Build on Assignment #1 (see the attachment) . You will cover the same health problem and the same policy. Some remedial action on Assignment #1 may be required in order for students to proceed to Assignment #2.Complete the following using the format provided. Except for titles, narrative format is expected with complete sentences. The table should be single spaced. Also include a cover page and a reference page in APA Format.
HGMT 310 Assignment #2
Student Name: Type your name here.
Assignment #2 Title: Provide a short name and the official title of the legislation.
Agency Responsible: Identify the agency and subunit (such as a bureau or office) responsible for implementing the policy. If multiple agencies are involved indicate who is responsible for what.
Enforcement: What federal or state agency is responsible for enforcement? What are the key areas for enforcement?
Implementation: How is the legislation implemented? What federal or state agency is charged with its implementation? Are local public health departments involved? Are collaborating organizations engaged to achieve the aims of the policy? Are citizen’s involved? Are health provider organizations? Are grants awarded?
Impact on Health Service Organizations: What does a Health Care Manager need to know about this legislation and the related implementation? Include five bullets of how this legislation impacts health services organizations operating in your home state.
Resource: What resource would a health organization utilize to find updates regarding the impact policies have on them?
HGMT 310 Assignment #1
Assignment #1 Title: Health Care Access, the Affordable Care Act and Preventative Care for Disadvantaged Children
Health Problem: Vaccines are an important element of well-baby care and are both a public and individual healthcare solution. Infectious diseases can be difficult for the immune system of a child to fight, and social situations such as school are opportunities for these diseases to be spread. Vaccines prevent infection; hence they slow down the spread of infectious disease in an area where the population is contaminated with an infectious disease (Greeley &Dubowitz, 2014). Not only are children affected by the spread of these diseases but the impact reaches the economy. Parents must care for their children when they have an infectious disease or children may communicate the disease to their parent. In both situations parents may miss work. This leads to less economic activity.
In the case of healthcare providers, they must be proactive and plan to distribute vaccines, however, if children are not able to receive the vaccine because their health insurance does not cover it, then doctors will see the child if they pick up an infection (Greeley &Dubowitz, 2014). It is less time consuming for professionals to distribute vaccines, hence when the child becomes a patient with an infectious disease the physician will need to spend time caring for patients. This stretches the resources of the healthcare professional thin. Health organizations must budget resources in order to deal with children who do not receive vaccines.
Disadvantaged children will typically not receive an immunization because of the cost of immunization. For this reason the Affordable Care Act responded to the problem by offering at least 16 immunizations to children in their first year of life. The American Academy of Pediatrics estimated that the average savings per child vaccination is $10, and that there is “a saving of $13.5 billion in direct costs and $68.8 billion in total societal costs in a single cohort (“Study Finds Childhood Immunizations Save”, 2014, para. 1). The study by the American Academy of Pediatrics also estimated that childhood immunization prevents 42,000 early deaths and 20 million diseases.
Healthy People 2020: Response to the need for vaccinations for children fits a few ways within the Healthy People 2020 framework (“Healthy People Framework”, 2016). One is to prepare for public health issues. Vaccines prevent the proliferation of disease and prepares for disease as a public issue. Vaccines also respond to the influence of economic disparity on health care delivery (“Healthy People Framework”, 2016). Making 16 vaccines available to all children means that more children will not get infectious diseases.
Official Title and Citation of the Legislation: Patient Protection and Affordable Care Act (H.R. 3590). Signed into law March 23, 2010 (Greeley &Dubowitz, 2014).
Describe the public policy response: The Patient Protection and Affordable Care Act (H.R. 3590) was designed to respond to the healthcare needs of a significant number of disadvantaged people who did not have access to healthcare (Greeley &Dubowitz, 2014). The problems of a population without access to healthcare can be complex and robust. The law responds to the need for healthcare by offering incentives for disadvantaged people to get health insurance and penalties for people with the means to pay for health insurance to do so (Chokshi& Farley, 2012). This policy is an effective response to the problem of infectious disease and vaccination of children by increasing coverage for all people. With more vaccinations in the population at-large, diseases have less vectors to proliferate. Disadvantaged children are also able to benefit directly from vaccination.
Status: The status of this legislation is that it had been passed March 23, 2010. Most major elements were implemented by 2014. The act will be completely implemented in 2020 (Greeley &Dubowitz, 2014).
Conclusion: It appears that the Patient Protection and Affordable Care Act (H.R. 3590) does effectively respond to the problem. The rate of uninsured children is at a historic low. Among children 19-35 months old, Polio vaccinations are at 93.3%, MMR vaccinations are at 91.5%, Chickenpox vaccines are at 91% and Hepatitis B vaccines are at 91.6% (“National Center for Health Statistics”, 2016).
Resources for Updates: For updates on this policy, HealthCare.gov is the official website for the Patient Protection and Affordable Care Act (H.R. 3590) (“HealthCare.gov”, 2016). ObamacareFacts.com is an unofficial website where information could be found, however, it would need to be further verified with an insurer or physician (“Obamacare Facts”, 2016).
Chokshi, D. A., & Farley, T. A. (2012). The cost-effectiveness of environmental approaches to disease prevention. New England Journal of Medicine, 367(4), 295-297.
Greeley, C., &Dubowitz, H. (2014). Child Healthcare and Child Well-Being: From the Past to the Future. In A. Ben-Arieh, F. Casas, I. Frønes, J.E. Korbin(Eds.), Handbook of Child Well-Being (pp. 301-315). Copenhagen: Springer.
HealthCare.gov. (2016).Retrieved from https://www.healthcare.gov/.
Healthy People 2020 Framework.(2016). Retrieved from https://www.healthypeople.gov/sites/default/files/HP2020Framework.pdf.
National Center for Health Statistics.(2016). Retrieved from http://www.cdc.gov/nchs/fastats/immunize.htm.
Obamacare Facts.(2016). Retrieved from http://www.obamacarefacts.com/.
Study Fins Childhood Immunizations Save Thousands of Lives, Billions of Dollars. (2014). Retrieved from http://www.cdc.gov/nchs/fastats/immunize.htm.