Barrier To Implementation And The Role Of APN

Our healthcare system is in a state of constant change. Just as the industry was adapting to the demands of countless healthcare reforms, the fate of regulations like the Affordable Care Act (ACA) and others like it, dangle in the wind. As the country transitions to a newly appointed administration, there is an increasing level of uncertainty among industry leaders. Federal, state, and local mandates continue to drive the need to improve the quality, costs, and outcomes of care which add to an already overburdened and burnout system. These coupled with our highly secular society who is primarily focused on the treating and curing illness through advanced technology, medications, and procedures has resulted in a

This model reimburses hospitals based on quality of care instead of the volume of patients. The quality of care is assessed by patient questionnaires and if hospitals are unsatisfactory penalties may be imposed (Edwoldt, 2012). The value-based system also affects Medicare and Medicaid. It was reported that Medicare readmissions within 30 days of discharge cost 17 billion dollars annually (Edwoldt, 2012). Due to the high costs of readmissions Medicare and Medicaid have implemented a Hospital Readmission Reduction program. A formula is utilized to evaluate readmission rates within 30 days of discharge for any medical reason related to their original admission such as heart failure and pneumonia. Upon review the hospital is potentially penalized. It is important that nurses strive to provide excellence in care despite their beliefs on the ACA. Nurses have the ability to provide a safe patient environment and reduce the risk of hospital associated infections by following hospital protocols such as hand washing.

“Starting in 2009, Medicare, the US government 's health insurance program for elderly and disabled Americans, will not cover the costs of "preventable" conditions, mistakes and infections resulting from a hospital stay. So for instance, if you are on Medicare and you pick up a hospital acquired infection while you are being treated for something that is covered by Medicare, the extra cost of treating the hospital acquired infection will no longer be paid for by Medicare. Instead, the bill will be picked up by the hospital itself since the rules don 't allow the hospital to charge it to you” (Paddock, 2007).

The Patient Protection and Affordable Care Act (ACA) is the 2010 health reform act that could extend insurance coverage to as many as 32 million Americans, which also included policies that affect the quality of coverage insurers must offer (Knickman & Kovner, 2015). In addition to this, the ACA created a range of programs focused on furthering change in how medical care is organized and delivered, with a goal of reducing costs and improving quality and outcomes (Knickman & Kovner, 2015). However, these goals come at a cost. The purpose of this paper is to analyze the impact the ACA had on the population it affected in the United States as a nation, but specifically in the state of North Carolina; describe the impact of economics of providing care to patients from the organization’s point of view; examine how patients were affected by the ACA in terms of the cost, quality, and access to treatment; and explain the ethical implications of the ACA.

The Louisiana Department of Health and Hospitals will be examined in this investigative research paper. Their mission according to their website, “is to protect and promote health and ensure access to medical preventive and rehabilitative services for all citizens of the State of Louisiana.” Their organizational goals are to provide quality services. As well protect and promote health, develop and stimulate services by others. Lastly, in order to fulfill its mission utilize available resources in the most effective matter. The Louisiana Department of Health and Hospitals is led by an appointed structured leadership with years of experience. An important issue is the Affordable Care Act and it influence on Louisiana health care. The Honorable Governor Bobby Jindal is an outspoken opponent of Affordable Care Act and has composed is own version in Louisiana. The impact of ACA will be assessed. The Office of Public Health Center for Community and Preventive Health will be assessed on how it is organized to accomplish its statutory objectives.

When faced with the reality of the Affordable Care Act (ACA) becoming law and taking effect, Jim began to implement new rules and guidelines. Although impravision a strategic plan the institution is expected to follow as supplies and resources would soon be in critical demand. As CEO, he understood what was expected of the health care system, focusing mainly on the organizational needs that will help with the expanding or the growing populationu8, meeting the increased demand for the future. Via industrialized existing programs and building clinics that will accommodate the expected significant impact of the newly insured. “Eliminating ED crowding will take the collective involvement of healthcare workers, business leaders, politicians, the press, and the public” (Derlet & Richards, 2008). After much consideration, and a comprehensive evaluation of the documents for the new Affordable Care Act, Jim James, CEO thought about the upcoming opportunities using a persuasive approach to transform the hospital. Since he stated that his most pressing desire is to find ways to connect the recipients in a way that will model changes in existing programs. Admittinly, we have a medical (that is, sick) care system- a system that waits until we become ill before it kicks into action instead of a healthcare system focused on helping us stay healthy (Schimpff, 2012). The justification, seeing the possibilities that crucial in dealing with changes in the upcoming health care system using a

Although the Affordable Care Act (ACA) became law nearly five years ago, the rhetoric overt the law and its provisions continue in Congress and around every kitchen table in America. While no one disagrees the healthcare system prior to the passage of the ACA was flawed, healthcare reform under the ACA continues to evolve and is likely to continue evolving in the future. Despite this, it is the law, and the healthcare industry is doing its best to keep up with the law’s mandates. For the hospital healthcare administrator, there are numerous changes affecting how hospitals do business, not only with the insurance industry, but with patients as well. The following overview discusses the basics of the ACA, the positive and negative ramifications for hospitals, and the impact the law will have for years to come. Although the final incarnation of the Affordable Care Act will develop over time, its premise of ending healthcare disparities and quality care for all citizens is long overdue.

