FMLA and ACA in regards to APRN or NPs
The Affordable Care Act created new health care delivery and payment models that emphasize teamwork, care coordination, value, and prevention: models in which nurses can contribute a great deal of knowledge and skill. Indeed, the nursing profession is making a wide-reaching impact by providing quality, patient-centered, accessible, and affordable care.
- Institute of Medicine
This paper explores how the Affordable Care Act (ACA) addresses the Family and Medical Leave Act (FML) in regards to Advanced Practice Registered Nurses and Nurse Practitioners. Dietrich (2013) defined how The Family Medical Leave Act (FMLA) was enacted into law in 1993 to allow up to 12 weeks of time off for employees to care for themselves or immediate family members who had a serious medical condition. FMLA is not an anti-discrimination law, it is an entitlement law and a very complex one. The resulting …show more content…
Namely being a protected way for employees to take off work in order to take care of themselves or their family members. According to Heather Boushey, Ann O'Leary, and Alexandra Mitukiewicz (2013) the FMLA has been used more than 100 million times by American workers to help balance the demands of the workplace and home. Data shows that those whose combined workforce totaled more than 520,000 — showed that employees were no more likely to request intermittent FMLA leave on Friday or Monday than on any other day of the work week. Of the more than 920,000 intermittent leave requests analyzed in the study, 19% were submitted on Monday and 17% were submitted on Friday, compared with 19%, 18% and 17% submitted on Tuesday, Wednesday and Thursday, respectively (Dunning 2013). Based on these statistics alone, employees obviously respect the Act and are using it for the intended purpose, although there are still some marginally errors that could affect the Act as a
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Employers aren't prohibited from disciplining employees while they are on FMLA leave as long as the leave isn't the reason for the discipline. Simply put, FMLA leave cannot be used as a shield to deflect warranted discipline. Krista J. Griffith and Lynn Mueller, editors of Minnesota Employment Law Letter, can be reached at email@example.com or
The passage of EMTALA in 1986 established a patient’s rights to receive care in emergent situations, including active labor, for all individuals in the United States. While the law ensured treatment for all individuals, despite their insurance and financial situation, many hospitals experienced increased costs and financial losses because of the inability of some patients not being able to pay for the services that were delivered. Organizations and physicians that are not compliant with EMTALA face image and financial repercussions, as well as potential lawsuits from the patient. The vagueness of the language for the standards of law has created confusion and continued clarification for healthcare administrators and physicians trying to remain
Consider this difficult situation: Jane Doe has used up all 12 weeks of her FMLA leave. She has absolutely no vacation time left and has also used all of her sick days. Due to a mental/physical condition, she is not yet well enough to return to work and needs more time off. She wants to take more time off in order to preserve her health, but she also doesn’t want to lose her job. What should Jane Doe do?
Role of Family Nurse Practitioners: Case Study The shortage of primary care physicians has been a problem in health care system and will continue to the next decade due to increasing of aging population. According to National Governors Association (NAG) (2012), the growth of the aging population combined with the initiative of the Affordable Care Act, the problem of primary care providers shortage is worsening. Nurse Practitioners (NPs) are educated and prepared to perform primary care services as physicians do. More importantly, studies showed that NPs’ role as primary care providers achieve equal or higher patient satisfaction rates (Evangelista et al., 2011, Albers-Heitner et al., 2013).
The Family Medical Leave Act (FMLA) was signed into law on August 5, 1993. It applies to all public agencies as well as private employers that have 50 or more employees within a 75 mile distance. This calculation is based off of the current year or it can be based off of the previous year. This policy was created to provide
There are a variety of different ways that the Affordable Care Act has affected nursing. One specific way in which it has affected it nurses are those that work in poverty or low-income areas. Nurses that choose to work in a public health workforce. Those who can work in a public health are offered a loan repayment option. This program is to ensure that adequate health care professionals are available, in efforts to eliminate the shortage.
Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
I regard nurses as a different or high breed of professionals advocating for patients daily and playing a crucial role to deliver the optimum patient care. Nurses are typically known “called to serve” and unlikely to put their interest s behind those of their patients. However, it is very important for nurses to have a voice collectively to represent them via labor union. Some of the reasons of unionization include better wages and benefits, better working conditions, and job security. More often, the desire to unionize can typically be attributed to workers’ perceptions of management as unfair and when they feel that they are not valued or respected by their employer, and other reasons that cannot be measured by dollars (McConnell, 2011,
The article grabbed the attention of many including the legislators and policy makers who failed to recognize the contribution of nurse practitioners in making healthcare more affordable and accessible. The aftermath of this article is the current state of advance nursing practice. Even though we have not overcome all the barriers but there has been a lot of improvements in existing barriers. As Safriet mentioned in her article that nurse practitioners can be fundamental in restructuring the complex healthcare system. Nurse practitioners have repeatedly proved that they can provide cost-effective and high quality care to patients of all
APRN’s have more access to EHR. For example, they have access to pictures of MRI, Echo and x-rays. Business/Finance Family Nurse Practitioners play a significant role in delivering cost effective health care to the community by emphasizing more on healthy life styles, preventive health care and provide better primary care compared to physicians by listening to the patients and spending more time with
The expansion of Medicaid through the implementation of the Affordable Care Act (ACA) has initiated many states to try innovative ideas to improve their Medicaid programs. Many states, like Minnesota, had started the reform process prior to the passage of the ACA with the purpose of improving the quality of care for Medicaid beneficiaries and to utilize a more cost-effective system to provide Medicaid benefits. One of the innovative ideas that states like Minnesota is implementing is the use of accountable care organizations (ACOs). This paper will explore ACOs by studying the reforms within the Minnesota Medicaid program. Background Medicaid was originally established by the government to provide medical services and payment for individuals
Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
The Affordable Care Act has shifted focus on health and wellness of patient populations urging hospitals to do a community needs assessment and come up with a strategy to address these needs. Hospitals most often partner with community and professional organizations to address the health need (Stempniak, 2014). This is an example of how the four spheres are all interrelated. Nurses are at the heart of this movement, providing the necessary skills, experience and expertise to address the needs of the population being served (Shamian,