A new report by the National Institute for Health Care Reform digs into a topic of increasingly heated debate in health care — the role of nurse practitioners in addressing an anticipated shortage of primary care physicians.
From a recent article in the Baltimore Business Journal: the institute’s report said that state laws themselves do not restrict what services nurse practitioners can provide but the laws can indirectly affect nurse practitioners’ ability to practice. Considering the big demand for primary care services analysts are predicting, states might want to adjust their regulations to more explicitly define nurse practitioners as primary care providers, the report concluded.
View the entire article.
Showing posts with label health reform. Show all posts
Showing posts with label health reform. Show all posts
Monday, March 18, 2013
Wednesday, August 22, 2012
Solving Many of the United States' Primary Care Challenges
With the Affordable Care Act being upheld earlier this summer, there will a large flux on individuals with insurance coverage that require primary care. As many of our previous blog posts have already discussed, there is already a primary care provider shortage and this shortage is expected to grow even further after 2014.
The most recent Charting Nursing's Future, published by the Robert Wood Johnson Foundation, highlighted how nurses can help solve many of primary care’s most pressing challenges, including access and cost.
Gene Steuerle, writing for his own blog, The Government We Deserve, also focused on the role of nurses in reducing costs while providing the same level, or even better care than physicians for many basic services. Mr. Steuerle, who is a renowned economic and tax expert, argued that the current primary care provider shortage is a result of an uncompetitive industry unwilling to relinquish control over services that many non-physicians have the training and education to provide.
Finally, a collaborative group of scholars published a thorough article in the New England Journal of Medicine, highlighting how our health system can reduce costs while improving care. The utilization of nurses and other allied health professionals was highlighted by the authors as an integral piece of reforming our broken health system.
The most recent Charting Nursing's Future, published by the Robert Wood Johnson Foundation, highlighted how nurses can help solve many of primary care’s most pressing challenges, including access and cost.
Gene Steuerle, writing for his own blog, The Government We Deserve, also focused on the role of nurses in reducing costs while providing the same level, or even better care than physicians for many basic services. Mr. Steuerle, who is a renowned economic and tax expert, argued that the current primary care provider shortage is a result of an uncompetitive industry unwilling to relinquish control over services that many non-physicians have the training and education to provide.
Finally, a collaborative group of scholars published a thorough article in the New England Journal of Medicine, highlighting how our health system can reduce costs while improving care. The utilization of nurses and other allied health professionals was highlighted by the authors as an integral piece of reforming our broken health system.
Wednesday, July 11, 2012
RN Labor Supply Bubble: What Does it Mean for Rural Health Care?
Over the past year, many studies have predicted that a temporary employment bubble is approaching for Registered Nurses in many urban areas. In response to one of the more recent articles discussing this trend, authored by Staiger, Auerbach, & Buerhaus and appearing in the April edition of the New England Journal of Medicine, the Online Journal of Rural Nursing and Health Care's editor, Pamela Stewart Fahs, DSN, RN, brought up the important question as to how this trend will effect rural nursing. Dr. Fahs discussed how the upcoming labor supply bubble may actually improve rural nursing by making these health care facilities more competitive with their urban counterparts. By having a tougher job market, new nurse graduates may be more willing to relocate than they have been in the past.
To read Dr. Fahs' editorial, click here.
To read more blogposts relating to nursing workforce issues, click here.
To read Dr. Fahs' editorial, click here.
To read more blogposts relating to nursing workforce issues, click here.
Tuesday, July 10, 2012
Finding A First Job Not Easy For New Nurses
For those of you that are regular readers of the INQRI blog, this story continues our focus on the difficult that new nurses are having entering the workforce. Even though there has been numerous reports suggesting that there is a significant need for more highly trained nurses, many new nurse graduates are having difficulty finding entry-level positions.
Annie Baxter, reporting for Marketplace Money, a program on American Public Media, covered this topic by interviewing current nurses, nurse researchers and economists as to why new nurses graduates are having such difficult obtaining employment and how the nursing field can accommodate for this much needed injection of young caregivers.
To listen to the audio portion, or read the transcript from this program, click here.
To read other blogposts relating to nursing workforce issues, click here.
Annie Baxter, reporting for Marketplace Money, a program on American Public Media, covered this topic by interviewing current nurses, nurse researchers and economists as to why new nurses graduates are having such difficult obtaining employment and how the nursing field can accommodate for this much needed injection of young caregivers.
