Category: Healthcare

Background: This module will focus on practice challenges and the professional role of the advanced practice nurse and how rules and regulations within a healthcare system can work

together to promote, or sometimes detract from the productivity and safety of patient care. By

completing this assignment, you will begin to apply these concepts to act as an agent of change within

your profession.

Assignment:

Write an Executive Summary regarding the : Section 6 (F) RS 37:930 (A) (3) & (F). The intent will be focused on how the proclamation caused a rule change related to Nurse Anesthetist Supervision in the state of Louisiana, identifying the substantive change within the proclamation and provide your interpretation of the impact on CRNA practice in the State of Louisiana. The objective is for you to synthesize the information provided in this Module and other availableThe objective is for you to synthesize the information provided in this Module and other available

information to analyze the need for change regarding the Rules and Regulations that govern anesthesiapractice at a state and national level. Review and critically analyze the rule change located within the PROCLAMATION NUMBER 235.JBE 2021. As this is an executive summary the

written work should be brief and concise. The body of the summary does not need to follow APA

guidelines and should be bulleted. Please write the Introduction and Conclusion sections using proper

APA syntax. The citations and reference list MUST follow APA Guidelines.

Executive Summary: Rules and Regulations Change Assignment will at minimum include the following:

Introduction

o Discuss the proposed change and why there is a need for change (current issues, how this change will impact patients, healthcare providers, and healthcare organizations)

o Identify substantive changes to the new rule (prior rule and new rule)

o Summary overview and Purpose

Background/Relevant Literature

o Brief explanation of the role that both the Louisiana State Board of Nursing and the Louisiana Department of Health have in the regulation of advanced practice nursing in the State of Louisiana

o Describe the regulatory statute that governs advanced practice nursing in the State of Louisiana and the purpose of the accompanying rules and regulations.

o How does this compare and differ from the AANA’s published scope of practice for the

CRNA?

Application / Supporting Evidence for Rule Change

o Synthesizes current research or literature to support the proposed change

o Analyze the application of the change and its effects on the leadership Role of the Advanced Practice Nurse within a health care organization

o Identify Key Stakeholders

Evaluation/Potential Barriers

o Evaluate the impact on nurse anesthesia practice in the State of Louisiana and within the health care system

o Suggest potential barriers to implementing a new rule change within a healthcare system

Conclusion and Recommendation

o Provide a succinct conclusion to include a brief description of how the rule change will improve all levels of the healthcare system including patient outcomes.

o Provide recommendations

APA Formatting: Citations/References

o Legal citations depend on whether its an actual law (signed into law by President [actual

statute] versus approved by the House or Senate (aka non-enacted bill) vs. congressional

proposal.

o For an actual law that is being enforced on a federal/state level, you should use the federal

Statute citation rule (11.5).

o Since there is vast variations, whats most important with this assignment is

that the right words are italicized, the right pronunciation marks are used and

are in the correct place,

Must incorporate AANA scope of practice & aana standards of care

**sources will be added

Respond to the following in a minimum of 175 words:

As a health care manager, when is it appropriate to use clinical data or public health data? Provide examples.

The health information management (HIM) professional serves a role in protecting the confidentiality, privacy, and security of the personal health information in a patients health record. An HIM professional is someone who is awarded any American Health Information Management Association (AHIMA) certification (e.g., registered health information administrator [RHIA]). The HIM professional agrees to follow the principles and values of the AHIMA Code of Ethics. There is an ethical obligation in this role that spans multiple experiences within the daily work of managing health information. As a leader in the professional field, the HIM professional should work to educate others on the importance of the ethical obligation held by all who work with health data in all its forms: paper, electronic, and oral. The following task is one that you may someday perform in your career. As a leader in the field, you will be called on to mentor those coming into the HIM profession, and you will use your experiences and educational background and the AHIMA Code of Ethics to encourage them to see the critical importance of their role and that roles inherent responsibilities. You are an RHIA working in a rural hospital. There are 10 staff members working in the HIM department. One of your professional colleagues, also an RHIA, works for the local community college as an adjunct faculty member of the registered health information technician (RHIT) program, which is the associates degree level for HIM professionals. Your colleague has asked you to create a multimedia presentation to present to a class of 20 students outlining the ethical obligations of the HIM professional at all levels. Your colleague has asked you to focus specifically on issues related to the HIM profession and to present your ideas in such a way as to stimulate discussion and questions. This presentation should be interactive and should encourage students to realize what may be ahead for them in the areas of ethical challenges specific to their future role in the field of HIM. A. Create a multimedia presentation (e.g., PowerPoint, Keynote), including presenter notes and introductory and closing slides (suggested length of 1214 slides). In your presentation, do the following: 1. Discuss three HIM-related issues that an HIM professional may encounter in the field. a. Discuss the ethical challenges that may occur as a result of the three HIM-related issues from part A1. b. Explain why each of the ethical challenges from part A1a can pose concerns in the HIM profession. c. Explain how HIM professionals can effectively address each of these ethical challenges from part A1a using the AHIMA Code of Ethics. 2. Develop three questions related to HIM ethics to stimulate student discussion. B. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized. C. Demonstrate professional communication in the content and presentation of your submission

