I need some help! – a year ago
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– a year ago
ONLY RESPONSE NEEDED X2 -LISTED TO DIFFERENT PEERS ### Initial Response- #### Instructions: When developing new clinical interventions or practice changes, a systems approach can help maintain a culture of safety and minimize liability. For this discussion, answer the following question prompts: 1. …
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### Initial Response-
#### Instructions:
When developing new clinical interventions or practice changes, a systems approach can help maintain a culture of safety and minimize liability. For this discussion, answer the following question prompts:
1. Outline the potential risks associated with the one of the proposed practice changes examined in your Unit 3 Gap Analysis.
2. When harm does occur, what is your organization's/system's policy on disclosure?
3. Locate and discuss your state's apology law and provide an overview of what it encompasses.
4. Are there formal policies within your organization/system about what to do when harm occurs? Are these aligned with your state's apology law?
Please be sure to validate your opinions and ideas with citations and references in APA format.
Your initial response is due by Wednesday at 11:59 pm CT.
Estimated time to complete: 2 – 4 hours
### Peer Response
#### Instructions:
Please read and respond to at least two of your peers' initial postings. You may want to consider the following questions in your responses to your peers:
– Compare and contrast your initial posting with those of your peers.
– How are they similar or how are they different?
– What information can you add that would help support the responses of your peers?
– Ask your peers a question for clarification about their post.
– What most interests you about their responses?
Please be sure to validate your opinions and ideas with citations and references in APA format.
All peer responses are due by Sunday at 11:59 pm CT.
Estimated time to complete: 1 hour
### Reply from Zemen Aberra
Zemen Aberra
Herzing University
Professionalism and Leadership for Advanced Practice (NU726-7K)
Dr. Sandra Chen-Walta
**Maintaining a Culture of Safety Discussion**
Prolonged antibiotic delivery in patients with suspected sepsis has a considerable impact on patient outcomes, making it a serious safety issue. One recommended practice improvement from my Unit 3 Gap Analysis is the use of Electronic Health Record (EHR)-based sepsis notifications to encourage early detection and treatment. While this strategy has the potential to significantly reduce delays, it is not without risk.
**Possible Risks of Recommended Practice Changes**
Incorporating EHR-based sepsis alerts carries concerns such as alert fatigue, which occurs when clinicians start disregarding or overriding alerts due to frequent or nonspecific warnings (Hwang et al., 2020). Furthermore, if the alarm system fails to detect early sepsis or produces false positives, it may result in unnecessary antibiotic administration, elevated resistance, or missed intervention opportunities. Integration challenges and reliance on EHR data accuracy may further restrict the tool's effectiveness, potentially harming patients if key clinical indicators are missed (Shappell & Rhee, 2020).
**Disclosure Policies in My Organization**
When harm occurs, Dignity Health – Sacramento adheres to the CommonSpirit Health system-wide Disclosure of Unanticipated Outcomes policy. When unexpected complications occur, this policy promotes timely, empathetic, and honest communication with patients and their loved ones. The organization advocates for complete disclosure, which is consistent with Just Culture values, and provides openness while supporting healthcare professionals involved in the event (CommonSpirit Health, 2024).
**California's Apology Law Overview**
California's apology legislation is detailed in California Evidence Code Section 1160, which states that any expression of compassion, empathy, or general generosity offered by a medical professional to a patient or family is inadmissible as proof in a civil lawsuit. However, declarations admitting mistakes or negligence may still be admissible ( _California Code, EVID 1160_, n.d.). This statute enables healthcare workers to express compassion without fear of legal repercussions, but warns against expressing direct admissions of fault.
**Alignment of Organizational Policies and State Law**
Dignity Health's disclosure procedures are consistent with California's apology law, enabling healthcare professionals to provide patients with empathic communication and support following unfortunate occurrences without expressly admitting fault ( _California Code, EVID 1160_, n.d.). Training in efficient communication throughout disclosures ensures that providers adhere to legal and ethical limitations while preserving confidence with patients and families. These policies demonstrate a dedication to a safety environment that balances transparency and legal safeguards (Kwame & Petrucka, 2021).
