Policy Issue Analysis Paper Guidelines A policy issue analysis requires an objective (nonpartisan), analytical assessment of policy options and should provide an organized and critical assessment of the healthcare issue and available policy options/alternatives. Students will select a healthcare policy issue with two (2) policy options/alternatives (aka legislative bills) in Congress currently making the way through the legislative process, but that has not yet passed or been enacted. These bills can be at the state and/or federal level, or a combination of both. Based on your education, work experiences, and human nature, most of you probably already have opinions about many health care policy issues. A big challenge is to set aside your personal and professional opinions when analyzing health care policies in order to review the facts objectively. You need to gather the facts before you draw conclusions about the value of a policy. For this assignment, assume you have been hired as a professional policy analyst by a professional nursing organization or a government agency. The policy issue analysis will include the following (refer to last page for grading rubric and point allocations): • Problem identification – Description of the problem including information regarding causes and effects. Problem identification provides a reason for the work and sense of direction for evidence gathering. Avoid including possible solutions in your problem identification/definition. • Background information – Societal, economic, ethical, legal/political factors surrounding the healthcare issue. • Issue statement – A single sentence or question for focus of policy development. The issue statement can be written as a sentence or a question. • Stakeholder identification – parties with an interest in the outcome of the issue (those affected in any way). Include their “stake”, and identify which stakeholders would support the issue and those who will oppose the issue. • Identification of two (2) policy goals/objectives – What should the adopted policy options/alternatives accomplish in relation to the healthcare issue? Think globally here – Policy goals/objectives are not related to any policy options/alternatives – Avoid using policy options/alternatives to identify your policy goals. • Identification of two (2) policy options/alternatives – two (2) bills currently in Congress (state or Federal) that could benefit the issue you have identified. The bills can be two different ways to accomplish the policy goals but might not be the exact answer. You are looking to see what is available already, or what changes or revisions you might need to ask your legislator to include in the bill the best meet your policy goals. • Identification of two (2) evaluative criteria including rationale for these criteria. Evaluative criteria are used to measure the outcomes and impacts of each policy alternative. Evaluative criteria are measurable dimensions that serve to compare and rank the policy options/alternatives. Evaluative criteria will depend on your selected healthcare policy issue. Typical criteria might include cost, equity, quality, feasibility, etc. There is a link posted in the unit ‘Resources’ with examples of policy evaluation criteria options. Students may select evaluative criteria appropriate for their healthcare policy issue from the ‘resource’ or identify other appropriate evaluative criteria appropriate for the selected healthcare issue. • Evaluation of the two (2) bills based on the two (2) evaluative criteria utilizing pro and con statements. Each bill must have a pro and cons statement for each evaluative criteria. Use information from the literature to support the pro and con statements and provide reference citations. The following is only an example – APA levels of headings must be consistent throughout your paper – see p. 62-63 in the 6th ed. APA Manual. Evaluation of Options S. 789 Evaluative criteria 1. Pro. Con. Evaluation criteria 2. Pro. Con. S. 123 Evaluative criteria 1. Pro. Con. Evaluation criteria 2. Pro. Con. • Discussion of the analysis and comparison of the two bills. The discussion includes how closely the recommended bill “fits” the following: o the two (2) policy goals/objectives, and o the two (2) evaluative criteria (included in matrix/scorecard). • Draw conclusions/recommendations from the analysis of the two (2) policy options/alternatives and determine which would be recommended based on the analysis. A bill recommendation must be made – there can be no ‘tie’ and the “do nothing or incremental change” option cannot be selected. • A matrix/scorecard to summarize analysis of the extent to which the two (2) policy alternatives meet the two (2) established evaluative criteria. A matrix/scorecard employs a scoring mechanism that ranks policy options/alternatives based on evaluation criteria. Students will develop