To listen to the audio portion, or read the transcript from this program, click here.
To read other blogposts relating to nursing workforce issues, click here.
Friday, June 29, 2012
A Quick Round Up of Nurses Responses to The Supreme Court's Ruling on Health Care Reform
With the Supreme Court ruling to uphold the entire Patient Protection & Affordable Care Act (ACA), we thought it would be fitting to share with you some responses by nursing organizations across the country in response to this landmark ruling.
Ohio Nurses Association Questions Impact of Issue 3 with the Supreme Court's Decision to Uphold Health Care Reform
Last November, the citizens of Ohio voted in support of legislation (Issue 3) that said no law can force someone to have insurance, thus negating the individual mandate included in the ACA. The Ohio Nurses Association is now left wondering how will Ohio implement the provisions in the ACA and what effect will this have on the nursing workforce?
Nurse leaders happy with ruling on ACA
The ANA has touted the law’s potential to increase the profile of RNs in the healthcare system through new models such as accountable care organizations and medical homes. These models would rely on RNs’ expertise in care coordination, the ANA has said.
ANA Lauds Supreme Court Decision Upholding Health Care Reform Law
The American Nurses Association (ANA) lauds the U.S. Supreme Court's decision today to uphold the Affordable Care Act (ACA), including the "minimum coverage provision," hailing it as a victory for all patients and their families.
Nurses: 'Court Ruling Does Not End Healthcare Crisis Or the Need to Continue the Campaign for Reform'
The Supreme Court decision should not be seen as the end of the efforts by health care activists for a permanent fix of our broken healthcare system, said National Nurses United. The union pledged to step up a campaign for a reform that is not based on extending the grip of a failed private insurance system, but "on a universal program based on patient need, not on profits or ability to pay.
Ohio Nurses Association Questions Impact of Issue 3 with the Supreme Court's Decision to Uphold Health Care Reform
Last November, the citizens of Ohio voted in support of legislation (Issue 3) that said no law can force someone to have insurance, thus negating the individual mandate included in the ACA. The Ohio Nurses Association is now left wondering how will Ohio implement the provisions in the ACA and what effect will this have on the nursing workforce?
Nurse leaders happy with ruling on ACA
The ANA has touted the law’s potential to increase the profile of RNs in the healthcare system through new models such as accountable care organizations and medical homes. These models would rely on RNs’ expertise in care coordination, the ANA has said.
ANA Lauds Supreme Court Decision Upholding Health Care Reform Law
The American Nurses Association (ANA) lauds the U.S. Supreme Court's decision today to uphold the Affordable Care Act (ACA), including the "minimum coverage provision," hailing it as a victory for all patients and their families.
Nurses: 'Court Ruling Does Not End Healthcare Crisis Or the Need to Continue the Campaign for Reform'
The Supreme Court decision should not be seen as the end of the efforts by health care activists for a permanent fix of our broken healthcare system, said National Nurses United. The union pledged to step up a campaign for a reform that is not based on extending the grip of a failed private insurance system, but "on a universal program based on patient need, not on profits or ability to pay.
Tuesday, June 26, 2012
How Will the ACA Effect Long-Term Care?
In a new Health Affairs article (supported by the
Commonwealth Fund), Naylor, Kurtzman, Grabowski, et al., analyze and provide
policy recommendations for three provisions of the Affordable Care Act focusing
on the promotion of transitional care programs. The authors suggest that
additional attention is needed to ensure that unintended consequences resulting
from these three provisions are adequately anticipated for in order to ensure
vulnerable older adults utilizing long-term services receive the support they
require.
Join the conversation!
· Click
here to comment on the article on the Health
Affairs blog.
Thursday, June 14, 2012
National Survey Finds Nurses in Physicians’ Offices See Salary Hike
The June edition of Healthcare Finance News featured the results from a survey that found nurses and nurse managers saw an average salary increase of 4% and 12% over the past year. The authors of the survey also found that on average, nurses working in private practices tend to make less than their counterparts in other sectors of health care. This could perhaps explain the rise in salaries in private practices in order to compete for the best and the brightest nurses. With the Accountable Care Act emphasizing community-based health, this trend is likely to continue.
Do any of you have any personal experience with salary hikes or reductions?
To read the full article from Healthcare Finance News, click here.
Do any of you have any personal experience with salary hikes or reductions?
