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Discussion Board Assignment #4
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Complete the reading and review PPTs for Ch. 7 & 8.  Answer the following questions using content from your required textbook.
Chapter 7:
1.)  A call for enhanced nursing leadership was highlighted in the Institute of Medicine’s (IOM) landmark report, The Future of Nursing.  What year was this report published?  What did this report note?  What did this report prompt?
2.)  To promote a national standardized framework for evaluation of healthcare policies, the CDC designed a theoretic model or “map” for evaluating healthcare policies and program effectiveness.  Describe the steps in this framework.  Which step generally involves an evaluation report as well as discusses a “lessons learned” section?
Case Study:
A school-based health clinic (SBHC), located in an isolated region of the county, has been serving high school students from the school and surrounding community for more than 15 years through financial support from the state and a regional healthcare system. The advanced practice registered nurse (APRN) working in the clinic has provided services to more than 5,000 clients in the past years and has partnered with a number of education and health professionals to promote the benefits of the SBHC. Due to budget constraints related to the ACA (Affordable Care Act also known as Health Care Reform also known as ObamaCare…all three names are synonymous), the state no longer intends to fund the SBHCs in the coming year. The APRN has been asked to address both the health system and the administrative teams to discuss closure of the clinic.
3.)  What does the term “stakeholder” mean?  Who are the stakeholders in this scenario? 
4.)  Which evaluation data would be important for this clinic to collect?
5.)  Who would be most appropriate to evaluate the clinic policy, and who would (or should) pay for the evaluation?
Chapter 8:
6.)  What does the term “big data” refer to or mean?  How does the health care industry define big data? 
7.)  What does the acronym HCAHPS (pronounced “H-Caps”) stand for?  What type of data does the HCAHPS survey collect?  What is the relationship between HCAHPS and financial incentives?
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.