iam replying to my peer’s post on APRN political action state


Week 14 Discussion: APRN Political Action State Initiatives


My courses


Week 14: Professional Development and Advancement

Week 14 Discussion: APRN Political Action State Initiatives

Completion requirements

To do: Make forum posts: 2

Value:100 points

Due:In an effort to facilitate scholarly discourse, create your initial post by Day 3, and reply to two of your classmates by Day 7.

Grading Category:Discussions

Initial Post

Using the NP Association links in the Nurse Practitioner Interactive Map, identify your state NP association and the current political action initiatives they are currently working on. State professional organizations will have an advocacy team working on the state initiatives determined by the organization, so look for an advocacy tab, political action coalition (PAC) tab, or policy issues tab on the home website.

  • How do these issues restrict your practice and how will your practice change if these issues are resolved?
  • Identify your role in addressing these political movements.

If your state NP association does not have any political action initiatives, look at either a national professional organization’s political initiatives, such as AANP, or a state health initiative, such as immunization rate, obesity rate, texting laws or the like and complete the same instructions.

Reply Posts

Reply to two of your classmates, either classmates from different states or classmates who identify a different political issue from what you identified.

Please refer to the Grading Rubricfor details on how this activity will be graded. The grading for the number of reply posts is based on individual Discussion Board instructions. If the rubric indicates a different number for reply posts, you will not be graded down, as long as you have followed the reply post instructions.

For this assignment to be considered complete, you must post your initial response and address all prompts related to the APRN Political Action State Initiatives by Day 3. In addition, you must reply to two classmates from different states or classmates who focused on an issue different than your own by Day 7.


Re: Week 14 Discussion: APRN Political Action State Initiatives

by Cara O’Connor – Wednesday, 29 November 2023, 1:17 PM

        The Department of Vermont Health Access is currently working to transition Vermont’s Medicaid healthcare payment system from a fee-for-service model to a value-based model. In contrast to the fee-for-service model in which the quantity of services provided yields higher compensation, value-based models reward clinicians for providing high quality healthcare through achieving predetermined goals like following clinical guidelines or reaching quality benchmarks (Lewis et al., 2023; O’Reilly et al., 2022). This transition would result in a shift from a disease management mindset to one that emphasizes health maintenance and disease prevention (O’Reilly et al., 2022). The goal is to provide better, more efficient care, while reducing the number of unnecessary services and procedures, and lowering healthcare costs (DVHA, 2023). The fee-for-service model has been restrictive for nurse practitioners as insurance providers, including Medicaid, often reimburse nurse practitioners at lower rates compared to physicians. Lower compensation discourages companies from employing nurse practitioners and practices from accepting these insurance providers which ultimately decreases patient access to care (Barnes et al., 2017). The change in payment model will favor nurse practitioners as studies have demonstrated that nurse practitioners provide less-expensive care than physicians. This is thought to be due to nurse practitioners’ use of the nursing model of care which stresses the importance of disease prevention and health promotion (O’Reilly et al., 2022). Regarding addressing this and other political movements, the nurse practitioner’s role includes being informed, voting, and contacting legislators at both the local and federal levels (O’Rourke et al., 2017).


Barnes, H., Maier, C.B., Altares Sarik, D., Germack, H.D., Aiken, L.H, & McHugh, M.D. (2017). Effects of Regulation and Payment Policies on Nurse Practitioners’ Clinical Practices. Medical care research and review: MCRR, 74(4), p. 431-451. https://doi.org/10.1177/1077558716649109

Department of Vermont Health Access (DVHA). (2023). Payment Reform. Retrieved from https://dvha.vermont.gov/initiatives/payment-reform

O’Reilly-Jacob, M., Perloff, J., Berkowitz, S., & Bock, L. (2022). Nurse practitioner-owned practices and value-based payment. Journal of American Association of Nurse Practitioners, 34(2), p. 322-327. DOI:10.1097/JXX.0000000000000635

O’Rourke, N.C., Crawford, S.L., Morris, N.S., & Pulcini, J. (2017). Political Efficacy and Participation of Nurse Practitioners. Policy, politics, & nursing practice, 18(3), p. 135-148. https://doi.org/10.1177/1527154417728514

350 words

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