To read the full article from Healthcare Finance News, click here.
Monday, May 14, 2012
American Academy of Nurse Practitioners To Roll Out Educational Campaign This Week
Earlier this morning, Sarah Kliff, writing for The Washington Post's WonkBlog, detailed how the demand of health services is expected to spike over the next decade due to expanded coverage of the Patient Protection & Accountable Care Act (PPACA). In wake of the looming primary care shortage in the United States, the American Academy of Nurse Practitioners is starting an educational campaign this week to explain what nurse practitioners (NP) actually do and why patients should trust them with their medical needs. As with many of the other NP scope of practice stories we have covered lately, many state and national medical groups are against expanding NPs ability to practice to the full extent of their training and it will be interesting (to say the least) to see how both the health care sector and public react to this most recent campaign.
Click here to read the full story.
Click here to read other blogposts discussing NP scope of practice.
Click here to read the full story.
Click here to read other blogposts discussing NP scope of practice.
Monday, April 30, 2012
How Young Nurses Are Invigorating the Profession
Before we discuss our highlighted news story for today, we would like to thank all of you who attended INQRI's successful National Conference in Washington, DC last Thursday and Friday. We had the pleasure of hearing Dr. Ezekiel Emanuel discuss how the important role of nurses in improving the United States health care system post health reform and Dr. Sue Hasmiller highlight the growing influence of the Future of Nursing's: Call For Action in all 50 states. Stay tuned to the blog for further stories and videos from our highly engaging conference.
To that end, Laura Raine, of the Atlanta Journal Constitution, discussed the growing influence of young nurses in both clinical and academic settings. Ms. Raine highlights the story of three local nurses who embody the caring spirit that patients expect of nurses while also excelling at their professional duties.
Click here to read the full story.
To that end, Laura Raine, of the Atlanta Journal Constitution, discussed the growing influence of young nurses in both clinical and academic settings. Ms. Raine highlights the story of three local nurses who embody the caring spirit that patients expect of nurses while also excelling at their professional duties.
Click here to read the full story.
Thursday, February 23, 2012
Op-Ed: Healthcare Reform's Missing Link - Nurse Practitioners
Yesterday, local Indiana news source, wsbt.com, featured an Op-Ed by Dr. Patricia Dennehy that discussed how advanced practice registered nurses can make important contributions to health care reform. Dr. Dennehy, who is the director of GLIDE Health Services in San Francisco and a professor at the UCSF's School of Nursing, argues that APRNs can help fill the primary care practitioner shortage while providing the same level of care that patients' receive from a physician. Dr. Dennehy also calls for reimbursement reform so that nurses will no longer need to bill their services under the supervision of a physician. Many of the issues raised in this Op-Ed were also featured in the IOM's Future of Nursing: Leading Change, Advancing Health report, which is also cited at the end of the article.
Click here to read the full op-ed.
Click here to read other blogposts relating to the IOM's report.
Click here to read the full op-ed.
Click here to read other blogposts relating to the IOM's report.
Wednesday, December 7, 2011
Reflecting On Dr. Berwick's Tenure As CMS Administrator
In this month's edition of Health Affairs, Harris Meyer wrote a fascinating piece reflecting on Dr. Don Berwick's short tenure as the head of the Center for Medicare & Medicaid Services (CMS). In the article, Ms. Meyer discussed the praise Dr. Berwick's body of work at the CMS received from numerous professional organizations and highly respected health leaders.
Click here to read the Health Affairs article (freely available to all).
Click here to read the Health Affairs article (freely available to all).
Friday, June 3, 2011
Nurse-Run Clinics Provide Cost-Effective, High Quality Care
The American Nurses Association has recently issued a statement commending the Joint Commission for their recognition of nurse-led clinics as primary care medical homes. The Commission's accreditation standards define primary-care clinicians in primary care medical homes as “a doctor of medicine or doctor of osteopathy, advanced practice nurse or physician assistant.”
This accreditation is in line with the scope-of-practice recommendations in the IOM report, The Future of Nursing: Leading Change, Advancing Health. In addition, the Affordable Care Act recognized medical homes as a good way to provide cost-effective, high quality patient-centered care.
The federal health care reform law recently provided a $1.5 million grant to Sheridan Health Services outside Denver. Sheridan Health is one of the first nurse-run primary care facility in the country to be set up under the new law. Accepting fees on a sliding basis, the clinic provides much needed care to a low-income area. In the first month of operation, the nurses had seen 200 patients.
