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The Legislation Grid Template Assignment Discussion

The Legislation Grid Template Assignment Discussion

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Use this document to complete Part 1 of the Module 2 Assessment Legislation Grid and Testimony/Advocacy Statement

Introduction

Legislation are designed to present laws that guide policies to maximally benefit the public. In the USA, legislation begins through a bill that is introduced to a chamber of Congress by a representative or senator who sponsors the bill. Once introduced, the bill is assigned to a relevant committee for research, discussion and changes before being presented to the chamber for voting after which it is considered by the president then approved and signed into law. A large part of getting a bill turned into law is the advocacy that focuses on identifying the merits of the bill while addressing any emergent concerns. Advocacy can influence the introduction, enactment and modification of a bill (Milstead & Short, 2019)The Legislation Grid Template Assignment Discussion. This legislative analysis and advocacy statement explores the position of house bill. S.3546 in requiring a study on the quality of care difference between mental health and addiction therapy care provided by health care providers of the Department of Veterans Affairs compared to non-Department providers, and for other purposes. The Legislation Grid Template Assignment Discussion

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Part 1: Legislation grid

Health-related Bill Name A bill to require a study on the quality of care difference between mental health and addiction therapy care provided by health care providers of the Department of Veterans Affairs compared to non-Department providers, and for other purposes.
Bill Number S.3546
Description Sponsored by Senator John Cornyn (R-TX) the bill seeks to have a study conducted to identify the differences between the quality of care provided for mental health and addiction therapy in the Department of Veterans Affairs compared to other settings (Congress.gov, 2023)The Legislation Grid Template Assignment Discussion.
Federal or State? Federal.
Legislative Intent The bill seeks to have a research conducted that compares the quality of care. Understanding the differences between quality of care can help to improve care delivery. It would help to determine the best practices for various settings and conditions. By identifying the differences, the research would provide information about provision of care that best meets the needs and expectations of patients. The focus would be on patient-centered care that prioritizes patient goals, values and preferences while taking into account cultural, emotional and social factors that influence health, and emphasizing shared decision-making collaboration and communication (Dixon, 2021)The Legislation Grid Template Assignment Discussion.
Proponents/ Opponents Proponents: The bill sets the stage for presenting evidence that would help improve quality of care with a focus on improving patient quality of life, achieving financial savings and efficiencies, developing safer healthcare products and devices, preventing unnecessary hospitalization, and reducing adverse events.
Opponents: Concerned about the cost of conducting such a study as it would have to be conducted across the whole USA to present results that reflect the true state of affairs.
Target Population Those seeking and receiving mental health and addiction therapy through the Department of Veterans Affairs.
Status of the bill (Is it in hearings or committees?) Referred to the Senate Committee on Veterans’ Affairs (Congress.gov, 2023)The Legislation Grid Template Assignment Discussion.
General Notes/Comments

 

 

Improving quality of care would benefit everyone, from patients and clinicians to health care organizations, payers and researchers. The patients would achieve better care outcomes, clinicians would make evidence-based decisions, health care organizations would improve their financial efficiencies, and researchers would develop better care approaches.

 

Part 2: Legislation Testimony/Advocacy Statement

 

There is a need to support the bill and have it successfully enacted. Quality improvement allows for measurable progress toward better outcomes for all stakeholders. This can be from making evidence-based decisions to improving patient quality of life, achieving financial efficiencies and savings, developing safer health devices and products, preventing unnecessary hospitalization and reducing adverse events. Put simply, quality improvement is important because it benefits everyone. Without quality improvement studies, the Department of Veterans Affairs would struggle to advance. To get better, the department must understand where it stands, how it compared, and what it can do to improve. Achieving quality improvement at scale requires that multiple stakeholders be brought together with a common goal, and this is best achieved through the bill as it would avail robust infrastructure that would facilitate comparison and identify specific areas for improvement to achieve targeted outcomes. Using insights gained from the studies and research, the Department of Veterans Affairs would be able to act and make changes in their process as part of the quality improvement process (Ogrinc et al., 2021)The Legislation Grid Template Assignment Discussion.

