Description
Hello,I am taking Health Care Policy class and we have to write a Paper.I am providing a PDF copy of what the paper and Rubric consists of. IMPORTANT Points to Consider: Be sure to REVIEW THE GRADING RUBRIC and criteria for the assignment carefully and to include ALL aspects that are required as part of the assignment grade. It should go without saying that NO two papers should look the same The topic that I have to write on is Medcal MarijuanaPLESE LOOK AT ALL ATTACHMENTS ( CDC ETC) AS THEY WILL HELP WITH WRITING PAPER PLEASE MAKE SURE THAT PAPER IS AS DETAILED AS POSSIBLE AND INCLUDES ALL CORRECT IN-TEXT AND REFERENCES AS MY PROFESSOR IS VERY STRICT….THANK YOU! ****PLEASE NO PLAGIARISM/ SELF-PLAGIARISM IS ACCEPTABLE; ALL WRITINGS ARE RUN THROUGH TURN-IT IN FOR VERIFICATION! ****
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Advanced Practice Policy Analysis Paper
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Assignment Objectives:
1. Explore and analyze health indicators in the community.
2. Identify a problematic area of interest to advanced nursing practice.
3. Evaluate and analyze three health policy options/alternatives for improvement supported
by evidence (using a selected policy analysis tool)
4. Prioritize and recommend one health policy to address the healthcare issue
Purpose: To investigate & integrate knowledge of advanced nursing practice, scholarly inquiry,
& leadership by examining a policy at the level of clinical practice, health care systems, or
public/social health policy.
Important Points:
•
The student MUST obtain PRIOR APPROVAL of the policy problem/issue by the
course instructor :
NOTE: MY policy problem/ issue is Medical Marijuana….Per my
professor: “ I may need to narrow it a bit meaning its use in a specific
population but there are so many different state laws you would find a lot
of information” (I’m not sure of narrowing it is good ? I leave it up to you
Henryprofessor….thank you)
•
The CDC Policy Analysis is the recommended tool and template for this assignment
which provides a well structured format to follow.
•
Recommended resources to write this paper can be found in attachments along with
assignment description and at the following websites provided here:
Policy Analysis | POLARIS | Policy, Performance, and Evaluation | CDC
Federal Nursing Issues – Advocacy & Getting Involved | ANA (nursingworld.org)
Nurse Practitioners Policy Resources | cdc.gov
Advanced Practice Policy Analysis Paper
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Assignment Instructions:
•
Students are to submit a paper between 6-8 pages excluding title page and reference
pages.
•
Paper must be organized according to the guidelines provided below (REMEMBER TO
FOLLOW THE GRADING RUBRIC) and need to include all the identified sections
and information as it is outlined in the grading rubric and assignment instructions.
•
Paper must be completed in APA format and contain current scholarly sources dated
from 2017 until current.
•
Resources to assist students in conducting a policy analysis are provided throughout
course readings.
Introduction
This part of the assignment should introduce the topics the student will be discussing in the
paper and provide a bit of context about the approach. This is specific to the student content to be
presented and not general to the assignment itself.
Step 1: Identify the Policy Problem/Issue & Provide Context
The first thing the student needs identify is a healthcare issue that, in your opinion, is a
problem that calls for a policy solution, so the first step is to determine the policy issue of
interest (NOTE: MY policy problem/ issue is Medical Marijuana, as mention
above). Students may choose to look at the following broad areas of focus with the
understanding that the area will need to be further tailored to focus the student assignment. Some
broad areas to begin looking for a select policy issue could include health promotion, cost of
healthcare, mental health problems, use of technology in healthcare, MEDICAL MARIJUANA
POLICY etc. Another place to locate health policy issues include through various nursing
organizations such as the American Nurses Association (two sources are provided here, though
there are many others). Remember that no student is to write about nurse burnout for any of the
Fall, 2023 term assignments.
•
https://www.nursingworld.org/practice-policy/work-environment/health-safety/srhadvocacy/.
