This document provides an overview of health policy and its relationship to ethics. It discusses why health is a policy issue due to concerns about physical/emotional well-being, its role in the economy and as a social/cultural value. The importance of health policy to nurses is described as it influences available technologies/treatments, healthcare systems, and patient relationships/care. The document also examines the differences between market and social justice approaches to healthcare policy and the role of politics in health policy development.
Denis Cortese, M.D., president and CEO of Mayo Clinic, and Mayo Clinic Rochester chief administrative officer Jeff Korsmo presented highlights of the Mayo Clinic Health Policy Center's work on health care reform.
This narrated powerpoint covers the Opioid Epidemic and harm reduction approaches to addressing problematic opioid use. This powerpoint is intended to help provide a baseline knowledge of harm reduction approaches for substance use treatment, including for the treatment of Opioid Use Disorder.
Make or buy role of private sector in healthAlaa Hamed
The Role of Private Sector in Health, the economic argument on how to make decision to produce or to buy health services, Based on the book "Public Ends, Private Means", A chapter on the political economy of private sector participation in the health sector by Alex Preker and April Harding
Denis Cortese, M.D., president and CEO of Mayo Clinic, and Mayo Clinic Rochester chief administrative officer Jeff Korsmo presented highlights of the Mayo Clinic Health Policy Center's work on health care reform.
This narrated powerpoint covers the Opioid Epidemic and harm reduction approaches to addressing problematic opioid use. This powerpoint is intended to help provide a baseline knowledge of harm reduction approaches for substance use treatment, including for the treatment of Opioid Use Disorder.
Make or buy role of private sector in healthAlaa Hamed
The Role of Private Sector in Health, the economic argument on how to make decision to produce or to buy health services, Based on the book "Public Ends, Private Means", A chapter on the political economy of private sector participation in the health sector by Alex Preker and April Harding
Priority setting in uhc sep 9 short versionAlaa Hamed
A presentation delivered for the MNA Health Policy Forum to argue that HTA could be used to prioritize the selection of health services for the health benefit package taking in consideration equity, political economy, and country values.
Recovery Oriented Systems of Care: A Space to Integrate Abstinence Based Tre...Marcella Maguire
Recovery Oriented Systems of Care offer a framework in which Abstinence Based Treatment Models and Harm Reduction Models can find similar and complementary ground. Historical friction between the models only serves to further marginalize those suffering from addictive disorders. A broad tent approach offers all persons suffering from addiction a place to receive care. This model is discussed in terms of national efforts to end homelessness.
Keynote presentation from the TSA Internatonal Conference 2012 sharing psychological and organizational research on health and social care partnerships
Is healthwashing the new greenwashing? Are we placing too much faith in technology? These are just some of the questions that emerged from our conversation around making health a shared value at TEDMED 2015. Check out our blog, "Overheard at TEDMED: Let's Dance," for more details: http://blog.tedmed.com/overheard-at-tedmed/
The Challenges and Opportunities of Integrated Health HomesMary Tolan
Fragmented care has long been a frustrating thorn in the sides of those living with multiple or chronic illnesses. Despite the complexity of their conditions, these patients often receive little to no support when coordinating their medical treatment and struggle to shoulder the administrative burden themselves.
Proposed changes in health care payment, from fee-for-service to alternative, risk-sharing payment models, can have a substantial impact on health services for children, especially those with complex care needs. In addition, tying payment to value can increase use of ambulatory and preventive services and encourage creative outreach. However, abrupt changes can interrupt continuity and reduce access to care.
Priority setting in uhc sep 9 short versionAlaa Hamed
A presentation delivered for the MNA Health Policy Forum to argue that HTA could be used to prioritize the selection of health services for the health benefit package taking in consideration equity, political economy, and country values.
Recovery Oriented Systems of Care: A Space to Integrate Abstinence Based Tre...Marcella Maguire
Recovery Oriented Systems of Care offer a framework in which Abstinence Based Treatment Models and Harm Reduction Models can find similar and complementary ground. Historical friction between the models only serves to further marginalize those suffering from addictive disorders. A broad tent approach offers all persons suffering from addiction a place to receive care. This model is discussed in terms of national efforts to end homelessness.
