Create a Powerpoint Presentation in which you address the following:
Explain shifts currently taking place in the health care system.
For example, consider the shift from acute care to wellness and prevention and the shift in accountability.
Describe current and potential challenges with the health care system.
Identify health care costs for consumers.
Consider how the costs for consumers have evolved.
What are consumers’ reactions?
Explain how the health care system is handling challenges.
Are they effective?
The presentation should include one cover slide , 5- 7 slides that include the information required in this assignment, at least one reference slide and extensive notes for each slide (at least 5 sentences per slide).
Cite 3 peer-reviewed, scholarly, or similar references to support your paper.
Format your presentation according to APA guidelines.
Click the Assignment Files tab to submit your assignment.

Please answer to this discussion post. Needs to be 150 words or more. No plagiarism and APA style, cited. Should you have any questions please let me know via messenger. Thanks.
Identify what are the specific provisions within the mandate that will directly impact the delivery of care.
ACA seeks to contribute to the expansion of the healthcare coverage relating to the patients (Hall, & Allhoff, 2014). Some of the provisions of ACA include overhauling of the individual insurance market resulting to the various laws and regulating the conduction of different professionals in the health sector. The provisions required that the illegal immigrants remain unsecured while all the insurers were required not to deny any person who is eligible to be covered. Also, ACA’s provisions included the expansion of the Medicaid suggesting that the delivery of services relating to health were made more effective. Also, the provision to reduce the health care costs resulted in a large number seeking medical attention when there is the need. Therefore, delivery of health services is consistent, and it is made in a manner by which most of the individuals are in a position to enjoy high-quality healthcare services (Selker, & Wasser, 2014). Therefore, it is evident that these provisions improved the health sector considering matters to do with delivery of services and how to care for the clients even after there are discharged.
Discuss one key challenge that you anticipate facing in advanced practice as a result of one of the provisions
However, with the overhauling of the individual insurance market, there exists a challenge that relates to increased costs that are meant to control the payment of the insurance premiums and observe whether the new regulations are followed. In other words, there are higher chances that the more costs will be earned when seeking to control and monitor the adherence to the laws and policies that have been set by the government. Therefore, the revenue earned by the government from these proceedings will reduce and tend to affect the economy. Therefore, it is evident that as much as the ACA’s provisions led to benefits, there are also some cases of challenges.

Select the state where you plan to work as an advanced practice nurse and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors. Address how as an advanced practice nurse and nursing leader, one can influence desired change in the current health policies. Be sure to identify one MSN Essential that most relates to this topic in your discussions.
***I plan to practice in the state of Florida, United States*** Please plagiarism in this paper should be less than 20%, any higher and the paper will be graded as ZERO. It needs to be APA style and cited, at least two references. Should you have any questions please don’t hesitate to contact me. Also, please refer to the uploaded document for directions on how to further finished this assignment. Thanks

Read the following case study and answer the questions in a 2 page Word document:
GF is 41year-old woman who arrives for her first visit at the clinic. She reports that she has been feeling sad and depressed, with crying spells, trouble sleeping, increased appetite, impaired concentration, and fatigue. She has experienced depression in the past but was able to overcome the symptoms without medication. Upon physical exam, she appears to be poorly groomed and with minimal facial expression. She is slow to respond to questions. She admits to being very anxious and worried about “everything.” She denies any current suicidal ideation. However, she expresses concerns about the future and that it may not be an improvement. She has tried over-the-counter medications to help with sleep, but they have not been effective. Answer the following questions:
• What additional information would you gather before making a decision about what to do with GF?
• What approach would you suggest for this patient? Which of her symptoms would concern you and require immediate intervention? Which medications would you use, include dosage and schedules.
• Does she need to be referred to another provider, or can she be managed in a primary care setting?
• Are there any non-pharmacological strategies that might be appropriate for her depression and insomnia? Include highlights of patient teaching and /or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.

According to the study about nurse graduates from higher education levels having a higher productivity, and the direct link to impacts on patients care outcomes, the link appears clear (Yakusheva & Weiss, 2017). The study looked at physiological, functional, emotional, cognitive, mobility, symptom control, knowledge, self-care, complications, injury, falls, pressure ulcers, and infections associated within the relationship between nurses trained at an associate level, or baccalaureate level (Yakusheva & Weiss, 2017). In multiple studies it has been shown over and over again the productivity boost from having an higher education such as baccalaureate nurse level, thus improving the safety and care outcomes of our patients (Yakusheva & Weiss, 2017). Completion of a baccalaureate program increases the nurses intellectual capital, and this in turns raises performance, and consequently productivity and that equals better and safer outcomes and care (Yakusheva & Weiss, 2017). I truly feel, that I’m a better nurse than I was when I started the BSN program, from the knowledge learned so far, and was surprised because I felt I was a great nurse to begin with, so just goes to prove that increasing your education can help you serve your patients better, and safer.
When looking at roles of ADN and BSN nurses, it has been shown that BSN nurses function more independently in collaboration of care delivery when assigned to direct care (Yakusheva & Weiss, 2017). It has been shown through multiple studies that hospitals that employ large numbers of BSN-prepared nurses have lower patient mortality rates, with just a 10%, increase in BSN nurses shows a 7 %, decrease in patients deaths (RWJF, 2014). Even though associate degree nurses make tremendous contributions in the field, more highly educated nurses are needed to navigate an increasingly complex health care system, and ensure that patients who are sicker, living longer, having multiple chronic health conditions, have access to highly skilled, patient-centered care across the entire care continuum (RWJF, 2014). Multiple studies have found positive correlations to lower cost, shorten hospital stays, and most important decrease deaths with furthering the education level of the nurse to a baccalaureate level (RWJF, 2014). After reading and most importantly completed the BSN program, it is clear that patient safety outcomes would be better with a BSN degree, because of the training to critically think, research, and understand more with health disparities, to address a patient, and their situation different than an ADN trained nurse.