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NursingDiscussion postHealth policy

DNP 835 Topic 4 DQ 2: international profiles and US reform

Reporting that the quiz surprised you is a sentence, not a post. The substance is the specific change you would import and whether it could survive the transplant.

Editorial process

Last reviewed · August 15, 2026

01

The quiz is the hook; the changes are the answer

The quiz exists to dislodge assumptions, and it usually does — most people are wrong about how much other wealthy countries rely on private insurance, wrong about waiting times outside the systems that are famous for them, and wrong about how many universal systems charge patients at the point of care. Report what shifted for you, briefly and specifically. But that is the setup. The assignment's weight sits on the second half: describe changes you would apply to the US health care system. That means naming a mechanism you would import, not an outcome you would like. Do the quiz before reading the profiles rather than after, since its value is in exposing what you currently believe and reading first replaces your assumptions with the answers before you can notice what they were. Write your wrong answers down; they are the raw material for the first half of the post.

The interesting difficulty is that policies do not travel cleanly, and a post that acknowledges this is more convincing than one that does not. A global budget for hospitals works differently where physicians are salaried than where they bill independently. All-payer rate setting depends on an administrative capacity that does not currently exist in most states. Gatekeeping through primary care requires enough primary care clinicians to gatekeep with, which is precisely what the US is short of. So choose one change, say what it does mechanically, and then say what would have to be true here for it to work — and whether it has been tried at state level, since several of these have been. Maryland's all-payer model and Vermont's reform attempts are real evidence about transplantation rather than speculation about it, and citing one of them lifts the post out of the general.

Likely learning objectives

Inferred from the brief — check these against your own rubric.

  • 01
    Identify assumptions about other health systems that the evidence contradicts.
  • 02
    Propose a mechanism rather than a desired outcome.
  • 03
    Analyse whether a policy can transfer between systems.
  • 04
    Locate domestic evidence for a policy borrowed from abroad.
Assignment instructionsQuoted verbatim

Read the full question

Review every instruction before using the planning guidance that follows.

The Commonwealth Fund provides an international review of health care systems. Read the Commonwealth Fund report, International Profiles of Health Care Systems, 2014, and take the associated quiz. Discuss what knowledge you gained from the quiz and describe any changes you would apply to the U.S. health care system.
Course-wide instructions that accompany this question

Important information for writing discussion questions and participation Hi Class, Please read through the following information on writing a Discussion question response and participation posts. Contact me if you have any questions. Important information on Writing a Discussion Question Your response needs to be a minimum of 150 words (not including your list of references) There needs to be at least TWO references with ONE being a peer reviewed professional journal article. Include in-text citations in your response Do not include quotes—instead summarize and paraphrase the information Follow APA-7th edition Points will be deducted if the above is not followed Participation –replies to your classmates or instructor A minimum of 6 responses per week, on at least 3 days of the week. Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article Each response needs to be at least 75 words in length (does not include your list of references) Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count. Follow APA 7th edition Points will be deducted if the above is not followed Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points. Here are some helpful links Student paper example Citing Sources The Writing Center is a great resource Welcome to class Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to. DNP 835 Topic 4 DQ 2 Read the Commonwealth Fund report, International Profiles of Health Care Systems, 2014, and take the associated quiz I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you. Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted. If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations. Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements. Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week. I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course! Name: Discussion Rubric Grid View List View Excellent 90–100 Good 80–89 Fair 70–79 Poor 0–69 Main Posting: Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. 40 (40%) – 44 (44%) Thoroughly responds to the Discussion question(s). Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. No less than 75% of post has exceptional depth and breadth. Supported by at least three current credible sources. 35 (35%) – 39 (39%) Responds to most of the Discussion question(s). Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of the post has exceptional depth and breadth. Supported by at least three credible references. 31 (31%) – 34 (34%) Responds to some of the Discussion question(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Cited with fewer than two credible references. 0 (0%) – 30 (30%) Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible references. Main Posting: Writing 6 (6%) – 6 (6%) Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. 5 (5%) – 5 (5%) Written concisely. May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style. 4 (4%) – 4 (4%) Written somewhat concisely. May contain more than two spelling or grammatical errors. Contains some APA formatting errors. 0 (0%) – 3 (3%) Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. Main Posting: Timely and full participation 9 (9%) – 10 (10%) Meets requirements for timely, full, and active participation. Posts main Discussion by due date. 8 (8%) – 8 (8%) Meets requirements for full participation. Posts main Discussion by due date. 7 (7%) – 7 (7%) Posts main Discussion by due date. 0 (0%) – 6 (6%) Does not meet requirements for full participation. Does not post main Discussion by due date. First Response: Post to colleague’s main post that is reflective and justified with credible sources. 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. 8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting. 7 (7%) – 7 (7%) Response is on topic and may have some depth. 0 (0%) – 6 (6%) Response may not be on topic and lacks depth. First Response: Writing 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English. 4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. 0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited. First Response: Timely and full participation 5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation. Posts by due date. 4 (4%) – 4 (4%) Meets requirements for full participation. Posts by due date. 3 (3%) – 3 (3%) Posts by due date. 0 (0%) – 2 (2%) Does not meet requirements for full participation. Does not post by due date. Second Response: Post to colleague’s main post that is reflective and justified with credible sources. 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. 8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting. 7 (7%) – 7 (7%) Response is on topic and may have some depth. 0 (0%) – 6 (6%) Response may not be on topic and lacks depth. Second Response: Writing 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English. 4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. 0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited. Second Response: Timely and full participation 5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation. Posts by due date. 4 (4%) – 4 (4%) Meets requirements for full participation. Posts by due date. 3 (3%) – 3 (3%) Posts by due date. 0 (0%) – 2 (2%) Does not meet requirements for full participation. Does not post by due date. Total Points: 100 Name: Discussion Rubric

