b’xc2xa0Respond to this post with a positive response :Ask a probing question, substantiated with additional background information, evidence or research.Share an insight from having read your colleaguesxc2x92′

b’nxc2xa0Respond to this post with a positive response :Ask a probing question, substantiated with additional background information, evidence or research.Share an insight from having read your colleaguesxe2x80x99 postings, synthesizing the information to provide new perspectives.Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.Validate an idea with your own experience and additional research.Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.Expand on your colleaguesxe2x80x99 postings by providing additional insights or contrasting perspectives based on readings and evidence.Usexc2xa0at least 3 referencesxc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0 The Accountability and Affordable Care Act of 2010xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0 A public policy that is impacting my workplace along with the rest of the nationxe2x80x99s healthcare is the Accountability and Affordable Care Act of 2010 (ACA).xc2xa0 Overall, this policy expanded eligibility for Medicaid to millions of Americans (Frank, Beronio, & Glied, 2014).xc2xa0 Before the ACA, the mentally ill was a population who struggled to gain access to care.xc2xa0 Fortunately, now the mentally ill can get insurance coverage which has impacted the facility in which I work.xc2xa0 We are always full with a waiting list of patients trying to get admitted.xc2xa0xc2xa0The ACA was designed to improve access, cost, and quality to care for all Americans.xc2xa0 According to the Substance Abuse and Mental Health Services Administration (2018), it has dramatically impacted the number of Americans who have access to mental health care.xc2xa0 According to Laureate Education (2012a), 32 million Americans who did not have coverage before this act will have coverage.xc2xa0 In conjunction with the Mental Health Parity and Addictions Equity Act, about 60 million Americans will have access to mental health services (Frank et al., 2014).xc2xa0 Also, the ACA was designed to help the cost of healthcare.xc2xa0 Unfortunately, this cost was initially expensive for our nation (Laureate Education, 2012a).xc2xa0 However, in the long run, the Affordable Care Act will hopefully save the nation money (Laureate Education, 2012a).xc2xa0 Lastly, quality was a goal of the ACA.xc2xa0 The ACA prompted changing payment models so that facilities are held accountable for quality care, and value of delivered care effects reimbursement rates (Knickman & Kovner, 2015).xc2xa0 Overall, the ACA is still a work in progress to improve access, cost, and quality of care.As a nurse in a psychiatric facility, the ACA has impacted my daily life.xc2xa0 Due to the increase in access to care, my facility is always busy.xc2xa0 We are continuously full, and there are always patients waiting to get in.xc2xa0 Next week, our new building will be opening which will more than double our beds.xc2xa0 The ACA has also affected the quality of care given in my facility.xc2xa0 High importance is placed on care coordination to make sure the patient has follow-up care to avoid readmission.xc2xa0 Also, leadership is focused on monitoring incidences and near misses to avoid errors as errors are expensive.xc2xa0 The ACA has, unfortunately, added much stress to the daily lives of healthcare professionals in my facility.Staffing in HealthcareAn enormous struggle we are facing in our facility, and one I would like to see change through public policy, is staffing of nurses and patient care techs.xc2xa0 This issue seems to come up in every conversation among nurses no matter where they work.xc2xa0 Soon, my facility will have the supply of rooms along with the demand of patients, but we do not have the staff.xc2xa0 This staffing crisis makes me nervous.Kingdonxe2x80x99s model identifies four influential factors to get issues on the public agenda (Milstead, 2019).xc2xa0 First, the problem stream is the staffing crisis that hospitals and agencies face all over our nation (Milstead, 2019).xc2xa0 In my 11 years of nursing in three different hospitals, staffing ratios have only worsened.xc2xa0 Second, the policy stream attaches a solution to the problem (Milstead, 2019).xc2xa0 The answer to the staffing crisis may be to implement policy not allowing hospitals to admit patients if they canxe2x80x99t maintain a specific staffing ratio of nurses to patients.xc2xa0 Third, the political stream includes getting the problem and solution government attention (Milstead, 2019).xc2xa0 As nurses, we could set up a campaign to get the word out regarding staffing and could notify our local representatives.xc2xa0 The fourth factor that influences getting issues on the public agenda is the window of opportunity (Milstead, 2019).xc2xa0 This concept is about the timing of introducing a problem.xc2xa0 A good time may be close to an election year when it is vital for local representatives to get votes from their constituents (Laureate Education, 2012b).xc2xa0xc2xa0Due to the ACA, millions of Americans, especially the mental health population, were given access to more affordable and quality healthcare.xc2xa0 Unfortunately, the healthcare industry is not ready.xc2xa0 Staffing is the next problem needing to be addressed by our government.xc2xa0xc2xa0xc2xa0ReferencesFrank, R.G., Beronio, K., & Glied, S.A. (2014). Behavioral health parity and the affordable care act. J Soc Work Disabil Rehabil, 13, 31-43. doi: 10.1080/1536710X.2013.870512Knickman, J. R., & Kovner, A. R. (Eds.). (2015).xc2xa0Health care delivery in the united statesxc2xa0(11th ed.). New York, NY: Springer Publishing.Laureate Education (Producer). (2012a). Introduction to healthcare delivery, part II: Healthcare reform. Baltimore, MD: Author.Laureate Education (Producer). (2012b). Health policy and politics. Baltimore, MD: Author.Milstead, J. A. (2019). Health policy and politics: A nursexe2x80x99s guide (6th ed.). Burlington, MA: Jones and Bartlett Publishers.Substance Abuse and Mental Health Services Administration. (2018). Laws and Regulations. Retrieved from https://www.samhsa.gov/about-us/who-we-are/laws-regulations ‘