This accreditation is in line with the scope-of-practice recommendations in the IOM report, The Future of Nursing: Leading Change, Advancing Health. In addition, the Affordable Care Act recognized medical homes as a good way to provide cost-effective, high quality patient-centered care.
The federal health care reform law recently provided a $1.5 million grant to Sheridan Health Services outside Denver. Sheridan Health is one of the first nurse-run primary care facility in the country to be set up under the new law. Accepting fees on a sliding basis, the clinic provides much needed care to a low-income area. In the first month of operation, the nurses had seen 200 patients.
Thursday, April 28, 2011
Health Wonk Review: Spring Has Sprung & Mud Still Flung
Check out the latest edition of the Health Wonk Review, hosted by The Incidental Economist: The “Spring Has Sprung and Mud Still Flung” Edition.
Thanks to Don Taylor, Aaron Carroll, and Austin Frakt of The Incidental Economist for including a recent INQRI post in this edition.
Enjoy!
Thanks to Don Taylor, Aaron Carroll, and Austin Frakt of The Incidental Economist for including a recent INQRI post in this edition.
Enjoy!
Wednesday, April 13, 2011
Health Affairs Article: "The Trade-Off Among Quality, Quantity, And Cost: How To Make It—If We Must"
This week, we'll be highlighting papers published in the new edition of Health Affairs, entitled "Still Crossing the Quality Chasm." This edition explores the question of quality as raised in the 2001 Institute of Medicine report, Crossing the Quality Chasm, and explores how far we have come since its publication... while also anticipating the road ahead.
"The Trade-Off Among Quality, Quantity, And Cost: How To Make It—If We Must"
Author: Mark V. Pauly
In this analysis and commentary, INQRI co-director Mark Pauly shares his concern that the Affordable Care Act may "lead to a lot of talk about quality but necessarily much improvement." Pauly suggests that "disruptive innovation" (a market-driven approach that balances cost and quality) might be able to facilitate improvements in health care as it has improved quality in other industries.
Click here to read the piece.
"The Trade-Off Among Quality, Quantity, And Cost: How To Make It—If We Must"
Author: Mark V. Pauly
In this analysis and commentary, INQRI co-director Mark Pauly shares his concern that the Affordable Care Act may "lead to a lot of talk about quality but necessarily much improvement." Pauly suggests that "disruptive innovation" (a market-driven approach that balances cost and quality) might be able to facilitate improvements in health care as it has improved quality in other industries.
Click here to read the piece.
Tuesday, April 12, 2011
HHS Partnership for Patients Initiative
Today, the Department of Health and Human Services announced their commitment to use $1 billion in new funding from the Affordable Care Act to meet two important patient safety goals:
As Administrator Berwick said, we have the best trained and best equipped health workforce. The safety issues facing our health care system are indeed system-oriented. As we work to develop new processes and improved systems, we believe that nurses can and should be at the forefront of the discussion.
As recently articulated in the Institute of Medicine report on “The Future of Nursing: Leading Change, Advancing Health,” nurses are integral to promoting health and preventing medical errors in hospitals, clinics and everywhere patients are treated. The recommendations in the report are a testament to the value of nurses in ensuring patient safety. The recommendations encourage interprofessional collaboration and patient-centered teams that incorporate the skills and talents of all health professionals.
- Reduce preventable hospital injuries by 40% by 2013; and
- Cut preventable hospital readmissions by 20% by 2013.
As Administrator Berwick said, we have the best trained and best equipped health workforce. The safety issues facing our health care system are indeed system-oriented. As we work to develop new processes and improved systems, we believe that nurses can and should be at the forefront of the discussion.
As recently articulated in the Institute of Medicine report on “The Future of Nursing: Leading Change, Advancing Health,” nurses are integral to promoting health and preventing medical errors in hospitals, clinics and everywhere patients are treated. The recommendations in the report are a testament to the value of nurses in ensuring patient safety. The recommendations encourage interprofessional collaboration and patient-centered teams that incorporate the skills and talents of all health professionals.
Health Affairs Article: "Creating A Framework For Getting Quality Into The Public Health System"
This week, we'll be highlighting papers published in the new edition of Health Affairs, entitled "Still Crossing the Quality Chasm." This edition explores the question of quality as raised in the 2001 Institute of Medicine report, Crossing the Quality Chasm, and explores how far we have come since its publication... while also anticipating the road ahead.
