Wright State University-Miami Valley
College of Nursing & Health
Spring 2014
COURSE NUMBER & TITLE: NUR 7003-92 Health Policy, Politics & Issues
PLACEMENT IN CURRICULUM: Graduate Standing
PREREQUISITES: None
CATALOG DESCRIPTION: Critical analysis of public policies and issues affecting nursing and health care
delivery. Encompasses economic, political, social, technological, ethical and legal influences on consumers and
health care providers from a global perspective.
CREDIT HOURS: 2 graduate credits
COURSE LOCATION & CLASS TIMES: ONLINE
FACULTY: Detrice Green Barry, PhD, MSN, RN
Office: 148 University Hall
Phone Office: 937-775-2693
Cell: 513-256-3074
E-mail detrice.barry@wright.edu
Office Hours: Tuesdays 4:30 pm-5:30 pm
Wednesdays 3:00 pm-4:30 pm
SECRETARY: Sue Bevan, CONH Graduate Program
Administrative Support Coordinator
937/775-3577
sueanne.artz@wright.edu
COURSE OBJECTIVES:
1.
2.
3.
4.
5.
6.
7.
Analyze concepts and theories related to health policy issues.
Evaluate public policies and their effect on health care delivery.
Analyze ethical, legal, economic, technologic and global implications.
Analyze health policy research.
Differentiate options for health care reform.
Demonstrate use of a political strategy to influence health care.
Analyze strategies for empowering aggregate and communities to influence health policy.
Objectives Approved August 13, 2010, Wright State University-Miami Valley
TEXTBOOKS:
Nickitas, D.M., Middaugh, D.J., & Aries, N. (2011). Policy and Politics for Nurses and Other Health
Professionals: Advocacy in Action. Jones and Bartlett
American Psychological Association. (2010). Publication manual of the American Psychological Association
(6th ed.). Washington, DC: APA.
Articles in PILOT, electronic course reserve, or by web link. See weekly course outline.
Recommended Websites: Available in PILOT
EVALUATION: Written assignments: Use 6th edition APA Publication Manual of the American Psychological
Association. All written assignments must be submitted via assigned Pilot drop boxes. Plagiarism
detection will be used for all written assignments.
GRADE: By College policy, final grades are not rounded off (up). The final grade submitted to the Registrar’s
Office is a letter grade based on the following college grading scale:
A = 90 - 100%
B = 80 - 89.99%
C = 70 - 79.99%
D = 60 - 69.99%
F = < 60%
EVALUATION
VALUE
Introductions
Who are your Government Officials?
Policy Making Assignment
Affordable Care Act Summary
CMS Web based training module
Case Study Analysis 1
Analysis of a Legislative Bill Paper
Pass/Fail
5%
5%
5%
5%
10%
35%
Case Study Analysis 2
Case Study Analysis 3
IOM Discussion Board
Analysis of Legislative Bill Peer Responses
10%
10%
10%
5%
METHODS OF INSTRUCTION:
 Power point, audio mini-lectures, discussion board, individual and collaborative learning, audio-visual,
written assignments and assigned readings.
 The syllabus, lecture notes, supplemental readings, grading rubrics and other information will be
available on Pilot.
COMMUNICATION WITH FACULTY:
Please send all correspondence using email in Pilot. I will try to reply as soon as possible Monday through
Friday. Correspondence sent after 5pm Friday may not be reviewed or responded to until the following Monday
(excluding Holidays and Breaks). Students are strongly advised to log into Pilot routinely for additional
information and course updates.
ACADEMIC HONESTY:
Honesty is a necessary quality for nurses. All students are expected to adhere to the WSU and the CONH
expected code of conduct for academic integrity. Plagiarism, academic dishonesty, and disruption will not be
tolerated and can result in immediate dismissal from the class and failure in the course. If a student is caught
submitting someone else’s work as their own for a class assignment, he or she will receive zero (0) points for
that assignment. Submitted assignments must be the student’s original work. Plagiarism detection will be
used in Pilot. Assignments may be submitted up to three times (prior to the final due date). If plagiarism
is detected in the final submission, a failing grade will be assigned for the course and the student will be
referred for University discipline as described in the Code of Student Conduct
http://wright.edu/students/judicial/integrity.html. Assignments are expected on due dates unless prior
arrangements are made with faculty. Late assignments will lose 5% for each day late. Any assignment
more than 3 days late without permission from faculty will receive a “0” grade.
SOCIAL MEDIA POLICY:
The College of Nursing and Health adopted a new Social Media Policy March 2011 which can be found in your
Student Handbook. It is your responsibility to read it, understand and abide by it.
