The Healthcare Reform Act, Patient Protection, and Affordable Care Act (PPACA), nurses are faced with opportunities to join other healthcare professions to transform healthcare to patients especially in areas of preventative conditions, providing care to chronic diseases and end of life care (comfort care).
Patient Protection and Affordable Care presents an opportunity for nurse practitioner and advanced practice nurses to play an important role in healthcare, especially as a majority of the uninsured will be insured.
Changes in federal loan program allowed nursing students to go to school on a full-time, this means early graduation and an increase in workforce. The number of registered nurses employed in ambulatory care offices, such as physician
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Americans are living longer than ever due to improvement in medical technology and advancement in healthcare. This growing, aging population will contribute to more chronic diseases and stress on the healthcare workforce.
The US Department of Health and Human Services (HHS) estimated an increase in health professionals in the rural areas. About 18 percent of nurse practitioners practice are needed. It is anticipated that rural populations are poorer and are expected to benefit more in government assistant thus their low socio-economic status.
Affordable Care Act approved loans, scholarships, increase Medicare-funded Graduate Medical Education (GME) residency, funding for workforce planning and increased funding for public health services. With health care reform and emphasis on primary care and the transformation of care and accountability, nursing education should be improved to be able to meet the needs of patients and families care. Nurses are no longer following traditional educational practices that were used before. Nursing education embraces nursing education models such as building faculty capacity, designing new models of clinical education, developing innovative models of academic practicing collaboration and advancing the science of nursing education through
Nurse practitioners (NPs), one type of advanced practice nurses, are licensed by the states where they practice and certified by private boards. Nurse practitioners hold advanced degrees in clinical practice and function in a wide variety of settings and across the life span. They provide a broad array of healthcare services ranging from managing treatment plans, to prescribing medications, to implementing health promotion services. As of 2014, 205,000 NPs were licensed in the United States with 86% of those prepared to deliver care to patients in primary care settings (NP Facts, 2015). The progression of the Nurse Practitioner movement that occurred in the 1960 and 1970s emerged as a creative and
The Affordable Care Act (ACA) was passed in 2010 with the goal of expanding healthcare coverage to all Americans by reforming insurance policies and practices (Tillett, 2011). The ACA upsurges the demand for an increase in primary care providers in order to supply quality care to the much larger population that will have coverage and therefore acquiring healthcare. The Institute of Medicine (IOM) through its report The Future of Nursing: Leading Change, Advancing Health has generated a solution to the shortage of primary care providers by promoting a transformation of the nursing profession to fill the gap.
The United States is projected to spend nearly 20 percent of the Gross Domestic Product on healthcare by 2020.According to a Mckinsey study $447 billion of the 1.7 trillion the U.S. spent on healthcare in 2003 was in excess of what it should have spent based on its wealth. A 1 % increase in the rate of health-spending results in an increase of about $2 trillion in spending on health over the next 10 years.
During this same time, Medicaid and Medicare programs were growing rapidly and increasing the number of individuals covered, such as to low income individuals, the disabled, and the elderly. The abrupt expansion of coverage caused the demand of primary care services to skyrocket. With physicians no longer able to meet the growing demand, nurses stepped to provide medical care, and soon believed that were qualified to broaden their role and scope of abilities. In 1965, a nurse and physician, Loretta Ford and Henry Silver, recognized the need for a training program, and developed the first curriculum for nurse practitioners. Since then, the role of nurse practitioner has rapidly increased in response to the expanding and growing need for accessible and affordable care and is currently ranked as one of the fastest growing professions in healthcare.
The 2010 Institute of Medicine (IOM) Report- The Future of Nursing described the role that nurses have in the current and future US health care environment (IOM, 2011). This report was completed at a time when the Affordable Care Act had been passed and a new emphasis was being put on interdisciplinary healthcare teams, care coordination, value-based payment systems, and preventative care (IOM, 2011). Nursing is the largest profession in health care and with an aging baby boomer populace, the expanded role of nurses will be critical in meeting the growing healthcare burdens (Sisko et al., 2014).
“Homelessness can be the cause as well as the result of poor health” (Wise, Emily, Debrody, Corey &ump; Paniucki, Heather, 1999, p.445). This is a reoccurring theme that has existed within the homeless population for decades. While programs to help reduce this constant circle are being put in place all over the country to provide medical services for the homeless to be able to go to, many are still finding that health care needs for individuals as well as homeless communities are not being met. Many studies have been completed that study both the opinion on healthcare by those who have access to sufficient health care and homeless people’s perceptions on health care administration. While many companies are working to provide more personal health care systems, it appears that the larger problem is with a lack of people know about the health care systems that are in place to help them. Companies are trying to advertise more often to inform homeless people that there is health care out there for them.
The healthcare reform debate has been politicized in the United States for many years where there have been deliberate efforts by various stakeholders to ensure that they push for the reforms that are in line with the cost-benefit aspects that they have already envisioned. In this paper, I will attempt to prove that the reforms that have been witnessed in the healthcare in the recent years have not been effective and helpful to the society as a whole. When President Obama came into office, he promised to oversee great reforms in the healthcare which is his government he face much priority in the social policy aspects. The congress managed to pass the Patient Protection and Affordable Care Act (PPACA).
Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).
About 32 million people will represent the newly insured, affecting the health care system and nurses are the fundamental in health system. Health care reform is positive for nurses. The health care bill provides money for advance practice and general nurse education. The law also creates a grant program for innovative safety net programs, such as nurse-managed health clinics. Due to the shortage of family Physicians, nurse practitioner programs are going strong. The health care reform is a good opportunity for nurses; the law will permit different approaches to deliver primary care and with the decreasing number of physicians going in to primary care, Nurses represent the best way to provide primary care to the millions of new insured people. (Satowski, 2010)
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
According to the Bureau of Labor Statistic’s Employment Projections 2012-2022 released in January 2014, the Registered Nursing workforce is the top occupation in terms of job growth through 2022. It is expected that the number of employed nurses will grow from 2.71 million in 2012 to 3.24 million in 2022, an increase of 526,800 or 19 percent. Growth will take place for a number of reasons: demand for health care services due to increasing life expectancy; chronic conditions, such as arthritis, dementia, diabetes, and obesity; and the number of individuals who have access to health services.
There is an ongoing debate on the topic of how to fix the health care system in America. Some believe that there should be a Single Payer system that ensures all health care costs are covered by the government, and the people that want a Public Option system believe that there should be no government interference with paying for individual’s health care costs. In 1993, President Bill Clinton introduced the Health Security Act. Its goal was to provide universal health care for America. There was a lot of controversy throughout the nation whether this Act was going in the right direction, and in 1994, the Act died. Since then there have been multiple other attempts to fix the health care situation, but those attempts have not succeeded. The Affordable Care Act was passed in the senate on December 24, 2009, and passed in the house on March 21, 2010. President Obama signed it into law on March 23 (Obamacare Facts). This indeed was a step forward to end the debate about health care, and began to establish the middle ground for people in America. In order for America to stay on track to rebuild the health care system, we need to keep going in the same direction and expand our horizons by keeping and adding on to the Affordable Care Act so every citizen is content.
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
...ue to numerous medical errors. With the amount of medical errors that currently do occur which is a current health care issue it cost the health care billions of dollar each year to fix the mistakes that were made.
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.