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Nursing Economic$

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https://www.readbyqxmd.com/read/29985575/from-single-payer-to-all-payer-why-vermont-s-reform-efforts-matter-to-u-s-nurses-and-their-patients
#1
Betty Rambur, Jessica Holmes
In October 2016, the State of Vermont signed an unprecedented agreement (The All-Payer Accountable Care Model) with the Federal Government to completely reform how health care is delivered and paid for in Vermont. This innovative agreement builds on sweeping 2011 legislation that set Vermont on a course towards payment reform designed to eliminate the fragmentation, overtreatment, and high costs associated with fee-for-service reimbursement. The strong emphasis on care coordination, preventative care, the patient experience, and population health ensures a crucial and growing role for nurses in this innovative environment and provides a model to inform the nation...
March 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29985574/leveraging-national-reports-to-transform-ambulatory-care-practice
#2
Anne T Jessie, Beth Ann Swan
Multiple national reports identify actionable recommendations to transform education and practice to meet the needs of health care and healthcare delivery beyond the hospital walls. The Josiah Macy Jr. Conference (2016) focused on transforming primary care and changing healthcare culture to support expansion of roles for registered nurses (RNs). Partnerships between academia and clinical practice are critical to expanding learning opportunities beyond traditional acute care settings. Development of primary care expertise in nursing faculty and adjunct faculty, in collaboration with primary care and ambulatory care nursing leaders, is essential...
March 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29985573/enhanced-rn-role-in-behavioral-health-care-an-untapped-resource
#3
Marcella M Rutherford
Globally, an estimated 25% of individuals suffer from mental disorders. Approximately 50% of Americans will experience mental disorders in their lifetime. The cost of this U.S. mental health crisis is estimated at $444 billion per year when lost economic productivity is included, with only about one-third of the total dollars going to care itself. The generalist RN workforce is an untapped resource and invaluable health provider choice, uniquely suited to make an economic difference to the U.S. healthcare system by improving access, lowering costs, and improving quality of behavioral health care...
March 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29985572/a-partnership-for-patients-initiative-redesigning-a-medical-surgical-unit-s-discharge-process-to-reduce-readmissions
#4
David V Thomas, Leilani A Siaki
Each year millions of people are readmitted to hospitals across the nation; many of these readmissions are preventable. Successful care coordination and transition management strategies are critical steps needed to meet Partnership for Patients goals of reducing harm and improving the quality and safety of health care. Decreasing variance in healthcare delivery can improve quality, safety, and improve patient outcomes. Project Re-Engineered Discharge shows promise as an evidence-based, standardized approach to address preventable hospital readmissions...
March 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29985571/policies-that-restrict-full-utilization-of-nurse-practitioners-in-primary-care
#5
Catherine Moore
The nation is struggling with the challenges and inefficiencies in the current healthcare environment, the increased demand for primary care services, and growing shortage of primary care providers to meet that demand. Although nurse practitioners (NPs) are highly educated, licensed, and certified healthcare professionals who are qualified to provide primary care services, the restrictive policies for physician oversight that exist in many states impede full utilization of the skills possessed by NPs in primary care provider roles...
March 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29985570/succession-planning-creating-a-case-for-hiring-new-graduates
#6
Susan Jones, Cathleen M Deckers, Donna Strand, Heather Bissmeyer, Wendy Jo Wilkinson Bowman, Diane G Mathe
With an aging nursing workforce and rising patient acuity levels, healthcare institutions are challenged to meet the demand for competent nursing care Swedish Medical Center (SMC) adopted an aggressive approach for building a new graduate residency program to promote new graduates' opportunity to tap into the valuable expert knowledge and wisdom of retiring nurses. Nursing leadership chose to take an unorthodox approach by identifying new graduates as their hires of choice, citing the ability to create and influence the values and professional practice of the novice nurse as a desired advantage...
March 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29985569/does-contracting-with-managed-care-organizations-remain-a-barrier-for-nurse-practitioners
#7
Jennifer Bellot, Brian Valdez, Kristen Altdoerffer, Ylenia Quiaoit, Tanya Bronzell-Wynder, Patrick Cunningham
Upon implementation of the Affordable Care Act (ACA), many managed care organizations (MCOs) initially increased their nurse practitioner (NP) contracting. This trend has not continued, potentially frustrating ACA efforts to expand primary care provider capacity. In this study, about 25% of the responding MCOs did not contract with NPs as primary care providers. only 62.5% of respondent MCOs offering Medicaid products reported contracting with NPs as primary care providers, suggesting this will place a disproportionate burden on low-income patients seeking to access care...
March 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29985568/speaking-truth-to-power-implications-for-nursing-s-values-and-voice
#8
EDITORIAL
Donna M Nickitas
No abstract text is available yet for this article.