The social determinants of health have an impact on the legislation. This includes gender, education, age, and income. At its core, the legislation seeks to confront inequity at the system and community levels to bring health equity to persons seeking mental health and addiction therapy care from the Department of Veterans Affairs. In conducting the studies and research as directed by the legislation, a foundation would be built to make the data needed for quality improvement easier to share and more clinically relevant, while enhancing efforts to address inequity in the decision-making process and value. There is an expectation that the studies and research directed by the legislation would allow for a better understanding of the social determinants of health affecting the population of interest, including standardization of data collection, storage and sharing, access and comfort with health solutions, social sector capacities and capabilities, and the medicalization of the social determinants of health (Stanhope & Lancaster, 2020)The Legislation Grid Template Assignment Discussion.

Opponents of the legislation would be concerned about the associated costs of conducting the studies and research across the USA. This would be a large undertaking. There is a need to understand that quality of care is important because it takes into account the domains of equity, efficiency, timeliness, patient-centeredness, effectiveness, and safety, while incorporating measures to ensure that healthcare coverage is applied universally. The studies and research would make certain that the Department of Veterans Affairs actively strives to apply the same level of good practice care in terms of interpersonal and intrapersonal processes, structures and outcomes (Hannawa et al., 2022)The Legislation Grid Template Assignment Discussion.

Conclusion

One must accept that legislation is designed to present laws that guide policies to maximally benefit the public. In addition, one must acknowledge advocacy helps bring attention to a bill by focusing on identifying its merits while addressing any emergent concerns. S.3546 bill sets the stage for presenting evidence that would help improve quality of care with a focus on improving patient quality of life, achieving financial savings and efficiencies, developing safer healthcare products and devices, preventing unnecessary hospitalization, and reducing adverse events. Advocacy for the bill would focus on its support for quality improvement that allows for measurable progress towards better outcomes for all stakeholders.

References

Congress.gov (2023). S.3546 – A bill to require a study on the quality of care difference between mental health and addiction therapy care provided by health care providers of the Department of Veterans Affairs compared to non-Department providers, and for other purposes. https://www.congress.gov/bill/118th-congress/senate-bill/3546?q=%7B%22search%22%3A%22healthcare%22%7D&s=1&r=12

Dixon J. (2021). Improving the quality of care in health systems: towards better strategies. Israel journal of health policy research10(1), 15. https://doi.org/10.1186/s13584-021-00448-y

Hannawa, A. F., Wu, A. W., Kolyada, A., Potemkina, A., & Donaldson, L. J. (2022). The aspects of healthcare quality that are important to health professionals and patients: A qualitative study. Patient education and counseling105(6), 1561–1570. https://doi.org/10.1016/j.pec.2021.10.016

Milstead, J. & Short, N. (2019). Health Policy and Politics: A Nurse’s Guide (6th ed.). Jones & Bartlett Learning.

Ogrinc, G., Dolansky, M., Berman, A. J., Chambers, D. A., & Davies, L. (2021). Different approaches to making and testing change in healthcare. BMJ (Clinical research ed.)374, n1010. https://doi.org/10.1136/bmj.n1010

Stanhope, M., & Lancaster, J. (2020). Public Health Nursing: Population-Centered Health Care in the Community. Elsevier, Inc.

To Prepare:

Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.
The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement) The Legislation Grid Template Assignment Discussion

Be sure to add a title page, an introduction, purpose statement, and a conclusion. This is an APA paper.

Part 1: Legislation Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following:

Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

Advocate a position for the bill you selected and write testimony in support of your position.
Explain how the social determinants of income, age, education, or gender affect this legislation.
Describe how you would address the opponent to your position. Be specific and provide examples.
At least 2 outside resources and 2-3 course specific resources are used.
Resources:
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.
Chapter 3, “Government Response: Legislation” (pp. 37–56) The Legislation Grid Template Assignment Discussion
Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only)

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Congress.govLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/
Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350Links to an external site..
United States House of RepresentativesLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/
United States SenateLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.senate.gov/
United States Senate. (n.d.). Senate organization chart for the 117th CongressLinks to an external site.. https://www.senate.gov/reference/org_chart.htm The Legislation Grid Template Assignment Discussion

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