...Implementation of the IOM Future of Nursing Report Grand Canyon University: NRS 440V Implementation of the IOM Future of Nursing Report 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 force (Institute of Medicine [IOM], 2012). In 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) joined forces and embarked on a two year joint venture to really assess the need for changes in the nursing profession in the face of the changing health care landscape. This joint committee fashioned a report that outlined the necessary and dynamic actions that the nursing profession needs to make in order to progress with the climate of health care reform. Through its discussions, the committee fashioned four key points that erect the framework for its recommendations; these areas are nurse training, education, professional leadership, and lastly workforce policy (Robert Wood Johnson Foundation [RWJF], 2011). This paper...
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...Implementation of the IOM Future of Nursing Report Grand Canyon University Trends and Issues in Health Care NRS-440V August 09, 2013 Implementation of the IOM Future of Nursing Report In 2010, Patient Protection and Affordable Care Act provided many people access to previously unavailable health care coverage. The goals of the reform are to make health care accessible and affordable to all Americans by controlling insurance costs by making rates similar across all states, standardizing coverage and ensuring that quality care is delivered at all times (Graszkruger, 2011). The health care system and nursing are evolving. The reform provided nurses an important opportunity to lead in the changes. The largest sector of the health care industry workforce is nursing with millions of members (IOM, 2011). The Robert Wood Johnson Foundation (RWJF) and the IOM collaborated over a two-year period starting in 2008 in the evaluation of the importance of changes in nursing in relation to the transforming landscape in health care. IOM chose a committee that came up with outlines of the necessary changes that nursing needs to make to meet the increasing needs of the system. The committee was tasked with the development of recommendations that will address the need for nurses to be active participants in the design and implementation of efficient and effective health care system. The committee came up with the following four areas of focus for nurses: maximizing their education and...
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...Running head: Evolution of Health Care Information Systems Evolution of Health Care Information Systems HCS 533 Health Information Systems Tana M. Daniel Steven Fowler January 31, 2011 Evolution of Health Care Information Systems Bridging the gap in health care information technology will promote safe, proficient, patient-focused, and effective patient care in a timely manner. In this paper the subject is to examine two contemporary health care organizations and compare and contrast several features that will include the type of information systems currently in use, analyze the transmission of data 20 years ago and how the exchange of data today. In addition, this paper will cover two major events and technology advances that have influenced current HCIS practices. Five information systems seen in health care organizations are (Wagner, 2009) 1) computerized provider order entry 2) medication administration 3) telemedicine 4) telehealth, and 5) personal health records (p. 121). Each system can provide quality improvement, improve patient safety, and be cost effective. Skilled Nursing Facilities have made significant changes over the last 20 years, in comparison to now. Looking at a skilled nursing facility present time versus a skilled nursing facility operation of Dunseith Community Nursing Home in North Dakota 20 years ago. With the implementation of new rules and regulations, this requires skilled nursing facilities to focus on...
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...DISTRICT OF COLUMBIA: CASE SCENARIO THE AFFORDABLE CARE ACT BACKGROUND The argument that every American citizen should have a guaranteed healthcare cover takes two dimensions (Grover, 2007). Is it that all citizens should have access to the same level of healthcare? Or should they have a right to some minimum healthcare cover? The U.S government has selected the second option in relation to the policies it creates directed to healthcare. There are quite a number of policies that have been put in place to realize this goal since there is no single healthcare policy that can cater for all of this demands. The government has made a move to provide access to medical services. In the past, particular groups of people have been selected based on their economic status or their distinctive social circumstances. The policies include Medicaid (for poor children), Medicare (for the elderly), Veterans’ Administration (for veterans), Indian Health Services (for Native Americans) and renal failure security (for transplants and kidney dialysis). The purpose of this study The research’s main focus is to investigate the how government and nurses are involved in the development and implementation of healthcare related policies. The District of Columbia will be the highlight of this paper. Accordingly, the paper will put more emphasis on one of the most recent health care policies in the Obama governance i.e. The Affordable Care Act. Significance of this study The research will try and examine...