Keynote presentation from the TSA Internatonal Conference 2012 sharing psychological and organizational research on health and social care partnerships
Is healthwashing the new greenwashing? Are we placing too much faith in technology? These are just some of the questions that emerged from our conversation around making health a shared value at TEDMED 2015. Check out our blog, "Overheard at TEDMED: Let's Dance," for more details: http://blog.tedmed.com/overheard-at-tedmed/
The Challenges and Opportunities of Integrated Health HomesMary Tolan
Fragmented care has long been a frustrating thorn in the sides of those living with multiple or chronic illnesses. Despite the complexity of their conditions, these patients often receive little to no support when coordinating their medical treatment and struggle to shoulder the administrative burden themselves.
Proposed changes in health care payment, from fee-for-service to alternative, risk-sharing payment models, can have a substantial impact on health services for children, especially those with complex care needs. In addition, tying payment to value can increase use of ambulatory and preventive services and encourage creative outreach. However, abrupt changes can interrupt continuity and reduce access to care.
Online Public Consultation and Civic Engagementcherylh
Paper presented at: To blog or not blog? Government and Citizen e-Participation May 2009 - Learnings from Federal Government trials and international experiences, by Jim Macnamara, Professor of Public Communication and Director Australian Centre for Public Communication, University of Technology, Sydney. May 2009
New ways of delivering public consultation - LARIA conference presentation 2015Rachel Cope
We believe there is much we can learn from our European neighbours and we will use this session to demonstrate this.
Our session focused on 3 key challenges faced when carrying out consultations:
• Value for money
• Inclusiveness and transparency
• Actionability
Using our international primary and secondary research experience we shared best practice examples from Europe to show how this has helped shape transformational initiatives, demonstrating the sectors that put most faith in the consultation approach.
Lessons Learned from Constitution-making: Processes with Broad Based Public P...Jamaity
The élection of the Constituent Assembly in Tunisia is a milestone on the path towards a stable, peaceful and democratic future. Now one of the most important challenges is to ensure that the people of Tunisia can adequately participate in the constitution-making process. The democratic revolution that unified Tunisians should not be translated into a technocratic process with little public involvement and understanding.
Although there are various approaches to participatory constitution-making, past decades have seen a clear trend towards broad public participation in constitutional reform all over the world. Such public participation entails the direct involvement of citizens in constitution-making, giving them a chance to influence decision-makers and the outcome of the process.
This trend is supported by international law, notably the International Covenant on Civil and Political Rights (ICCPR). The ICCPR establishes minimum obligations for participation in public affairs that are also applicable to constitution making processes and give citizens an individual right to participate in constitution-making. While this right may be subject to conditions, namely whether citizens participate directly or through representatives, it must not be restricted in unreasonable or discriminatory ways.
Stakeholder engagement methodologies & practices. In the world of interaction. An understanding of the nuances of relationships, how to build them and what to do with them is key to personal & business success
PUBLIC HEALTH POLICY & LEGISLATIONS Health is the right of all persons and the duty of the State and is guaranteed by means of social and economic policies aimed at reducing the risk of illness and other hazards and at universal and equal access to all actions and services for the promotion, protection and recovery of health.
"Health Impact Assesment in Confirmed Animal Feeding Operations (CAFO) Permitting" presented by Ellen Mee, JD, at the Ohio Clean Water Conference 2011.
Equity is the absence of avoidable, unfair, or remediable differences among groups of people, whether those groups are defined socially, economically, demographically or geographically or by other means of stratification. "Health equity” or “equity in health” implies that ideally, everyone should have a fair opportunity to attain their full health potential and that no one should be disadvantaged from achieving this potential.