• Read the
• Complete the following simulation:
• . In this simulation, you will evaluate, interpret, and present statistical results to support a healthcare recommendation.
• Use the data analysis results in the data set.
• Focus your recommendation on the impacts of nurse staffing changes.
• Review the .

Consider the following question in your analysis and recommendation.

• How many nurses should be staffed?
• What are the costs and benefits of nurse staffing changes?
• What effects might occur to patient safety?
• What issues might occur due to your recommendation and plan of action to workforce concerns/hiring/retention?
• What effects might occur to hospital performance measures?
• What are the key statistical results needed to support the recommendation? Explain why you selected these as most important.
• Include 23 slides of data visual representation to support your analysis.
• Use the speaker notes to support your analysis and recommendation.

its a poster and my part on it is just the Method Results: What did I find? Conclusion: What do I recommend?

The responses to your peers should be substantive and engaging. Agree or disagree with their perspective, add new information, including evidence for scholarly literature, and pose a question. Demonstrate critical thinking in all writing in this course. If applicable, make an effort to respond to a post that no one has responded to first.

Response to each studentS response . APA FORMAT. INCLUDED REFERENCESE FOR EACH STUDENTS

FIRST STUDENT

In an ideal healthcare system, health disparities would be addressed through equitable access to healthcare services, preventive care initiatives, and data driven decision making. Health disparities occur when certain populations experience poorer health outcomes due to social, economic, and environmental barriers rather than individual health behaviors. Healthcare systems must focus on health equity by allocating resources based on patient need and improving access for underserved populations.

One major disparity involves limited healthcare access among rural populations. Individuals living in rural communities frequently experience provider shortages, transportation challenges, and limited access to specialty services. Expanding telehealth programs and strengthening rural healthcare infrastructure can improve preventive care and chronic disease management. Bolin et al. (2015) explain that rural populations consistently experience poorer health outcomes due to limited healthcare availability and geographic isolation, emphasizing the need for system level interventions to improve access.

Another significant disparity exists in racial and ethnic differences in chronic disease outcomes, particularly diabetes and hypertension. Minority populations often experience higher rates of chronic illness due to social determinants of health, including reduced access to preventive services and socioeconomic barriers. Artiga and Hinton (2018) explain that social and economic conditions strongly influence health outcomes and contribute to persistent disparities among racial and ethnic minority groups. Improving culturally competent care and accurately documenting demographic information within electronic health records allows healthcare organizations to identify disparities and implement targeted population health interventions.

Addressing health disparities requires collaboration among healthcare providers, public health agencies, and community organizations. By leveraging health data analytics, expanding preventive services, and prioritizing equity focused healthcare policies, an ideal healthcare system can reduce disparities and improve population health outcomes.

SECOND STUDENT

Tackling health disparities requires strong collaboration across sectors, bringing together healthcare professionals, community-based organizations, and other local partners. Access to healthcare is a basic human right, and improving the outcomes of marginalized populations means investing in mobile clinics, strengthening community health centers, and making preventable care more affordable. According to Ndugga et al. (2025), a study found that racial and ethnic disparities persist specifically in Hispanic, Black, American Indian/Alaska Natives, and are deeply rooted in structural inequalities, many of which intensified during and after COVID-19 pandemic. Minorities are less likely to receive routine screening or care due to out-of-pocket costs. Improving SDOH data collection is another crucial strategy to reveal gaps in housing and transportation while also supporting policy changes that aim at reducing racism and discrimination. Mental health services, insurance coverage, and life expectancy continue to disproportionately affect minorities Ndugga et al. (2025). Policies that work to resolve healthcare disparities within the health care continuum need to be expanded and protected to ensure that populations that have the least access to care are not forgotten in the health cycle process. Policies currently in place that have created barriers need to be reversed to lessen the already struggling communities.

