Week 3 peers response
3 days ago
RE: Discussion – Week 3
In an effort to reform the American Healthcare system, President Barack Obama signed The Affordable Care Act into law in 2010. This bill is supposed to guarantee health insurance to millions of uninsured Americans and lower the cost associated with healthcare. Its constitutionality has been challenged in court in 2012 and 2015, but the Supreme Court ruled in its favor (Auerbach, 2019)
Many families in the United States are debating how it will affect them if they “repeal and replace the Affordable Care Act (ACA)”. They are wondering if they will be able to keep or afford their health coverage or their prescribed medications. Deductibles and out-of-pocket costs are so high causing most of the working adults to be underinsured despite being enrolled in the ACA. Repeal the Affordable Care Act (ACA) will have a devastating effect on the families and the elected officials as well as they are no clear alternative to replace it. It is costly but needed. It is estimated that 13 million Americans will lose their healthcare coverage over a decade as a result and States will lose in federal funding and subsidies paid to the marketplace (Thompson et al 2018).
Among the successes of the ACA, one can name: people can’t be denied coverage due to pre-existing conditions, Medicaid is expanded and individuals can get preventative services at no charge.
In her article Pros and Cons of the Affordable Care Act, Champagne (2014) found many issues with marketplace processing and lot of inconsistencies with what people are being told. She gave an example where families have to get different coverage for different members. A mother was told that her newborn was covered by Medicaid and her other two children have a state insurance plan. It turned out that the baby was not and the other two were dropped by the system because it shows that they have a third party coverage which doesn’t exist.
All this reveal the importance of an established plan to strengthen the health care system. The plan must be highlighted from the start to make the system works for every American Citizen. And the civil society will benefit the most from its best practices.
Auerbach, M. P. (2019). Patient Protection and Affordable Care Act. Salem Press Encyclopedia, 2019. Retrieved on September 13, 2020 from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=3&sid=
Champagne, D. M. (2014). Pros and Cons of Affordable Care Act. Daily Record. Retrieved on September 13, 2020 from https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?
Thompson, F. J; Gusmano, M. K; Shinohara; S. Publius: The Journal of Federalism: Summer 2018, Vol.48 Issue 3 p.396-424. Access from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/results?vid=13&sid=
RE: Discussion – Week 3
Week 3 Discussion
The cost-benefit for legislators can be a complicated subject. In the case of The Affordable Care act, there are many different sub-categories to consider since the act covers a wide range of issues from financial to medical. It has been said that the “number one job of a legislator is to be re-elected” (Walden University, n.d.). This is not a valid statement and appears to be used to sway the beliefs of the reader to a particular viewpoint that is the same as the author. The responsibilities of a legislator according to Article 1 of the Constitution (Whitehouse.gov, n.d.) is that:
The Legislative Branch consists of the House of Representatives and the Senate, which together form the United States Congress. The Constitution grants Congress the sole authority to enact legislation and declare war, the right to confirm or reject many Presidential appointments, and substantial investigative powers.
Legislators have taken up a role that does not necessarily conform to the restraints and confines of the Constitution of the United States. Although it is not a popular view when lobbying a legislator, one must uphold strict adherence to the rule of law and not consider that the legislator needs to be re-elected, and therefore might not listen to the particular petition or agree with it. A nation cannot survive if it goes down the slippery slope that has more than taken over popular views in the legislative process and academics.
As it relates to The Affordable Care Act, many republican legislators ran their campaigns based on “repeal and replace.” In 2017, 43 republicans voted to repeal and replace the bill, while nine Republicans voted no. The procedural vote failed with a 57 to 43 vote in the senate (The New York Times, 2017). The line between politics and healthcare is thin. In 2019, those who lobbied against the unconstitutional provisions in the bill won. Because the legislators that crafted the bill included unconstitutional mandates, the Department of Justice backed the court that ruled the ACA bill as being unconstitutional (Straub, 2019). Although the republican legislators are focused on their voters that might vote for another candidate if they do not carry out legislation that is important to the voters, they can still accomplish constitutional legislation. Nurses, such as the author of this article, expect the legislators to follow the rule of law and would lobby them in that manner requiring legislators to stand against unconstitutional legislation. Some lobbyists demand unconstitutional laws and the legislators feel obligated to put those requests into law for fear of losing their job. For instance, abortion. Many nurses lobby for the killing of infants in the mother’s womb and other legislation that is associated with that practice even though Americans have a right to life. The fourteenth amendment of the Constitution Section 1 states that (Congress.gov, n.d.):
No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws.
