Professional Organizations and Health Care Politics

Question 1

Health care domain

Answer 1

-those interrrelated and dynamic systems that influence quality of life and health related services

Question 2

Health care Delivery

Answer 2

providing collaborative nursing care using multiple resources from inter-related and dynamic systems that influence quality of life and health

Question 3

Health care policy

Answer 3

• set course of action taken by governments or health care organizations to obtain desired health outcome
• private health policy is made by health care organizations such as hospitals and managed care organizations
• public health policy refers to local, state and federal legislation; regulation and court rulings that govern the behavior of individuals and organizations in the provision of health care services

Question 4

Health policy

Answer 4

enactment of legislation taken for heath outcome for the public’s interest

Question 5

regulation

Answer 5

written set of rules issued by the government agency that has responsibility for administering the new law

Question 6

local health policy

Answer 6

• cities or counties offer a variety of health care services to meet the needs of their residents
• local laws, public health department
• examples include free or reduced-rate immunizations tobacco free public buildings, safe drinking water, enforcemnt of seat belt and child restraint laws and provision of an emergency medical system

Question 7

state health policy

Answer 7

• ACHA, State Medicaid regulations, FBON
• governs nursing through NPA
• provides “invisible services” through regulatory activities
• pays for health care services through various programs
• medicaid and state children’s health insurance program which are partly funded by federal funds

Question 8

federal health policy

Answer 8

• CMS, Patient Bill of Rights, HIPPA, ACA, DHHS, and the CDC
• funds health related research
• funds education for health professionals, including nurses and physicians
• pays for health care through medicare, medicaid, SCHIP, and the VA heath care system
• plays a monumental role in shaping nursing practice

Question 9

Health care influences

Answer 9

• florida agency for health care admin (AHCA, FL)
• primarily responsible for the state’s medicaid program
• licensure of the states 45k health care facilities and the sharing of health care data through the Florida Center for Health Information and Policy ANalysis

Question 10

National regulatory bodies

Answer 10

• TJC
• OSHA
• Nursing education accreditation bodies: ACEN and CNE
• Magnet recognition and others

Question 11

TJC

Answer 11

• formerly JCAHO
• US-based organization that accredits more than 20k health care org
• focuses on patient safety and quality of care
• surveys typically follow triennial cycle
• developed the national patient safety goals
• results available to public in an accreditation quality report on the Quality Check Website

Question 12

IOM

Answer 12

• Crossing the Quality Chasm: A new health system for the 21st century
• To Err is human: building a safer health system
• Future of Nursing: Leading the change, advancing health

Question 13

Be Knowledgeable and Involved

Answer 13

–registering to vote and voting in all elections

• joining a professional nursing organization
• attending a “meet the candidates” town hall meeting
• visiting with policymakers or their staff
• communicating with policymakers by email, fax, and phone

Question 14

ANA

Answer 14

• major national nursing organization concerned with broad scope of practice issues, standards of practice, scope of practice ethics, legal, employment, a federation of state nurses associations
• currently focusing on such issues
• keeping abreast of issues related to healthcare access
• addressing nursing shortage and issues such as mandatory overtime, control over work environment
• nursing shortage

Question 15

FNA

Answer 15

• voice for change
• over a century of history representing nurses regardless of specialty or area of practice
• believe in working together to create one strong voice for the protection of nurses and the communities we serve
• serve and support all RNs through professional development, advocacy and the promotion of excellence at every level of professional nursing practice

Question 16

Workforce Issues

Answer 16

• nursing shortage
• faculty shortage
• aging workforce
• floating
• safe work environment
• mandatory overtime
• safe staffing

Question 17

Florida: Regulated OT rules/regulated nurse-patient ratios??

Answer 17

No

Question 18

Whistle Blowing

Answer 18

• prohibits employers from taking retaliatory action against an employee because the employee has disclosed or threatened to disclose to a government agency an activity or practice of the employer that is in violation of a law, rule, or regulation
• employer must first have brought the unlawful practice or activity to the attention of a supervisor and give the employer a reasonable opportunity to correct the practice
• florida workers are also covered by OSHA, the federal law that prohibits retaliation against employees for reporting workplace health and safety concerns

Question 19

Collective Bargaining

Answer 19

• usually only occurs when nurses feels they need to organize and take action
• do not need to have an union present already
• state nurse’s associations usually have a bargaining division that can assist any group of nurses in need
• problems with wages, working conditions, benefits, work place taffeta, and quality of care all issues that can benefit from collective bargaining

Question 20

What type of method is collective bargaining?

Answer 20

• equalizing power between the employer and employee
• involves power sharing and negotiation
• certain rules and negotiation must be followed
• can be ineffective if there is low membership
• have many different forms of negotiation

Question 21

Process/Phases of CB

Answer 21

1. prep phase
2. discussion phase
3. proposal phase
4. bargaining phase
5. settlement phase
6. formalization phase
7. enforcement phase

Question 22

Social and economic issues that impact environment of care

Answer 22

• cost of healthcare (ACA)
• funding of medicaid, medicare
• limits to reimbursement from insurance companies
• DRGs and HMOs
• Consumer action groups
• magnet recognition program

Question 23

Health care reform

Answer 23

• general term used to refer to policy initiates to effect significant changes in how health care is delivered and paid for
• historic health care reform legislation has become a reality with passage of The Health Care and Education Affordability Reconcilation Act of 2010

Question 24

Most significant problem to address through health care reform

Answer 24

access to care

• lack of insurance, greatest barrier to access to health care
• 50 percent of the uninsured have no regular source of health care
• uninsured more likely to delay or ignore needed tx
• uninsured more likely to be hospitalized for avoidable conditions