•
https://www.nursingprocess.org/current-issues-facing-nurse-practitioners.html
Advanced Practice Policy Analysis Paper
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Once the healthcare issue is clearly identified, move to synthesizing data on the
characteristics of the problem or issue, including the:
➢ Burden (how many people it affects), frequency (how often it occurs), severity
(how serious of a problem is it), and scope (the range of outcomes it affects).
•
In the background and significance section of a policy paper, students will include the
details of the issue or problem. This includes the history of the problem and its relation to
advanced nursing practice, the scope of the problem, then explore relevant literature that
details its history.
•
Sources of data for the statement should describe the problem and present a diagnosis of
the causes of the problem using critical statistics such as mortality rates, live births,
morbidity, and other statistics. The student should understand the problem conceptually
and empirically for successful policy analysis.
•
Then, with the problem stated, the student will select a policy (specific policy) to
evaluate the many alternatives and provide a rationale (see the section below or Step
2).
•
Remember the problem or issue MUST be something that can be addressed through
policy AND be relevant to advanced nursing practice. Questions to consider in the
Step 1 include the following:
First, you want to gather information by:
•
Reviewing literature on the topic/problem
•
Identifying best practices/results (i.e. studies, projects, or initiatives that have addressed
the problem; including best practices in other problem/issue areas)
•
Exploring what other jurisdictions are doing or have done to address the same problem
the student identified.
Answer the following questions to get started. Characterizing the data on the details of the
problem or issue (get the specifics) help you refine your question.
•
What is the problem you have identified?
•
Who is being affected?
•
What is the burden (how many people does it affect)?
•
Frequency (how often does it occur)?
•
Severity (how serious is the problem)?
Advanced Practice Policy Analysis Paper
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•
Scope (what are the range of outcomes affected)?
•
Write a problem statement. (The statement should be in one sentence and the problem
should be easily identifiable). More information can be found at the CDC website:
https://www.cdc.gov/policy/polaris/policyprocess/problem-identification/index.html
Contextualize the problem: Provide historical context by describing how the problem arose and
outlining any previous efforts to address the problem.
•
Identify the scope of the problem and present its context, then explore relevant literature
that details its history.
•
The background should be supported by evidence from credible scholarly sources.
•
Be sure to collect evidence that addresses alternative and opposing points of view on the
problem or issue and include the option of maintaining the status quo
•
Does the background include all necessary factual information?
Step 2: Provide the Landscape
•
Identify the key stakeholders/ and or key factors of previous efforts to address the policy
issue.
➢ These are the individuals and groups likely to affect or be affected by new policies
taken in response to the policy issue under discussion.
•
Identify key factors such as political, social, economic, practical, legal or quality-ofcare factors.
➢
Who are the individuals/groups affected by this problem?
➢
Who are the individuals/ groups who have attempted to address the problem in the
past?
➢
What are the views/ position of the various stakeholders?
➢
It should also identify and describe the major stakeholders (groups or individuals)
that are or will be affected by the policies, including the reasons.
Step 3: Policy Analyses & Policy Option Analysis (Existing Policy Analysis,
Identify and Describe Policy Options; & Assess Policy Options)
Advanced Practice Policy Analysis Paper
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Policy analysis involves identifying potential policy options that could address the
problem, then using quantitative and qualitative methods to evaluate those options to determine
the most effective, efficient, and feasible option.
First, establish the evaluation criteria you will use to guide your analysis and the policy
selection. Once you have gathered the information, describe/analyze each policy option
separately. You can also identify the various policy alternatives to help achieve objectives and
evaluate each alternative.
Next, demonstrate the potential impact of the policies based on the evaluation criteria.
Research possible policy options relevant to the problem/issue identified and the potential
strategy issue. Discuss the most important legislative, judicial, and regulatory policies that apply
to the health care problem.
Students are required to use a policy analysis tool that has established evaluation
criteria by which to evaluate each of the 3 policy options.
➢
Students may use either the CDC Table 1 and Table 2 or one of the policy analysis tools
described in the course textbook, Patton et al. (2022) Ch. 4.
