Affordable Care Act (ACA) Analysis

Interestingly, OTA analysis revealed that out of 14 studies reviewed, 12 studies showed the quality of care given by NP’s was better than physicians. Quality of care was measured by number of diagnostic tests, interpersonal management, thoroughness of tests and documentation and outcome measures such as reduction in patient symptoms, control or managed chronic care condition, lower hospitalizations etc. Most importantly patient satisfaction was equal and in some cases, higher with NPs care as compared to physicians. Nurse practitioners have continued to provide high quality care and this has not changed. There has been a lot of supportive literature in recent times on NP’s high quality care. According to Bauer (2010), the internationally recognized Cochrane collaboration published a detailed review of more than 30 studies that suggests patient care outcomes with NP provided care are similar to physician provided care and Np’s scored better on subjective areas of quality measure such as patient satisfaction than

NP’s scope of practice can vary depending on which state they are licensed in. It is extremely important that the NP is aware of the laws and regulations that their state has implemented. Understanding the scope of practice allows you to understand what you can and cannot do as an NP. In Arizona, NP’s are board certified and are now required to take a national certifying exam (Buppert, 2015). NP’s in Arizona have an expanded scope of practice, they can assess, manage, diagnose, and prescribe medications to patients. In Arizona, NP’s do not have to work with a physician, but can manage patients independently (Buppert, 2015).

As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice. Establishing an independent nursing practice is an opportunity to obtain greater autonomy in your practice and focus on a particular population or healthcare venue. As long as the NPs cannot overcome the

Role of Graduate Nurse in Informatics are: 1) computer generated nursing care plan for each patient. 2) reminder and prompts that appear during documentation to ensure comprehensive charting. 3) help as a communication aid to other health care professionals taking care of the same patient. For example, Electronic Health Record.

In conclusion, APNs are equipped to deliver the same safe, efficient, and high- quality care as physicians. The clinical and professional background of nurses gives them an extraordinary opportunity to change the healthcare landscape and promote cost-effective, compassionate, and patient-centered care for people. In a study performed by Dill, Pankow, Erikson, & Shipman (2013), the patient preferred the APN to physicians due to greater accessibility, more personalized and compassionate care, increased comfort with communication, and past positive

From the research, it is believed by the author, that since the licensing is done at the state level, this is where changes in America should be implemented. APNs need lobbyists to advocate for the changes needed. It appears that in the states where there APNs have restricted practices, it is due to lobbying by the state’s medical board. The legislators should be presented with the facts, APNs provide safe and cost effective care to the patients. Citizens should get involved and write letters to make the legislators aware of the problem. APNs should be allowed to practice to the full extent of their education, and if they were, all of the states in America would allow full practice for their

The ACA has successfully accomplished their goal by making healthcare accessible to everyone. Unfortunately, the cost remains high and most Americans are unable to afford insurance. This rationality is due to healthy American’s unable to qualify for premium tax credit and an increase in their premiums. Also, the cost-sharing standard silver plan reasonable deductibles, complicated APTC with inaccurate income projection, minimal employer coverage and individuals mandates with

For sometime, many US citizens have not had the resources to acquire an adequate health insurance plan. Although faced by many oppositions, the US government has found a solution, The Affordable Care Act. The Affordable Care Act, also known as “Obamacare”, is a US healthcare reform law that focuses mainly on providing more Americans with access to an affordable health insurance. The Affordable Care Act is said to expand the affordability, quality, and availability of private and public health insurance through consumer protections, regulations, subsidies, taxes, insurance exchanges, and other reforms. Signed into law by President Obama in March 2010, hence the nickname “Obamacare”, the

46.8 million Americans were reported as uninsured in 2013, which equivocates to one sixth of the population. Those without insurance have revealed that they risk “more problems getting care, are diagnosed at later disease stages, and get less therapeutic care” (National Health Care Disparities Report) and those insured risk losing their insurance. Inadequately covered citizens are often working-class individuals who simply cannot receive insurance due to uncontrollable inconveniences and therefore jeopardize having medical coverage. In these instances, Americans have a chance of being diagnosed with diseases that they had no opportunity to prevent or could not diagnose them at an early stage of the illness. Patients have suffered unnecessarily due to lack of health care, and “18,000 Americans die every year because they don't have health insurance” (PNHP). Health care is essential for Americans despite pre-existing conditions, and a free market insurance program would allow citizens to received the health care that is so desperately needed. A universal health care system is a matter of human rights and would solve America’s problem of one sixth of the population being

Choosing a career in the medical field can very be overwhelming, there are a multitude of options. The job that is in demand the most is Registered Nurses. This degree, at the minimum, requires an associate’s degree. By the year 2020, all R.N.’s will need to have a BSN (Bachelors of Science in Nursing); Bachelor’s degree programs are 4-year programs. But don’t stop there, after 2-3 years of on the job experience, find what area you would like to specialize in, and go on and earn that Physician Assistant degree. Pediatrics is what I plan to specialize in. I have always been interested and fascinated with babies and toddlers. There will be many benefits to becoming a Physician Assistant that will outweigh the negatives of the additional academic workload.

Decision makers will need to determine how to best utilize nurses, technicians, and other professionals to close the gap in providing services to patients. Nurses require less time to train, are less expensive to train, cost less to employ, and can increase the efficiency and productivity of physicians who provide care to patients. The increase in the use of health care services as well as the increase in the number of venues where health care is provided has also increased the job opportunities for nurses and other members of the healthcare workforce. The demand for primary care services has stimulated the training of nurse practitioners, physician assistants, and certified nurse

Physician assistants (PAs) are professionals that practice medicine under the supervision of a physician. The profession was created in the 1960s because it was noticed that there was a shortage of physicians practicing in primary care. To solve the issue of the shortage of physicians, Eugene A. Sted Jr., MD of Duke University gathered four men who had medical training in the military and created the first class of PAs in 1965. This first physician assistant class graduated from Duke University on October 6th, 1967, and the profession had great support from the medical community and the federal government, claiming the PA profession was a “creative solution to physician

Jessica, I agree with you 100%. The differences and variation in the ANP scope of practice among the nation, does not allow for others especially legislators, to have a clear view of the ANP nurse and what it can be accomplish it all the restrictions and barriers were eliminated. It will also change the public perception and attitudes towards nurse practitioners. I firmly believe that NPs have not only the power, but the ability to improve and make sustaintials changes to our health care system, Excellent

Hi Freylen, as you discussed the Consensus Model allow APRNs to practice to the full scope of their education, able to move to different states, providing quality care. My new role as a primary care NP I agree with the continuity of care and follow patients into acute or long-term care facility to help them through their ongoing health issues and managing their chronic diseases(Stanley,2012).

With the ongoing healthcare demands and shortages, the appropriate role and responsibilities of the advanced practice registered nurse (APRN) will continue to be a controversial debate. There were many points addressed in your post that I agree and don’t agree with. It is most certainly not arguable that physicians do endure a longer, more intense education. I personally believe their role as a hospitalist is valuable and should never be discredited for their knowledge and expertise. However, I also believe that they are doing their patients a disservice if they are being overworked due to provider shortages. I do not believe every APRN would be the perfect fit for the hospitalist role. It is imperative the interviewee takes past work experience