NR 443 - Week 1 DQ 1: Healthy People ( A Graded) - Chamberlain College Of Nursing.
WEEK 1
Healthy People 2020 (graded)
The federal government
... [Show More] developed Healthy People as a set of national health objectives that are
periodically evaluated to measure progress in the nation’s health goals and healthcare services. HP 2020
has a renewed focus on identifying, measuring, tracking, and reducing health disparities through a
determinants-of-health approach.
This week, please briefly discuss a Healthy People 2020 objective under the topic area of your choice. Go
to www.healthypeople.gov and select any one of the objectives under the topic area of your interest.
Using the local, national, or international news, describe actions you, as a community health nurse, could
take in formulating policy changes to help promote the objective you have selected. Cite references to
support your views.
Please note:
There is a helpful "Introduction to Healthy People 2020 website" document in Doc Sharing to aid you in
navigating the HP 2020 website.
Our textbook, Community/Public health nursing: Promoting the health of populations (5th ed.) was
published prior to the final version of Healthy People 2020, resulting in some of the book content
differing from the Healthy People 2020 website.
Respond
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(an instructor response)
Collapse Mark as Read Healthy People 2020 Instructor Hamilton Email this Author
2/17/2015 8:26:56 PM
Hello Class,
In the United States we have many health issues to examine. Healthy People 2020 is designed to address
these issues and reduce the disparity in health care in our nation. This week go to the Healthy People
website and find a topic area that is your passion and explore this topic of interest. Think of your
personal experiences, community-local, national, and state and formulate ideas to how we can impact
this issue as a community health nurse. My guess is you will find not one but many that interest you. I
find when I look at the topics there is truly not just one topic of interest. As a part of my practice in
community health I saw the devastating effects of many of these factors every day.
How about you? How can you relate to the current concerns and how can we make a difference as
nurses?~Dr Hamilton
Class: You may begin posting in this TD on Sunday, March 1, 2015 for credit.
Respond
Collapse Mark as Read RE: Healthy People 2020 Erica Meyerhofer Email this Author
3/1/2015 6:54:57 AM
Week 1 Main Post Healthy People 2020
Professor Hamilton and Classmates
Access to health care, I believe is the key to reducing disparity in health care in our nation. If we could
provide access to health care to all a chance at prevention of disease and disability, improved life
expectancy, and detection and treatment options could be presented and treated if applicable
(HealthyPeople.gov). The highest percent without access currently are those who are uninsured due to
cost and or availability. The lack of access causes a delay in treatment progressing the disease process,
shortcoming in preventative services, and readmissions.
With the Patient Protection and Affordable Care Act signed in March of 2010 by President Obama, one
feature is that organizations will not be reimbursed for hospital readmissions that occur within 30 days
of discharge. The Patient Protection and Affordable Care Act is intended to expand coverage to the
uninsured by controlling costs (Nies & McEwen, 2011). With less cost associated with readmissions, the
funds can be applied to increase the proportion of people without health insurance. Since the
implementation, there has been estimated 70,000 fewer admissions in 2012 (Sebelius, 2013).
Recently the organization I work for has implemented Transitional Care Management (TCM) policy to
reduce the rate of readmissions. My role in TCM as a community nurse it to review the discharge
summary, call the patient within two days to conduct an assessment for possible readmission causes,
and to verify an appointment has been achieved with his primary care provider within 7 to 10 days. My
role makes sure that patients are provided appropriate medical services in a timely manner. Many times
services are ordered at discharge and never initiated. By calling the patients if services requested are not
started, I can follow up in a timely manner and initiate the services.
Erica Meyerhofer
References:
Nies, M. A. & McEwen M. (2011). Community/Public health nursing: Promoting the health of
populations (5th ed.). St Louis, MO: Saunders/Elsevier.
HealthyPeople.gov. (2015). Determinants of health (n.d.),
http://www.healthypeople.gov/2020/about/foundations-health-measures/Dterminants-of-Health.
Sebelius, K. (2013). Good news on innovation and health care.
http://www.hhs.gov/healthcare/facts/blog/2013/05/innovation.html
Respond
(an instructor response)
Collapse Mark as Read RE: Healthy People 2020 Instructor Hamilton Email this Author
3/2/2015 5:35:22 PM
Erica
Very good topic readmission for not understanding medication administration and reconciliation is a key
topic and transitional nurses have become a popular position of late. A local pharmacy is helping people
organize current medications and dispose of expired or no longer needed medications which is an
outreach initiative started with the transitional care nurses here locally...I went to a home for a wellbeing
check and of course the elderly person was fine just not too active because we are in the middle of
winter... [Show Less]