Legislators make laws as if there is a mandate to kill unborn infants. They know that they will lose their seat if they don’t vote for this injustice. That line of reasoning is a gross breach of the Constitution and the law. Many voters expect that the democrat party will continue to defend the killing of infants. Some would say, “What would be the use of lobbying a democrat legislator about the basic human right to life?” This nurse would explain, “Stand up for the law, human rights and dignity.” As a nurse, we have to pursue ethical standards. These standards would include the protection of life, even the life of infants. Our lobbying will reflect our values. The Affordable Care Act included funding for abortion (Abortion in Obamacare, n.d.). This, among some other unconstitutional provisions are included in the healthcare plan due to the lobbying the health care industry.
Abortion in Obamacare. (n.d.). Family Research Council. http://www.obamacareabortion.com/
Clowes, B. (2018, June 28). Isn’t Abortion Protected by the Constitution. https://www.hli.org/resources/abortion-no-constitutional-human-right/
Congress.gov. (n.d.). Constitution of the United States. https://constitution.congress.gov/constitution/amendment-14/
Straub, S. (2019, March 25). DOJ Determines Obamacare is Unconstitutional and Illegal. https://thefederalistpapers.org/us/doj-determines-obamacare-unconstitutional-illegal
Taylor, D., Olshansky, E. F., Woods, N. F., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education [Nursing Outlook 65/2 (2017) 242–245]. Nursing Outlook, 65(3), 346–350.
The Legislative Branch. (n.d.). Whitehouse.gov. https://www.whitehouse.gov/about-the-white-house/the-legislative-branch/
The New York Times. (2017, July 28). How each senator voted on Obamacare repeal proposals. https://www.nytimes.com/interactive/2017/07/25/us/politics/senate-votes-repeal-obamacare.html
Walden University. (n.d.). Discussion: Politics and the Patient Protection and Affordable Care Act. https://class.content.laureate.net/2c51bef1aefbf63b0e5c7e8b705335ad.html
RE: Discussion – Week 3
DISCUSSIONN BOARD : Week3
Nurse Informaticist interaction with other professionals within the organization
Nurse informatics requires nurse leaders to have competencies in computer information. The nurse informaticist should have project management skills, which needs to be integrated with nursing science with information and analytical science to identify, define manage and communicate data and information (Sipes, 2016).
The goal of the Nurse informaticist is to improve the organization nursing agenda and provide guidance into decision as they relate to the improvement of patient care. The nurse informaticist will have communication with other team members, other nurse managers, social workers/case managers, medical doctor, psychiatric doctor, all communication need to be clear and concise and related in a manner so that others involved in patient care will do so with the best treatment plan which is patient centered. The Nurse informaticist interaction with other professionals also known as the content team is important as findings or fallouts can be corrected (Mosier, et al., 2019)
The nurse leader the serves as an informaticist when there is a meeting he communicates with the team via cell phone where we have Zoom Meeting simply providing us with a host number which to call and an access Identification to join meetings. The dynamics of informatics in communication is realized when staff members from other hospitals join the meeting. Issues as it relates to patient care can be addressed and input from staff, which include other team members not only nurses, but the social workers and mental health technician (Ng, et al., 2018).
Another example of the nursing informaticist using information to relate to other professional is in assessment process of the patient. The facility provides suicide assessment scale, use on the behavioral health unit which is known as the Columbia Suicide Scale that is used of assessing the severity of suicide ideation on all patients that are on the unit.
