APRN Challenges

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“The Patient Protection and Affordable Care Act (PPACA), also known as the Affordable Care Act, is the largest health care coverage reform since the execution of Medicare” (Rosenbaum, 2011). The intent of the PPACA is to provide affordable health insurance coverage throughout the lifespan. The PPACA will reduce the uninsured by more than half; thus, covering nearly ninety-four percent of the population. Rosenbaum (2011) suggests the PPACA will curtail the uninsured by thirty-one million people; resulting in an increase of Medicaid enrollment by fifteen million people. Nearly twenty-four million people will continue without health care coverage. According to Rosenbaum, “the PPACA will force nearly sixty million underserved people to access the health care system” (2011, p. 133). The shortage of primary care providers directs the attention to APRNs. APRNs can guarantee the successful implementation of the PPACA. There are nearly 157,000 APRNs that can render primary care services; however, there are many hurdles to APRN practice (Rigolosi & Salmond, 2014). Hain & Fleck (2014) list the hurdles to …show more content…
Empowerment is to give power or authorize (Empowerment, n.d.); autonomy is acting independently (Autonomy, n.d.). Empowerment and autonomy supports APRN to formulate recommendations built on expertise, discretion, and knowledge (Petersen, Keller, Way, & Borges, 2015). The PPACA supports the practice of the APRN. The PPACA incorporates ten titles: Quality, Affordable Health Care for All Americans; The Role of Public Programs; Improving the Quality and Efficiency of Health Care; Prevention of Chronic Disease and Improving Public Health; Health Care Workforce; Transparency and Program Integrity; Improving Access to Innovative Medical Therapies; Community Living Assistance Services and Supports; Revenue Provisions; and Reauthorization of the Indian Health Care Improvement Act (The Affordable Care Act,

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