March 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29984969/author-s-response
#9
LETTER
Fahriye Vatan, Ayla Bayık Temel
No abstract text is available yet for this article.
January 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29984966/the-value-of-mentorship
#10
LETTER
Alisha Almond
No abstract text is available yet for this article.
January 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29984964/valid-staffing-models-needed
#11
LETTER
Cassandra Lawrence
No abstract text is available yet for this article.
January 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29984962/changing-of-the-guard-what-s-in-store-for-healthcare-policy
#12
Patricia W Stone
Repealing the Affordable Care Act (ACA) was a promise made by President-elect Donald Trump. Altering the ACA is a complex process and it is likely to be at least 2019 before any new program would be in place completely. We can hope there will still be an emphasis on providing high-quality healthcare efficiently, which promotes healthcare institutions to use nurses to their full scope of practice.
January 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29984958/american-academy-of-ambulatory-care-nursing-position-paper-the-role-of-the-registered-nurse-in-ambulatory-care
#13
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29984950/a-case-example-of-a-transitional-education-program-for-internationally-educated-nurses-from-mexico
#14
Allison Squires
Internationally educated nurses migrating for work in other countries help address short and long-term staffing shortage issues. A transitional educational program was designed and implemented to prepare Mexican nurses with the competencies needed to work in any clinical setting in the United States. Through an intensive, full-time, 6-month transitional education program that included a living stipend during program participation, 30 out of 67 Mexican nurse candidates passed the NCLEX-RN, an English-language competency test, and were successfully placed in a hospital setting...
January 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29984947/the-impact-of-economic-recession-on-registered-nurse-workforce-supply-in-california
#15
Byung-Kwang Yoo, Minchul Kim, Tomoko Sasaki, Debbie Ward, Joanne Spetz
The severe economic recession from December 2007 to December 2010 substantially affected registered nurse (RN) employment. The objective of this study was to determine if the association between RN workforce supply and its potential determinants differed during the period from 2008 to 2012. Older, experienced RNs were more likely to work in 2010, compared to 2008, but less likely to work in 2012 compared to 2010. RNs were less sensitive to financial factors in 2010 than in 2008, but were more sensitive in 2012 than in 2010...
January 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29984943/program-evaluation-of-a-nursing-workforce-intervention-the-maryland-nurse-support-program-ii
#16
Byung-Kwang Yoo, Minchul Kim, Tomoko Sasaki, Debbie Ward, Joanne Spetz
A nursing workforce initiative in Maryland sought to graduate additional nursing students to become registered nurses and to increase the number and preparation levels of nursing faculty. Between FY 2006 and FY 2015, nearly $100 million was awarded through 109 competitive institutional grants at 27 nursing programs across the state; 950 faculty received awards through fellowships, scholarships, and grants. Maryland's nursing workforce intervention increased the number of graduates by 27% through this decade-long program...
January 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29984942/addressing-the-cost-value-and-student-debt-in-nursing-education
#17
Jan Jones-Schenk, Joan Leafman, Lisa Wallace, Patricia Allen
The current initiatives to improve the academic preparation of nurses have added emphasis to the presence or prediction of thousands of dollars of debt, which may influence personal decisions about returning to school. In this study, nearly 40% of survey respondents reported less than $25,000 in college debt and 23.5% reported greater than $25,000 of prior college debt. Slightly less than a third of respondents reported no plans to return to school for more education but of those who did have an educational plan, the influence of prior college debt on their plans for academic progression was significant...
January 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29984570/the-economics-of-palliative-care-as-a-human-right-a-global-action-item
#18
EDITORIAL
William Rosa
No abstract text is available yet for this article.
January 2017: Nursing Economic$
https://www.readbyqxmd.com/read/29975495/photo-identification-on-a-medical-surgical-unit-improves-communication-resulting-in-positive-patient-outcomes
#19
Kevin Shimp, Amy Sims
Creating an environment that allows for ease of communication is imperative to meet the demands of health care that is focused on quality, safety, and outcomes. As a way to improve the communication between and identification of nursing staff by the interprofessional team, a process was created to aide in timely identification and communication between health care members. Enhanced communication can result in an increase in Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores for patient satisfaction in responsiveness, communication with nurses, and bathroom help...
November 2016: Nursing Economic$
https://www.readbyqxmd.com/read/29975494/want-to-create-jobs-and-drive-economic-growth-invest-in-nursing-and-global-health-workforce
#20
Stephanie L Ferguson
The High-Level Commission on Health Employment and Economic Growth was created by the United Nations to tackle the projected global shortfall of health care workers. The Commission developed recommendations addressing job creation, gender and women's rights, education, training and skills, health service delivery and organization, technology, and crises and humanitarian settings. The Commission report is an opportunity for nurse leaders, key stakeholders, and advocates in our nation to continue to champion heath workforce issues...
November 2016: Nursing Economic$
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