Recognizing The Changing Health Care System

As healthcare modification conveys intricate changes to the healthcare structure, IOM report of future of nursing has made firm suggestions for nurses in readiness for these progressions. Made effective by the campaign for action, these proposals incorporate nurses progressing in their vocation to take new positions, accountabilities, and leadership roles in a reformed healthcare framework. PPACA (Patient Protection and Affordable Care Act of 2010) procurements bolster nurses with education loans, association programs, instructive awards, nurse retaining programs, increments in nurse’s pay, funds for patient centered outcomes, and so on (Stokowski & Rowe, 2010). PPACA addressed four evolving care delivery models in specific; those are the Accountable care organization, Continuum of care, the nurse-managed health center, and the medical or health home (ANA, 2010). Each

Throughout the process of composing this report, the Committee of the Robert Wood Johnson Foundation Initiative on the Future of Nursing devised and enacted what is known as the Future of Nursing: Campaign for Action. The engendering of the "Future of Nursing: Leading Change, Advancing Health" was a major component of that initiative. The aforementioned organization was not only responsible for conducting the research that this report was based on, but actually provided four essential recommendations that it believed the data supported and that have a direct correlation to the data collection necessary for future workforce policy making and planning, as

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

The Institute of Medicine’s 2010 report on The Future of Nursing: Leading Change, Advancing Health acknowledges the changing healthcare sector in the US and describes future vision of healthcare and the role of nurses to fulfill that vision. The United States always strives to provide affordable and quality healthcare to the entire population of the country. In order to achieve this goal an overall restructuring of the healthcare system was necessitated. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. Nursing in the US is the single largest segment of the healthcare workforce with almost 3 million nurses working in different areas across the county. The changing

The Affordable Care Act of 2010 was a transformative piece of legislature aimed at putting health insurance back in the hands of the public. This comprehensive healthcare plan outlines several key provisions that apply to nursing. "The Affordable Care Act is working to make health care more affordable, accessible and of a higher quality, for families, seniors, businesses, and taxpayers alike. The Patient Protection and Affordable Care Act clearly represents a movement toward much-needed, comprehensive and meaningful reform for our nation’s healthcare system (About, 2014).

Drafted by congress under the recommendation of president Barack Obama, signed into law on March 23, 2010 by President after long legislative debates, the Affordable Care Act 's main purpose is to provide access to affordable and comprehensive health coverage to millions uninsured Americans who do not have coverage or adequate coverage, those who would be denied coverage under the previous insurance practice either base on pre-existing condition, gender or age, while controlling the cost of health care. (New York Time, October 26, 2014) The purpose of this paper is to provide a comprehensive overview of the Affordable Care Act, examine the nine titles of the law, their effectiveness as well as their impact on the nursing practice today

Over the last five years, the United States has implemented a new policy in which Americans will receive their health care benefits. This policy is known as the Patient Protection and Affordable Health Care Act which was implemented in 2010 through United States federal statue and signed into law by President Barack Obama. The intentions of the reform is to insure that all Americans have affordable access to health care benefits without struggling to afford the cost associated. The reform is broken down into nine title sections that affect all aspects of health care and changes that will be associated. In this paper, I will be discussing each of the title sections and how the changes will affect the field of nursing.

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 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.

The Patient Protection and Affordable Care Act (PPACA) was enacted into law in March 2010. This law discusses nursing workforce problems in various ways.

Health care is our nation’s greatest strength and most serious challenge. The organizing, financing, and delivery of health care in the United States is affected by a broad range of forces such as public, private, national, as well as local (Shi & Singh, 2015). The main theme of the Obama campaign of 2008, was to change health care provisions that were preventing American’s from accessing adequate health care. In March 21010, the Patient Protection and Affordable Care Act (PPACA) was passed by the U.S. congress and signed into law by President Obama, aimed at creating significant changes that impact every health care organization (Shi & Singh, 2015). The PPACA was enacted with the goal of increasing the quality and affordability of health insurance and this goal is achieved by increasing the Medicaid coverage for low income, uninsured-adults under 65 years of age, with income up to 138% of the federal poverty level (Ayanian, 2013). Moreover, the Medicaid expansion demands for the full practice of advanced practice nurses, with the increase in the number of insured population and this will provide more autonomy in practice for advanced practice nurses. This paper discusses in detail about the PPACA, and one of its key components “Medicaid expansion policy’.

“Throughout the last decade, policymakers and practice leaders have recognized that education makes a difference” (Impact of Education, n.d.). Hospitals are also trending towards preferred hiring of bachelors prepared nurses for their workforce. Even national organizations are jumping on the bandwagon requiring “all nurse managers and nurse leaders to hold a baccalaureate or graduate degree in nursing by 2013” (Impact of Education, n.d.), likewise the Institute of Medicine has also recommended that all hospitals have at least 80% of their nursing staff with a BSN or higher by the year 2020 (Impact of Education, n.d.).

This public health policy paper will discuss and outline the Affordable Care Act (ACA) as well as barriers and controversies surrounding the policy and its relevance in nursing profession. The ACA will eventually affect everyone. Statistics reflecting United States health outcomes have proven the need for the initiation of policy formation within the United States healthcare system. “In March 2010, President Obama signed into law a comprehensive health reform, the Patient Protection and Affordable Care Act (ACA).” (Estes, Chapman, Dodd, Hollister, Harrington, 2013, p. 144) The ACA promotes preventive care—including related services and family planning—that should result in improved health outcomes and

Healthcare Reform has been and still is a highly debated controversial political issue in this country. It has been a hot topic of past presidential campaigns, with many proposed solutions, none of which were enacted upon by Congress. The Affordable Care Act (ACA) was passed in 2010. This law or Obamacare, as it is commonly called, was designed to cover the 48 million Americans, including about 1 million in New Jersey who did not have health insurance. It is envisioned to provide seamless, affordable, quality care that is accessible to all. Great emphasis will be placed on transforming our current “sick care” hospital system into a community “health care” system of prevention and health promotion. This paper discusses the evolving and future roles of nurses under the new system. It also examines the proposals of a joint committee made up of members of the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF), as an initiative to help nurses in their new leadership roles to a healthier nation.

The second guideline outlines the need for nurses with higher degrees and competencies. This pursuit of higher education must be seamless. The third suggestion stresses the need to be equal partners in designing the future of healthcare. Nurses must be part of the solution to health care reform. Fourthly, there is a need for accurate numbers of health care workers available. With this data accurate projections can be made. These facts must be provided on a state level as well as regional (Institute of Medicine, 2010). For the nursing workforce, the IOM Future of Nursing report is of great importance.