Impact of Legislation on Nurse Practitioners Policies and procedures are important parts of a healthcare organization as they relate to operations and delivery of care services. Healthcare policies and procedures are established to help standardize daily operational activities. In addition to providing clarity on healthcare issues and activities, policies and procedures also offer guidance on regulatory requirements and legal liabilities. This implies that there is a strong link between healthcare legislation and policies and procedures. Healthcare legislation is linked to policies and procedures as it helps define health and safety issues, regulatory requirements, and legal liabilities in care delivery. When developing their policies and procedures, healthcare organizations use healthcare legislation as the framework for this process. For example, healthcare interventions that seek to improve patient safety are based on policies and procedures, which are aligned with healthcare legislation. According to Kachalia et al. (2016), legal and policy-based interventions are the premise…...
mlaReferences
Kachalia, A., Mello, M.M., Nallamothu, B.K. & Studdert, D.M. (2016, February 16). Legal and Policy Interventions to Improve Patient Safety. Circulation, 133(7), 661-671. Retrieved from Ortiz, J., Hogler, R., Bushy, A., Lin, Y., Khanijahani, A. & Bitney, A. (2018, June). Impact of Nurse Practitioner Practice Regulations on Rural Population Health Outcomes. Healthcare, 6(2), 65. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023304/ https://www.ahajournals.org/doi/full/10.1161/circulationaha.115.015880
nursing is changing. Recent healthcare legislation is projected to increase the need for nurses at an exceedingly high rate. Improvements in technology and equipment are providing newer forms of treatment; the role of nurses is expanding to include more diagnostic and rehabilitative work, particularly in light of current demands on physicians. The day in which nurse practitioners can provide patients with holistic treatment augmented by the most innovative technological advancements and discoveries is soon approaching, making this profession one of the most valued throughout the healthcare industry. As a student who has recently completed the first year of a three-year program to earn a Master's of Science in Nursing as a family nurse practitioner, I fully expect to play an important role in the elevation of patient care at a time in which our country needs it most.
My interest in this profession spans well beyond the past 12 months…...
Policy-Bill on Protecting Access to Primary Care Act
Objective and anticipated outcome of the proposed legislation or regulation
On August 2, 2013, Congresswoman Suzanne Bonamici (D-O) introduced the Protecting Access to Primary Care Act (H.. 2986). The primary objective of the proposed legislation was to improve access to primary care for individuals enrolled in Medicaid. The anticipated outcome is that the bill will improve reimbursement rates for nurse practitioners, physician assistants, and other primary health care providers. The proposed legislation will make a small but significant change to the Affordable Care Act (ACA), which will motivate primary care providers to serve Medicaid patients (Brooks et al., 2015). With the current nursing shortage, it is anticipated that the Act will attract at least one million extra nursing professionals in the field. It is obvious that the country needs more primary care providers to meet the needs of the increasing population (icketts, 2013).
Background contributing…...
mlaReferences
Brooks, C. J. M., Barnes, H., & Altares, S. D. (2015). Federal Polices Influence Access to Primary Care and Nurse Practitioner Workforce. The Journal for Nurse Practitioners, 11, 5, 526-530.
Davis, K., Abrams, M., & Stremikis, K. (2011). How the Affordable Care Act will strengthen the Nation's Primary Care Foundation. Journal of General Internal Medicine, 26, 10, 1201-3.
O'Malley, A. S. (2013). After-Hours Access to Primary Care Practices Linked with Lower Emergency Department Use and Less Unmet Medical Need. Health Affairs (Project Hope), 32, 1, 175-83.
Ricketts, T. C. (2013). How the Affordable Care Act Will Affect Access To Health Care in North Carolina. North Carolina Medical Journal, 74, 4.)