HIA in Decision Making: What We Know and What We Need to Know Francesca Viliani
HIA in Decision Making: What We Know and What We Need to Know presentation made at the 2015 Global Health Forum on “Public Health Governance” in Taiwan
‘वोटर्स विल मस्ट प्रीवेल’ (मतदाताओं को जीतना होगा) अभियान द्वारा जारी हेल्पलाइन नंबर, 4 जून को सुबह 7 बजे से दोपहर 12 बजे तक मतगणना प्रक्रिया में कहीं भी किसी भी तरह के उल्लंघन की रिपोर्ट करने के लिए खुला रहेगा।
01062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
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04062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
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An astonishing, first-of-its-kind, report by the NYT assessing damage in Ukraine. Even if the war ends tomorrow, in many places there will be nothing to go back to.
31052024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
03062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
El Puerto de Algeciras continúa un año más como el más eficiente del continente europeo y vuelve a situarse en el “top ten” mundial, según el informe The Container Port Performance Index 2023 (CPPI), elaborado por el Banco Mundial y la consultora S&P Global.
El informe CPPI utiliza dos enfoques metodológicos diferentes para calcular la clasificación del índice: uno administrativo o técnico y otro estadístico, basado en análisis factorial (FA). Según los autores, esta dualidad pretende asegurar una clasificación que refleje con precisión el rendimiento real del puerto, a la vez que sea estadísticamente sólida. En esta edición del informe CPPI 2023, se han empleado los mismos enfoques metodológicos y se ha aplicado un método de agregación de clasificaciones para combinar los resultados de ambos enfoques y obtener una clasificación agregada.
Here is Gabe Whitley's response to my defamation lawsuit for him calling me a rapist and perjurer in court documents.
You have to read it to believe it, but after you read it, you won't believe it. And I included eight examples of defamatory statements/
3. WHY IS HEALTH A POLICY ISSUE?
Physical well-being of people
Emotional well-being of people
Health as economic driver
Health as social/cultural value
4. WHY IS HEALTH POLICY
IMPORTANT TO NURSES?
Why are we here?
5. IMPORTANCE TO ADVANCED
NURSING PRACTICE AND
RESEARCH
Available technologies / treatments raise
ethical problems
Evolving health care systems influence
practice
Healthcare policies and issues affect
patients and your relationships with them
Nurses have knowledge and experience
invaluable to the policy making process
Advanced degree is entrée into higher
level of policy influence
8. MARKET JUSTICE VS. SOCIAL
JUSTICE
Health care as Health care as social
economic model resource
Free market position Requires government
Market-based demand involvement
for services Assumes government-
Services provided on led position
ability to pay Ability to pay is not
Access is reward for necessary
personal effort Access is a right
9. MARKET JUSTICE VS. SOCIAL
JUSTICE
Individual Collective
responsibility for responsibility for
health health
Benefits based on Basic benefits for
individual purchasing everyone
Limited obligation to Strong obligation to
collective good collective good
Private solutions Public solutions
Rationing based on Planned rationing of
ability to pay health care
10. PUBLIC POLICY DEFINED
“Public policy” is the authoritative decisions
made in the legislative, executive or judicial
branches of government that are intended to
direct or influence the actions, behaviors or
decisions of others (Longest, 2002)
Public policy is created from the legitimate
actions of persons holding the power of position
12. HEALTH POLICY
The collection of authoritative decisions made
within government that pertain to health and the
pursuit of health (Longest, 1998)
Public sector policies that pertain to or influence
health
Established at federal, state and local level
Affect or influence groups or classes of individuals
Defining purpose to support people as they seek
health
13. OBJECTIVE OF HEALTH POLICY
Policies are always developed to achieve
someone’s policy agenda
Multiple motivations
In US, often fragmented and non-integrated
Address multitude of factors that influence health
15. FORMS OF HEALTH POLICIES
Laws
Rules and Regulations
Operational Decisions
Judicial Decisions
16. CATEGORIES OF HEALTH POLICIES
Allocative
Provide benefits to some distinct group or class of
individuals or organizations
Regulatory
Influence actions, behaviors and decisions of others
by directive
Market-entry, price control, quality control, market
preservation, social regulation
17. POLICY PROCESS
Cyclical
Influenced by external factors
All parts of process are interactive
Formulation
Implementation
Analysis
Modification
19. TYPES OF PARTICIPANTS
Ordinary Citizens
Legislators
Political Party
Leaders/Members
Issues Activists
Judges
Civil Servants
Professional Experts
Business Interests
Editor's Notes
Physical well being of people Emotional well being of people Health as economic driver Health as social/cultural value
Nursing has an agenda for health policy (ANA website) Nursing has PACS to support candidates friendly to the ethical and political values of ANA members Nurses are involved at high levels of policy-making and influencing: Mary Wakefield, PhD, RN, appointed by President Obama as Director of the Health Resources and Services Administration many before her: Bev Malone assistant secretary of health and human services, head of HCFA (now CMS) Nurses on Med-Pac, Advisory Committees, Institute of Medicine, etc at state level, Susan Cooper, RN, MSN is our Commissioner of Health and Virginia Trotter Betts, RN, is Commissioner for Mental Health
What’s the connection with ethics for APNs or any nurses? Aristotle said ethics and politics come together to yield justice and goodness – how do these fit together for you?