In this study I will outline strategies that will be used to help aid in the support of each member interest in the Public Health Alliance. In this paper there will be data that will show the effects of President’s Obama Healthcare known as the Affordable Healthcare Act under the current Administration. Recommendations will also be provided that will show the impact that the repeal will have on the Affordable Care Act and how it will ultimately affect the public health organizations. Methods that should be taken to help the organization prepare for the expected changes that will go into effect in 2019 under the current Administration.

In 1983, the Medicare prospective payment program was implemented which allowed hospitals to be reimbursed a set payment based on the patient’s diagnosis, or Diagnosis Related Groups (DRG), regardless of what treatment was provided or how long the patient was hospitalized (Jacob & Cherry, 2007). To keep the costs below the diagnosis related payment, hospitals had to manage efficiently the treatment provided to a client and reduce the client’s length of stay (Jacob & Cherry, 2007). Case management, or internal case management “within the walls” of the health care facilities was created to streamline costs while maintaining quality care (Jacob & Cherry, 2007).

The article that I selected for this week’s review focuses on the reaction of hospitals over the most recent draft of the GOP healthcare bill, The Better Care Reconciliation Act. The bill stands to generate major cuts to Medicaid funding. The bill, which was just released today, is already drawing up skepticism and opposition by hospital groups. Rick Pollack, president and CEO of the American Hospital Association, stated, “If enacted, the Better Care Reconciliation Act would mean real consequences for real people — among them people with chronic conditions such as cancer, individuals with disabilities who need long-term services and support, and the elderly" (Leonard, 2017). Those who are in most need of healthcare services and are on Medicaid

Reforming health care in the United States has been an issue that has received significant attention for many years. There are many strong and divergent opinions on the best ways to improve the US healthcare system. In 2010, the Patient Protection and Affordable Care Act was signed into law. This was likely one of President Obama’s most important acts while President, and is often considered his signature piece of legislation. The ACA is an extensive lawthat has an effect on many different elements of the healthcare system in the United States. Some of the primary goals of the ACA were to increase access to care by expanding insurance coverage, to decrease the cost of care, and to improve the quality of care patients receive

National attention is currently focused on the debacle of The Affordable Care Act’s (ACA) roll out. The Federal Health Exchange website, cancelling of thousands of insurance plans and the dismal enrollment numbers are some of the items inundating our headlines. One of the main goals of the ACA is to improve access to health care. It seems as though,

Because SSI rates for healthcare facilities are made public, patients are able to gain knowledge of how well their facility SSI prevention practices work. “It is moving fast and furiously because consumers are pleased with the progress that has been made in reducing central line infections,” says Linda Greene, MPS, RN, CIC, director, infection prevention, Rochester General Health System, Rochester, New York. The public now expects the same transparency for SSIs” (Patterson, P., 2011) .Facilities that participate in Medicare must report their SSI for certain procedures; the list of procedures to report continues to grow as patients’ demand for listed procedures grow. ” SSI data will be reported through the National Healthcare Safety Network (NHSN) managed by the Centers for Disease Control and Prevention (CDC), a secure, web-based surveillance system for reporting data on infections and other events. The data can then be used for analysis, facility comparisons, and quality improvement.” (Patterson, P., 2011) Hospitals will, and should, continuously search for new ways to increase their quality of care. Having a great overall rating for a low number of incidences of SSIs can only boost their ratings.

A critical issue I discovered after reading this study case was OHSA inspector Olive Stone showed up at the business of Carlos and his wife Leigh to review their blood-borne pathogen policy and hepatitis vaccination procedures (Karl & Jim, 2002). There was panic in the company by Kris the Program Services Director because he did not know what to do. Another key concern I learned was that Leigh Jay’s wife was the most knowledge on the OHSA policies but evidently the information did not get disseminated to Kris. Lack of knowledge of right policy and procedures could result in a company’s success or failure in regards to a business being in compliance with State or Federal Laws (Lester & Parnell, 2006). Before large state hospitals or institutions

In my workplace, it is a hospital protocol for all ICU patients to be screened for Methicillin Resistant Staphylococcus Aureaus known as MRSA. MRSA surveillance screening in the hospital setting occurs through targeted screening of only those patients who meet the predetermined criteria. I am currently working in a Telemetry unit where we only do MRSA screen to those patients who have a previous history of the organism and patients who are from the Nursing Home. I am interested of exploring the effectiveness of utilizing the MRSA surveillance universally. According to (Robicsek, Beaumont, Paule, Hacek, & Thomson, 2008), patients are at high risk of MRSA infection when hospitalized, which can result to high cost and poor clinical outcomes. I