Healthcare Legislation
According to a research focused on examining elderly persons' health status for individual states, an aging population with better life expectancy, but increasing prevalence of chronic ailments like obesity and diabetes indicates an emergent healthcare crisis. According to Dr. honda andall, non-profit organization United Health Foundation's senior adviser, it has only been some years since Baby Boomers first began turning 65, triggering a huge population demographics shift (Healy, 2013). The American Geriatrics Society's chief executive, Jennie Chin Hansen, who has authored one commentary within the Foundation's U.S. Health anking Senior eport states that the report provides a vital collection of messages focused at individuals, families and communities, together with warnings to both lawmakers and healthcare practitioners. She further claims a few trends are highly cautionary and health sector workers must sincerely be prudent, purposive and considerable to ensure improvements in citizens' wellbeing and health. Although healthcare workers possess knowledge,…...
mlaReferences
(n.d.). AANP - Home. AANP - Nurse Practitioners Applaud Introduction of the Home Health Care Planning & Improvement Act of 2015. Retrieved November 6, 2016, from http://www.aanp.org/press-room/press-releases/166-press-room/2015-press-releases/1686-nurse-practitioners-applaud-introduction-of-the-home-health-care-planning-improvement-act-of-2015
Healy. (2013). USA TODAY: Latest World and U.S. News - USATODAY.com. Senior health care crisis looms; report ranks states. Retrieved November 6, 2016, from http://www.usatoday.com/story/news/nation/2013/05/28/senior-citizens-health-care-report/2354635/
(n.d.). The White House - whitehouse.gov. The Affordable Care Act Helps Seniors. Retrieved November 5, 2016, from http://www.whitehouse.gov/sites/default/files/docs/the_aca_helps_seniors.pdf
The American Public Health Association (APHA) is founded. This organization is concerned with the social and economic aspects of health problems.
The National Quarantine Act is signed into law. This legislation is designed to prevent entry into the country of persons with communicable diseases.
1899 the National Hospital Superintendent's Association is created. It later becomes the American Hospital Association.
Patel & ushefsky, 1995, p. xvii)
The seeds of health care legislation and centralization began before 1875 but began to take hold as the most accepted manner in which to ensure safe and scientifically founded health care for many and to begin to ensure that diseases that commonly plagued a newly urbanized and highly stressful environment of mass immigration could be dealt with, in a more centralized and practical manner. Founded earlier in 1847, the American Medical Association began to have a concrete and centralized role in the health care decisions of the nation. Without…...
mlaReferences
Each of these was included in the initial Senate bill, but was struck from the final Senate version. Despite the victories, the group isn't ready to pledge support for health reform bills. The AMA will not endorse any legislation unless Congress gets rid of the mandated payment cuts of more than $200 billion over 10 years in the government's Medicare program for the elderly. The cuts are part of Congressional action that was passed in 1997 in order to cut costs in the Medicare program, but have never gone into effect. There are also several hospitals, insurers, pharmaceutical manufacturers and advocacy groups that are withholding final support. Most of these groups have pledged support to health care reform in principle while working privately through lobbyists to protect their industries (Eaton and Pell, 2010).
Healthcare lobbyists range from very large companies and corporations to very small groups who are all looking…...
mlaReferences
BREAKING: Health care lobby invests in reform summit. (2010). Retrieved March 1, 2010, from Citizens for Responsibility and Ethics in Washington Web site:
http://www.citizensforethics.org/node/44211
Eaton, Joe and Pell, M.B. (2010). Lobbyists Swarm Capitol to Influence Health Reform.
Retrieved March 1, 2010, from the Center for Public Integrity Web site:
Polls examining public support of the bill and specifically the public healthcare option vary significantly. ith regard to physicians, the New England Journal of Medicine surveyed over six thousand medical doctors and found there was a majority in favor of federally provided public healthcare insurance (Keyhani & Federman). Other polls have suggested an opposition to the public option (Marmor).
The public option would provide an affordable alternative to the current private health insurance options and would provide impetus for competition and positive change. hether "America's Affordable Health Choices Act of 2009" will be passed is currently uncertain. hat is certain is that the healthcare and health insurance system is currently not sufficient to provide healthcare support for nearly 48 million uninsured Americans. Alterations need to be made to increase access and affordability for those individuals who desire health insurance.