**References:**
_California Code, EVID 1160_. (n.d.). **Division 9. Evidence affected or excluded by extrinsic policies [1100 – 1162]** https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=1160&lawCode=EVID
CommonSpirit Health. (2024). _Commonspirit h_ ealth _Governance policy addendum_ [Report]. https://www.dignityhealth.org/content/dam/dignity-health/documents/california-december-2024/CA-Addendum.pdf
Hwang, M., Bond, W., & Powell, E. (2020). Sepsis alerts in Emergency Departments: A Systematic review of accuracy and quality measure impact. _Western Journal of Emergency Medicine_, _21_(5). [https://pmc.ncbi.nlm.nih.gov/articles/PMC7514413/Links to an external site.](https://pmc.ncbi.nlm.nih.gov/articles/PMC7514413/)
Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. _BMC Nursing_, _20_(1). https://pmc.ncbi.nlm.nih.gov/articles/PMC8414690/
Shappell, C. N., & Rhee, C. (2020). Leveraging electronic health record data to improve sepsis surveillance. _BMJ Quality & Safety_, _29_(9), 706–710. https://pmc.ncbi.nlm.nih.gov/articles/PMC9011359/
[**Natalie Scriboni**](https://herzing.instructure.com/courses/46683/users/94250) May 28 8:32pmManage Discussion by Natalie Scriboni
### Reply from Natalie Scriboni
**NU 726: Unit 4 Discussion Examination of Policies and Regulations – Maintaining a Culture of Safety – Natalie Scriboni**
One of the proposed changes from my Unit 3 Gap Analysis involves ensuring consistent reassessment and documentation of pain after interventions, including both pharmacologic and nonpharmacologic approaches. This change addresses a critical gap in practice, as pain is often reassessed verbally but not consistently charted. Failure to document pain reassessment poses several risks. The most vital risk is inadequate pain management (Dach et al., 2024). Risks also include missed signs of complications, communication issues, and incomplete charting (Dach et al., 2024). The literature emphasizes the importance of documenting reassessments to support continuity of care and reduce harm (Samara et al., 2024; Rowe & Best, 2024).
When harm does occur at my organization, MedStar Union Memorial Hospital (MUMH) follows a formal Sentinel Event Policy that reflects a systems-based approach. The policy mandates immediate notification of the supervisor and Risk Management (Medstar Union Memorial, 2023). Then, a thorough analysis of the event occurs, and the Patient Communication Consult Service (PCCS) is notified. The PCCS helps to support and inform patients and their families (Medstar Union Memorial Hospital, 2023). This structured process ensures transparency while supporting staff.
Maryland’s apology law allows healthcare providers to express sympathy, compassion, or apology without these words to be used as an admission of guilt in court (Thomson Reuters Westlaw, 2025). However, if a provider admits fault, such as saying they made a mistake, that statement can be used in legal court (Thomson Reuters Westlaw, 2025). The law helps to encourage emotional support and communication for patients and providers.
In addition, MUMH has formal procedures in place when harm occurs, including disclosure processes and a system-wide promise for safety through risk management (Medstar Union Memorial, 2025). The Risk Assessment Plan is a key part of the organization that helps identify and resolve potential hazards. This procedure is aligned with Maryland’s apology law as it reduces the likelihood of harm and ensures staff are prepared to communicate compassionately.
**References**
Dach, A., Anderson, R., & Borandi, J. A. (2024). An Integrative, Non-Pharmacological Pain Management Approach In Severe Lumbar Spine Degeneration: A Case Report. _Integrative Medicine: A Clinician’s Journal_, _23_(6), 14–20.
MedStar Union Memorial. (2025). _Environment of care: Risk assessment_ [Internal hospital policy document]
MedStar Union Memorial Hospital. (2023). _Sentinel event policy: MedStar Union Memorial Hospital and MedStar Samaritan Hospital._ [Internal hospital policy document].