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.../services/example-essays/social-work/social-care-practice.php Running Head: SOCIAL CARE PRACTICE An Investigation of Principles, Care Strategies and Theories Related to Social Care Practice Part One This section provides a summative assessment of the principles, care strategies and theories that direct social care work within the UK. Specifically, the application of support principles, procedures for protecting clients from harm and the advantages of utilising a person-centred approach in working with clients are discussed. Additionally, ethical issues, applicable policies, legislation issues and regulation and the impacts of existing policies are presented in relation to providing social care. Applications of Support Principles Ensuring that individuals are properly cared for in health and social care requires the application of a number of support principles. Examples of these support principles include equity in the provision of care, universality in its accessibility and providing multiple financial options for individuals of all backgrounds (Alcock, Daly & Griggs, 2008). As the individuals who require health and social care services differ in their ethnic, cultural, social and socioeconomic backgrounds, these support principles are pivotal in meeting the needs of the greatest percentage of the population (Alcock et al., 2008). Valuing diversity and providing support for families of varying backgrounds is a critical component of UK health and social care policy (Alcock et al., 2008)...
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...Learning Healthcare Organizations MHA601: Principles of Health Care Administration (NBA1407A) Instructor: March 17, 2014 Week 5 Assignment: Learning Healthcare Organizations Transformational change is a radical shift in culture for the healthcare industry. It is an organizational wide, new way to strategize and update old theories and skills that are less reliable than the old processes and systems that were used in the past. The new changes are meant to be rolled out over a period of time because it is associated with the restructuring of an organization and it relies on collaboration of all its employees. It is about interdependence and working relationships within the organization for a collective purpose. Organizational learning in the healthcare industry is of particular interest to many organizations that are concerned with making transformational changes because it is viewed as a source of competitive advantage, it recognizes the link between improved patient outcomes, and it is a way to stay relevant in unpredictable markets. One of the key features of this new type of approach in building a learning organization is the focus on teamwork. Management may be redefining these changes within their own organizations in a way that stays consistent with the learning organizational theory. There are many challenges in the design of such change because it is hard to find working examples in place and leaders must understand this in order to guide, and influence such transformations...
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...Health Promotion 1 Literature Review Bressy Thomas Grand Canyon University Health Promotion 2 Health promotion involves motivation and improvement in someone’s health and identifies their potential health problems. From the literature reviews, Health promotion defined in different ways. Literature, Worldviews on Evidence-base nursing, explains health promotion as, Etiologically –driven socio-political-economic determinants of health are addressed. This serves to counter social inaction and social division/inequality. It is an inherently political process…that leads to community coalitions through shared radical consciousness. Health promotion looks to develop and reform social structures…between representative stakeholders in different sectors and agencies. (Whitehead 2004b) Looking after community, looking after their lifestyles and advising them really on their needs and how...
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...Readcast [pic] [pic][pic][pic] Dr. Nola J. Pender PhD, RN, FAANa nursing theorist who first presented her Health Promotion Model for nursing in her book HealthPromotion in Nursing Practice (1982). She developed the idea that promoting optimal health supersedespreventing disease. Pender's theory identifies cognitive-perceptual factors in the individual, such asimportance of health, perceived benefits of health-promoting behaviors, and perceived barriers to health-promoting behaviors. These factors are modified by demographic and biologic characteristics andinterpersonal influences, as well as situational and behavioral factors. They help predict participation inhealth-promoting behavior. The individual's definition of health for himself or herself has more importance thana general statement about health. A major assumption in Pender's theory is that health, as a positive high-level state, is assumed to be a goal toward which an individual strives. Pender Nursing Theory The Health Promotion Model of nursingNola Pender, former professor of nursing at the University of Michigan, has developed a rational-choice modelof healthcare. This is not really a nursing theory per se, but a psychological look at how human beingsperceive themselves, their health and their ability to change their lifestyles to promote health. As a result of this focus, Pender's model is normally called the "Health Promotion Model" of nursing. Features...
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...Literature review Healthcare technology has turned into more and more complicated, changing the approach nursing care is delivered and conceptualized. Since the invention of technology, healthcare practitioners have confidence in massively on the sense of touch, ability to perceive with eyes, hearing, and odor to detect changes and guide the convalescents status. Over time, nurses' separated spirits were replaced with automation designed to catch physical shifts in patient surroundings (Bell &Thornton, 2013, p.55). Despite the fact technology has been capable...