"Creating A Framework For Getting Quality Into The Public Health System"
Authors: Peggy A. Honoré, Donald Wright, Donald M. Berwick, Carolyn M. Clancy, Peter Lee, Juleigh Nowinski and Howard K. Koh
In this piece, the authors discuss two reports from the Department of Health and Human Services: Priority Areas for Improvement of Quality in Public Health and Consensus Statement on Quality in the Public Health System and how they relate to the Affordable Care Act, serving "as a call to action for ensuring a better future for population health."
Click here to read the piece.
Click here to download Priority Areas for Improvement of Quality in Public Health.
Click here to download Consensus Statement on Quality in the Public Health System.
"Creating A Framework For Getting Quality Into The Public Health System"
Authors: Peggy A. Honoré, Donald Wright, Donald M. Berwick, Carolyn M. Clancy, Peter Lee, Juleigh Nowinski and Howard K. Koh
In this piece, the authors discuss two reports from the Department of Health and Human Services: Priority Areas for Improvement of Quality in Public Health and Consensus Statement on Quality in the Public Health System and how they relate to the Affordable Care Act, serving "as a call to action for ensuring a better future for population health."
Click here to read the piece.
Click here to download Priority Areas for Improvement of Quality in Public Health.
Click here to download Consensus Statement on Quality in the Public Health System.
Friday, November 19, 2010
Challenges Facing the Nursing Workforce
Special thanks to INQRI grantees Nancy Dunton (National Database of Nursing Quality Indicators) and Patti Hamilton (Midwestern University) for their engaging presentations for Wednesday's webinar, "Challenges Facing the Nursing Workforce."
Click here to view the presentation on your desktop.
Download Nancy Dunton's slides.
Download Patti Hamilton's slides.
Our next webinar in the Health Reform and Future of Nursing series will be announced soon.
Click here for more details.
Click here to view the presentation on your desktop.
Download Nancy Dunton's slides.
Download Patti Hamilton's slides.
Our next webinar in the Health Reform and Future of Nursing series will be announced soon.
Click here for more details.
Thursday, November 18, 2010
Nurses' Role in the Future of Health Care
In today's New York Times, Pauline Chen, M.D., takes a look at Nurses' Role in the Future of Health Care by explaining the incredible impact that nurses can have... especially in the era of health reform. Dr. Chen discusses the report generated by the Initiative on the Future of Nursing committee: "The Future of Nursing: Leading Change, Advancing Health." Dr. Chen presents INQRI director, Mary Naylor's work on the transitional care model as an exemplar of successful nursing-led services.
Click here to read the article.
Click here to read the article.
Thursday, November 11, 2010
Health Wonk Review Wishes You a Happy Veteran's Day
Happy Veteran's Day! On this day, we commemorate and thank those who have served our country, making incredible sacrifices to preserve those things we hold dear. We reflect upon their struggle, their dedication and their commitment to a greater purpose.
The bloggers who submitted posts for this week's Health Wonk Review have that same dedication and commitment to our nation, but in the health care arena. They reflected on the numerous changes and issues that we must address if we are to improve the health and health care of our nation. Most submissions focus on Initiative on the Future of Nursing report, the mid-term elections' effect on health reform and an old favorite - health care costs. Enjoy!
Future of Nursing Report
We will exercise our prerogative as the hosts of this week's edition, and suggest that you first check out the posts on INQRI's site! They begin with a blog carnival we hosted yesterday which features a selection of blog posts written by students with their reactions to the Future of Nursing report. I think you'll find their thoughts provocative, insightful and interesting.
Terri Schmitt at NurseStory was inspired by the IFN report to consider the "original purpose of nurses advancing their practice and how that purpose is just as relevant today as it was 40 years ago."
At the Disease Management Care Blog, Jaan Sidorov suggests that "dog whistle" politics (the use of rhetoric to signal deeper meaning to an attuned constituency) is behind the phrase "practice at the top of license" for non-physicians... A doctor who has decided (at least for the moment) to keep his thoughts about independently practicing nurses to himself, Sidorov encourages advocates for broadening scope of practice to be as clear as possible about what they mean.