Rowe, S., & Best, K. M. (2024). Individualized numeric rating scale to assess pain in critically ill children with neurodevelopmental disabilities. _American Journal of Critical Care_, _33_(4), 280–288. [https://doi.org/10.4037/ajcc2024343Links to an external site.](https://doi.org/10.4037/ajcc2024343)
Samara, H., O’Hara, L., & Singh, K. (2024). Nurses' knowledge and attitudes about adult post-operative pain assessment and management: Cross sectional study in Qatar. _Nursing Reports_, _14_(3), 2061–2071. [https://doi.org/10.3390/nursrep14030153Links to an external site.](https://doi.org/10.3390/nursrep14030153)
Thomson Reuters Westlaw. (2025). _Maryland code and court rules: Apologies or expressions of regret by health care providers._ [https://govt.westlaw.com/mdc/Document/Links to an external site.](https://govt.westlaw.com/mdc/Document/) N744BF500A64911 DBB5DDAC3692B918BCviewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)
– a year ago
[>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) Listening involves receiving, attending to, understanding, responding to, and recalling sounds and visual images. This week you will submit a paper in which you: – Describe the 5-step listening process, provid…
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Listening involves receiving, attending to, understanding, responding to, and recalling sounds and visual images. This week you will submit a paper in which you:
– Describe the 5-step listening process, providing an example of each step.
– Address which of the five steps you think people struggle with the most and explain why.
– Suggest how one might improve in that area.
Provide specific examples and evidence to support your answers.
Your paper should be 1-2 pages in length, cite at least one reference, and be written in current APA Style.
– a year ago
[>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) Prepare a 7–10-page business analysis that explains the generic business strategies for an organization, analyzes the business strategy used and the company's business model, analyzes the corporate strategy of…
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Prepare a 7–10-page business analysis that explains the generic business strategies for an organization, analyzes the business strategy used and the company's business model, analyzes the corporate strategy of the company and the overall corporate structure and management systems, and analyzes the strategic fit between the business and corporate strategies.
– a year ago
– a year ago **files (1)** – ## WritingAssignmentWeek4.docx **## WritingAssignmentWeek4.docx** Writing Assignment Week 4: Telehealth Access and Remote Monitoring in Your Community **Exercise Instructions** 
**Telehealth Access and Remote Monitoring in Your Community** _(Examine how healthcare services in your specific ZIP code are providing telehealth and remote monitoring options and whether these services benefit the patient population.) my zipcode is 33325_
**Assignment Overview**
In this essay, you will evaluate the extent to which healthcare services in your specific geographic area (use your ZIP code for specificity) are offering telehealth and remote monitoring options. You will analyze the impact of these services on patient care and outcomes. Your submission must include at least three examples that you uncovered through research in your neighborhood.
**Requirements**
1.
**Essay Format and Length:**
· The assignment must be written as a formal essay.
· It must include an introduction, graduate-level discussion questions and responses, and a conclusion that synthesizes your key points.
· The paper should be a minimum of 3 pages in length, excluding the cover page and reference list.
1.
**Content Specifics:**
·
**Introduction:**
· Introduce the topic with background information on telehealth and remote monitoring.
· Clearly state the purpose of your essay.
· Provide your ZIP code to contextualize the geographic focus of your study.
·
**Graduate-Level Questions & Analysis:**
· Develop and answer at least two or three in-depth, graduate-level questions related to:
· How telehealth and remote monitoring options are integrated into local healthcare services.
· The benefits (or perceived benefits) these options offer to the patient population.
· Potential challenges or limitations associated with these technological advances.
· Make sure to substantiate your analysis with evidence-based practice (EBP). This should include referencing scholarly articles, government or institutional reports, and credible online sources.
· Include at least three concrete examples from your research in your local neighborhood that illustrate how these services are implemented. Explain how each example supports your discussion.
·
**Conclusion:**
· Summarize your findings.
· Synthesize the key points discussed in your paper.
· Reflect on the overall impact of telehealth and remote monitoring services on patient care in your area.
**APA Format:**
· Your essay must strictly adhere to APA 7th Edition guidelines.
· Ensure correct use of APA formatting for the title page, headings/levels, in-text citations, and the reference list.
· Double-check that all references are accurately cited within your text and that your reference list is complete.
**Evidence-Based Practice (EBP):**
· Develop your answers and support your analysis with evidence-based research.
· Incorporate data, statistics, and findings from peer-reviewed literature and reputable sources to lend credibility to your discussion.