Conclusion
The healthcare and health insurance system in the United States of America…...
mlaWorks Cited
Harrington, Charlene, Carroll L. Estes, and Cassandra Crawford. Health policy. Jones & Bartlett Publishers, 2004.
Keyhani, Salomeh, and Alex Federman. "Doctors on Coverage -- Physicians' Views on a New Public Insurance Option and Medicare Expansion." N. Engl J. Med 361.14 (2009): e24.
Kotlikoff, Laurence J. The healthcare fix. MIT Press, 2007.
Marmor, T. "The Obama Administration's Options for Health Care Cost Control: Hope vs. Reality." 7 Apr 2009. 1 Nov 2009 .
As a result, millions of Americans remain unable to bear the heavy financial toll of medical expenses. Indeed, the problem of a lack of insurance for many is related to the problem of the cost of healthcare. So confirms the article by Consumer Reports (CR) (2008), which finds that "health-insurance premiums have grown faster than inflation or workers' earnings over the past decade, in parallel with the equally rapid rise in overall health costs. Industry spending on administrative and marketing costs, plus profits, consumes 12% of private-insurance premiums." (CR, 1) This reiterates the case that the undue imposition of costs by the healthcare industry -- a reflection of a free-market industry with little to no regulatory oversight -- has negatively impacted the accessibility and quality of healthcare for many of the poorest users.
Moreover, these users are most vulnerable to the long-term economic damages provoked by unexpected healthcare costs. So…...
mlaWorks Cited:
Bureau of Labor Education (BLE). (2001). The U.S. Health Care System: Best in the World, or Just the Most Expensive? The University of Maine.
Childress, M. (2010). Poverty is on the Upswing, but Metric is Out of Date. The Washington Independent.
Cockerham, W.C. (2004). Medical Sociology and Sociological Theory. The Backwell Companion to Medical Sociology.
Consumer Reports (CR). (2008). High Health Care Costs. Consumer Reports Health.org.
In addition, Senator Collins led the fight to restore critical f funding to Medicare for home health care so that elderly citizens and disabled can receive needed care in their own homes ("Biography")."
Obviously the senator encourages the funding of both Medicaid and Medicare as she has fought to ensure that both are funded correctly. Collins was also a supporter of the stimulus package that improves healthcare information technology.
As it pertains to abortions Susan Collins is also pro-choice and believes in stem cell research. She is adamant about the right of a woman to choose just as Senator Kennedy. She also voted no on prohibiting HHS grants to organization who perform abortions. She has also been a proponent of expanding stem cell research.
In both the present and the past Collins has worked to ensure that healthcare coverage is affordable. From the bill that she coauthored with Senator Kennedy to her…...
mlaWorks Cited
Biography. Official Website of Senator Susan Collins. Retrieved June 20, 2009 from; http://collins.senate.gov/public/continue.cfm?FuseAction=AboutSenatorCollins.Biography&CFID=1388899&CFTOKEN=51070689
Fritze, J. Moderates in Congress feel health care push. Retrieved June 20, 2009 from; http://abcnews.go.com/Politics/story?id=7789528&page=1
Funding for Biomedical Research at Maine Medical Center. Retrieved June 20, 2009 from; http://senatorcollins.blogspot.com/2009/06/funding-for-biomedial-research-at-maine.html
Healthcare. Official Website of Edward Kennedy. Retrieved June 20, 2009 from; http://kennedy.senate.gov/issues_and_agenda/issue.cfm?id=dad5db98-20db-4e85-9b73-7a16c4eac15f
Healthcare Qs1. What do you believe is the most important factor in a change?There are a number of factors that can contribute to change within the healthcare system, but I believe that the most important factor is political momentum. In order for any meaningful change to occur, it is necessary to build up a critical mass of support within the executive and legislative branches. This can be a difficult task, as there are often strong interests opposed to change. However, I believe that it is imperative to have this political support in order to create lasting change within the healthcare system. Once this momentum is established, it will be much easier to implement other changes, such as improving quality care or increasing access to care. Without this essential ingredient, any other efforts are likely to be fruitless.2. What political strategies could leverage facilitators and constraints into political momentum to move…...
