Health policy and advanced practice nursing : impact and implications / [edited by] Kelly A. Goudreau, Mary C. Smolenski.

Format:

Book

Contributor:

Goudreau, Kelly A., editor.

Smolenski, Mary C. (Mary Catherine), 1950- editor.

Language:

English

Subjects (All):

Nursing--United States.

Nursing.

Medical policy--United States.

Medical policy.

United States.

Medical Subjects:

United States.

Physical Description:

1 online resource (560 pages) : illustrations

Edition:

Second edition.

Place of Publication:

New York, NY : Springer Publishing Company, LLC, [2018]

Summary:

Praise for the First Edition: "There are many policy books, but none are written by APRNs or focus just on APRN practice...APRNs are at the core, or can be, if they use their practice knowledge and education to shape policy...[The] editors eloquently make the case that policy formation is a critical nursing skill." --Doody's Medical Reviews The only book of its kind, this text offers a wealth of information about the role of all types of APRNs (NPs, CNSs, CNMs, and CRNAs) in influencing the development and application of health care policy in a wide range of specialties. Featuring nine completely new chapters, the second edition delivers an invigorated focus on developing policy that advocates for vulnerable populations and discusses how the incorporation of interprofessional education has changed and will continue to alter health policy in the U.S. and internationally. The text also discusses the evolving influence of the Patient Protection Affordable Care Act (PPACA) and the implications of current and future health policy changes that will be impacting the practice of various APRN roles. Authored by APRN luminaries who have been closely involved with health policy development, the text meets the requirements of the IOM report on The Future of Nursing and the DNP criteria V for the inclusion of health policy and advocacy in the curriculum. This "call to action" for APRNs is specifically designed for courses enrolling students from a variety of APRN trajectories, and includes content from all APRN role perspectives in every section. New to the Second Edition: Emphasizes policy development advocating for vulnerable populations Discusses the current and future influence of interprofessional educaton on health policy in the U.S. and worldwide Addresses how health policy changes will impact the various APRN roles Includes nine new chapters on: Health Policy and its Effect on Large Systems, Value-Based Purchasing, Health Care Reform and Independent Practice, Health Policy Implications Regarding Substance Abuse/PTSD Treatment, Genetics, Competency Issues, and The International Council of Nurses Key Features: Addresses role-specific policy needs of all four APRN roles and DNPs Encompasses all requisite information about health care policy and reform in the U.S. and worldwide and its impact on advanced practice nursing Meets the requirements of IOM's The Future of Nursing and DNP criteria V Explains how and why APRNs can and should influence policy development Discusses implications of not participating in health policy decisions

Contents:

Cover

Title

Copyright

Contents

Contributors

Preface

Acknowledgments

Share: Health Policy and Advanced Practice Nursing: Impact and Implications, Second Edition

Unit I: Health Policy From an Advanced Practice Perspective

Chapter 1: Prolific Policy: Implications for Advanced Practice Registered Nurses

Our Right to Promote Well-Being

Policy Shift Toward Illness Prevention

Scope of Practice

Result-Oriented Payment

New Delivery Models

Conclusion

Reflection Questions

References

Chapter 2: Turning Health Policy Into Practice: Implications for Advanced Practice Registered Nurses

Background

Health Policy Development

Conceptual Foundation

Application of Health Policy to APRNs

Evaluation Concepts

Discussion

Ethical Considerations

Discussion Questions

Analysis, Synthesis, and Clinical Application

Exercises/Considerations

Chapter 3: Johnson &amp

Johnson Campaign for Nursing's Future: An Impetus for Change

Local and Regional Scholarship, Grant, and Fund-Raising Commitments

Nurse Educator Initiatives

National League for Nursing Partnership

Impact and Future of the Program

Chapter 4: The IOM Report-The Future of Nursing

The Report

Diversity and the IOM Report

Assessing the Progress

Chapter 5: Updates on the Implications for Practice: The Consensus Model for APRN Regulation

Brief Historical Background

Application to APRN Practice

Evaluation of the Consensus Model

The Consensus Model as Health Policy

Discussion Questions.

Analysis, Synthesis, and Clinical Application

Chapter 6: Effective State-Level APRN Leadership in Health Policy

Health Policy and Public Policy Defined

The APRN is an Expert

APRN Policy/Advocacy Competencies

Interacting With Policy Makers And Policy-Making Bodies

Who Speaks for APRNs?

Advocacy Strategy Tools and Resources

Teach/Mentor/Model

Chapter 7: State Implementation of the APRN Consensus Model: Progress to Date

APRN Consensus Versus State Processes of Law

A Conceptual Model for Evaluation of Progress to Date

Conceptual Framework

Individual State Progress to Date

Unit II: Implications of Health Care Reform and Finance on APRN Practice

Chapter 8: The Patient Protection Affordable Care Act (PPACA)

The Act

Nurse Practitioners and the PPACA

Insurance Exchanges and Medical Homes

Accountable Care Organizations

Transitional Care and Care Coordination and Medicaid Expansion

Health Promotion/Disease Prevention

Obstacles/Barriers

Chapter 9: AARP Initiatives

What Is AARP?