➢
CDC Table 1 (which can be found at the website below
https://www.cdc.gov/policy/paeo/process/analysis.html. or in blackboard in Word and
PDF formats under the Assignments Folder) provides the questions and answers to be
used to rate each policy option using the specific criteria of Public Health Impact,
Feasibility (political and Operational), Economic and Budgetary Impacts.
Finally, assess the tradeoffs between the options. Based on the analysis, identify the
“best” alternative to address the current issue & policy situation. Provide supporting evidence of
why each policy could be a solution to the problem by answering the following questions for
each criterion. Note that Table 1 provides the criteria to review each policy option individually,
then Table 2 provides a matrix by which to rank the polies; compare and contrast the selected 3
policy options with one another; however, the ranking in Table 2 of low, medium or high and
less favorable, favorable or more favorable needs to be described and supported by the evidence
and explained and described by the student as a way to prioritize one policy over the other. The
interpretation of the various ranks is not implicitly understood so the student needs to provide
a rationale for why each policy is being ranked as it relates to how each policy meets criteria
in Table 1 and effectively addresses the problem/issue as outlined in the paper. It is not
Advanced Practice Policy Analysis Paper
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enough to simply fill out the table without a further explanation provided; the student is
expected to provide rationales for low, medium and high for health impact supported by the
literature and presented content; the political feasibility (what criteria did the student use and
where is the supporting evidence for placing this policy alternative in this low, medium or high
context? Additionally, budgetary impact at low to high needs to be explained as it relates to each
policy option).
What can be done about the problem? This involves describing:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Describe the existing policy that addresses the issue and assess the efficacy of the current
policy. Exploring what other jurisdictions are doing or have done to address the same
problem the student identified.
Discuss and explore the strengths, weaknesses and shortcomings of the existing policy.
Clarifies underlying assumptions and effectiveness of the current policy including effects
on the roles of key stakeholders (these stakeholders should be clearly and specifically
identified instead of assuming that the reader knows who the ‘stakeholders’ are and also
the rationale for choice of these individuals as ‘stake holders’ (See Step 3 below)
how the policy will impact morbidity and mortality (health impact),
Expound on the policy used to are about to analyze regarding the health issue. Examine
the enforcement implications.
It should also identify and describe the major stakeholders (groups or individuals) that are
or will be affected by the policies, including the reasons.
Consider the fiscal impact of the policy or issue, its impact on social justice, and the
recommended policy’s potential barriers and unintended consequences. Provide rationale
for selection.
Generally this section should look at research about possible policy options relevant to
the problem or issue you have identified and described. Identify barriers to
implementation of selected alternative.
Describe methods to evaluate policy implementation.
Presents viable strategies with potential outcomes for each strategy
the political and operational factors associated with adoption and implementation
(feasibility)
the prospective costs to implement the policy and how the costs may compare with the
prospective benefits (economic and budgetary impact)
Each assertion is researchable and verifiable support from reputable sources. No bias is
evident in the analysis
Consider the fiscal impact of the policy issue, its impact on social justice, and the
recommended policy issue’s potential barriers and unintended consequences. Assess the
trade-offs between alternatives.
Establish/identify criteria that will be used for selection of “best” policy.
Advanced Practice Policy Analysis Paper
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Evaluate each alternative & its potential impact relative to the healthcare & patient
outcomes.
A thorough cost-benefit analysis is provided for each policy option/alternative
Step 4: Prioritize Policy Options & Health Policy Recommendation
Rank the possible policy options based on the above criteria and using the context of the
problem/issue provided in the previous sections and prioritize the best policy option that will the
greatest health impact for the identified problem/issue. The prioritization of the selected policy
option must be well supported with a rationale stemming from the literature and link to
advanced practice nursing. Students should follow with an explanation of this rationale that
supports the selection of the prioritized policy option. Also, the student needs to explore the
barriers to implementation of the selected policy option. Explain the methods to evaluate the
effectiveness of policy implementation and discuss the sustainability of the selected policy.
