Policy, Politics and Global Trends Essay

7578 Words May 24th, 2015 31 Pages
Barbara Heard MSN 285637 Mentor: Ronda Arnold March 15, 2015


Introduction: This assignment requires that I develop and thoroughly analyze a public policy in order to advocate for one that improves the health of the public and/or the nursing profession globally (local, state, national or international). To do this, I must reflect on several aspects of being a policy maker within the nursing profession. I was instructed to consider the following:
· Why did I select the health or nursing profession policy issue?
· How does this issue affect nursing practice, healthcare delivery and health outcomes for individual, families and/or
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In regard to incentives, they should be twofold and aimed at creating an environment promoting both, patient well being and financial stability for physicians and healthcare institutions. In reviewing the pay-for-performance model, it appears that this is primarily beneficial only to physicians in terms of monetary incentives and the patient population has little to gain in relation to this manner of reimbursement for healthcare services. It is understood that the primary goal of this model places emphasis on value and an overall better quality of health care; however, there are mixed reviews in regards to this model improving health outcomes and reducing costs.
Issue Selection: I selected this issue because I feel that this policy does not promote or support the values that health care is premised upon or the values that nursing represents and is of no benefit to the patient population. The policy primarily focuses on rewarding physicians financially in relation to reducing costs and specific quality outcomes based on particular measures. In this regard, it is my opinion that rewarding “good physicians” has the potential of diverting attention and possibly resources from “less successful”, but quite effective, physicians who serve less advantaged patients for whom quality improvement may be very critical. I also feel that incentives for reducing costs can result in physicians “black balling” or

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