Although she doesn't mention the Future of Nursing report in her post on the Nursing Staff Development blog, Teresa Heithaus does discuss in length one of its key points: the importance of lifelong learning and development for nurses. Her post details the challenges associated with research and publication from behind the "hospital firewall."
Mid-Term Elections and the Affordable Care Act (ACA)
Last week's mid-term elections have have spurred great debate among health wonks everywhere, including on the web, where many pondered the future of the Affordable Care Act...
In advance of the overwhelming GOP victory last Tuesday, Joe Paduda at Managed Care Matters wrote about his anticipations for big Republican wins.
HealthInsurance.org/blog editor Steve Anderson discussed possible changes to the funding for health reform. At the same site, Chuck Smith-Dewey pondered then-candidate and now-Senator Rand Paul's idea of requiring that seniors pick up of the first $2,000 of medical expenses that are currently paid for by Medicare.
Over at The Lucidicus Project, Jared Rhoads provides all the reasons that the Republican party has gained themselves a new voter.
Over at the Health Business Blog, David E. Williams (cofounder of MedPharma Partners and blog author) provides the transcript of his conversation with Dan Mendelson (President and CEO of Avalere Health, a health care business and policy advisory firm) one day after the mid-term elections about the impact on health reform.
Over at Insureblog, Henry Stern shares a recent conversation with a physician regarding his profession's view on accountable care organizations.
David Harlow at HealthBlawg, discusses the Office of Inspector General's new Roadmap for New Physicians, while explaining that it will probably need to be revised once provisions for accountable care organizations change under the ACA.
On the Health Affairs blog, Linda Berthgold questions what an "essential benefit" looks like under the ACA.
Health Care Costs
One of the Incidental Economists, Austin Frakt, discusses the range of ideas on controlling health care costs.
NCPA President John Goodman says the real problem in health care is not now, and never has been, prices. It is the suppression of real markets.
And in other news...
At her blog, On Your Meds: Straight Talk about Medication Safety, Barbara Olson discusses a new study in the New England Journal of Medicine and provides tips regarding the "hunt for safe prescribing practices." (FYI: this blog is on Medscape which requires that you create a free account to log in.)
Verna Dutton at @nursingpins Amplified, writes an open letter to the Nevada State Board of Nursing regarding the case of two nurses accused of intentionally harming patients.
The Healthcare Economist, Jason Shafrin, explains that although pay-for-performance (P4P) is one of the primary tools used to support healthcare delivery reform, there is a lack of uniformity in the development and implementation of P4P.
On the HealthNewsReview Blog, Gary Schwitzer assesses eight mainstream news media outlets' stories on the National Lung Screening Trial and finds that most of them... excepting NPR... were lacking in their coverage.
At Healthcare Technology News, Rich Elmore wonders what will happen to quality of care and patient outcomes if electronic health records are unequally deployed.
Over at his Healthcare IT Blog, Neil Versel suggests that patients be empowered to enter their own medical information, putting quality controls in the hands of the consumer.
One patient who is indeed empowered is Jonathan Morgan, who chronicles his own healthcare journey at his Spondylosis Treatment blog. Check out his tips for strengthening exercises.
The bloggers who submitted posts for this week's Health Wonk Review have that same dedication and commitment to our nation, but in the health care arena. They reflected on the numerous changes and issues that we must address if we are to improve the health and health care of our nation. Most submissions focus on Initiative on the Future of Nursing report, the mid-term elections' effect on health reform and an old favorite - health care costs. Enjoy!
Future of Nursing Report
We will exercise our prerogative as the hosts of this week's edition, and suggest that you first check out the posts on INQRI's site! They begin with a blog carnival we hosted yesterday which features a selection of blog posts written by students with their reactions to the Future of Nursing report. I think you'll find their thoughts provocative, insightful and interesting.
Terri Schmitt at NurseStory was inspired by the IFN report to consider the "original purpose of nurses advancing their practice and how that purpose is just as relevant today as it was 40 years ago."
At the Disease Management Care Blog, Jaan Sidorov suggests that "dog whistle" politics (the use of rhetoric to signal deeper meaning to an attuned constituency) is behind the phrase "practice at the top of license" for non-physicians... A doctor who has decided (at least for the moment) to keep his thoughts about independently practicing nurses to himself, Sidorov encourages advocates for broadening scope of practice to be as clear as possible about what they mean.
