Health Policy (Exam 2)

Question 1

what are the federal policies that shaped nursing practice?

Answer 1

Nurse practice act and registration of nurses (implemented in most states by 1910)
Sheppard-Towner Act (1921)
Hill-Burton Act (1950)
Medicare Program (1965)
Renal disease program (1972)
Diagnosis-related groups (DRGs) (1983)
Pt protection and affordable care act (2010)

Question 2

Nurse practice act

Answer 2

Nurse practice act and registration of nurses (implemented in most states by 1910)

Question 3

1st policy to fund prenatal and child health services by public health nurses

Answer 3

sheppard- towner act

Question 4

provided federal funding for hospital construction which caused boom in construction and jobs

Answer 4

hill-burton act

Question 5

provided funding for medical services for older adults and the disabled led to increased # of hospitalizations and increased need for nurses

Answer 5

medicare program

Question 6

provided funding for dialysis treatment and renal transplantation for people with kidney failure led to development of nephrology nursing

Answer 6

renal disease program

Question 7

changed medicare reimbursement from fee for service method to fixed fee method forced hospitals to reduce pt LOS, cut costs, reduce staff led to case management

Answer 7

DRGs

Question 8

comprehensive HC reform legislation providing health insurances program to secure quality health insurance at reasonable rates

Answer 8

pt protection and affordable care act

Question 9

what is the local health policy?

Answer 9

Free or reduced rate immunizations
Tobacco-free public buildings
Safe drinking water
Provision of an emergency medical system

Question 10

what is the state health policy?

Answer 10

Governs nursing through nurse practice act
Ensures safe food storage and prep in restaurants
Regulates HC facilities
Pays for HC services through medicaid

Question 11

what is the federal health policy?

Answer 11

Funds health-related research
Funds edu for health professionals, including nurse and HCP
Pays for HC through medicare, medicaid, SCHIP, and the veterans admin HC system
Plays a monumental role in shaping nursing practice
Passage of the pt protection and affordable care act (PPACA) (2010)

Question 12

what are the levels of health policy?

Answer 12

local
state
federal

Question 13

what is health policy?

Answer 13

Set course of action taken by governments or HC organizations to obtain desired health outcomes

Private health policy is made by HC organizations such as hospitals and managed care organizations

Public health policy refers to local, state, and federal legislation; regulations and court rulings that govern the behavior of people and organizations in the provision of HC services.

Question 14

what is complex, dynamic process?

Answer 14

Enactment of legislation and accompanying rules and regulations that carry the wt of law
Admin decisions made by various governmental agencies
Judicial decisions that interpret the law

Question 15

what involves numerous people and groups?

Answer 15

Elected officials and governmental agency officials
Experts in the related area
Stakeholders such as corporate representatives
Representatives from special interest groups
Other affected citizens

Question 16

what is important to know about health policy?

Answer 16

Involves all 3 branches of government

Legislative process fundamental to movement from a public problem to a viable program.

Societal problems that may qualify for a policy solution are those brought to the attention of a policymaker who is willing to take definitive action.

Question 17

written set of rules issued by the government agency that has responsibility for admin of the new laws.

Answer 17

regulation