Identify and describe practice barriers for all four APNs roles in you.docxsandraa52
Identify and describe practice barriers for all four APNs roles in your state and discuss these barriers on a state and national level. The four roles include the nurse midwife, nurse anesthetist, nurse practitioner and clinical nurse specialist.
Nurse practitioners significantly contribute to disease prevention, disease management and health promotion. APNs have faced barriers to practice at both the state and national perspective since the beginning. The four roles of the APN include the nurse midwife, nurse anesthetist, nurse practitioner and clinical nurse specialist. There are various rules and regulations based on the scope of practice. Advanced practice nurses face challenges including policy restrictions on practice, poor physician relationships, prescription privileges, licensure, payment and insurance company problems and restrictive practice settings. Each state varies when it comes to rules, regulations, practicing guidelines and prescribing privileges.
The nurse practitioner in the state of Florida is permitted to perform medical diagnosis and treatment, prescribe medications, and operate with authorization of an established protocol supervision. The Florida law requires that NPs enter into a supervisory agreement with a physician to practice which allows the nurse practitioner to diagnose, dispense, prescribe, and administer medications (Weissing, 2019). Nurse practitioners in Florida can prescribe controlled substances that are scheduled II-IV. “An advanced registered nurse practitioner may prescribe or dispense a controlled substance as defined in s. 893.03 only if the advanced registered nurse practitioner has graduated from a program leading to a master’s or doctoral degree in a clinical nursing specialty area with training in specialized practitioner skills†(Bushy, 2019, p.6). “The American Association of Nurse Practitioners (AANP) classifies state laws and regulations impacting APRN practice and identifies the practice environment within the state as full, restricted, or reduced†(Kleinpell et al., 2022, p.137).
A certified nurse midwife has advanced education in both family practice and midwifery. A midwife provides care for women and newborns including gynecological and prenatal care. A barrier to practice for the nurse midwife is the lack of clarity regarding the nature and scope of practice of the nurse midwife. The Certified Registered Nurse Anesthetist is a licensed practitioner who administers anesthesia to a wide range of patients in collaboration with surgeons, anesthesiologists, and other healthcare providers. The CRNA does not prescribe medications or diagnose patients. A practice barrier the CRNA faces is being able to perform their duties with or without a supervising anesthesiologist. In the state of Florida, a physician’s supervision is required for a CRNA to practice.
The clinical nurse specialists (CNS) focus on educating patients and their families on how to manage their symptoms and .
ReferencesConclusionThe capacity to adapt is crucial.docxlorent8
References
Conclusion
The capacity to adapt is crucial in an era of rapid change. Today’s politically astute nurses have many opportunities to shape public policy, by working in coalition together and with other health professionals and consumers, and to advocate for state and federal health policies and regulations that will allow the public greater access to affordable, quality health care. The window of opportunity that opened with the enactment of the comprehensive ACA will look somewhat different as we move forward. It is essential for nurses and APRNs to develop skills to capitalize on the chaos present in the healthcare and political environments and to create opportunities to advance the profession as a whole. Familiarity with the regulatory process will give nurses and APRNs the tools needed to navigate this dynamic environment with confidence. Knowing how to monitor the status of critical issues involving scopes of practice, licensure, and reimbursement will allow APRNs to influence the outcomes of debates on those issues. Participation in specialty professional nurse organizations is especially advantageous. Participation builds a membership base, providing the foundation for strong coalition building and a power base from which to effect change in the political and regulatory arenas. Participation also gives members ready access to a network of colleagues, legislative affairs information, and professional and educational opportunities. Although supporting the profession through participation is central, it is equally important to remember that each professional nurse has the ability to make a difference.
Discussion Points
Compare and contrast the legislative and regulatory processes. Describe the major methods of credentialing. List the benefits and weaknesses of each method from the standpoint of public protection and protection of the professional scope of practice. Discuss the role of state BONs in regulating professional practice. Obtain a copy of a proposed or recently promulgated regulation. Using the questions in Exhibit 4-1, analyze the regulation for its impact on nursing practice. Describe the federal government’s role in the regulation of health professions. To what extent do you believe this role will increase or decrease over time? Explain your rationale. Analyze the pros and cons of multistate regulation (choose multistate regulation of RNs, APRNs, or a combination). Based on your analysis, develop and defend a position either for or against multistate regulation. Prepare written testimony for a public hearing defending or opposing the need for a second license for APRNs. Contrast the BON and the national or state nurses association vis-à-vis mission, membership, authority, functions, and source of funding. Identify a proposed regulation. Discuss the current phase of the process, identify methods for offering comments, and submit written comments to the administrative agency. Evaluate the APRN section of the nu.