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...Charmein Garner and Celeste Thomas Loyola University New Orleans Outcomes Management Project Defined Issue or Problem of Interest The selected problem of interest is hospital readmissions after being discharged from hospitals/medical facilities. Several patients enter the hospital and soon after discharge are catapulted back into the seemingly revolving doors of the hospital. Readmission rates affect all areas of healthcare. Center for Medicare and Medicaid (CMS) has targeted readmissions as a guideline of poor quality of care. Engaging patients during their inpatient admission as they transition to alternate levels of care may reduce readmission by 50% (Service, 2008). The intent of this proposed paper is to take a look at hospital readmissions rates in correlation with the patient being elderly and having a diagnosis of heart failure and assess what can be done to positively change these statistics, which increase the quality of care we as healthcare professionals provide to our patients. A Rationale for Selecting the Issue or Problem of Interest Hospital readmissions can occur throughout the patient’s transition through the healthcare system. Many times readmissions occur among those who are frail and have chronic conditions. Readmissions account for approximate 18% of Medicare patients, of this 13%, are suspected to be avoidable and are directly linked to poor quality. Quality is affecting outcomes, which impacts reimbursements and patient safety. Core Measures...
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...Affordable Care Act: Nursing’s Practical Solution Desmond Mueller California State University, Fullerton School of Nursing Concepts of Professional Nursing Practice BSN 306, Section 05 Anne Johnston-Silverberg, MS, FNPc September 14, 2012 The Affordable Care Act: The Role of the Nurse Practitioner The recent implementation of the Affordable Care Act (ACA) has had a significant impact on the American health care delivery systems. The passage of this bill mandates that all Americans must have health care coverage and that insurance companies cannot disqualify applicants due to preexisting conditions (National Council of State Boards of Nursing, 2014). These changes will undoubtedly lead to an increase in the number of people seeking medical care, particularly those with chronic diseases. It is estimated that this influx in the number of patients will result in a primary care provider shortage of 20% by the year 2025 (Poghosyan, Boyd & Knutson, 2014). With many new physicians choosing to pursue specialties due to the promise of a larger salary, hospitals and clinics will need to start looking to other health care providers, such as nurse practitioners, to fill this role. The purpose of this paper is to discuss the role nurse practitioners play with regards to the Affordable Care Act by examining the history and qualifications of nurse practitioners, the current practice of nurse practitioners, the basics of the Affordable Care Act legislation, and potential nursing challenges...
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...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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...organization wide change process. IT enhance productivity, improve security of patient information and reduce cost, this allows the HS to be more competitive with their counterparts. Information Technology will replace doing things manually, save time, reduces errors, and decrease cost as well as improves safety and quality of care of clients. This paper will explore the need for development, organizational and individual barriers, factors that might influence the proposed development, summarize organizational readiness for change, the theoretical models that relates to the change, and internal and external resources that are available to support the development. The change will be piloted in the emergency room and if successful it will be implemented throughout the institution. Need for Proposed Organizational Change According to Borkowski (2002), there is a great need for information technology in healthcare. The external forces have had a significant impact on the changes within the healthcare industry. For example, clients are knowledgeable consumers of health services which is mostly due access to the internet. IT has been the focus of recent reform efforts in the healthcare industry in the United States (US). Nevertheless, there has been enormous difficulty in developing, deploying, and utilizing this technology. IT is both safe and efficient especially in the US with its combination of public and private healthcare providers and...
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...diseases such as diabetes and hypertension from all over the world as well as in Malaysia. In health clinics and hospitals, we are seeing increasing number of patients who are diagnosed with diabetes. Diabetes is a phenomenon which is becoming more common but there is a plenty ways which could be done to reduce the severity of any complications from this disease. Generally, there are three main types of diabetes. It includes Type 1 diabetes (juvenile diabetes), Type 2 diabetes, and gestational diabetes (during pregnancy). Type 1 diabetes (Insulin Dependent Diabetes Mellitus) should consume insulin daily in order to survive. Meanwhile, type 2 diabetes (Non-Insulin Dependent Diabetes Mellitus) is the most common type of diabetes. Whereas, gestational diabetes is another type of diabetes where there is a high blood sugar level which is diagnosed during pregnancy. Diabetes Mellitus which is a well-known chronic illness requires a comprehensive of medical care by the expertise team. The risk of long term complications needs full support from various professionals to conduct diabetes care. Acute complications can be prevented via ongoing patient self-management education and awareness of illness. Patient self-management education and problem solving skills development are necessary to be provided in diabetic clinic plan through a variety of strategies and techniques. Creation of a primary care diabetes clinic with trained paramedics who provide individual or group education, life-styles...
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