APRN Case Study

The Affordable Care Act was passed to provide American’s better access to health insurance coverage. In addition to better access the ACA improved health care quality and lowered health care cost. The ACA reformed health insurance by expanding coverage, holding insurance companies accountable, lowering health care costs, guaranteeing more choices, and enhancing the quality of care. Although some states have not implemented all the benefits of the ACA, most citizens do have access to health insurance. This paper will address some of the general highlights of the ACA, how it impacted healthcare and the nursing practice.

This paper explores the perception of clinical practitioners to the change in policy related to the advanced practice registered nurse (APRN) full practice authority. The author conducts a one-on-one, open-ended interview of 5 nurse practitioners and 5 physicians licensed to practice in Maryland on their perceptions of the recent passage of the Advanced Practice Registered Nurse Full Practice Authority. A literature review was conducted in a policy report by the professional nursing organization, and discussion within the peer-reviewed article supported an overview, regulatory differences among 50 states, including the District of Columbia. Their policy implication for enhancing APRNs role nationally. The author discusses a critical component

The Affordable Care Act, also known as Obamacare or ACA, was signed into law in March 2010 with the goal to expand insurance coverage to millions of Americans over a period of several years. Since its enactment six years ago, there have been millions of Americans that have gained access to coverage. The most notable of this population would be the disabled, mentally ill, and impoverished. In order to continue to provide quality outcomes for patients, especially patients of vulnerable populations, extra focus must be given to ensure access to healthcare, decreasing disparities, and harvesting improvement in areas such as preventative care, education, and maximizing quality of life. With this influx of people entering the healthcare field, the role of nurses and nurse leaders is also expected to change. Nursing scope of practice and education will be expanded to create an elite healthcare provider. This will include maximizing knowledge in areas of holistic care, education, and preventative care. The incorporation of the ACA into healthcare for vulnerable populations will have several implications for nurses including expanding leadership roles, changing the healthcare delivery model, and providing a broad range of care.

The Affordable Care Act reflected a shift from Treatment Model to Prevention Model, which requires well-educated nurses with more scientific understanding and skill in the process of care continuum – promotion and prevention to treatment. Since the medical field is undergoing a transformation, there is an increased need for highly qualified and competent nurses to provide safe and effective patient care in the new system. As the healthcare system has undergone dramatic changes over the last many years, nurses are now required to qualify well to provide more services than they did before. They also require to work as a team to provide optimum patient outcome. The Affordable Care Act also covers pre-existing conditions, which were once rejected by insurance providers. Such inclusion of the pre-existing conditions requires the nurses to increase their knowledge bases to cope

by a nurse equivalent is equivalent to care provided by a physician.. In addition, the

Since the inception of the Nurse Practitioner (NP) role in the 1960s, NPs have thrived in the delivery of primary healthcare and nurse case management. Despite patient satisfaction with NPs ' style of care, nurses have been critical of NPs, while physicians have been threatened by NP encroachment on MD practice. Balancing assessment, diagnosis, and treatment with caring defines NPs ' success as primary care providers. Understand the role and Scope of Practice of NPs is sometimes difficult for some to understand. The purpose of this paper is to define the role and history of NP, compare and contrast licensure versus certifications, understand NP Scope Of Practice and Standards of Care, discuss how the State Practice Acts regulate FNP practice, discuss credentialing and privileging, and differentiate between legislative and regulatory processes.

APRN’s have been practicing formally, providing primary care, since the 1960s. The importance of APRN’s role has increased over the years with the shortage of primary care physicians plus the increase demands of accessible and affordable care. It’s important to differentiate and understand APRN’s roles, and the purpose of this interview. Further, to develop my opinion and formulate a recommendation.

With the implementation of two milestone in the healthcare system, the Affordable Care Act (ACA) and Health care education and reconciliation act of 2010. The ACA assist in easy access to high-quality and cost-effective and also assist in the shift of the nation’s health care system in the direction of primary and preventive care. Also the health care education and reconciliation act is an initiative to motivate nurses and provide grants and scholarships to acquire higher education and take active part in the reformed health care system. In order to create the health care system which focus on primary and preventive care, the role of nurses is very vital and important especially the advanced practice registered nurses (APRN) (Implementing Health Care Reform: Issues for Nursing, 2010). American Nurses Association always advocate and nurture nurses including APRNs and Patient Protection and Affordable Care Act (PPACA) also acknowledged and recognized the role of APRNs in the provision of primary and preventive care. This acknowledgement of PPACA open the new horizon for the APRNs in the transformed patient-centered care system (Haney, 2010). In this presentation, the writer will discuss new emerging care delivery model which are mentioned in the PPACA. These delivery model involve interdisciplinary and care management services of RNs (The National Academies Press, 2011).

In 2010, the Patient Protection and Affordable Care Act, or PPACA gave many Americans the opportunity to have health care coverage that previously may have not been available to them. The reform is primarily aimed at decreasing the number of uninsured and underinsured Americans. The landscape of health care is changing and nursing is evolving alongside it. This health care overhaul gives nurses a vital role in leading the reform revolution. With more than three million strong, nursing is the biggest sector of the nation’s health care labor

Nurse practitioners are known to provide excellent quality and clinical to our patients. we listen, take time and advocate for our patients. These patients choose Advance Nurse Practitioners because of these strengths. However, health care now is more than taking care of patient with this political realm that controls what Advance Nurse Practitioners can do and how we have to do it. In this Advance Nurse Practitioners practice, the promotion to the public will be by participating and get involved in our communities. According to The American Nurses Association (ANA), Advance Nurse Practitioners play an important and crucial role in the evolution of the healthcare system in the U.S. (American Nurses Association,

“The ACA outlines some new health care arrangements, and with these structures will come new opportunities for new roles. Nurses have the opportunity to play a central role in transforming the health care system to create a more accessible, high-quality, and value-driven environment for patients. If the system is to capitalize on this opportunity, however, the

Current pending policy in the 114th United States’ Congress includes the Home Health Care Planning Improvement Act (ANA). This legislation advocates changing the current Medicare conditions of participation, by granting authority to Advanced Practice Registered Nurses (APRNs) to certify plans of care for home health patients. If written into law, Advanced Practice Registered Nurses that would be able to certify home health services would include nurse practitioners, certified nurse mid-wives and clinical nurse leaders. In addition, this designation would also give physician assistants access to the same authority (ANA).

There are over three million nursing professional in United States and they make the largest segment of nation’s health care workforce. Nurses can play a vital role in helping to realize the objectives set forth in the 2010 affordable act, legislation that represents the broadest health care overhaul since the 1965 creation of Medicare and Medicaid program (IOM 2010). Due to the restricting barriers nurses were not able to respond effectively to the changing health care systems. In 2008, The

The role of the Advanced Practice Nurse (APN) is expanding internationally throughout the healthcare system. Since the initiation of the Patient Protection and Affordable Care Act in 2010, there has been an increased need for APNs due to the growing demand for primary care services and increased population that have gained healthcare coverage (Lanthrop & Hodnicki, 2014). The purpose of this paper is to explore the role of APN and develop a professional development plan for my future career.

The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and