MISSED ASSIGNMENT POLICY
All assignments should be submitted on time into the appropriate drop box. No assignments will be accepted via
email to the instructor unless a late paper approval has been negotiated with the faculty member. Late
assignments will not be accepted unless negotiated with the faculty member 24 hours in advance of the due
date. Students negotiating late assignments should provide rationale for the late assignment and expect to lose
5% if submitted 1-3 calendar days late and 10% if submitted 4-7 calendar days late, unless the assignments have
been returned to the class earlier. Assignments will NOT be accepted once the graded assignments are returned
to the class. No assignments will be accepted after the last day of class. Further, only one late assignment per
semester is acceptable. IF, there is a reason that is acceptable to the faculty for violating the one assignment
rule, be prepared to consider a discussion about ability to complete course in the given time period and if an
“Incomplete Grade” contact should be established. Incomplete Grade contracts cannot be negotiated until after
the drop date has passed and after three course assignments have been submitted, accepted and returned with a
passing grade.
COMPUTER and TELECOMMUNICATIONS SERVICES (CATS): For problems with Pilot, questions about
computer compatibility and other technological issues and concerns, contact the CATS help desk at 025 Library Annex.
(937) 775-4827 or 1-888-775-4827; helpdesk@wright.edu.
IMPORTANT SEMESTER DATES
First day of class -Monday January 13, 2014
Rev. Dr. Martin Luther King, Jr. Holiday- Monday January 21, 2014 University Closed
Spring Break-Monday March 3-Friday March 7
Check the University Academic Calendar for other important dates such as withdrawal/drop dates
http://www.wright.edu/academics/academic-calendar#tab=spring-semester
COURSE ASSIGNMENTS:
I.Introductions (Pass/Fail)
Introduce yourself to peers in the course room in Pilot under communication-discussions-“Introductions”
Respond to at least two of your peers.
II.Who are your Government Officials? (5%)
Review the Resources in Pilot. In one to two paragraphs, describe the process for obtaining information on your
Government Officials. List each the officials (Mayor, Governor, State (House and Senate) 113th Congress
(Representative and Senator).
III. Participation in Health Policy Making 5%
For this assignment you must complete Option A or Option B.
Option A:
1. Attend a policy meeting or forum and write a one page summary describing the experience. The
meeting/forum may be a health department board or committee meeting, a city council meeting, a
legislative committee meeting, etc. Please send the meeting you are planning to attend to your faculty
for approval prior to attending. As part of this assignment you are to write a one page summary of your
experience. This summary will include:
1. The name of the meeting or forum
2. Date and time of the meeting
3. Agenda items
4. Number of individuals present for the meeting
5. Name and position of individual chairing the meeting/forum
6. Number of community members/stakeholders (other than committee/forum) members present.
7. What agenda items were discussed that relate to policy making?
8. What was the final outcome of this discussion?
9. What was your general impression of the meeting/forum?
Option B:
1. Review three (3) sets of minutes from a health forum or health policy meeting; an example might be 3
sets of minutes from a local County Health Board. From the review of the 3 sets of minutes, submit a 35 page summary that provides the following:
1. Name of the forum or meeting
2. Dates of the forums or meetings
3. Agenda items for each meeting
4. Choose one agenda item and provide the following information:
a. What interest group(s) or individual(s) were responsible for placing this item on the
agenda?
b. Was the agenda item technically feasible?
c. Were there opposing opinion regarding the agenda item? What were the opposing
opinions?
d. What were the costs associated with this agenda item?
e. Was there final agreement among the members regarding the disposition of the agenda
item?
f. Based on your review, what are your general impressions of the policy making process?
How do you think an APN might have been able to influence the outcome (if at all) of
this process?
IV. Written analysis of a policy issue currently or recently addressed in a state legislature or in Congress
addressing a health care concern. 35%
1. Identify a health care issue affecting advanced practice nurses for which legislation has
currently or recently been proposed or passed in a state legislature or in congress.
2. Describe the environment that brought this health care concern to the forefront
A. Historical
B. Sociocultural
C. Ethical
D. Legal
E. Economic
F. Political
G. Legislative
3. Identify difficulties encountered and tactics used to propel the legislation forward.
a. Include identification and activities of stakeholder group(s) opposed to or supportive of the
legislation including/such as bill sponsors, industries manufacturing health care products or
technology, consumers of health care, and provider care- both professionals and institutions.
b. If the legislation has not been passed discuss pessimistic and optimistic timelines set to achieve
the goal.
4. Indicate how the legislation will be or has been evaluated for effect on consumers and providers of care.
a. Include both positive and negative effects.
5. Compare the policy goal addressed by the bill with how the same goal is achieved in another country.
6. Write a letter to the appropriate Government Official to suggest options for refining/changing the
measures/programs in the legislation to improve policy outcomes.