mlaReferencesAndreoli, S. P., Brewer, E. D., Watkins, S., Fivush, B., Powe, N., Shevchek, J., & Foreman, J. (2005). American Society of Pediatric Nephrology position paper on linking reimbursement to quality of care. Journal of the American Society of Nephrology, 16(8), 2263-2269.Raymore, L. A. (2002). Facilitators to leisure. Journal of Leisure research, 34(1), 37-51.Taft, W. H. (1915). Boundaries between the Executive the Legislative and the Judicial Branches of the Governrnent. Yale LJ, 25, 599.
educed costs for medical education would be the second to last alternative that would be likely to be effective. First, reducing the costs of medical eduction, through tax incentives and tuition caps, may make the medical field more attractive to some students; however, even with these in place, the costs would still be so significant that many potential future doctors would be still turned off from the profession. In contrast, free medical education would likely be very effective in recruiting students to pursue the medical profession. This would likely be especially attractive to good students who weren't good enough to receive significant scholarship money to help offset their education. However, this would be the most expensive alternative to implement for the United States. This cost could be offset by the service these doctors give, in exchange, for government-run medical facilities, but the infrastructure alone to this type of innovative plan…...
mlaReferences
Fox, R. & Abrahamson, K. (Oct-Dec 2009). "A critical examination of the U.S. nursing shortage: Contributing factors, public policy implications." Nursing Forum, 44(4). p. 235-244.
Ganley, B. & Sheets, I. (Jul 2009). "Educational innovations: A strategy to address the nursing faculty shortage." Journal of Nursing Education, 48(7). p. 401-405.
Medical student debt. (2011). Retrieved January 9, 2011, from http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-sections/medical-student-section/advocacy-policy/medical-student-debt.shtml .
The Patient Protection and Affordable Care Act. (No date). Retrieved January 9, 2011, from http://dpc.senate.gov/healthreformbill/healthbill04.pdf .
Uninsured Population
Insurance Premiums
Budget Deficits
Healthcare Trends
Public Opinion
"Obamacare"
The topic of this research is "PPACA- Patient Protection an Affordable Care Act." PPACA has created a great impact in the healthcare industry of United States of America. The study is based on the critical analysis of the act by reviewing the performance since its inception.
Arguably the most prominent recent healthcare reform has been PPACA (Patient Protection and Affordable Care Act). PPACA is also known as the Affordable care act and Obamacare. It was signed by the President Obama in the year 2010 in collaboration with the Healthcare econciliation Act. This act is considered to be one of the most major reforms passed in the healthcare system of United States; the last such major reform was passed in the year 1965 in the form of Medicaid.
When this provision Act was passed in 2010, there were 50 million uninsured people in the United States of…...
mlaReferences:
Barr, Donald A. Introduction to U.S. Health Policy: The Organization, Financing, and Delivery of Health Care in America. JHU Press. 2011
Blendon RJ, Benson."Public opinion at the time of the vote on health care reform." N. Engl. J. Med. 362 (16): e55. 2010
Elmendorf, Douglas. "CBO's Analysis of the Major Health Care Legislation Enacted in March 2010." Congressional Budget Office. 2011
Feldman, Arthur M. Understanding Health Care Reform: Bridging the Gap between Myth and Reality. CRC Press. 2011
The Affordable Care Act Bills (ACA) 2010 enactment significantly impacted the United States Healthcare System.Evolution of the Affordable Care ActWhen the ACA was launched in 2010, it was a period when the United States was recovering from a harsh recession, the worst since the Great Depression. Policymakers at the time were concerned about the potential of the newly established law, with its ambitious insurance coverage expansion and strict requirements for employer-provided health benefits, to possibly hinder employment growth and the ongoing economic recovery. However, some speculated that the ACA, with its provisions designed to curb the growth in healthcare expenses and its strategies to expand the insured populace, would stimulate the economy. This economic boost would come from liberating funds that could be channeled toward job creation and wage increases, along with expanding demand in sectors other than healthcare (Schoen, 2016).The ACAs fundamental objective is to revamp insurance and health…...