The Columbia suicide scale is used to access all patients that are admitted on the unit. The range of the scale ranges from high risk, moderate risk, low risk, and no risk. This assessment is done on admission and on once every shift. The Columbia Scale is completed by the nurses. The nurse leader runs report on these results. If the patient is high risk or moderate risk after assessment then the doctor should be notified, so that an order can be given for High Risk Patient for a 1:1
Monitoring. If the patient is moderate risk for suicide he or she may be put on a line of sight where the patient remains within view of a staff member. The nurse Informaticist can access this information. If a patient is not on the appropriate precaution the nurse leader as an informaticist can reach out to the nurse /doctor / the social worker to discuss then need for the suicide precaution and the social worker can decide if it is safe for the patient to be discharged from the facility based on feedback from the nurse or doctor.
Another example is when the nurse Informaticist can access cameras at work from his home, also access information within the facility. Active communication is present at the facility as the director can look at cameras and correspond with staff, any safety breech on the unit can be addressed in real time. Staff without goggles or masks are encouraged to put on goggles for the safety of the patient especially during the COVID pandemic.
Patients that have a fall there is a protocol, which needs to be followed. Then informaticist can access records to ensure that all information that needs to be completed by all the interdisciplinary team is completed.
I believe the continued evolution of nursing informatics and the emergence of technological advancement will have positive impact on interaction and communication between interdisciplinary team member, with the best outcome for patient centered care. The nurse informaticist in assessing and sharing information need to value patient rights and privacy and be autonomous even with beneficial technological growth.
Mosier, S., Roberts, W.D., & Englebright, J. (2019). A System -Level Method of Developing
Nursing Informatics Solutions: The role of Executive Leadership. JONA: The Journal
of Nursing Administration, 49(11), 543-548.
Ng, Y.C., Alexander, S., & Frith, K.H. (2018). Integration of Mobile Health Applications in
Health Information Technology Initiatives: Expanding Opportunities for Nurse
Participation in Population Health. CIN: Computer, Informatics, Nursing, 36(5),
Sipes, C., (2016). Project management: Essential skill of nurse informaticists. Studies in
Health Technology and Informatics. 225., 252-256.
RE: Discussion – Week 3
Interaction between Nurse Informaticists and Other Specialists
Informatics has continued to change the face of healthcare. With technology advancement, health care providers can collect, analyze, and leverage data more effectively. The informatics influence how care is delivered, how resources are managed, the way teams operate in their daily activities. Nurse informaticists facilitate the integration of data and knowledge to offer support to the nurses, patients, and other providers in decision making within the health care environment (McGonigle & Mastrian, 2017). They help improve accuracy and provide critical data analysis to help health care providers enhance the quality of patient care. In my experience, the nurse informaticists in our organization work with the IT team to find ways to streamline and improve documentation using information technologies. They also help in improving the accuracy, timeliness, and speed of patient charting. Nurse informaticists’ continued support can enhance these interactions in the coordination and exchange of crucial clinical and technical information (Hoy & Frith, 2017). The objective can be attained by supporting and bringing together safe, effective patient care and efficient workflow.
The continued evolution of nursing informatics has a significant impact on communication in the health care organization. Communication between health professionals is simplified by informatics, and they can communicate more effectively through email, instant messages, or texts (Nagle et al., 2017). This, in turn, improves communication for health specialists to spend less time tracking each other down to communicate about their patients, hence improving the quality of care the patients receive.
Hoy, H., & Frith, K. H. (Eds.). (2017). Applied clinical informatics for nurses. Jones & Bartlett Learning.
Nagle, L. M., Sermeus, W., Junger, A., & Bloomberg, L. S. (2017). Evolving Role of the Nursing Informatics Specialist. Forecasting Informatics Competencies for Nurses in the Future of Connected Health, 212.
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
I HAVE THIS EXTRA QUESTION FROM THE TEACHER
Question for Iraisy
Excellent post Iraisy Let’s talk informatics savvy :-)..
How can I help my colleagues and patients understand and use the current technology that is available?