PPT REVISION COVID Healthcare Vaccine Policy The Policy Centers for Medicare & Medicaid Services (CMS), HHS establishe

PPT REVISION COVID Healthcare Vaccine Policy

The Policy

Centers for Medicare & Medicaid Services (CMS), HHS establishe

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PPT REVISION COVID Healthcare Vaccine Policy

The Policy

Centers for Medicare & Medicaid Services (CMS), HHS established a mandatory vaccination policy under two phases .
The regulations included in Phase 1 [42 CFR
416.51

The regulations included in Phase 2 [42 CFR 416.51

According to Hospital American Association 2021, “CMS asserts its rule takes priority above other federal vaccination requirements. In instances where a facility is not regulated by the Conditions of Participation because of nonparticipation in the Medicare and Medicaid programs, then the Executive Order on Ensuring Adequate COVID Safety Protocols for Federal Contractors or the OSHA COVID-19 ”. OSHA allows the employee with this policy to choose between fully vaccinated or wearing a mask and regular testing in place of vaccination
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Introduction

According to Lost on the Frontline, a project of Kaiser Health News and The Guardian, a total of 3,500 health care workers had died of COVID-19 in the United States alone ( Fauteux, N. 2021).
The Biden-Harris administration has required that COVID-19 vaccination should be administered to eligible staff at healthcare facilities (Emanuel & Skorton, 2021).
Centers for Medicare & Medicaid Services (CMS), HHS established a mandatory vaccination policy under two phases , Phase 1 [42 CFR
416.51& Phase 2 [42 CFR 416.51

The OSHA COVID-19 Emergency Temporary Standard (ETS) established a mandatory vaccination policy (29 CFR 1910.501(d)(1)) for the employee. This policy allows the employee to choose between fully vaccinated or wearing a mask and regular testing in place of vaccination following the policy of (29 CFR 1910.501(d)(2)).

According to Lost on the Frontline, a project of Kaiser Health News and The Guardian, a total of 3,500 health care workers had died of COVID-19 in the United States alone ( Fauteux, N. 2021). The Biden-Harris administration has required that COVID-19 vaccination should be administered to eligible staff at healthcare facilities (Emanuel & Skorton, 2021). This policy was issued by the Centers for Medicare and Medicaid Services and is aimed at protecting those fighting the virus (Emanuel & Skorton, 2021). The policy is also aimed at providing assurances to other people and their families of their protection while seeking care (Emanuel & Skorton, 2021). The policy was established to help in addressing the risk of unvaccinated health care workers to the safety of patients and to provide stability and uniformity across the health care system in the nation

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Policy Design
The policy was established to help in addressing the risk of unvaccinated health care workers to the safety of patients and to provide stability and uniformity across the health care system in the nation
At this stage, the problem was identified to be the risk of health care workers contracting the COVID-19.

Policy design involved identifying the goals and selecting the policy instruments that could be used in meeting these goals.

This stage involved the identification of the problem and ways of fixing it. At this stage, the problem was identified to be the risk of health care workers contracting the COVID-19 virus which burdens the health care system by reducing the number of workers is in a position to serve (Benenson et al., 2021). Another problem was the risk of unvaccinated health care workers infecting patients as they attended to them. The policy design involved identifying the goals and selecting the policy instruments that could be used in meeting these goals. The goal was to protect both health care workers and patients in the health care facilities (Benenson et al., 2021).

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Denise Zabriskie (DZ) – Who was involved in identifying the risk for and from healthcare workers? Was the hospital association involved?

Policy Formulation
Included developing acceptable and effective courses of action to address the identified problem.

Involved defining and mobilizing various solutions that would protect both the healthcare workers and patients from the risk of the COVID-19

Policy formulation included developing acceptable and effective courses of action to address the identified problem as explained in the paragraph above. Policy formulation involved defining and mobilizing various solutions that would protect both the healthcare workers and patients from the risk of the COVID-19 virus (Di Gennaro et al., 2021). During the policy formulation, it was identified that establishing a policy that required all healthcare workers to be vaccinated would help to address this problem. The existing resources and constraints were considered and various scenarios that could help in understanding the strategies and actions for addressing this problem were also identified.
Officials in the Biden-Harris administration worked in conjunction with heads of the Centers for Medicare and Medicaid Services in formulating this policy. Officials at the state level and in individual health systems were also consulted during the formulation of the policy (Di Gennaro et al., 2021).

