You will submit a research paper on federal and state level health reform initiatives at the end of Module 4. Your research paper should include the following:

1. Describe a federal health care reform initiative undertaken in the past decade. It may be the Patient Protection and Affordable Care Act or another federal reform. Describe what this reform initiative is, the intent of this initiative, and the current state of federal reform.
2. Broadly describe how this federal health care reform initiative has been implemented in your state of residence.
3. Then provide an in-depth description of one state-level reform emanating from the federal reform initiative that you have selected. Address how this state reform initiative has impacted your state’s health care delivery system in regards to cost and access to both health and public health services.
4. As you write this research paper, incorporate information using the perspective of your degree program (public health, health sciences, or nursing) or current/planned discipline.

This is a formal research paper. Your paper must include the following resources:

• At least two credible Excelsior College Library articles (current, peer reviewed, and directly related to the state/federal reform initiative), let me know if you can’t access this, I will look up 2 articles depending on what topic you choose.
• At least two credible governmental or policy websites, including at least one state-level web resource directly related to the state-level implementation you are discussing. Your paper should be 4-6 double-spaced pages, not including your cover page, reference page, and any charts you may wish to include. APA formatting is required.

Please use the following resources to ensure success in writing your paper:

• Evaluating Resources: Evaluating Information Video Tutorial (Links to an external site.). [Video File, 06:32 min].
• Citing Resources: Avoiding Plagiarism Tutorial (Links to an external site.)
• Using APA Style Correctly: Intro APA Tip Sheet (Links to an external site.)
• Excelsior College Online Writing Lab: ECOWL (Links to an external site.)

Compose your work in a .doc or .docx file type using a word processor (such as Microsoft Word, etc.) and save it frequently to your computer. For those assignments that are not written essays and require uploading images or PowerPoint slides, please follow uploading guidelines provided by your instructor.

Check your work and correct any spelling or grammatical errors. When you are ready to submit your work, click “Upload Submission.” Enter the submission title and then click on “Select a file to upload.” Browse your computer, and select your file. Click “Open” and verify the correct file name has appeared next to Submission File. Click on “Continue.” Confirm submission is correct and then click on “Accept Submission & Save.”

Turnitin

This course has Turnitin fully integrated into the course dropbox. This means that you should only submit your assignments to the dropbox below. Please do not submit your assignment directly to Turnitin.com.

Once submitted, your assignment will be evaluated by Turnitin® automatically. You will be able to view an Originality Report within minutes of your first submission that will show how much of your work has been identified as similar to other sources such as websites, textbooks, or other student papers. Use your Originality Report as a learning tool to identify areas of your assignment that you may not have cited appropriately. You may resubmit your assignment through this dropbox as many times as you need to check to see if you have made improvements, until the due date of the assignment. However, once you have made your first submission, you will need to wait 24 hours after each subsequent submission to receive a new Originality Report. Plan accordingly as you draft your assignment. Once the due date has passed, your assignment submission will be considered final.

Evaluation

This assignment will be graded using the rubric displayed below. Please review this rubric prior to beginning your work. You can also access the rubric by clicking on HSC/NUR Research Paper #1 on the Course Rubrics page within the Start Here module. This activity is worth 25% of your final grade.

Module outcomes that are addressed in this discussion include:

• CO1: Analyze the United States health care delivery system.
• CO2: Examine factors that limit access to health care along the continuum of health services.
• CO3: Examine the system used to finance health care in the United States.