Justice is about equitable distribution of health care asks 2 questions – how much health care should be produced (in relation to all other goods and services) and how should health care be distributed (who can receive what services and who will be restricted) Justice is an ethical principle defined as fairness – 2 contrasting theories market justice ascribes to health care as part of the free market economy, just like the production of cars or shoes health is a personal investment about which people make rationale decisions interference with the health marketplace by gov’t should be minimal theory of social justice referest to the “good society” and proposes that health care is a social respopnsibility (like Canadian and European models) health care is different from most goods and services responsibility for helath is shared between individual and society (unhealthy individual is burden to society and society is obligated to help that person) government rather than market can make rational plans about hoiw to produce best health care for all
What are the major issues of the Republican vs Democratic political parties’ approach to the health care debate? Do they reflect these ethical theories? Why or why not?
There are, of course, many types of policy that are not public – in a market-based economy, corporations have policies that affect all aspects of national life (including health) in major ways (health of employees, environmental impact, whether or not they provide health insurance for employees. Banking collapse, Enron, auto maker bailout….all are examples of results of corporate policies that deeply affect the public.
Defense – Robert Gates, Secretary of Defense, implemented policy changes and actions around the disposal of nuclear warheads; don’t ask-don’t tell policy recently revised and implemented so that information about homosexuality in medical records and interpersonal exchanges with health care provides cannot be used to separate someone from service Education – No Child Left Behind – closing the gap between high performing and low performing children Transportation – high speed rail, highway safety, FAA Commerce – economic policies, trademarks and patents, census, weather forecasts – recent grants to Louisiana coast from American Reinvestment and Recovery Act of 2009
Longest (1998) provides a classic and widely used formal definition of health policy: “ The collection of authoritative decisions made within government that pertain to health and to the pursuit of health”
Motivations can be altruistic or totally selfish – but they are always there, fueling the formulation of policy for better or for worse
Laws: PL ; Health Insurance Portability and Accountability Act of 1996 (HIPAA) – insurance portability, simplify administrative processes and promote electronic claims filing, enforce standards for health information, guarantee security and privacy of health information Regulations: CMS ruling on ; state regulations governing APN practice, CMS regulations that provide for direct payment of APNs for medicare part B services at 80% of the physician payment rate, PPACA Operational decisions: Medicaid program implementation – if you’ve seen one medicaid program you’ve seen one medicaid program Judicial decisions: Supreme Court judges’ decision on constitutionality of PPACA
Allocative examples: medicaid eligibility, medicare prescription drugs, who gets what and who doesn’t Regulatory examples: regulation of health professions licensing, penalties for impersonating a nurse or physician; CMS ruling on payment structure (pay for performance) for medicare
The legislators, judges and bureaucratic executives do not make policy in a vacuum – they interact with the world, and often the world seeks them out! As you read in Lindbloom, policy making is an untidy process. The one rule it follows is that it never follows the “rules” laid out in linear (or even cyclical) policy making models as you will see presented in your texts.
Who gets left out? Non voters, often lesser educated, vulnerable population groups, those who choose not to participate The characteristics, numbers, power and authority, role, and level of control of participants influence policy throughout the process