From a nurse practitioner perspective.

From a nurse practitioner perspective.

Question description

APA FORMAT ONLY ,include in-text citation,and no grammatical errors.Please address all components of each question, demonstrate critical thinking and analysis, and include 1 peer reviewed journal evidence to support your discussion. 

Post an explanation of your Florida’s key health indicators and how these indicators influence health status. Explain how this relates to what is and what is not covered under Medicare and Medicaid.State health report cards identify key health indicators related to health outcomes, health behaviors, and quality of health systems. By examining these health indicators and how they might influence the health status of your specific patient population, you will be able to better address health risk behaviors and burdens of illness within your clinical setting.

In this Discussion, review Florida’s health report card and consider direct and indirect burdens of key health indicators.Click on link. (https://www.americashealthrankings.org/explore/201…).
Post an explanation of your Florida’s key health indicators and how these indicators influence health status. Explain how this relates to what is and what is not covered under Medicare and Medicaid. Then, explain the direct and indirect burdens of health risk behaviors and disease (i.e., cost, morbidity, premature mortality, etc.). Finally, explain how policy impacts key health indicators and the burdens of health risk behaviors and disease.
Locate and review your state’s health report card.
Reflect on your Florida’s statistics and key health indicators, including how they influence health status. Consider how this relates to what is and is not covered under Medicare and Medicaid.
Think about the direct and indirect burdens of health risk behaviors and disease (i.e., costs, morbidity, premature mortality, etc.).
Consider how policy impacts key health indicators and burdens of health risk behaviors and disease.

then respond to the responses below……

APA FORMAT ONLY ,include in-text citation,and no grammatical errors.Please address all components of each question, demonstrate critical thinking and analysis, and include 1 peer reviewed journal evidence to support the student’s position.

1st Discussion to respond to

Vivia’s PostIn the state of Illinois, the American Health Ranking 2017 reported some of the key health indicators, which are the uninsured rates among adults and children; poverty rate, mental illness and substance abuse; prevalence of disease in children and adults; drug death and premature deaths; prevalence of diseases and health risk factors such as diabetes, asthma and obesity. The annual report reviews also reported a low prevalence in mental illness; a decline in excessive drinking; a decline in the uninsured; drug deaths and premature deaths. Significant to these declines, data showed that there is a higher number of primary care physicians and dentist in Illinois. The problems with obesity, however has increased from 17% from 27.1% to now 31.6% in the past five years. Violent crimes have also increased from 15% from 380-436 offences per 100,000 population. Smoking was found to decrease in the past five years; 24% from 20.9 to 15.8% of adults; the uninsured decreased 54% from 14.8% to 6.8% of the population. Another problem is the high level of air pollution, which in part explain the high level of preventable hospitalization.

According to information provided by Medicare and Medicaid. Gov. there are limits to what is covered and what is not covered. People need private insurance and supplements to have sufficient health coverage. Medicare does not cover most dental care, long term care (custodial care); eye examination related to prescribing glasses; dentures, cosmetic surgery, acupuncture; hearing aids and routine foot care. Medicaid, on the other hand covers a broad level of health insurance coverage, which includes doctors’ visits, hospital expenses, nursing homes, home health care and long-term care costs.

Although the Affordable Act is in progress, everyone still cannot afford insurance, which is a direct burden on the health care of individuals. The cost of insurance remains high for many, and obesity, morbidity and premature mortality are some of the direct and indirect burden on health care. Center for Disease Control and Prevention (CDC, 2017) identified, for example, that obesity is a complex issue because it results from a combination of causes and factors such as behavior and genetics. Obesity is a serious burden because it is associated with poor mental health; reduced quality of life and one of the leading cause of death in the USA with other diseases such as diabetes, heart disease, stroke and some types of cancer.

Statistics and estimates of the indicators does provide valuable information for policy makers, which allows them to monitor progress and make decisions about current health risks and problems in the public (Brownson, Chiriqui, and Stamatakis, 2009) This is evident through the US Department of Health and Human Service who initiated a national partnership that involves the federal government, the states, local communities and the private and public sectors to build ‘Healthy People’ 2020, which can impact these indicators (Pender, Murdough, and Parsons,2014).

Americas Health Ranking.Retrieved from https://www.americashealthranking.org/explore/2017annual report.

Brownson, R. C., Chiriqui, J. R., & Stamatakis, R. A. (2009). Policy, politics and collective action. American Journal of Public Health, 99(9), 1576-1583.

Centers for Disease Control and Prevention (CDC, 2017). Overweight and obesity. Retrieved from https://www.cdc.gov/obesitynov.

Pender, N. J., Murdough, C. L., & Parsons, M. A. (2014). Community sociopolitical partnership. Retrieved from https://bookshelf.vitalsource.com/#/books.

2nd discussion to respond to:

Meagan’s post

Florida is a state with a unique population. A large percentage of its population is snow birds and retirees. Some of the strengths of this state include but are not limited to: low air pollution, low obesity rates, and low prevalence of cardiovascular related deaths (United Health Foundation, 2018). Some of the challenges of this state, again, include but are not limited to: a large number of the population being uninsured, an increased prevalence of physical inactivity, and a high level of incidence of salmonella (United Health Foundation, 2018).

I think one of the challenges of this population, not having insurance, has to do with their retirement status as well as a lack of awareness on how to access necessary resources. With Medicare not covering long-term care, hearing aids, dentures, etc. this is likely the root of many of the challenges of this area as well. The aforementioned likely play a predominant role in the lack of physical activity of this population.

Burdens of many of the health risk behaviors and disease are likely cost related. I think by the time people whom are uninsured go in to see a provider, their condition is much more progressed and severe than if they had been insured, feeling as if they could see a provider when the problem initially presented itself. With a lack of long term care coverage I think many people end up living in situations where they are simply getting by instead of thriving.

I think the information found on the America’s Health Rankings site is incredibly important to help guide health policy and the topics that are needing to be addressed.

References

United Health Foundation. (2018). America’s Health Rankings Florida. Retrieved from: www.americashealthrankings.org/search?q=florida

 
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