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Denise Zabriskie (DZ) – Who was involved in developing this policy? Was it the head of the CMS?

Denise Zabriskie (DZ) – Who else is involved?

Denise Zabriskie (DZ) – Who else is involved?

Policy implementation
Implemented by administrative actors.

CMS requires to conduct monitoring onsite compliance through policies and procedures COVID -19
Monitoring resident and staff COVID-19 cases over the previous four weeks and vaccinations status

Eligible staff should have received the appropriate shots for full vaccination, which are one dose of Johnson and Johnson or two doses of Moderna or Pfizer by January 4th, 2022.

The policy was implemented by administrative actors and involved defining the implementation structure, agency decision-making, target group behavior, and identifying the policy results. Different ministries and agencies were responsible for implementing the policy and their activities were coordinated. The responsible agencies made the stipulations more concrete and also elaborated procedures about how this COVID-19 vaccine policy for health care workers would work (Shekhar et al., 2021).The policy is being put into practice and it is also being reviewed to provide feedback on the successes and challenges of its implementation. Eligible staff should have received the appropriate shots for full vaccination, which are one dose of Johnson and Johnson or two doses of Moderna or Pfizer. This is to be conducted between now and January 4th, 2022 (Shekhar et al., 2021). Exemptions are provided regarding religious practices, beliefs, or observances, and medical conditions.

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Denise Zabriskie (DZ) – I don’t see where it states the staff must be vaccinated by January 4, 2022. Also, I saw dates in the

Denise Zabriskie (DZ) – According to California’s state mandate for healthcare workers, the deadline for vaccination is Nov. 30.

Denise Zabriskie (DZ) – https://www.shrm.org/resourcesandtools/legal-and-compliance/state-and-local-updates/pages/california-expands-vaccine-mandate-for-health-care-workers.aspx

Policy Analysis
Process used was identifying the problem, identifying the appropriate policy solution, and developing a strategy by enhancing the adoption of the policy solution.
Policy analysis model that was used for this policy is the Multigoal policy analysis method.
Policy analysis is still being done and evaluation research is being used for improving the practical implications of this policy
Unvaccinated patient’s will be protected by vaccinating health care workers, therefore patient are associated with less infections overall, and less risk for transmission

The policy analysis model that was used for this policy is the Multigoal policy analysis method. This approach was utilized because it is effective in dealing with situations where there are multiple possible policy goals like the one in this policy. Policy analysis is still being done and evaluation research is being used for improving the practical implications of this policy (Di Gennaro et al., 2021). Policy analysis is being done by predicting the impact of the policy implementation against the alternatives and the relevant desired goals. Unvaccinated patient’s will be protected by vaccinating health care workers, therefore patient are associated with less infections overall, and less risk for transmission (Klompas et al., 2021).

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Policy Evaluation
Research and evaluation inform policy formulation by ensuring that the policy is based on scientific evidence and proven results and how well the policy has performed in terms of achieving its goals.
Evaluation will be done by comparing the degree to which contraction of the COVID-19 virus has been reduced for health care workers and the degree to which transmission of COVID-19 from health care workers to patients has been reduced.

After its full implementation by January 4th, 2022, policy evaluation will then begin. The policy evaluation will be done by comparing how well the policy has performed in terms of achieving its goals. Policy evaluation will be done by comparing the degree to which contraction of the COVID-19 virus has been reduced for health care workers and the degree to which transmission of COVID-19 from health care workers to patients has been reduced (Di Gennaro et al., 2021). Evaluation will also involve examining the rates of health care workers who have quit their jobs due to this regulation.

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Denise Zabriskie (DZ) – Last week several federal courts have halted the vaccination mandates for healthcare workers citing there is no constitutional authority to mandate vaccinations in this republic. I don’t see where this is mentioned or addressed.

Legislation Principles for the DNP Nurse
Understanding various processes of legislation involved in the policy (Unruh et al., 2021).

Understanding the relationship between the policy and rule of law both at the federal and state levels.

Understanding any legal implications that may arise from the implementation of the elements of this policy (Unruh et al., 2021).