Define Health in All Policies (see link provided below) as an initiative and determine how the
selected policy would fit with this definition. Further, include the limitations of the policy
analysis and discuss the implications of the prioritized policy option for nursing practice,
research, and education.
WEBSITE: https://www.cdc.gov/policy/hiap/index.html
Questions to be considered in Step 4 include:
•
Based on the analysis, identify the “best” alternative to address the current issue & policy
situation.
•
Provide rationale for selection.
•
Describe possible strategies to implement selected alternative.
•
Identify barriers to implementation of selected alternative.
•
Describe methods to evaluate policy implementation.
•
Limitations to the policy option analyses is provided
•
Implications of the policy to practice, policy formulation and implementation, research
and education discussed
•
Health in All Policies is discussed and linked to prioritized policy option
Conclusion
Advanced Practice Policy Analysis Paper
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The conclusion summarizes the findings and recommendations of the entire analysis. This
focuses on the student’s paper outlining key points that have been learned and assessed
throughout the paper in a comprehensive and succinct manner.
Criteria
Proficient/Exemplary
Competent
Beginner
Introduction Introduce the
overall concepts that will be
described in the student’s paper;
not generic to the assignment
outline. (10 pts)
Identification and support for
the healthcare issue/problem
Detailed description of a
healthcare problem/issue that is
of interest to the advanced
practice nurse and which can be
used to address a policy issue.
(30 pts)
7-10 pts
Clear and concise introduction
of the concepts to be presented
in the paper
0-3 pts
Vague, unclear or no
introduction of concepts to be
presented in the paper
21-30 pts
Clear and detailed outline of the
healthcare issue/problem to be
addressed using policy
provided. How the
problem/issue will be addressed
using policy is evident and
well-defined as is the link
between the issue and advanced
nursing practice.
4-6 pts
Mostly clear but somewhat
generic introduction of the
concepts to presented in the
paper
10-20 pts
Presents a well-considered
position on the issue.
Somewhat but not completely
comprehensive history of the
problem/policy. Key terms,
stakeholders and policy areas
needing analysis and resolution
are somewhat but not clearly
defined
Background/Significance
This should provide a
comprehensive background and
significance of the scope of the
healthcare problem/issues being
addressed through policy for the
duration of the paper that is well
supported by the literature and
research. (30 pts)
21-30 pts
Detailed and comprehensive
background and significance
for the healthcare problem is
provided. Relevant contextual
supporting data provided that
clearly outlines the scope of the
problem with excellent
supporting evidence and
research.
11-15 pts
Clear and comprehensive
identification of the major
stakeholders that shows a direct
relevance to the selected
healthcare issue that is well
supported by the evidence and
literature.
41-60 pts
Comprehensive and detailed
analysis of each of the 3 policy
options is provided. An
appropriate policy analysis tool
with established criteria is used
to individually evaluate each of
the selected 3 policy options.
All relevant health and/or
public health impact,
feasibility, and economic and
budgetary impacts are
considered for each of the 3
policies. Ambiguities, conflicts,
11-20 pts
Somewhat detailed but not
comprehensive background and
significance for the healthcare
problem provided. Mostly
relevant contextual supporting
data provided that outlines the
scope of the problem with good
supporting evidence and
research.
6-10 pts
Somewhat clear but not
comprehensive identification of
the major stakeholders that
shows a fair relevance to the
selected healthcare issue this is
mostly but not fully supported
by the evidence and literature.
21-40 pts
Somewhat clear but not
comprehensive analysis of each
of the 3 policy options is
provided. An appropriate policy
analysis tool with established
criteria is used to individually
evaluate each of the 3 policy
options. Most of the relevant
health and/or public health
impact, feasibility, and
economic & budgetary impacts
are considered for each of the 3
policies. Ambiguities,
0-10 pts
Missing and/or vague
background and/or significance
for the healthcare problem
provided. Vague or missing
contextual data that fails to
outline the scope of the
problem with insufficient
supporting evidence and
research.