Class Response 1IntroductionProfessional nursing boards and OllieShoresna
Class Response 1
Introduction
Professional nursing boards and nurse practice acts exist in each state so that licensed professionals can be aware of the different rules and regulations that need to be followed. Some professionals practice in numerous states throughout their career so it is important to be aware of the differences between states to ensure that laws are followed accordingly. The purpose of this discussion post is to identify the overall mission of these nursing boards, to identify the impact that regulations have on nursing practice, and to compare these between different states.
The Mission of Nursing Boards
The mission of professional nursing boards is a simple one, to protect the public. The National Council of State Boards of Nursing (n.d.) explains that the boards that make up this council help to ensure public safety and welfare and provide regulations for licensed professionals to adhere to to make this possible. Nurses are required to be licensed through their state’s board to be able to practice legally. The state board monitors nurses and provides regulations that must be followed to maintain an active license. This provides the public with an added level of safety and security. Nurses hold a lot of power in their licenses and laws must be upheld. Nursing boards follow up with complaints and issues that a nurse may encounter during their career to make sure that they stay practicing in a safe manner. If it is determined that a nurse is not adhering to these regulations, the state board may revoke the nurse’s license if deemed necessary for the safety of the public.
Impact on Nursing Practice
Each state’s board of nursing and practice act will have an impact on the nursing practice in that state. Depending on the state, advanced practice nurses may be allowed to practice independently. According to the true scope of practice for nurse practitioners, they should be allowed to do this in every state (Neff et al., 2018). When nurse practitioners are allowed to practice independently, there is improved access to primary care (Neff et al., 2018). I am from California where nurse practitioners are able to practice independently. Honestly, I was not aware that other states did not allow this. I agree with this article and can see how primary care can not evolve to be as accessible as it could be when nurse practitioners are limited and required to work under a medical doctor.
Regulations by State
As I mentioned before, I am from California. This being said, I did my nursing education in Arizona. I will be comparing and contrasting these two states as they are the ones I am most familiar with. Before I did my education outside of California, I was not aware that regulations differed so much between states. One major difference that I learned about is the renewal times and fees for registered nursing licenses. Advanced practice nurses' renewal follows the schedule of the renewal of the registered nurse's license. In California ...
Boards of Nursing (BONs) exist in all 50 states, the District of CJeniceStuckeyoo
Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.
It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.
Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.
APA format and at least 3 references
Then respond to two peers in apa format and 2 references
According to the National Council of State Boards of Nursing, (NCSBN), Advanced Practice Registered Nurses, APRN, are registered nurses with a masters or post master’s degree and special credentials and play a vital role in the healthcare system in the United States. (n.d.). APRN’s are able to assess and diagnose patients, as well as order tests and prescribe medication when needed. (n.d.). Unfortunately, there are state regulations that prevent full practice authority (FPA) for them which creates issues such as preventing cost-effective, efficient care for the lower socioeconomic population. (Bosse, et.al., 2017).
It is estimated by experts that there will be a shortage of primary care providers by 2025 due to the regulations preventing Nurse Practitioners full practice authority. (Neff, et. al. 2018). Full practice authority limitations and regulations limit an APRN’s ability to fully practice within their scope. American Association of Nurse Practitioners explained that FPA will mean that NP’s do not have to partner with physicians and practice under their own umbrella under (2020). California is a restricted state, meaning NP’s in CA have to practice under a physicians umbrella. Arizona, is a state where NP’s have full practice and do not have restrictions like in California. NP’s in AZ are able to have their own practice independently, while in CA, NP’s aren’t able to open their private practice just yet. (AANP, 2022). Another difference between NP’s in CA and AZ are the national certifications. While CA requires NP’s to have an RN license and a graduate degree, AZ requires it’s NP’s to have ...
July 22, 2016 David J. Shulkin, MD Under Secretary f.docxLaticiaGrissomzz
July 22, 2016
David J. Shulkin, MD
Under Secretary for Health
Department of Veterans Affairs
810 Vermont Ave. NW, Room 1068
Washington, DC 20420
Re: RIN 2900–AP44-Advanced Practice Registered Nurses; Proposed Rule (May 25, 2016)
The undersigned physician organizations representing national specialty and state medical societies are
writing to provide comments on the Veterans Health Administration’s (VHA) Advanced Practice
Registered Nurses (APRNs) Proposed Rule which, if finalized, would permit all VHA-employed APRNs to
practice without the clinical supervision of physicians and without regard to state law.
Nurses are an integral part of physician-led health care teams that deliver high quality care to patients.