Papers should not exceed 8 pages in length and should be typed in 12 point times new roman font and
references in APA style following the 6th edition of the Publication Manual of the American Psychological
Association. A minimum of six (6) references including at least two scholarly journal articles must be used.
A title page and abstract must be included. Headings must be used in the paper. It is suggested headings
relate to the criteria for this assignment.
On line discussion of Abstract of analysis paper 5%
Each student should post an on-line abstract of their individual analysis paper. A one page abstract should be
written according to APA format. The abstract should be distributed to the members of the class under
“discussion board”.
Each student should respond to two peer analysis paper. The response should be a minimum of 1 paragraph and
should include comments and questions. The author of the Analysis Paper must respond to a minimum of two
posted comments.
V.CMS Web-based Training Module 5%
Each student is required to complete the CMS module: World of Medicare. The module is located at
http://cms.meridianksi.com. Each student is required to complete the training course, pass the post test,
print/scan the certificate, and post a copy of the certificate as proof of completion to the drop box. Proof of
Completion = 100% for assignment.
Online Discussion Board Expectations:
Students are expected to participate in each discussion activity. This means the minimum quantity for full points
is that the student provides 1 original post AND 2 substantive responses to peers (total 3 posts to each
question assigned). Both quality and quantity of participation will be assessed. Comments must be relevant,
thoughtful, and backed up as needed with evidence. Links to related websites and resources are always
welcome. Referencing is strongly advised. All postings are to be cited with primary, credible, scientific
references. Be sure to answer questions posed to you. Be sure to respond to others who answer your questions
if appropriate. Ask questions, suggest alternative viewpoints, identify options, redirect misinformation, and
clarify. Do not stop at, “I agree” or give cheerleader feedback.
Students are expected to log into the discussion forum and post an answer to the discussion questions by
Friday 11:00 p.m. of each week. In addition to answering all of the questions the student must also post a
response to 2 other classmates by 11:00 p.m. Sunday. Please do not ask for extensions. Postings enable other
students to respond to your answers in the time frame required.
Discussion Board Topics
 Week 1: Introductions
 Week 6: Affordable Care Act


Week 12: “Case Study Analysis 1”
Week 13:“Case Study Analysis 2”



Week 14: “Case Study Analysis 3”
Week 15: IOM Summary
Week 15: Legislative Bill Analysis Peer Response
NOTE: Grading Rubric for discussion boards will be posted in PILOT
NUR 7003- Spring 2014
*Topical Outline
Week &
Date
Week One
Jan. 13
Dr. Barry
Topic
Introduction to
Health Policy and
Politics in Nursing
Reading
Nickitas, Middaugh, &
Aries: Chapters1& 2
Class Activities
Assignment Due Dates
Introduction /Discussion Board- Pass/Fail
Sunday January 19 by 11:00 pm
Review Syllabus
Lecture
Week Two
Jan. 20
Health Policy
Formulation:
Agenda Setting
Nickitas, Middaugh, &
Aries: Chapters 1 & 2
Lecture
Who are your Government Officials?
Dr. Barry
Due Sunday Jan 26 in drop box by 11:00 pm
Policy Making
Process at Various
Levels of
Government
Week Three
Jan. 27
Understanding the
Legislative Process
Dr. Deb
Arms
Week Four
Policy Formulation
Feb 3
Implementation
and Evaluation
Dr. Barry
Library of Congress
http://beta.congress.gov
/legislative-process/
Review the videos
Lecture
Nickitas, Middaugh, &
Aries: Chapters 6
Lecture
Policy Making Assignment
Due Sunday February 2 by 11:00 pm
CMS : World of Medicare Web Based Training Module
Due: February 9 by 11:00 pm
http://cms.meridianksi.com
Policy Making
Environments
Week Five
Feb. 10
Dr. Barry
Ethical
Frameworks in
Policy making
Rugers, J. P.(2008). Ethics
in American health 1: ethical
approaches to health policy
American Journal of Public
Health 2008. 98(10):1751-6.
doi:
10.2105/AJPH.2007.121343
Lecture
http://www.ncbi.nlm.nih.gov
/pmc/articles/PMC2636451/
pdf/1756.pdf
Rutgers, J. P.(2008)Ethics in
American Health 2: An
Ethical Framework for
Health System Reform.
American Journal of Public
Health. 98(10): 1756–1763.
doi: 10.2105/AJPH.2007.12
1350
http://www.ncbi.nlm.nih.gov
/pmc/articles/PMC2636453/
pdf/1751.pdf
Week Six
Feb. 17
Dr. Barry
US Health Care
Delivery System
The Affordable
Care Act
Nickitas,Middaugh, & Aries: Lecture
Chapters 6-9
Affordable Care Act Discussion Summary
Discuss how the Affordable Care Act has impacted your work
environment. (Organization, reimbursement, practice, patients).
