Discuss your thoughts, with scholarly support, with your colleagues in this class. How do these issues affect us, as healthcare providers, and our community members?
People are living longer with many co-morbidities and the Affordable Care Act involves Medicare and Medicaid reimbursement and preventative measures improving quality of care with cost control. This includes a collaboration of care from the interdisciplinary team to give the highest quality of care in clinical care settings and preventing unnecessary cost (Salmond & Echevarria, 2017, p.12). Not having affordable health care will cause a decrease in preventative care and wellness for many people in the United States. This leads to patients not able to go to the doctor and they …show more content…
Leading to unsafe conditions in the eyes of nursing, leading to poor patient outcomes, missed care. Hospitals are now working with the least amount of staff, possible for job requirements. The skill mix is becoming limited to a RN, LPN, CNA. Now nurses are calling in sick because they are burnt out, having to work in extreme conditions. No new hires of nurses because there are constraints on new hires. Leaving the RN at the beside performing all the care for patients. Only to display a lack of morale and mismanaged organizational support and care. Most Nursing Models detail teamwork, but the work is based solely on the RN. “Improving value means avoiding costly mistakes and readmission, keeping patients healthy, rewarding quality instead of quantity, and creating the health information technology infrastructure that enables new payment and delivery models to work” (Salmond & Echevarria, 2017, p.16). Core measures and Never Events, CHF, surgical infections, DVT, PNA, and Foley infections, sepsis readmissions all will affect reimbursement, with Medicaid and Medicare. Another quality measure is high and low HCAHP scores for patient satisfaction and payment reimbursement (Salmond & Echevarria, 2017, p.17). ACA
People are living longer with many co-morbidities and the Affordable Care Act involves Medicare and Medicaid reimbursement and preventative measures improving quality of care with cost control. This includes a collaboration of care from the interdisciplinary team to give the highest quality of care in clinical care settings and preventing unnecessary cost (Salmond & Echevarria, 2017, p.12). Not having affordable health care will cause a decrease in preventative care and wellness for many people in the United States. This leads to patients not able to go to the doctor and they …show more content…
Leading to unsafe conditions in the eyes of nursing, leading to poor patient outcomes, missed care. Hospitals are now working with the least amount of staff, possible for job requirements. The skill mix is becoming limited to a RN, LPN, CNA. Now nurses are calling in sick because they are burnt out, having to work in extreme conditions. No new hires of nurses because there are constraints on new hires. Leaving the RN at the beside performing all the care for patients. Only to display a lack of morale and mismanaged organizational support and care. Most Nursing Models detail teamwork, but the work is based solely on the RN. “Improving value means avoiding costly mistakes and readmission, keeping patients healthy, rewarding quality instead of quantity, and creating the health information technology infrastructure that enables new payment and delivery models to work” (Salmond & Echevarria, 2017, p.16). Core measures and Never Events, CHF, surgical infections, DVT, PNA, and Foley infections, sepsis readmissions all will affect reimbursement, with Medicaid and Medicare. Another quality measure is high and low HCAHP scores for patient satisfaction and payment reimbursement (Salmond & Echevarria, 2017, p.17). ACA