**Rubric Review:**
· Before submission, review the assignment rubric provided by your instructor. Make sure your essay addresses all the required components and meets the expected quality criteria.
**Submission Guidelines**
·
**File Format:** Submit your assignment as a Word document or PDF via the designated course submission portal.
·
**Cover Page and References:** A cover page and a separate references page are required. These pages are not included in the minimum page count.
·
**Deadline:** Submit the final version of your essay by the due date specified in your course calendar.
·
**Proofreading:** Check for clarity, coherence, grammar, and APA formatting before submission. A well-organized and carefully proofread paper will reflect your understanding and attention to detail.
·
By following these instructions, you will create a comprehensive, well-structured, and evidence-based analysis of how telehealth and remote monitoring options are utilized within your local healthcare services. This assignment not only highlights your ability to connect academic research with real-world healthcare practices but also demonstrates your capacity for critical thinking and graduate-level writing.
Feel free to reach out if you have any questions or need further clarification. Good luck with your research and writing!
Remember, your analysis should be both reflective and analytical, providing a robust discussion on how telehealth solutions are impacting patient care in your own neighborhood. Use your findings to contribute meaningful insights into the ongoing evolution of healthcare services.
**Submission**
Text Editor
_Word count: 0_
**Details & Information**
**Assessment due date**
5/31/25, 11:59 PM (EDT)
**Attempts**
3 attempts left
**Originality Report**
Turnitin enabled
**Evaluation rubric** [This item is evaluated with a rubric](https://fnu.blackboard.com/ultra/grades/assessment/_4242137_1/overview/attempt/create/rubric-view?columnId=_976898_1&courseId=_41110_1)
**Evaluation**
**Maximum points** 100 points
Save and CloseSubmit
## image1.jpeg
## image2.jpeg
**## WritingAssignmentWeek4.docx**
Writing Assignment Week 4: Telehealth Access and Remote Monitoring in Your Community
**Exercise Instructions**
**Telehealth Access and Remote Monitoring in Your Community** _(Examine how healthcare services in your specific ZIP code are providing telehealth and remote monitoring options and whether these services benefit the patient population.) my zipcode is 33325_
**Assignment Overview**
In this essay, you will evaluate the extent to which healthcare services in your specific geographic area (use your ZIP code for specificity) are offering telehealth and remote monitoring options. You will analyze the impact of these services on patient care and outcomes. Your submission must include at least three examples that you uncovered through research in your neighborhood.
**Requirements**
1.
**Essay Format and Length:**
· The assignment must be written as a formal essay.
· It must include an introduction, graduate-level discussion questions and responses, and a conclusion that synthesizes your key points.
· The paper should be a minimum of 3 pages in length, excluding the cover page and reference list.
1.
**Content Specifics:**
·
**Introduction:**
· Introduce the topic with background information on telehealth and remote monitoring.
· Clearly state the purpose of your essay.
· Provide your ZIP code to contextualize the geographic focus of your study.
·
**Graduate-Level Questions & Analysis:**
· Develop and answer at least two or three in-depth, graduate-level questions related to:
· How telehealth and remote monitoring options are integrated into local healthcare services.
· The benefits (or perceived benefits) these options offer to the patient population.
· Potential challenges or limitations associated with these technological advances.
· Make sure to substantiate your analysis with evidence-based practice (EBP). This should include referencing scholarly articles, government or institutional reports, and credible online sources.
· Include at least three concrete examples from your research in your local neighborhood that illustrate how these services are implemented. Explain how each example supports your discussion.
·
**Conclusion:**
· Summarize your findings.
· Synthesize the key points discussed in your paper.
· Reflect on the overall impact of telehealth and remote monitoring services on patient care in your area.
**APA Format:**
· Your essay must strictly adhere to APA 7th Edition guidelines.
· Ensure correct use of APA formatting for the title page, headings/levels, in-text citations, and the reference list.
· Double-check that all references are accurately cited within your text and that your reference list is complete.
**Evidence-Based Practice (EBP):**
· Develop your answers and support your analysis with evidence-based research.
· Incorporate data, statistics, and findings from peer-reviewed literature and reputable sources to lend credibility to your discussion.
**Rubric Review:**
· Before submission, review the assignment rubric provided by your instructor. Make sure your essay addresses all the required components and meets the expected quality criteria.