The Affordable Care Act
http://www.hhs.gov/healthca
re/rights/law/index.html
Posts due Friday February 21 at 11:00 pm
Responses due February 23 by 11:00 pm
The AANP
http://www.aanp.org/legislat
ion-regulation/federallegislation/affordable-careact-aca
Affordable Care Act:
Understanding Health Care
Policy
View You Tube Videos
http://www.youtube.com/wa
tch?v=WHwoVvxsAZ0&list
=PLqFbKPCi6CpWq4jSXljjw_HO
HhFp75Vl
Week Seven
Feb. 24
Dr. Barry
Week Eight
March 3-7
Week Nine
March 10
Dr. Barry
Health Disparities
and Social Justice
CDC Health Disparities and
Inequalities Report
Lecture
http://www.cdc.gov/minority
health/CHDIReport.html
SPRING BREAK
UNIVERSITY
CLOSED
Community
Advocacy and
Political Activism
NO CLASS
CDC Best Practices for
Comprehensive Tobacco
Control Program
Lecture
http://www.cdc.gov/tobacco/
stateandcommunity/bp_user
_guide/pdfs/user_guide.pdf
Week Ten
March 17
Dr. Barry
Economics and
Finances of Health
Care
Nickitas, Middaugh, &
Aries: Chapters 10
Lecture
IOM Summary: Core
Measurement Needs for
Better Care, Better Health,
and Lower Costs: Counting
What Counts
http://www.iom.edu/Reports
/2013/Core-MeasurementNeeds-for-Better-CareBetter-Health-and-LowerCosts.aspx
Week
Eleven
March 24
Dr. Barry
Health Policy &
Health Care
Systems in Other
Countries
*Subject to change
CDC Global Health Strategy
2012-2015
http://www.cdc.gov/globalhe
alth/strategy/pdf/cdcglobalhealthstrategy.pdf
Lecture
Week
Twelve
March 31
Dan
Kirkpatrick,
MSN, RN
APN Regulation
and Legislation
Nursing
Organizations and
Professional Policy
Agendas
American Association of
Nurse Practitioners
http://www.aanp.org/
Click on
Legislation/Regulation Tab
Review and Read Each
Section
Guest Lecturer: Dan Kirkparick, MSN, RN
President Ohio Nurses Association
Discussion Board
Case Study 1 Discussion: External Stakeholder Power: Successful
Efforts to Pass Advanced Practice Legislation
Nickitas, Middaugh, & Aries Page 342
Answer discussion questions at the end of the case study.
Posts Due Friday April 4 and Responses to two peers Due Sunday
April 6 by 11:00 pm
Week
Thirteen
Technology and
Health Policy
April 7
Nickitas, Middaugh, &
Aries: Chapter 12
Discussion Board
WSU Library Course
Reserve
http://wright.docutek.com/er
es/courseindex.aspx?error=
&page=search
Password: policy (all
lowercase)
Dr. Barry
Lecture
Case Study 2: Internal Expertise Power: The Politics of Moving to an
Electronic Medical Record
Nickitas, Middaugh, & Aries Page 344
Answer questions at the end of the case study
Posts due Friday April 11 by 11:00 pm
Responses to two peers due Sunday April 13 by 11:00 pm
Analysis of a Legislative Bill Paper Due April 13
Drop box by 11:00 pm
Week
Fourteen
Workplace Policies
and Politics
Nickitas, Middaugh, &
Aries: Chapter 3,4 &5
Post Abstract to Discussion Board
Due April 13 by 11:00 pm
Lecture
Discussion Board
April 14
Case Study 3: Workplace Violence Nickitas, Middaugh, & Aries
Page 348
Dr. Barry
Answer questions at the end of the case study
Posts due Friday April 17 by 11:00 pm
Responses to two peers due Sunday April 19 by 11:00 pm
Week
Fifteen
Health Services
Research
April 21
Health Care
Quality
Nickitas, Middaugh, &
Aries: Chapter 14
Lecture
IOM Discussion Board
Dr. Barry
Regulatory Process
and Quality
Control
The Institute of Medicine
www.iom.edu
Read Executive Summary:
2010 IOM Report: The
Future of Nursing
Agency for Health Care
Research and Quality
www.ahrq.gov
Posts due by Friday April 25 by 11:00 pm
Responses to two peers due by Sunday April 27 by 11:00 pm
Week
Sixteen
April 28
FINAL EXAM
WEEK
Legislative Bill Peer Responses
Peer evaluation of Legislative Bill Analysis Abstract
Responses due Sunday April 27 by 11:00 pm
NO FINAL EXAMINATION
Complete faculty and course evaluation