NUR 243 EXAM 2 STUDY GUIDE
Health Care Policy - Answers - - Goal directed decision making about health that is the
result of an authorized ( government) and public decision making (peoples vote)
-Health policy includes those actions, nonactions, directions, and/or guidance related to
health that are decided by governments or other authorized entities
Health care policy examples - Answers - -reimbursements to nurse practitioners
-state mandated immunizations for schoolchildren
-decisions of a state or federal court that establish rights of families to make healthcare
decisions for their children or elderly parents
Government inaction - Answers - when a legislative committee defers a decision on a
health related matter or when a proposed health program is not adopted by government
agency because of resources restraints
Health care policy results/affect - Answers - -result from a political process
-affected by cultural trends
-social trends
-technology changes
-shifting demographics
-economic pressure
-consumer demands
Policies are fragmented and complex
Public policies - Answers - -Creation of public health policy is a responsibility of
government and is a means for protecting the public
Policy is:
-Goal oriented
-Public (everybody needs to follow)
-Authoritative nature (how policy came to be about)
Scope of health policy - Answers - Major government institutions decide, implement,
regulate policy
-determined through presidential executive order or by legislation
can have both micro level (copayments for episodes of care) or Macro level (medicare
program funding)
-can be made on basis of economics, social justice, political trends, and or changing
social values
-Legislature
-Courts and judiciary
-Executive branch
-Regulatory agencies
, Legislature - Answers - US congress and state legislatures establish laws to serve
some policy goal
-tasked with determining the appropriate funding for a legislative act and providing
oversight for policies that are administered by government agencies
-health policy that results form law is legally binding as long as it is consistent with the
authorizing constitutional framework
Courts and judiciary - Answers - Health policy is the result of the political integration of
values and interests
-enactment of new health laws can result in the establishment of new rights related to
health programs or benefits
Court systems
-play an important role in the development of health policy because federal and state
courts are often staging ground for determining rights in health policy disputes '
Judiciary review
-addressed to widely varying concerns, challenging unreasonable goverment action,
supporting the establishment of newly created rights through legislation and ensuring
protections provided by health care law
Executive branch - Answers - Responsible for the execution of laws passed by
legislatures
-state governors and president
Chief executive
-play major leadership role due to the legitimate powers of office
-develop and implement institutional budgets, control vast resources of executive
branch and are able to veto authority to influence policy change
Regulatory agencies - Answers - can be part of executive branch or may be
independent or semi independent organization
-established by legislatures to implement and enforce laws through a rule making
processes and have force of law
-decisions related to nursing licensure by state boards is an example
Decision making power - Answers - Decision making power
-federal
-state
-local
-interest, business, advocacy groups (group voices concern, representative takes
higher)
Major attributes of health care policy - Answers - -decisions are made by authorized
government institutions such as legislatures or courts by government authorized entities
(state board of nursing)
-The decision making process is subject to public review and public input (voting)
Health Care Policy - Answers - - Goal directed decision making about health that is the
result of an authorized ( government) and public decision making (peoples vote)
-Health policy includes those actions, nonactions, directions, and/or guidance related to
health that are decided by governments or other authorized entities
Health care policy examples - Answers - -reimbursements to nurse practitioners
-state mandated immunizations for schoolchildren
-decisions of a state or federal court that establish rights of families to make healthcare
decisions for their children or elderly parents
Government inaction - Answers - when a legislative committee defers a decision on a
health related matter or when a proposed health program is not adopted by government
agency because of resources restraints
Health care policy results/affect - Answers - -result from a political process
-affected by cultural trends
-social trends
-technology changes
-shifting demographics
-economic pressure
-consumer demands
Policies are fragmented and complex
Public policies - Answers - -Creation of public health policy is a responsibility of
government and is a means for protecting the public
Policy is:
-Goal oriented
-Public (everybody needs to follow)
-Authoritative nature (how policy came to be about)
Scope of health policy - Answers - Major government institutions decide, implement,
regulate policy
-determined through presidential executive order or by legislation
can have both micro level (copayments for episodes of care) or Macro level (medicare
program funding)
-can be made on basis of economics, social justice, political trends, and or changing
social values
-Legislature
-Courts and judiciary
-Executive branch
-Regulatory agencies
, Legislature - Answers - US congress and state legislatures establish laws to serve
some policy goal
-tasked with determining the appropriate funding for a legislative act and providing
oversight for policies that are administered by government agencies
-health policy that results form law is legally binding as long as it is consistent with the
authorizing constitutional framework
Courts and judiciary - Answers - Health policy is the result of the political integration of
values and interests
-enactment of new health laws can result in the establishment of new rights related to
health programs or benefits
Court systems
-play an important role in the development of health policy because federal and state
courts are often staging ground for determining rights in health policy disputes '
Judiciary review
-addressed to widely varying concerns, challenging unreasonable goverment action,
supporting the establishment of newly created rights through legislation and ensuring
protections provided by health care law
Executive branch - Answers - Responsible for the execution of laws passed by
legislatures
-state governors and president
Chief executive
-play major leadership role due to the legitimate powers of office
-develop and implement institutional budgets, control vast resources of executive
branch and are able to veto authority to influence policy change
Regulatory agencies - Answers - can be part of executive branch or may be
independent or semi independent organization
-established by legislatures to implement and enforce laws through a rule making
processes and have force of law
-decisions related to nursing licensure by state boards is an example
Decision making power - Answers - Decision making power
-federal
-state
-local
-interest, business, advocacy groups (group voices concern, representative takes
higher)
Major attributes of health care policy - Answers - -decisions are made by authorized
government institutions such as legislatures or courts by government authorized entities
(state board of nursing)
-The decision making process is subject to public review and public input (voting)