**Submission Guidelines**
·
**File Format:** Submit your assignment as a Word document or PDF via the designated course submission portal.
·
**Cover Page and References:** A cover page and a separate references page are required. These pages are not included in the minimum page count.
·
**Deadline:** Submit the final version of your essay by the due date specified in your course calendar.
·
**Proofreading:** Check for clarity, coherence, grammar, and APA formatting before submission. A well-organized and carefully proofread paper will reflect your understanding and attention to detail.
·
By following these instructions, you will create a comprehensive, well-structured, and evidence-based analysis of how telehealth and remote monitoring options are utilized within your local healthcare services. This assignment not only highlights your ability to connect academic research with real-world healthcare practices but also demonstrates your capacity for critical thinking and graduate-level writing.
Feel free to reach out if you have any questions or need further clarification. Good luck with your research and writing!
Remember, your analysis should be both reflective and analytical, providing a robust discussion on how telehealth solutions are impacting patient care in your own neighborhood. Use your findings to contribute meaningful insights into the ongoing evolution of healthcare services.
**Submission**
Text Editor
_Word count: 0_
**Details & Information**
**Assessment due date**
5/31/25, 11:59 PM (EDT)
**Attempts**
3 attempts left
**Originality Report**
Turnitin enabled
**Evaluation rubric** [This item is evaluated with a rubric](https://fnu.blackboard.com/ultra/grades/assessment/_4242137_1/overview/attempt/create/rubric-view?columnId=_976898_1&courseId=_41110_1)
**Evaluation**
**Maximum points** 100 points
Save and CloseSubmit
## image1.jpeg
## image2.jpeg
**Create a brief survey aimed at assessing the level of awareness among the healthcare providers to identify which routine actions could be the source of exposure to PHI and the ways to minimize this exposure.** **Explain why you chose the questions you did utilizing EBP to support your positions. E…
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Order on TutorsGallery →**Create a brief survey aimed at assessing the level of awareness among the healthcare providers to identify which routine actions could be the source of exposure to PHI and the ways to minimize this exposure.** **Explain why you chose the questions you did utilizing EBP to support your positions. Ensure you have an introduction and conclusion.**
Please ensure you use evidence-based practice in determining which methods to use for your survey. Please note the grading rubric. The submission should be minimally 4 pages not counting the cover page and references. Utilizes at least 3 sources and all sources are current within 5 years. Cited following APA format.
– a year ago
**Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.** **Addressing Health Disparities Through Medicaid Expansion** Through the Affordable Care Act's Medicaid expansion, millions of Americans gained better access to heal…
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Order on TutorsGallery →**Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.**
**Addressing Health Disparities Through Medicaid Expansion**
Through the Affordable Care Act's Medicaid expansion, millions of Americans gained better access to healthcare, including historically underserved populations who previously lacked proper care and displayed poorer outcomes. The six determinants of health known as SDOH shape health results through birth conditions and life stages from adulthood to employment and aging years to create an 80 to 90 percent influence compared to healthcare interventions, which impact only 10 to 20 percent. Medicaid expansion under the Affordable Care Act (ACA) remains a significant U.S. healthcare policy initiative that aims to resolve SDOH and health equity issues. The policy transformed healthcare opportunities for millions of Americans, especially benefiting those without previous healthcare access who faced subsequent health problems.
**Medicaid Expansion and Social Determinants of Health**
The fundamental structure of Medicaid expansion addresses various health determinants impacting Americans. The Medicaid system prior to the ACA limited coverage to expectant mothers with children under six, people with disabilities, and those who earned minimal incomes (Lin et al., 2021). The ACA reform eliminated previous coverage boundaries and standardized Medicaid enrollment through income-based eligibility criteria, granting access to adults below 138% of the Federal Poverty Line (Baten et al., 2024). The new policy framework addressed diverse social determinants of health issues.