The nurse must understand the various processes of legislation involved in the policy (Unruh et al., 2021). The nurse must also understand how the policy relates to the rule of law both at the federal and state levels. The nurse must also understand any legal implications that may arise from the implementation of the elements of this policy (Unruh et al., 2021).

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Denise Zabriskie (DZ) –

Nursing Potential Impact on the Policy
Nurse help to advance the policy by effectively completing their daily roles in healthcare delivery (Raoofi et al., 2020).

Can help make the policy more effective by identifying areas of weaknesses and providing suggestions or recommendations for improvement.

Can point challenges of implementation and recommended solutions.

Nurse help to advance the policy by effectively completing their daily roles in healthcare delivery (Raoofi et al., 2020). Nurses can help to make the policy more effective but identifying areas of weaknesses and providing suggestions or recommendations for improvement (Raoofi et al., 2020). Nurses can collaborate with other members of the health team to understand the challenges faced in implementing the policy and how these challenges can be addressed (Raoofi et al., 2020).

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Conclusion
Policy has been successful and effective in improving vaccination, mask compliance, and COVID-19 testing requirements.
Has helped reduce the number of infections and death rates due to the COVID-19 virus.
Has helped increase access to COVID-19 testing and treatment

The Covid health care policy has been successful and effective in improving vaccination, mask compliance, and COVID-19 testing requirements. Various requirements of the policy such as social distancing measures, mandatory stay at home orders, and limiting gatherings have helped to reduce the number of infections and death rates due to the COVID-19 virus. The policy has been successful in increasing access to COVID-19 testing and treatment and facilitated continued management of other health conditions. The policy has been instrumental in helping the country gain control of the pandemic situation and implement measures for the return to normalcy.

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References
Amit, S., Beni, S. A., Biber, A., Grinberg, A., Leshem, E., & Regev-Yochay, G. (2021). Postvaccination COVID-19 among healthcare workers, Israel. Emerging Infectious Diseases, 27(4), 1220.
Benenson, S., Oster, Y., Cohen, M. J., & Nir-Paz, R. (2021). BNT162b2 mRNA Covid-19 vaccine effectiveness among health care workers. New England Journal of Medicine, 384(18), 1775-1777.
CMS Issues Rule Requiring Mandatory COVID-19 Vaccinations for Health Care Workers | AHA. (n.d.). Www.aha.org. https://www.aha.org/special-bulletin/2021-11-04-cms-issues-interim-final-rule-requiring-mandatory-covid-19-vaccinations
Di Gennaro, F., Murri, R., Segala, F. V., Cerruti, L., Abdulle, A., Saracino, A., … & Fantoni, M. (2021). Attitudes towards Anti-SARS-CoV2 vaccination among healthcare workers: Results from a national survey in Italy. Viruses, 13(3), 371.
Emanuel, E. J., & Skorton, D. J. (2021). Mandating COVID-19 vaccination for health care workers.
Fauteux, N. (2021). COVID-19: Impact on Nurses and Nursing. AJN The American Journal of Nursing, 121(5), 19-21.

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References
Kaufman, K. R., Petkova, E., Bhui, K. S., & Schulze, T. G. (2020). A global needs assessment in times of a global crisis: world psychiatry response to the COVID-19 pandemic. BJPsych open, 6(3).
Klompas, M., Pearson, M., & Morris, C. (2021). The case for mandating COVID-19 vaccines for health care workers.
Raoofi, A., Takian, A., Sari, A. A., Olyaeemanesh, A., Haghighi, H., & Aarabi, M. (2020). COVID-19 pandemic and comparative health policy learning in Iran. Archives of Iranian medicine, 23(4), 220-234.
Shekhar, R., Sheikh, A. B., Upadhyay, S., Singh, M., Kottewar, S., Mir, H., … & Pal, S. (2021). COVID-19 vaccine acceptance among health care workers in the United States. Vaccines, 9(2), 119.
Unruh, L., Allin, S., Machildon, G., Burke, S., Barry, S., Siersbaek, R., … & Williams, G. A. (2021). A comparison of 2020 health policy responses to the COVID-19 pandemic in Canada, Ireland, the United Kingdom and the United States of America. Health Policy.

Thank You!

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