Preventative care is fundamental to the well-being of all individuals; it has an enormous impact on overall longevity and creates stronger communities when less illness or disease is present. Yet this measure continues to hide behind complex and high-cost health plans. Expanding access for routine monitoring, such as screenings, vaccinations and medication adherence requires us to address the barriers that hinder progress. Although government spending on health has risen year after year, we have only seen modest progress in communities experiencing inequities, while other gaps in care has increased Yancy, C. et al. (2025). This makes me wonder whether the roadblocks are tied to funding constraints, limited staffing in high need areas, insufficient data to understand healthcare gaps, or a broader systemic failure. We possess the tools to drive change, yet the effort needed to reduce these disparities is so immense.

While preventative care plays a critical role in reducing disease or illness, its impact is limited when socio-economic barriers prevent people from accessing even the most basic services. In their 2023 article, Alvidrez and Perez-Stable emphasize that health disparities research is grounded in two core pillars: race/ethnicity and socio-economic status (SES). One area that is necessary to address SES is mirroring or hiring providers who reflect the community they serve. Offering care in multiple languages and training staff to understand cultural norms within the populations they serve. Expanding screening for SDOH and prioritizing resources to the communities most affected with declining health. Health disparities stem from multiple structural and social factors, addressing them really requires a multifaceted approach grounded in joint efforts from communities, healthcare organizations and other agencies Alvidrez and Perez-Stable (2023). Policy reform without implementation remains stagnant; it may set the direction for change, but real on the ground action is what truly advances the efforts to dismantle health disparities.

Overview

In this assignment, you will identify and discuss issues related to the barriers to accessing and using healthcare. The first part of the assignment requires you to study the required readings. The second part of the assignment requires you to engage in scholarly research to address barriers to healthcare for certain populations.

Action Items

1. Complete the Module 1 readings prior to working on this assignment. Document your thoughts as you read.
2. Conduct additional research for the following issues. To obtain at least 3 relevant, scholarly sources.

• One would expect people with poorer health status to utilize more healthcare services than people with better health status. That is not the case. Utilization is lower for people with poor health status.
• What would account for this difference?
• What are the health status effects of delaying or deferring care?
• What are the effects on society?
• Who are the uninsured?
• What options do people without health insurancepublic or privatehave to obtain healthcare services? From your perspective, are the options adequate? Justify your answer.
• Which of the following barriers to access to health servicesgeographic, physical, temporal, socio-cultural, or financialhave the greatest impact on access to healthcare services? Identify other barriers to accessing healthcare services.

1. Write a 3-4 page paper in which you address each of the items that you researched. Include your notes from the readings as well.

• You must incorporate research into your paper from at least 3 relevant research articles and resources.
• Follow all applicable APA guidelines and regarding in-text citations, list of cited references, and document formatting for this paper. Failure to properly cite and reference sources constitutes plagiarism.
• The title page and reference list are not included in the page count for this paper.

Reading: Shi & Singh’s Delivering Health Care in the United States

ISBN: 9781284297942

By: Leiyu Shi

• Chapters 1 and 2 in Shi (2026)
• Chapter 3 in

Discuss three (4) recommendations to solve inadequate staffing, utilizing research evidence and at least one Best Practice Guideline of the Registered Nurses Association of Ontario (RNAO) that is applicable to the problem, made staffing to support the recommendations.

its a post graduate diploma in public health term paper, use arial (body CS) font for all entries font size 12,all headings and sub headings should be in bold and slightly larger fonts 14/16, maintain sized A4 paper, each entry should have a clear title that summarizes the content of the entry

asks students to examine, question, and reflect on important concepts in genetics. Essays are expected to be well-reasoned arguments that indicate a deep understanding of scientific concepts related to the essay question.