Center to Champion Nursing in America

AARP Policy Book Revision

CCNA Focus Evolves to Implement the Recommendations of the Institute of Medicine Report

Campaign for Action

Recommendation No. 1: Remove Scope-of-Practice Barriers

AARP West Virginia Modernizes APRN Law

AARP's PPI Publications

Graduate Nurse Education Demonstration Program

Care Act

Exercises/considerations

Chapter 10: Million Hearts

Chapter 11: ValueBased Purchasing and Its Impact on Advanced Practice Nursing

Chapter 12: Funding of APRN Education and Residency Programs

A Historical Perspective

Congressional Action to Establish Consistent Funding for Nursing Education

Current Federal Funding for APRNs

The Patient Protection and Affordable Care Act: Investing in APRN Education

The Road to the GNE Demonstration

APRN Residencies

Discussion Question

Chapter 13: Implications of Health Care Reform on Independent Practice

A Review of the History of the APRN

APRN Core Competencies and Practice Essentials

Identification of Barriers to Full Practice by APRNs

Identification of Current Activity

Chapter 14: The Affordable Care Act: Primary Care and the Doctor of Nursing Practice

The Affordable Care Act: A Prevention Model

The Doctor of Nursing Practice Nurse as Primary Care Provider

Utilization of a Preventive Health Care Model in Primary Care

Challenges of Implementing the ACA

Leadership in Community-Based Programs

Advocacy and Policy Development to Strengthen Primary Care Delivery

Removal of Professional and Legal Barriers Impeding Primary Care Delivery

Unit III: Health Policy and Special Populations: Implications.

Chapter 15: Interface of Policy and Practice in Health Care Reform: What Nurses Can Do to Improve Health Care

Drivers of Health Care Reform

Health Reform and Mental Health Care

Four Critical Practice/Policy Areas and Mental Health Services

PMH Nursing Practice: Impact and Adjustment

Evaluation of APRN Practice Initiatives

PMH and Policy: Unifying Efforts

Chapter 16: The Aging Population

Medicare and Medicaid

Social Security

The Older Americans Act

Barriers to APRN Practice Caring for Older Adults

Physician Fee Schedule

Medicare Payment Advisory Commission

New Payment Models, New Opportunities

The Future for the Aging Population

Chapter 17: Health Policy Implications for Advanced Practice Registered Nurses Related to End-of-Life Care

Driving Forces

Need for Policy Changes in End-of-Life Care

History

Palliative Care in the 21st Century

Conceptual and Theoretical Framework

Health Policy

Role of the Palliative Care APRN

Outcome Measures

Implications for APRN Practice

Ethics

Reference

Chapter 18: Health Policy Implications of Genetics and Genomics on Advanced Practice Nursing

Historical Background

Framework for Genetics and Genomics Nursing

Application to All APRNs

Application to Genetics/Genomics Specialty Nursing Practice

Evaluation of Advanced Practice Nursing Outcomes

Informed Decision Making and Informed Consent.

Ensuring Privacy and Confidentiality of Genetic and Genomic Information

Avoiding Genetic Discrimination

Equitable Access to Genetic and Genomic Technologies

Genetic and Genomic Information Affecting Individuals and Society

Summary

Chapter 19: Oncology

Oncology as a Specialty Nursing Practice

The National Cancer Moonshot: New Frontiers for Oncology Advanced Practice

Prescriptive Authority

Analysis and Synthesis Exercises

Clinical Application

Unit IV: Health Policy and Its Impact on APRN-Driven Quality and Research

Chapter 20: Moving Toward Accountable Care: A Policy Framework to Transform Health Care Delivery and Reimbursement

Policy-Driven Alternate Health Care Reimbursement Models: The Evolution of ACOS

Relevant Demonstration Projects Authorized by PPACA

The Accountable Care Model Organization

The Medicare Shared Savings Program

Non-medicare Shared Savings Programs

Implications for APRNs in an ERA of Accountable Care

Chapter 21: A Systemic Approach to Containing Health Care Spending

Promote Payment Rates Within Global Targets

Accelerate Use of Alternatives to Fee-for-Service Payment

Use Competitive Bidding for All Commodities

Require Exchanges to Offer Tiered Products

Require All Exchanges to be Active Purchasers

Simplify Administrative Systems For All Payers and Providers

Require Full Transparency of Prices

Make Better Use of Nonphysician Providers

Expand the Medicare Ban on Physician Self-Referrals.

Leverage the Federal Employees Program to Drive Reform.

Notes:

Includes bibliographical references and index.

Description based on print version record.

ISBN:

1-78785-043-9

0-8261-6945-7

OCLC:

1028952965