a ‘score’ for each evaluation criteria and a total score for each policy alternative. You may use any system, but be sure to include a ‘key’. For example, students may use symbolic descriptors such as “–, -, =, +, ++”, or a numeric descriptors, such as 1-10. Students will include the matrix/scorecard as an Appendix with their paper. The following is only an example – See pages 38-40 in the 6th ed. APA Manual regarding APA formatting of an Appendix. Policy Options/Alternatives S. 789 S. 123 Evaluative Criteria Criteria 1 ++ ++ Criteria 2 – + 2+/1- 3+ Score for Each Alternative 1 3 Please make sure to cite all references to the literature to support your statistics and data. Statements must be factually and scientifically correct, so if you are not sure about a health claim being made in the bill or by a group for/against it, look it up and confirm the validity yourself. Just because a statement is made in the bill, it does not mean that it is necessarily accurate • The paper should be written in a formal, scholarly style, and based on primary resources. Correct APA format is required. The paper should provide an organized flow, logical progression of ideas, and clarity in thought. • For a paper of this length, students are expected to use to use heading consistent with the rubric sections. In addition, students should follow the order of the grading rubric. • The paper should be no more than 12 pages in length (excluding the Title page, Reference page, and Appendix). • References must be timely; published within the previous five (5) years. Liberal number of timely references (minimum of 12). • For submission: each paper should be “named” according to the File naming policy of the course: see Lessons section for instructions on how to do this appropriately • Each paper should be submitted to Turnitin.com. A copy of the similarity report should be submitted with the paper to the Assignment section. • Submission instruction: each paper should be submitted in PDF format to the appropriate category of Assignments section. Your Turnitin report should be merged with your paper prior to submission. (There will be one document uploaded to the Assignment section.) • Up to 20% of the total points for this assignment may be deducted for an overall lack of scholarship to include: o APA errors o Grammatical errors o Incorrect spelling o Over the page limit o No Turnitin report merged with document o Document not submitted as a PDF, not named appropriately, etc. NU 610 Grading Rubric Policy Issue Analysis Paper Points Introductory paragraph (one paragraph) There must be a thesis statement that tells the reader purpose of paper and what will be discussed. /0.5 Problem Identification/Policy Problem Description of the identified problem/issue. /1 Background (local/state/regional/national perspectives with statistics, facts, figures, monetary issues) *Social Factors – Why is this a problem? Who are those involved? How are they impacted? *Economic Factors – Who does it cost? How much does it cost? Use specific $, %. #, etc. *Ethical Factors – Address ethical principles being violated (autonomy, distributive justice, nonmaleficence, fidelity, etc.). *Political and Legal Factors – What legislative action has already happened at the state/national level? What was the impact? Litigation or court decisions? What do the different parties have to say about the issue? What is the impact of issue for both the legal and political arenas? /2 /2 /2 /2 Issue Statement (one sentence/question). Focus on the issue, rather than the topic, or a specific policy proposal. /1 Stakeholders. Clearly address those who will support those who will oppose the issue. /3 Policy Goals and Objectives (Identify at least 2). You will describe what kind of policy would most benefit the issue you have identified. Think globally for this section. /2 Policy Options/Alternatives (only 2 can be presented). Provide the actual name and number of the 2 bills. Include references for each bill in the Reference list of the paper. /2 Evaluation of Options. Identify 2 evaluative criteria (these criteria will be included on your matrix/scorecard). Provide rationale for why these criteria are important. Evaluate each bill on the 2 evaluative criteria utilizing pro and con statements. There must be references for each pro and con statement for each bill. /6 Results of Analysis & Summary: Discuss the analysis and comparison of the 2 bills based on the 2 policy goals/objectives and the 2 evaluative criteria (included in matrix). State which policy bill would be recommended based on the analysis using the evaluative criteria. Discuss how closely the recommended bill “fit” your policy goals/objectives. /4 Matrix/Scorecard Develop matrix/scorecard and include as an APA formatted Appendix. /2 Conclusions: summarize the essential points of paper in one paragraph. /0.5 Points /30 Deductions