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Prelude to the medical error case study
Affordable health care for america act
The 2010 Affordable Care Act
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The Affordable Care Act of 2010 will have a positive effect on patient safety and outcomes. It will provide many resources to allow patients easier access to insurance for health care costs and preventive care such as cancer screenings and vaccines. It will give incentives to health care facilities to improve the care being given. It also is mandated healthcare facilities to use electronic health record systems to keep track of all patient information to minimize errors. The legislation will increase federal loan money to nursing students to boost the number of high-skilled nurses going into the practice. It will also increase the federal funding being given to nurse managed facilities the benefit their care to promote patient outcomes. This legislation will lower the cost of healthcare for patients and health care facilities by lowering the risk of medical errors and poor patient outcomes.
The legislation will eventually make healthcare coverage easier and less expensive to obtain than in the past. It is designed to make every American having healthcare coverage a realistic possibility. The Affordable Insurance Exchange will make this possible. It will allow people searching for insurance the ability to compare health care insurance companies and price to suit what they need or want for healthcare coverage. It uses programs and tax credits that can possibly make insurance more affordable for individuals who are eligible. Individuals with healthcare coverage are more likely to prevent conditions or receive early detection care for a condition that if not found in the early stages could be fatal.
The Affordable Care Act is pushing health care facilities to use electronic health record systems to reduce medical errors and cut ...
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...apers.ssrn.com.lola.plymouth.edu/sol3/papers.cfm?abstract_id=1868324
Health Care Reform Law Begins to Have Effect on Nursing. (2011, March 31). Robert Wood Johnson Foundation. Retrieved March 12, 2012, from http://0-www.rwjf.org.lola.plymouth.edu/pr/product.jsp?id=72112
Koontz, C. B. (2011, April 13). New Patient Safety Program Launched under Affordable Care Act. HelpingYouCare™. Retrieved March 12, 2012, from http://0-www.helpingyoucare.com.lola.plymouth.edu/12747/new-patient-safety-program-launched-under-affordable-care-act
U.S., Department of Health and Human Services. (2011, April 12). About. Retrieved March 12, 2012, from http://www.healthcare.gov/compare/partnership-for-patients/about/index.html
Wakefield, M. K. (2010). Nurses and the Affordable Care Act [Abstract]. American Journal of Nursing, 110(9), 11. doi: doi: 10.1097/01.NAJ.0000388242.06365.4f
One of the most controversial topics in the United States in recent years has been the route which should be undertaken in overhauling the healthcare system for the millions of Americans who are currently uninsured. It is important to note that the goal of the Affordable Care Act is to make healthcare affordable; it provides low-cost, government-subsidized insurance options through the State Health Insurance Marketplace (Amadeo 1). Our current president, Barack Obama, made it one of his goals to bring healthcare to all Americans through the Patient Protection and Affordable Care Act of 2010. This plan, which has been termed “Obamacare”, has come under scrutiny from many Americans, but has also received a large amount of support in turn for a variety of reasons. Some of these reasons include a decrease in insurance discrimination on the basis of health or gender and affordable healthcare coverage for the millions of uninsured. The opposition to this act has cited increased costs and debt accumulation, a reduction in employer healthcare coverage options, as well as a penalization of those already using private healthcare insurance.
It keeps insurance companies honest by setting clear rules that rein in the worst insurance industry abuses. And it bans insurance companies from denying insurance coverage because of a person’s pre-existing medical conditions while giving consumers new power to appeal insurance company decisions that deny doctor ordered treatments covered by insurance.” (www.hhs.gov,
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 federal government has taken a stance to standardized care by creating incentive programs that are mandated under the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009. This act encourages healthcare providers and healthcare institutions to adopt Meaningful use in order to receive incentives from Medicare and Medicaid. Meaningful use is the adoption of a certified health record system that acquires or obtains specified objectives about a patient. The objectives or measures are considered gold standard practices with the EHR system. Examples of the measures include data entry of vital signs, demographics, allergies, entering medical orders, providing patients with electronic copies of their records, and many more pertinent information regarding the patient (Friedman et al, 2013, p.1560).
What is it for? It is call the “Affordable Healthcare Act,” to make it affordable for everybody in the United States to afford doctors, hospitals and prescriptions. Also that the government can control...