mlaReferencesBlumenthal, D., & Collins, S. R. (2014). Health care coverage under the Affordable Care Act—A progress report. New England Journal of Medicine. K., Motter, T., Rudsill, P., & Benson, L. (2022). The Affordable Care Act: Considerations for leveraging the power of nursing. Retrieved from https://www.doi.org/10.3912/OJIN.Vol27No02Man01 Collins, S. R., Rasmussen, P. W., Doty, M. M., & Beutel, S. (2015). Americans’ experiences with the marketplace and Medicaid coverage—Findings from the Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015. The Commonwealth Fund. https://www.commonwealthfund.org/publications/issue-briefs/2015/jun/americans-experiences-marketplace-and-medicaid-coverage Harper, K. J., & Benson, L. S. (2021). The value of including the nursing perspective in the boardroom. Nursing Administration Quarterly, 45(3), 192-196. https://doi.org/10.1097/NAQ.0000000000000470 Hellerstedt, W. L. (2013). The Affordable Care Act: What are its goals, and do we need it? The Centre for Leadership Education in Maternal and Child Public Health.Nurses on Boards Coalition. (2022). Home page. Retrieved from https://www.nursesonboardscoalition.org/ Schoen, C. (2016). The Affordable Care Act and the U.S. economy: A five-year perspective. The Commonwealth Fund.Woolf, S. H., & Aron, L. (Eds.). (2013). U.S. health in international perspective: Shorter lives, poorer health. National Academies Press.https://www.nejm.org/doi/full/10.1056/NEJMhpr1405667Cleveland,
097
United States
0.109
0.093808
0.036112
0.068
Utah
0.1071
0.1401
0.035696
0.073
Vermont
0.1326
0.0988
0.040851
0.114
Virgin Islands
NA
NA
NA
Virginia
0.1048
0.0829
0.080009
0.092
Washington
0.1229
0.0669
0.027831
0.068
West Virginia
0.1293
0.0774
0.036499
0.055
Wisconsin
0.0954
0.0357
0.032367
0.097
Wyoming
0.1251
0.1453
0.053867
0.075
Notes
All spending includes state and federal expenditures. Growth figures reflect increases in benefit payments and disproportionate share hospital payments; growth figures do not include administrative costs, accounting adjustments, or costs for the U.S. Territories.
Definitions
Federal Fiscal Year: Unless otherwise noted, years preceded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30. for example, FY 2009 refers to the period from October 1, 2008 through September 30, 2009.
Sources
Urban Institute estimates based on data from CMS (Form 64) (as of 12/21/11).
From this entire chart, the entire increase in expenditure of Medicare was the most from the year 1990-2001. For United States, the entire increase was 10.9% in those years. Comparatively, the increase that occurred in the year 2007-2010 was only 6.8%. Even though the magnitude of growth was not the same, more or less Medicaid did have to increase its spending…...
mlaReferences
Clark, Cheryl et al. "State Medicaid Eligibility and Care Delayed Because of Cost." New England Journal of Medicine, 368 (2013): 1263-1265. Print.
Ellwood, Marilyn Rymer et al. An Exploratory Analysis of the Medicaid Expenditures of Substance Exposed Children Under 2 Years of Age in California. U.S. Department of Health and Human Services, 1993. Print.
Goodnough, Abby. "October 25th." The New York Times. 25th October. 2012. Web. 29th March 2013. [ http://www.nytimes.com/2012/10/26/us/spending-on-medicaid-has-slowed-survey-finds.html?_r=0 ].
Grannemann, Thomas W. And Mark V Pauly. Controlling Medicaid Costs: Federalism, Competition, and Choice. Washington DC: American Enterprise Institute, 1983. Print.
Conclusion
Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.
eferences
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
American…...
mlaReferences
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., Ray, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
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