Although she doesn't mention the Future of Nursing report in her post on the Nursing Staff Development blog, Teresa Heithaus does discuss in length one of its key points: the importance of lifelong learning and development for nurses. Her post details the challenges associated with research and publication from behind the "hospital firewall."
Mid-Term Elections and the Affordable Care Act (ACA)
Last week's mid-term elections have have spurred great debate among health wonks everywhere, including on the web, where many pondered the future of the Affordable Care Act...
In advance of the overwhelming GOP victory last Tuesday, Joe Paduda at Managed Care Matters wrote about his anticipations for big Republican wins.
HealthInsurance.org/blog editor Steve Anderson discussed possible changes to the funding for health reform. At the same site, Chuck Smith-Dewey pondered then-candidate and now-Senator Rand Paul's idea of requiring that seniors pick up of the first $2,000 of medical expenses that are currently paid for by Medicare.
Over at The Lucidicus Project, Jared Rhoads provides all the reasons that the Republican party has gained themselves a new voter.
Over at the Health Business Blog, David E. Williams (cofounder of MedPharma Partners and blog author) provides the transcript of his conversation with Dan Mendelson (President and CEO of Avalere Health, a health care business and policy advisory firm) one day after the mid-term elections about the impact on health reform.
Over at Insureblog, Henry Stern shares a recent conversation with a physician regarding his profession's view on accountable care organizations.
David Harlow at HealthBlawg, discusses the Office of Inspector General's new Roadmap for New Physicians, while explaining that it will probably need to be revised once provisions for accountable care organizations change under the ACA.
On the Health Affairs blog, Linda Berthgold questions what an "essential benefit" looks like under the ACA.
Health Care Costs
One of the Incidental Economists, Austin Frakt, discusses the range of ideas on controlling health care costs.
NCPA President John Goodman says the real problem in health care is not now, and never has been, prices. It is the suppression of real markets.
And in other news...
At her blog, On Your Meds: Straight Talk about Medication Safety, Barbara Olson discusses a new study in the New England Journal of Medicine and provides tips regarding the "hunt for safe prescribing practices." (FYI: this blog is on Medscape which requires that you create a free account to log in.)
Verna Dutton at @nursingpins Amplified, writes an open letter to the Nevada State Board of Nursing regarding the case of two nurses accused of intentionally harming patients.
The Healthcare Economist, Jason Shafrin, explains that although pay-for-performance (P4P) is one of the primary tools used to support healthcare delivery reform, there is a lack of uniformity in the development and implementation of P4P.
On the HealthNewsReview Blog, Gary Schwitzer assesses eight mainstream news media outlets' stories on the National Lung Screening Trial and finds that most of them... excepting NPR... were lacking in their coverage.
At Healthcare Technology News, Rich Elmore wonders what will happen to quality of care and patient outcomes if electronic health records are unequally deployed.
Over at his Healthcare IT Blog, Neil Versel suggests that patients be empowered to enter their own medical information, putting quality controls in the hands of the consumer.
One patient who is indeed empowered is Jonathan Morgan, who chronicles his own healthcare journey at his Spondylosis Treatment blog. Check out his tips for strengthening exercises.
Tuesday, November 2, 2010
Health Reform and the Future of Nursing - New Webinar Series
The focus on nursing in the Affordable Care Act paired with the recommendations put forth by the Initiative on the Future of Nursing Committee provides a unique and important opportunity for nurses, hospitals and health care systems. There is a great body of research that shows that when nurses take greater leadership roles in health care, not only does the quality of that care improve, but so do patient outcomes. This is the time to share and promote that research and to identify processes and practices that can be replicated.
To that end, INQRI is pleased to announce the first two webinars in our new series:
To that end, INQRI is pleased to announce the first two webinars in our new series:
Patient Safety: What Does the Evidence Tell Us?
A Panel Presentation, facilitated by new INQRI grantee Michele Balas (University of Nebraska) and featuring fellow grantees: Patricia Dykes (Brigham and Women's Hospital), Linda Flynn (Rutgers), Marita Titler (University of Michigan) and Susan Letvak (University of North Carolina Greensboro).
Tuesday, November 9
2pm - 3:30pm ET
Click here to register.
Challenges Facing the Nursing Workforce
A Conversation featuring INQRI grantees Nancy Dunton (National Database of Nursing Quality Indicators) and Patti Hamilton (Midwestern University).
Wednesday, November 17
2pm - 3pm ET
Click here to register.
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