0-5pts
Vague, missing, or unclear
identification of the major
stakeholders that shows a
minimal to no relevance to the
selected healthcare issue that
fails to be supported by the
evidence and literature.
0-20 pts
Poor, missing or unclear
analysis of 3 or less policy
options is provided. An
appropriate policy analysis tool
may or may not be used with or
without established criteria by
which to evaluate each of the
presented policy options. Some
or missing relevant health
and/or public health impact,
feasibility and economic &
budgetary impacts are
considered for 3 or less
Landscape Identify stakeholders
as identified in the assignment
instructions above. (15 pts)
Individual policy Option
Analysis criteria provided. Each
of the 3 policy options is
provided using an appropriate
policy tool as outlined in the
assignment instructions that
provides specific criteria for
each policy analysis)
(60 pts)
0-10 pts
Presents a vague or limited
position on the issue. Vague
and incomplete history of the
problem/policy. Key terms,
stakeholders and policy areas
are incompletely or not
analyzed, and resolution is
vague and not clearly defined.
Advanced Practice Policy Analysis Paper
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problems, and contradictions
related to each of the 3 policies
are explained. Each of the three
policy analyses is well
supported by the literature and
presented in a comprehensive
and easy to follow format in the
paper.
conflicts, problems and
contradictions related to each of
the 3 policies are mentioned but
not fully explained. Each of the
three policy analysis is mostly
but not fully supported by the
literature and presented in a
good but not clearly easy to
follow format in the paper.
Policy Options Comparison:
Each policy is compared to the
other using a matrix or table
with an approved policy tool that
provides a detailed and well
supported ranking system that is
well supported by the literature
and research. How each policy
addresses the healthcare issue as
outlined in the problem
identification, background and
significance is provided. (60 pts)
41-60 pts
Comprehensive and detailed
comparison of the 3 policy
options to one another is
provided using a well-defined
ranking system that is well
supported by the literature and
research. Clear and detailed
link between the policy options
and the healthcare issue as
outlined in the problem
identification, background and
significance is provided.
21-40 pts
Somewhat clear but not
comprehensive comparison of
the 3 policy options to one
another is provided with a fairly
good but not well-defined
ranking system that is fairly
well supported by the literature
and research. Somewhat clear
and detailed link between the
policy options and the
healthcare issue as outlined in
the problem identification,
background and significance is
provided.
Prioritization and Policy
Recommendation: Best policy
option is prioritized with a good
supporting rationale that is well
supported by the literature and
linked to advanced practice
nursing. Barriers to policy
implementation provided that are
realistic and well supported by
the literature. Possible strategies
for implementing selected policy
option provided along with
sustainability (45 pts)
31-45 pts
Detailed and comprehensive
prioritization of one of the
policy options with good
supporting rationale is provided
with a strong link to advanced
practice nursing. Barriers to
policy option implementation
provided with realistic and well
supported evidence and
sources. Possible strategies for
implementing selected policy
provided along with
consideration for sustainability.
16-30 pts
Somewhat clear but not
comprehensive prioritization of
one of the policy options with
fair supporting rationale is
provided with a somewhat
strong link to advanced practice
nursing. Barriers to policy
implementation is provided
with a somewhat realistic and
supported evidence and
sources. Possible strategies for
implementing policy provided
along with consideration for
sustainability.
Limitations to the policy
option analysis provided with
supporting detail along with a
detailed description of Health
in All Policies and how the
selected policy option fits with
this definition that is well
supported by the literature and
sources. (30 pts)
21-30 pts
Detailed and clear discussion of
the limitations of the policy
option analysis provided with
good supporting detail.
Comprehensive description of
Health in All Policies with a
strong rationale and support for
how the prioritized policy
option meets this definition.
11-20 pts
Mostly detailed but somewhat
unclear discussion of the
limitations of the policy option
analysis provided with
somewhat good supporting
detail. Good but not
comprehensive description of
Health in All Policies with a
good but not strong rationale
and support for how the
prioritized policy meets this
definition.
policies. Ambiguities, conflicts,
problems and contradictions
related to the policy are poorly
or not mentioned nor fully
explained. Each of the 3 policy
analyses is missing or not full
supported by the literature and
the analyses is difficult to
understand and interpret as
formatted in the paper.