Many new technologies are being used in health organizations across the nations, which are being utilized to help improve the quality of health care. Electronic Health Records (EHRs) play a critical role in improving access, quality and efficiency of healthcare ("Electronic health records," 2014). In order to assist in expanding the use of EHR’s, in 2011 The Centers for Medicaid and Medicare Services (CMS), instituted a EHR incentive program called the Meaningful use Program. This program was instituted to encourage and expand the use of the HER, by providing health professional and health organizations yearly incentive payments when they demonstrate meaningful use of the EHR ("Medicare and medicaid," 2014). The Meaningful use program will be explored including its’ implications for nurses, nursing, national policy, how the population health data relates to Meaningful use data collection in various stages and finally recommendations for beneficial improvement for patient outcomes and population health and more.
The Affordable Care Act or “Obamacare” was designed to assure that all Americans regardless of health status have access to affordable health insurance. The Affordable Car Act was signed into law March 23, 2010. The primary goal of this act was to decrease barriers for obtaining health care coverage and allow Americans to access needed health care services (Affordable Care Act Summary, n.d). After the legislation is fully implemented in 2014, all Americans will be required to have health insurance through their employer, a public program such as Medicaid and/or Medicare or by purchasing insurance through the health insurance marketplace exchange (Affordable Care Act Summary, n.d). I will identify three parts of The Affordable Care Act that I believe are important. First, I will talk about the requirement that insurance companies are no longer able to deny coverage to individuals with pre-existing conditions. Secondly, I will explain why physician payments are being shifted to value over volume. Lastly, I will discuss Medicaid expansion and why some states are not expanding at all.
Ghosh, C. (2013). Affordable Care Act: Strategies to Tame the Future. Physician Executive, 39(6), 68-70.
The Affordable Care Act (ACA) was enacted in 2010 and was designed to insure millions of people, who did not have health insurance, reduce out-of-pocket expenses for families and reduce costs for small businesses. In essences, when enrollment opens in 2013, the ACA law will target the 42 million Americans that according to a Census Bureau Survey are uninsured (Klein, 2014). Indeed, Obama Care from a utilitarian point of view is a huge improvement in medical services to a larger proportion of the population, that prior to this law did not have insurance available to them, including improved availability of health care services and reigning in out of control insurance companies.
Advances in technology have influences our society at home, work and in our health care. It all started with online banking, atm cards, and availability of children’s grades online, and buying tickets for social outings. There was nothing electronic about going the doctor’s office. Health care cost has been rising and medical errors resulting in loss of life cried for change. As technologies advanced, the process to reduce medical errors and protect important health care information was evolving. In January 2004, President Bush announced in the State of the Union address the plan to launch an electronic health record (EHR) within the next ten years (American Healthtech, 2012).
This paper will take into account the Affordable Care Act (ACA) Law and how all three branches of government are involved with the creation and analyze issues associated with the ACA. Subsequently the paper will describe the role of public opinion and lobbying groups. Thirdly this paper will evaluate the concepts of equity, efficiency, and effectiveness showcasing their role in the law and its passage. This paper will take into consideration the anticipated effects on cost, quality, and access, including discussing the balance of markets and the government. In closing this paper will highlight the anticipated effects on Medicare and aging as well as Medicaid and the poor. The ACA was signed on March 23, 2010 with the intention to offer all U.S. Citizens and residents a qualifying health care coverage plan. The law’s focus is to expand coverage, control health care cost, and improve health care delivery system.
The main advantage of the Affordable Care Act is that it lowers health care costs overall by making insurance affordable for more people. First, it wi...
Electronic medical records not only effect health care professionals, but the patients of those health care providers as well. However, nurses spend the most time directly using electronic medical records to access patient date and chart. Nurses now learn to chart, record data, and interact with other health care providers electronically. Many assume that electronic means efficient, and the stories of many nurses both agree, and disagree. Myra Davis-Alston, a nurse from Las Vegas, NV, says that she “[likes] the immediate access to patient progress notes from all care providers, and the ability to review cumulative lab values and radiology reports” (Eisenberg, 2010, p. 9). This form of record keeping provides health care professionals with convenient access to patient notes, vital signs, and test results from multiple providers comprised into one central location. They also have the ability to make patients more involved in their own care (Ross, 2009). With the advancement in efficiency, also comes the reduction of costs by not printing countless paper records, and in turn, lowers health care
Obama Affordable Care Act presents a reasonable approach to effectively address this challange by building on the current system. This new policy will implement multiple strategies that include strengthening empolyer-based coverage (pay or play), expanding and funding public coverage, and creating a new national purchasing pool offering a range of health plan options for individuals and businesses. Although expanding pulic coverage sounds a great way to cover a huge number of people, it will impose two problems. The first one will be obtaining enough funding resorces, and second will be providing equal and fair health care services to all Americans. Otherwise this will be a different form of socializing medicine where beneficiaries will have very lousy insurane that is not accepted by many healthcare providers and will leave people on a long waiting lists to get any medical service.
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.