The law is trying to repair the resource allocation of health care, while compensating quality of care over quantity of care. To accomplish this, they are creating incentives for combined models of care delivery and distributing funds for proficient and quality care (Haas, 2011). Accordingly, because nurses take on an elaborate role of patient care and outcomes, they must adapt to the restructured health care system (Haas, 2011). The rationale for this speech is to describe the anticipated shift in nursing practice and to examine the models of continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health care clinics. In addition to recognizing them as important contributors of primary care services, the PPACA acknowledges the prospective leadership responsibility for the advance practice registered nurse (APRN) in the innovative care system (U.S. Government Printing Office, 2013).
56). Competency is an expected level of knowledge that allows the nurse to perform practice as an expected level. In order to continue to remain competent it requires a lifelong learning process. Continued reassessment of what is to be learned is required to continue to function at this level. “Key message #2” in the IOM report states nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression”("Institute of Medicine of the National Academies(IOM)," 2011, p. 163).
Also leadership roles in nursing are expanding as well as the competition for promotions and the ability to function at a higher level. With the increase in specialization, changing in health care needs, and methods of health care delivery there is a call to become involved, however to do so it is imperative to improve status. Progressing to the masters level will help to develop concepts that are inherent within nursing so that processes can be used to assist in maintain and attaining the highest level of wellness possible within ones physical and psychosocial limitations. In addition there is also the recognition of technical competence in the changing health care arena. As more responsibilities are added to the practice so is sophistication which incorporates new theories, techniques, skills and tools into the practice in order to provide health care services and meet the needs of the consumer.
The American Nurse Association plays a key role in the health care reformation because it pushes all providers to be even more knowledgable within their field. As a stakeholder, the ANA has proven their loyalty and support for the new health care reform act. Their goal is to " continuously strive for outstanding quality care and feel as if the health care reform is contributing to that goal" (Ana: Ensuring nurses, paragraph, 1). Stake holders within the world of health care are a very imoportant to the role of success for, payers, providers, employers and patients. Each role plays an effect on the next
2). The research they conducted reveals the drastic, and undisputedly daunting, undertakings that will be needed to enhance the nursing profession, and enable growth in the evolving healthcare challenges ahead. The IOM reports that nurses need to be better educated, have a broadened scope of practice, one in which they can practice to their fullest extent, and they must be encouraged to take leadership roles, becoming active participants, and voices for change in healthcare reform. With so many changes that are already taking place, and more to come, the question about nursing remains, what is immediately needed for nurses to cope with the adjustments of healthcare, and how can we prepare the nursing community to better be able to navigate through the changes? According to the IOM report (2011), changes in nursing care must begin by having a direct impact on education, practice, and nursing leadership of today.
The IOM report has several influences on the education of nursing. Health industry is advancing day-by-day at a maximum pace. So, it is very important for nurses to upgrade their knowledge level to meet the requirements of today’s changing health care system, which can be achieved by
AHIMA is also helping the health care sector by helping providers make better decisions with the use of analytics, informatics and decision support technology. Health care organizations will depend on HIM professionals as leaders across all healthcare sectors, with expertise in predictive modeling of clinical information, trend analysis, and revenue cycle management. (www.ahimafoundation.org, 2014). The stakeholder perspective for AHIMA is based on improving clinical documentation, improving patient encounters, and coding accuracy. AHIMA believes that hospitals and providers must improve clinical documentation in preparation for the expanded scope of clinical data beyond a single patient encounter to a comprehensive data set comprising the entire continuum of care (www.ahimafoundation.org, 2014).
When the benefits and costs are equal ideal performing occurs (Fullbrook, 2008). Marginal analysis is founded on utilitarian beliefs that have been described as the greatest good for the greatest number of people (Bureau of Health Professions, 2004). Marginal expenses in health care are the costs sustained to train more registered nurses or establishing additional health care services to increase the supply of nurses. This cost raises with increased construction, for example, as more individuals are enrolled in nursing programs, the price of educating him or her increases because the colleges and universities must employ more educators and find more places for students to practice his or her clinical skills. The increased expense caused by the number of nurses trained causes a strain on the available limited resources (Fullbrook, 2008).
These recommendations are directly related to the field of nursing and how change needs to happen to improve the health and wellness of our country. The impact of the report is a life transformation for all those in the field of medicine and especially nursing. There is a great need for change that allows opportunity for growth amongst nurses due to multifaceted aspects of our changing society. It is important that we look at the field of nursing and at ourselves and make a transformation for the enhancement of healthcare in our country. References Brooks, K. (2011, April).
(Creasia, J., & Friberg, E (2011). The health care industry is developing rapidly. In modern society, the sophisticated technical advancement and the increasing demands of patients’ calls for highly educated workforce in the nursing field .The professional baccalaureate level and higher degrees are notably well-suited to meet the requisition of today’s complex health care system. “Competency is an individual’s actual performance in a particular situation, described by how well the individual integrates knowledge, attitudes, skills, and behaviors in delivering care according to expectations’ ”. (Trisha, M., Shawna, D., Mary Ann A., & Pamela, H.) Education has very important role to update knowledge in nursing field and does affect the competency of the nurse clinician to provide care for the patients.