**Access to Healthcare**
Healthcare access emerges as the fundamental outcome of Medicaid coverage expansion for medical services. Medical insurance rates continuously decreased after Medicaid expansion thanks to its focused benefits structure for particular populations. As noted in the literature, "from 2012 to 2018, uninsured rates decreased by 10.75%, 6.42%, and 1.11% for <138%, 138-400%, and >400% FPL, respectively." Studies prove Medicaid expansion brought the best benefits to those earning the least money since they needed insurance coverage the most (Baten et al., 2024). Better healthcare accessibility leads to improved chronic condition management outcomes and greater use of preventive measures while decreasing emergency department visits that could have been prevented.
**Housing, Education and Employment Stability**
The Medicaid expansion created stable finances, allowing beneficiaries to maintain their housing through reduced healthcare expenses. Studies have established that Medicaid expansion has reduced residential displacement and increased housing stability among participating beneficiaries (Baten et al., 2024). Better healthcare access from Medicaid expansion allows individuals to reallocate their funds to secure stable housing. Research shows that expanding Medicaid access leads to decreased school dropout rates, according to Lin et al. (2021). This policy gives beneficiaries career flexibility with independent healthcare benefits that allow them to enroll in training or educational programs.
**Strengths and Limitations in Reducing Health Disparities**
**Strengths**
Health outcomes between different income groups became more equal after Medicaid programs expanded across wider populations. The policy addresses low-income communities because, throughout history, these groups received the worst healthcare access. According to Snowden et al. (2022), the Medicaid expansion shows evidence of eliminating insurance inequalities based on social class and directly assists vulnerable populations. This policy's coverage model reaches extensively across multiple healthcare components. The comprehensive services Medicaid offers develop a superior strategy to handle health inequities by using preventive health services alongside chronic disease control beyond basic healthcare access programs. The policy expansion specifically helped adults aged 45-64 from low-income brackets because their healthcare needs were high before Medicaid provided coverage (Baten et al., 2024). According to research, this demographic experienced a "12.7 percentage point increase in insurance coverage" and simultaneously had a "5.9 percentage point reduction in unpaid medical bills" only through policy expansion benefits.
**Limitations**
Medicaid expansion demonstrates effective qualities, although it falls short of achieving impactful solutions for health disparities. The Supreme Court allowed states to choose Medicaid expansion, yet this freedom produced inconsistent implementation since numerous states with large African American communities refused to participate (Snowden et al., 2022). Studies reveal that low-income people who make too much for Medicaid coverage yet fall short of ACA marketplace subsidies mainly belong to ethnic groups (Lin et al., 2021). Specific healthcare inequalities continue to worsen because states implement healthcare policies differently. Research studies examining how Medicaid expansion impacts health disparities reveal inconsistent results while the policy succeeded in expanding healthcare access (Lin et al., 2021). Research analyses showed African Americans received no better access to health care, treatment, or health measurement results despite higher enrollment in coverage programs. Medicaid expansion reduces healthcare disparities, but the gap remains persistent, indicating more policy measures are necessary to achieve complete elimination. The research also indicates that "even after the expansion, the likelihood of being uninsured remained 12.78 and 19.77 percentage points higher for low-income individuals compared to those in the two higher income groups (Baten et al., 2024)." Medicaid expansion improves healthcare equity, yet persistent health disparities require further policy solutions to eliminate all remaining inequalities.
**Conclusion**
The Medicaid expansion policy improves multiple social health determinants by successfully reducing healthcare and financial disparities between groups of people. Other barriers in healthcare structure and inconsistent state implementation measures limit the full effectiveness of this policy. Advanced practice nurses drive the policy's full potential by providing patient education and healthcare advocacy during care delivery, creating innovative approaches to improve healthcare services and patient outcomes. Future advancement strategies must combine evidence-based policy modifications with clinician feedback to dissolve community healthcare inequalities.