0-20 pts
Vague, unclear or missing
comparison of the 3 or less
policy options to one another is
provided with a poor and/or
unsupported ranking system
that is not well supported by the
literature and research. Vague,
unclear or missing link between
the policy options and the
healthcare issue as outlined in
the problem identification,
background and significance is
provided.
0-15 pts
Missing, unclear or vague
prioritization of one of the
policy options with poor to no
supporting rationale provided
with a weak or missing link to
advanced practice nursing.
Barriers to policy
implementation is provided
with limited realistic and
unsupported evidence and
sources. Possible strategies for
implementing policy may or
may not be provided with or
without consideration for
sustainability.
0-10 pts
Missing, vague or unclear
discussion of the limitations of
the policy option analysis
provided with missing or vague
supporting detail. Vague or
missing description of Health in
All Policies with limited or
missing rationale and support
for how the prioritized policy
meets this definition.
Advanced Practice Policy Analysis Paper
Implications of the policy to
nursing practice, research and
education are analyzed with
good supporting evidence and
research. (30 pts)
10
21-30 pts
Strong and comprehensive
description of how prioritized
policy informs nursing practice,
research and education are
analyzed with excellent
supporting evidence and
research.
7-10 pts
Summarizes the key points
made throughout the student
paper in a succinct and
comprehensive manner.
Provides appropriate references
and citations to support
concluding comments.
11-20 pts
Somewhat strong but not
comprehensive description of
how prioritized policy informs
nursing practice, research, and
education are analyzed with
good supporting evidence and
research.
4-6 pts
Somewhat summarizes the key
points made throughout the
student paper in a mostly clear
but somewhat generic manner
that fails to be entirely
comprehensive for the student’s
content. Somewhat but not fully
supported by references and
citations.
0-10 pts
Missing, poor or weak
description of how prioritized
policy informs nursing practice,
research, and education are
analyzed with good supporting
evidence and research.
Written Communication &
Research Skills (15 pts)
11-15 pts
Excellent mechanics, grammar,
and word usage. Language is
clear and appropriate. Writing
style is effective. The content
of the paper follows the grading
rubric and is presented in a
clear and comprehensive
manner. References are used to
support statements and text
throughout the paper.
0-5 pts
Poor mechanics, grammar
and/or word usage. Language is
vague and not exactly clear.
Writing style is ineffective. The
content of the paper fails to
follow the grading rubric and is
presented in a disconnected and
largely unclear and limited
manner. References are not
used to support the statements
and text throughout the paper.
Citations and Formatting (APA)
(21 pts) The paper includes all
required APA formatting
elements including title page,
text, reference page, headers and
organization. Paper is well cited
with a minimum of 12 references
and 5 within the past 5 years.
Paper is well paraphrased and
summarized with minimum
direct quotes and frequent use of
same reference. The references
support statements made
throughout the paper. Page
length is in within no more than
8-9 pages not including title
page and reference page.
15-21 pts
Support and evidence are
referenced using paraphrasing
in the students own voice and
are cited and formatted per
APA 7th edition. Minimum of
12 references (at least 5 in the
past 5 years) are utilized with
fewer than 2-3 errors in APA
formatting and references
throughout the paper.
References are used to support
statements throughout the
paper. Expected page length
6-10 pts
Good mechanics, grammar, and
word usage. Language is
mostly clear and appropriate.
Writing style is somewhat
effective. The content of the
paper follows the grading
rubric and is presented in a
mostly clear but not fully
comprehensive manner.
References are used mostly to
support statements and text
throughout the paper.
8-14 pts
Support and evidence are
referenced using paraphrasing
in the students own voice and
are cited and formatted per
APA 7th edition. Minimum of
10-12 references (at least 5 in
the past 5 years) are utilized
with fewer than 3-4 errors in
APA formatting and references
throughout the paper.