02

Turn the brief into deliverables

  1. 01
    Specific assumptions the quiz corrected.
  2. 02
    One named policy mechanism you would import.
  3. 03
    An account of what it does and how.
  4. 04
    An analysis of the conditions its transfer would require.
  5. 05
    Any US state-level evidence for the same mechanism.
03

What you learned, then what you would change

01

What the quiz corrected

Report the specific assumptions the evidence contradicted.

02

The mechanism you would import

Describe one policy instrument and how it operates.

03

Conditions for transfer

Set out what the US would need for the mechanism to function.

04

Has it been tried here

Look for state-level experience with the same instrument.

04

Finding whether your proposal has been tried

Recommended databases

  • Commonwealth Fund
  • KFF
  • PubMed Central
  • State health reform evaluations

Search sequence

  1. 1.
    Read the profile of the country whose mechanism you want to import.
  2. 2.
    Find how that mechanism is financed and administered, not just what it achieves.
  3. 3.
    Search for a US state that has attempted the same instrument.
  4. 4.
    Note what the evaluation of that state attempt concluded.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Nothing here is cleared for citation until you have read it.

  1. 01

    International Health Care System Profiles

    Commonwealth Fund · 2024

    The source the assignment names, with financing and delivery described consistently enough to isolate a single mechanism.

  2. 02

    Health Costs - Research and Data from KFF

    KFF · 2024

    US cost and coverage data against which an imported mechanism's plausibility can be assessed.

  3. 03

    Hospital Readmissions Reduction Program

    Centers for Medicare & Medicaid Services · 2025

    A US payment instrument in operation, useful as a domestic reference point for how a mechanism behaves once transplanted.

  4. 04

    Policy Advocacy and Nursing Organizations: A Scoping Review

    Policy, Politics & Nursing Practice · 2021

    On nursing's role in policy advocacy, which is where a DNP's proposal would actually have to travel.

06

Review before submission

Common mistakes

  • Reporting quiz results and stopping there.
  • Proposing an outcome — better access, lower cost — instead of a mechanism.
  • Assuming a policy transfers unchanged between systems.
  • Overlooking that several such reforms have been tried at state level.

Submission checklist

  • Did you name what the quiz actually changed in your understanding?
  • Is your proposal a mechanism rather than a goal?
  • Have you said what would have to be true for it to work here?
  • Did you look for domestic evidence?

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Aaron Bishop

MA, Education

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Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

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PhD, Rhetoric & Composition

Argumentation and thesis development

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