaid programs, hence facilitating the mentally ill patients to receive affordable and convenient care.

ii. Frank Mehlville Supporting Housing Investment Act: This Act that was signed in 2011 aimed at increasing the federal support for mentally challenged individuals to enable them in buying house with federal support.

iii. National Conference: A dialogue on Mental Health and national level was held in the White House (Hart, 2016).

Financial and other Resources

Increased the budget and allocated mental health care in Medicaid.

Provided $500 million investment to increase mental health care access (Hart, 2016).
Acts

With Mentally Ill Offender Treatment and Crime Reduction Act (MIOTCRA) and Paull Wellstone and Pete Domenici Mental Health Parity and Addictions Equity Act during the era 2004 to 2008 marked physical illness equal to mental health practically for the first time, as the federal coverage was equally allocated without discrimination. Furthermore, the corrective measures were planned based on the New Freedom Commission on Mental Health, whereby, experts provided 19 recommendation to improve mental health situation in the US (Hart, 2016).

Financial and Other Resources

No extra finance other than the budget and federal coverage. Not much focus on providing resources, such as establishing institutions and funding concerned researches (Hart, 2016).
Explain how each of the presidential administrations approached the issue.
There is a lack of focus by administration in practically improving the mental health situation, which is one of the biggest Population Health concern. According to Achenbach, McGinley, Goldstein, and Guarino, “The administration so far has been more talk than substance on the issue.” (Achenbach et al., 2020, par. 13)
The focus was clearer in eliminating the discrimination between physical health and mental health. The approach was more focused at improving the overall mental health situation of those vulnerable or affected by extending the Medicaid program and federal funding. Besides, to curb the social injustice – one of the prominent factors contributing in mental disparity – the federal support was provided to mentally challenged individuals to fulfill their acquisition of buying a house. For the first time, measure was taken to improve the situation by eliminating the root causes (Hart, 2016).
The approach was significantly better although not the best, provided the growing issues pertaining to health problems, such as growing suicide rate among soldiers who were sent to Afghan War, and anxiety and fear due to 9/11 attack. However, a practical measure was taken, which showcase a rather constructive approach, especially when federal coverage was equally provided to mental illness compared to physical illness (Hart, 2016).
References

Achenbach, J. et al. (2020, 11 February). “Trump Budget Cuts Funding for Health, Science, Environment Agencies.” The Washington Post. Retrieved from https://www.washingtonpost.com/science/trump-budget-cuts-funding-for-health-science-environment-agencies/2020/02/10/9c8dd784-4c2d-11ea-b721-9f4cdc90bc1c_story.html

Fuhrer, R., & Keyes, K. M. (2019, 20 May). Population Mental Health in the 21st Century: Time to Act. American Journal of Public Health, 109(S3), pp. 152-153. https://doi.org/10.2105/AJPH.2019.305200

Hart, J. (2016, February 15). “How Presidents Have Shaped Mental Health Care.” National Alliances on Mental Health. Retrieved from https://nami.org/Blogs/NAMI-Blog/February-2016/How-Presidents-Have-Shaped-Mental-Health-Care

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