References are used to support
statements throughout the
paper.
Conclusion Summarize the main
points made by the student
throughout the paper, this is
specific to the student’s
presentation of content and not
to the assignment. This should
not introduce new concepts but
rather should succinctly
summarize the major points as
they are outlined in the paper; it
should not repeat the
introduction or the key headings
and not be generic to any
conclusion. (10 pts)
Total: 406 pts
0-3 pts
Vague and unclear summary of
the key points made throughout
the student paper that provides
a generic rather than specific
and comprehensive summary of
the student’s content. Fails or
not well supported by
referenced and citations.
0-7 pts
Support and evidence are
referenced using paraphrasing
in the students own voice and
are cited and formatted per
APA 7th edition. Minimum of
less 10 references (at least 5 in
the past 5 years) are utilized
with more than 4 errors in APA
formatting and references
throughout the paper.
References may or may not be
used to support statements
throughout the paper.
Table 1: Policy Analysis: Key Questions
Framing Questions
What is the policy lever—is it legislative, administrative, regulatory, other?
What level of government or institution will implement?
How does the policy work/operate? (e.g., is it mandatory? Will enforcement be necessary? How is it funded?
Who is responsible for administering the policy?)
What are the objectives of the policy?
What is the legal landscape surrounding the policy (e.g., court rulings, constitutionality)?
What is the historical context (e.g., has the policy been debated previously)?
What are the experiences of other jurisdictions?
What is the value-added of the policy?
What are the expected short, intermediate, and long-term outcomes?
What might be the unintended positive and negative consequences of the policy?
Criteria
Questions
Public Health Impact:
How does the policy address the problem or issue (e.g., increase access, protect
Potential for the
from exposure)?
policy to impact risk
What are the magnitude, reach, and distribution of benefit and burden (including
factors, quality of
impact on risk factor, quality of life, morbidity and mortality)?
life, disparities,
o What population(s) will benefit? How much? When?
morbidity and
o What population(s) will be negatively impacted? How much? When?
mortality
Will the policy impact health disparities / health equity? How?
Are there gaps in the data/evidence-base?
Feasibility* :
Likelihood that the
policy can be
successfully adopted
and implemented
Political
Economic and
budgetary impacts:
Comparison of the
costs to enact,
implement, and
enforce the policy
with the value of the
benefits
Budget
What are the current political forces, including political history, environment, and
policy debate?
Who are the stakeholders, including supporters and opponents? What are their
interests and values?
What are the potential social, educational, and cultural perspectives associated
with the policy option (e.g., lack of knowledge, fear of change, force of habit)?
What are the potential impacts of the policy on other sectors and high priority
issues (e.g., sustainability, economic impact)?
Operational
What are the resource, capacity, and technical needs developing, enacting, and
implementing the policy?
How much time is needed for the policy to be enacted, implemented, and
enforced?
How scalable, flexible, and transferable is the policy?
What are the costs and benefits associated with the policy, from a budgetary
perspective?
o e.g., for public (federal, state, local) and private entities to enact,
implement, and enforce the policy?
Economic
How do costs compare to benefits (e.g., cost-savings, costs averted, ROI, costeffectiveness, cost-benefit analysis, etc.)?
o
How are costs and benefits distributed (e.g., for individuals, businesses,
government)?
o What is the timeline for costs and benefits?
Where are there gaps in the data/evidence-base?
*In assessing feasibility, it is important to identify critical barriers that will prevent the policy from being developed
or adopted at the current time. For such policies, it may not be worthwhile to spend much time analyzing other
factors (e.g., budget and economic impact). However, by identifying these critical barriers, you can be more readily
able to identify when they shift and how to act quickly when there is a window of opportunity.
Table 2. Policy Analysis Table
Criteria
Public Health Impact
Low: small reach, effect size, and
Scoring
impact on disparate populations
Definitions
Medium: small reach with large
effect size or large reach with
small effect size
High: large reach, effect siz