his discussion is an opportunity to compare two different informative speeches.  Each has its pros and cons.  

In your initial post please explain – 

• What was the purpose of the speech (goal)?
• What type of organizational pattern did they each use? ( for Informative Speech Organizational Patterns).
  • Was it effective?
  • Why/why not? (If not, how could it be improved?)
• Which one did you like more?  Why?

Be sure to check out the rubric first so you fully understand the requirements necessary to earn a full-credit post. 

Create a PowerPoint presentation of 14-16 slides with speaking notes on the new regulations impacting the practice as a result of the Affordable Care Act.

Introduction

The Patient Protection and Affordable Care Act (PPACA or ACA) was signed into law by President Barack Obama in 2010. The ACA attempts to increase access to care, reduce cost, and improve quality. Nearly 50 different reform initiatives were implemented between 2010 and 2017. Although primary care is a major focus of the act, these additional initiatives are focused on 10 different areas, including public health, prevention of disease, community health, and increasing revenue provisions to pay for the reform (Niles, 2021). The law has been controversial due to the mandate that all Americans must purchase health insurance.

The U.S. government plays a significant role in the operation of the country’s health care system. Quality, access, funding, education, and preventative services are all influenced by the U.S. government (Niles, 2021), and the Affordable Care Act (ACA) has further increased the role and involvement of the government in health care. All health care administrators must be knowledgeable on the role of the government.

Numerous governmental organizations exist, such as the U.S. Department of Health and Human Services (HHS), the Centers for Disease Control (CDC), the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), the Centers for Medicare and Medicaid Services (CMS), the Occupational Safety and Health Administration (OSHA), and the Office of the Surgeon General to name a few. Each organization exists for a specific purpose and has a specific mission. Your role as an administrator will be to understand the scope of these agencies and to help your organization meet or exceed the governmental mandates imposed by each.

Reference

Niles, N. J. (2021). Basics of the U.S. health care system (4th ed.). Jones & Bartlett Learning.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Analyze current health reform, policy, and regulation in U.S. health care. 
  • Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
  • Analyze current trends in policy and predict future reforms.
  • Explain how health care reform and policy have impacted health care quality and cost.
  • Explain how regulatory agencies have evolved to address health reform and policy.
• Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others. 
  • Produce a presentation that conveys understanding of the topic, its context, and its relevance.
  • Use academic writing conventions such as APA formatting and citation style, or others as required.
  • Produce writing that includes minimal grammar, usage, and mechanical errors, including spelling.

Instructions

Imagine you are an office manager for a ten-physician primary care practice. You have been asked by the physician group to research and give a presentation on the new regulations impacting the practice as a result of the Affordable Care Act. Using the resources provided, plus at least two other peer-reviewed articles based on your own research, develop a PowerPoint presentation of 14–16 slides, complete with speaking notes. Address the following:

• Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
• Analyze current trends in policy, and predict future reforms as a result of the current state.
• Explain how regulatory agencies have evolved to address health reform and policy.
• Explain how health care reform and policy have impacted health care quality and cost.

You might want to (but do not have to) organize your presentation using the following outline:

• Slide 1: Title of the Presentation.
• Slide 2: Brief explanation of the purpose of the presentation.
• Slide 3: The Affordable Care Act.
• Slide 4: Impact on the U.S. Health Care System.
• Slide 5: Impact on the Practice of Health Care in the United States.
• Slides 6–7: Current Trends in Policy.
• Slide 8: Future Reforms.
• Slides 10–12: The Role of Regulatory Agencies (one slide per agency you address).
• Slide 13: Impact to Quality.
• Slide 14: Impact to Cost. 
• Slide 15: Concluding Summary.

Presentation Requirements

Your presentation should consist of:

• 14–16 bulleted slides.
• Speaker notes that fully explain each slide.
• A minimum of two peer-reviewed references, in addition to resources offered in this course or that you find yourself, including government websites.
• Appropriate APA citations and peer-reviewed references on each slide, as necessary.

General Guidelines for PowerPoint

• Keep the design simple. Font: Arial or Verdana, size 24-point, minimum.
• Keep the slides concise: 5–7 bullet points per slide and 5–7 words per bullet. Use speaker notes to explicate the bullets.
• For best color contrast, use light text on dark background (for example, yellow on black, white on dark blue).
• Use the proper slide layout. For example, if a slide has a title and text, it is created using the correct Title and Text layout.

1- What is Policy?

2- Explain each of them:  Public policy—
Private policy—
Health policy—
Social policy—
Organizational policy?

3- Who was F
lorence Nightingale, and what was her contribution to the Nursing Field? 

4- Who was Lillian Wald?

5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?

6_ what is  (ICN), and what they do?

7- What is  s (NLCA) and they do?

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and 
procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient 
as a practice acceptable for nurses to perform. Jeanne 
and some of her coworkers shared their concern over 
lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and 
other potential medical complications resulting from 
this practice. Jeanne gathered data from her state and 
many others states and noted that her hospital was 
not in compliance with her professional organization
practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the 
state board of nursing on their behalf to request a 
declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. 
Her state board’s clinical practice committee 
reviewed her request for a declaratory statement and 
gathered information from other states. A formal 
declaratory statement was drafted by the board and 
made it available on its Web site. A letter from the 
board was sent to Jeanne’s institution, informing it of 
the declaratory statement, which stated that the task 
nurses were requested to perform was beyond their 
scope of practice based on the Nurse Practice Act.
8-Which stage of the policy model does this scenario 
represent? 

250 words

3 references APA 

Discussion 1

 Compare independent variables, dependent variables, and extraneous variables. Describe two ways that researchers attempt to control extraneous variables. Support your answer with peer-reviewed articles 

Discussion 2

Describe the “levels of evidence” and provide an example of the type of practice change that could result from each

Assesment Question:

Can you please pick one of your QUANTitative articles and identify the independent,dependent, and extraneous variables? If it is unclear post the article and see if your classmates can further assist. 

Why is identifying these variables important?

New nurses have not necessarily developed their own professional boundaries when they begin practice. They may violate a boundary without even knowing they crossed it (Maes, 2003). What signs might alert you to a potential professional boundary violation or crossing?

INSTRUCTIONS

APA style required, in-text citations and references.

minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.