**References**
Baten, A., Noman, A., & Rahman, M. N. (2024). Affordable Care Act Medicaid expansion, access to health care, and financial behavior of the United States adults. _Journal of Public Health Policy_, _45_. [https://doi.org/10.1057/s41271-024-00522-0](https://doi.org/10.1057/s41271-024-00522-0)
Franziska, Z., Ramona, T., Hansruedi, S., Monique, S. S., Franziska, V., & Kornelia, K. (2024). Advanced practice nurses’ daily practices delivering primary care to residents in long-term care facilities: a qualitative study. _BMC Primary Care_, _25_(1), 203. [https://doi.org/10.1186/s12875-024-02455-9](https://doi.org/10.1186/s12875-024-02455-9)
– a year ago
**Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.** **Reply # 1** **Current Healthcare Policy or Initiative Aimed at Addressing SDOH and the Potential to Reduce Health Disparities** Medicaid expansion is one of the pr…
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Order on TutorsGallery →**Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.**
**Reply # 1**
**Current Healthcare Policy or Initiative Aimed at Addressing SDOH and the Potential to Reduce Health Disparities**
Medicaid expansion is one of the principal terms of the Affordable Care Act (ACA). This essential healthcare policy help to reduce health dispropotion and address several social determinants of health (SDOH). This program expands access to health care to millions of low-income adults or low socioeconomic level, the mayority of whom were uninsured before, by expanding Medicaid eligibility to those earning up to 138% of the federal poverty level.
Medicaid expansion addresses several important SDOH drivers directly. Medicaid expansion promotes equality by reducing out-of-pocket medical spending when it is greater than a low threshold, and this lessens the financial burden on low-income populations (Whitman et al., 2022). In fact, patients taking advantage of expanded Medicaid are less likely to experience devastating healthcare costs that can drive eviction or homelessness, resulting in greater housing stability. In particular, the policy provides better access to health services (Harker & Sharer, 2024), especially low socioeconomic levels of communities, by amplifying the insurance coverage and stimulating the introduction of health services in these areas.
The good part of Medicaid expansion for reducing health inequities are well-documented, such us research on lower uninsured rates, helping to improve the health outcomes, and reducing in racial/ethnic disparities in access to care (Lin et al., 2021). Expansion has been associated with large decreases in mortality among low-income adults in states that adopted it (Harker & Sharer, 2024). It also help to improve the continuity of care and decreases the visits to the emergency room, which is quite often a last resort for the uninsured. However, limitations exist. There is a coverage gap because not all states have expanded Medicaid. In addition, Medicaid reimbursement rates are still low, which can prevent providers from accepting Medicaid patients, meaning that coverage may not translate to access.
Advanced practice nurses (APNs) are vital in advocating for and improving policies such as Medicaid expansion. They can also assist by performing and sharing research that demonstrates the ability of Medicaid expansion to reduce disparities. Furthermore, through culturally appropriate care and community-based interventions, APNs can also contribute to closing the gap between policy and practice.
**Conclusion**
Medicaid expansion is an effective tool in meeting social determinants of health needs, specifically healthcare access among high-risk populations. It helps establish better health equity by removing barriers to access and reducing costs. However, successful implementation requires more than simply adopting a policy. Continued advocacy and healthcare workers' involvement are imperative. These professionals lead the way in clinical, community, and policy settings so that the expansion of benefits accrues to those most in need.
**References**
Harker, L., & Sharer, B. (2024). _Medicaid expansion: Frequently asked questions_. Center on Budget and Policy Priorities. https://www.cbpp.org/research/health/medicaid-expansion-frequently-asked-questions-0
Lin, Y., Monnette, A., & Shi, L. (2021). Effects of medicaid expansion on poverty disparities in health insurance coverage. _International Journal for Equity in Health_, _20_(1). https://doi.org/10.1186/s12939-021-01486-3
Whitman, A., De Lew, N., Chappel, A., Aysola, V., Zuckerman, R., & Sommers, B. (2022). _Addressing Social Determinants of Health: Examples of Successful Evidence-Based Strategies and Current Federal Efforts_. https://aspe.hhs.gov/sites/default/files/documents/e2b650cd64cf84aae8ff0fae7474af82/SDOH-Evidence-Review.pdf
– a year ago
nursing concepts – a year ago
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– a year ago
**Please ensure that the Discussion includes more than 400 words with scholarly articles, and the plagiarism level must remain below 20%.** – [\ \ Assignmentinstructions.docx](https://www.sweetstudy.com/files/assignmentinstructions-docx-10307419 "Assignmentinstructions.docx") – a year ago
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Assignmentinstructions.docx](https://www.sweetstudy.com/files/assignmentinstructions-docx-10307419 "Assignmentinstructions.docx")
– a year ago