Australian Medical Association Case Study

This piece of legislation can affect the (APRN) in many ways. This will allow the APRN to delegate administration of drugs to a person who has met certain criteria’s such as a medical assistant. This will increase the quality of care to patients and decrease cost by having the ability of being seen by one provider such as the APRN. The APRN can more effectively to support the quality of patient care.

a) Select three of the patients’ right below a. Rights to choose a GP b. Rights to hospital treatment c. Rights to refuse treatment d. Rights to opt out of summary care recordsExamine their meaning as applicable to the NHS Constitution or alternative national guidelines………………………………………………………………………………………………………………...

The afore= mentioned issues being addressed through legal channels by the AANP are barriers to effective and efficient practice, the type of barriers that were to be eliminated by the expansion of the Affordable Care Act (ACA) (Dunphy, Winland-Brown, Porter, & Thomas, 2015). Only twenty-two states have allowed full practice authority, which is less than half of the nation. It is imperative that every advance practice nurse has a voice that is heard in their state and the nation, this is the message of the AANP (Hain & Fleck,

Although there have been numerous controversies as to whether or not the ACA provides greater benefit or harm, the bottom line is as more have coverage, there will be an increased number of consumers for advanced practice nurses and physicians. Even greater of an impact is the way in which reimbursement has been identified. Under this new law, hospitals and physicians are penalized for readmissions in 30 days for the same diagnosis as manifested by the Centers for Medicare & Medicaid Services (CMS) guidelines. As a result, advance practice nurses are being pushed to provide better outcomes.

Charles HaydenTatia Green, onlineMB208-ICD-1012/3/2015Accreditation Association for Ambulatory Health CareIn 1979, a nonprofit organization was established to assist ambulatory health care organizations in improving the quality care provided to patients. This organization which some may know of is called Accreditation Association for Ambulatory Health Care, Inc. which: "Encourage and assist ambulatory health care organizations to provide the highest achievable level of care for recipients in the most efficient and economically sound manner. The AAAHC accomplishes this by the operation of a peer-based assessment, consultation, education and accreditation program." American College Health Association, Ambulatory Surgery Foundation, The American Group Practice Association, Group Health Association of America, Medical Group Management Association and the National Association of Community Health Centers are the six founding members of AAAHC. A few things that this association does are measure performance, provide consultation and education, review and revise standards. AAAHC accreditation means the organization participates in an ongoing self evaluation, peer review and education to continuously improve its care and services. Not only does this organization live up to its standards, but commits thorough onsite survey by AAAHC surveyors whom are also health care professionals. When surveying an organization, the AAAHC includes the following as listed: Patient RightsAre patients

It was a pleasure speaking with you on the phone this evening. Thank you for taking time away from your family and personal life to do so. I loved hearing about the position you have open in your practice. I am excited to hear more about it as it seems like a great fit for me.

The American medical association, or known as AMA, is a lobby group that group that is well organized, professional association that is focused on practicing U.S. physician members and the general public. AMA has a professional opinion that's they can use to help push their agendas over members of the congress to sway rulings in their favor.

According to the Australian institute of health and welfare ‘Good health is an important element in a child’s quality of life as it can influence participation in many aspects of the life, including school and physical education’. A poor start to a child’s life increases the outcome to a poor adult life, with 24.9% of children aged from 5-17years already overweight or obese. These statistics are based on The International Obesity Task Force (IOTF), who have developed a standard age and sex-specific Body Mass Index (BMI) cut off point. Australian children are consuming less nutritional food, and instead eating more food and drinks that fall under the ‘red food’ category and foods that are not advised for daily intake on the Australian

Like many healthcare systems around the world, Australia has a complex system in place for the funding healthcare to meet the needs of its citizens. According to the Australian Institute of Health and Welfare (AIHW), in 2011-12 Australia spent an estimated $140.2 billion on healthcare, accounting for approximately 9.5% of the gross domestic product (AIHW, 2014). Australia has seen substantial growth in the cost of healthcare over the last decade due to an aging population, increased prevalence of chorionic conditions, changes in personal incomes, technology, and other economic trends (AIHW, 2014). Government sources account for the bulk of all healthcare funding, with the Australian Government contributing 42.4%, and state and territory

With the implementation of the Consensus Model for Advanced Practice Registered Nurse (APRN) in 2008, great strides have been made in APRN’s gaining legal authority, prescriptive authority, and reimbursement mechanisms. (Joel, 2013)

Promotion of equivalent practice privileges in all states would unify access to care, promote objective data collection and comparison, and provide equitable reimbursement for services rendered to the same types of patients, regardless of location. Insurance coverage that was not restricted to one state or area would allow access to care regardless of personal circumstances. Additionally, unified reimbursement from insurance companies would encourage primary care providers to utilize preventative medicine instead of relying on disease management (Lathrop & Hodnicki, 2014). Uniformity in practice privileges for APRNs would also allow for objective evaluation for stakeholders in the health care arena.

As of January 2016, 14 states and territories had full prescriptive authority for APRN’s (Phillips, 2016). Of the remaining states, 8 have complete prescriptive authority but require a limited post-licensure collaboration term (Phillips, 2016). The remaining states require physician supervision or collaborative agreement (Phillips, 2016). Although those states without full prescriptive authority made updates, they still do not align with the American Association of Nurse Practitioners (AAPN) position statement regarding prescriptive privilege. The AAPN’s position is clear, advanced practice providers practicing within their scope of practice should have unhindered prescriptive rights ("AANP," 2017).

The situation warrants the need to introduced in place only the qualified allied health care practitioner that can hold equally to AORN standards and carry both responsibility and accountability toward the well-being of the patient.

Medical dominance is a concept within the Australian health care system which majorly impacts general practitioners (GPs), through giving them power over the associated economics and business of health services. This is specifically exemplified in their role within the health care system under the Medicare Benefits Schedule (MBS), wherein they act as the primary care service providers in Australia. With reference to the private sector, the position of power given to GPs is exemplified through their control over the client bases of other health professionals. This control generates both disadvantages and advantages for GPs. Disadvantages include the inevitable production of poor professional relationships within multidisciplinary teams, due

In 1983, the Joint Commission opened medical staff membership to non-physician health care professionals, including APRNs, whom the Commission referred to as “limited license practitioners”. Hospitals may decide not to credential and privilege APRNS; that is, their bylaws may not address any non-physician providers at all. If hospital bylaws do address APRNs, the bylaws may include provisions for supervision of APRNS that are more restrictive than state laws. When physicians are required to supervise APRNs, the physician’s workload and perceived liability increase. When physicians are required to cosign all APRN orders, clinical care can be delayed (Brassard & Smolenski, 2011).