They are often the first and last person to interact with a patient during an episode of care, and, in the case
of APRNs, they are well equipped to play advanced roles in the health care team. However, APRNs are no
substitute for physicians in diagnosing complex medical conditions, developing treatment plans that take
into account patients’ wishes and limited health care resources, and ensuring that the treatment plan is
followed by all members of the health care team. Nowhere is this more important than in the VHA, which
delivers highly complex medical care to disabled veterans, including those with traumatic brain injuries and
other serious medical and mental health issues. Our nation’s veterans deserve high quality health care that
is overseen by physicians. For the reasons below, the undersigned organizations strongly oppose the
Proposed Rule and urge the VHA to consider policy alternatives that prioritize team-based care
rather than independent nursing practice.
Education and Training Matter
The key difference between medical and nursing education and training is the fact that medical students
spend four years focusing on the entire human body and all of its systems—organ, endocrine, biomedical,
and more—before undertaking three to seven years of residency training to further develop and refine their
ability to safely evaluate, diagnose, treat, and manage a patient’s full range of medical conditions and
needs. And, by gradually allowing residents to practice those skills with greater independence, residency
training prepares physicians for the independent practice of medicine. Combined, medical school and
residency training total more than 10,000 hours of clinical education and training.
In contrast, a nurse generally must complete either a two- or three-year masters or doctoral degree program
to become an APRN. While all baccalaureate nursing programs require a minimum 800 hours of patient
care, advanced nursing degree programs have different patient care hour requirements with no common
minimum standard. It has been estimated, for example, that nurse practitioners’ training includes 500-720
patient care hours, and that nurse anesthetists complet.
Identify and describe practice barriers for all four APNs roles in you.docxsandraa52
Identify and describe practice barriers for all four APNs roles in your state and discuss these barriers on a state and national level. The four roles include the nurse midwife, nurse anesthetist, nurse practitioner and clinical nurse specialist.
Nurse practitioners significantly contribute to disease prevention, disease management and health promotion. APNs have faced barriers to practice at both the state and national perspective since the beginning. The four roles of the APN include the nurse midwife, nurse anesthetist, nurse practitioner and clinical nurse specialist. There are various rules and regulations based on the scope of practice. Advanced practice nurses face challenges including policy restrictions on practice, poor physician relationships, prescription privileges, licensure, payment and insurance company problems and restrictive practice settings. Each state varies when it comes to rules, regulations, practicing guidelines and prescribing privileges.
The nurse practitioner in the state of Florida is permitted to perform medical diagnosis and treatment, prescribe medications, and operate with authorization of an established protocol supervision. The Florida law requires that NPs enter into a supervisory agreement with a physician to practice which allows the nurse practitioner to diagnose, dispense, prescribe, and administer medications (Weissing, 2019). Nurse practitioners in Florida can prescribe controlled substances that are scheduled II-IV. “An advanced registered nurse practitioner may prescribe or dispense a controlled substance as defined in s. 893.03 only if the advanced registered nurse practitioner has graduated from a program leading to a master’s or doctoral degree in a clinical nursing specialty area with training in specialized practitioner skills†(Bushy, 2019, p.6). “The American Association of Nurse Practitioners (AANP) classifies state laws and regulations impacting APRN practice and identifies the practice environment within the state as full, restricted, or reduced†(Kleinpell et al., 2022, p.137).
A certified nurse midwife has advanced education in both family practice and midwifery. A midwife provides care for women and newborns including gynecological and prenatal care. A barrier to practice for the nurse midwife is the lack of clarity regarding the nature and scope of practice of the nurse midwife. The Certified Registered Nurse Anesthetist is a licensed practitioner who administers anesthesia to a wide range of patients in collaboration with surgeons, anesthesiologists, and other healthcare providers. The CRNA does not prescribe medications or diagnose patients. A practice barrier the CRNA faces is being able to perform their duties with or without a supervising anesthesiologist. In the state of Florida, a physician’s supervision is required for a CRNA to practice.
The clinical nurse specialists (CNS) focus on educating patients and their families on how to manage their symptoms and .
ReferencesConclusionThe capacity to adapt is crucial.docxlorent8
References
Conclusion
The capacity to adapt is crucial in an era of rapid change. Today’s politically astute nurses have many opportunities to shape public policy, by working in coalition together and with other health professionals and consumers, and to advocate for state and federal health policies and regulations that will allow the public greater access to affordable, quality health care. The window of opportunity that opened with the enactment of the comprehensive ACA will look somewhat different as we move forward. It is essential for nurses and APRNs to develop skills to capitalize on the chaos present in the healthcare and political environments and to create opportunities to advance the profession as a whole. Familiarity with the regulatory process will give nurses and APRNs the tools needed to navigate this dynamic environment with confidence. Knowing how to monitor the status of critical issues involving scopes of practice, licensure, and reimbursement will allow APRNs to influence the outcomes of debates on those issues. Participation in specialty professional nurse organizations is especially advantageous. Participation builds a membership base, providing the foundation for strong coalition building and a power base from which to effect change in the political and regulatory arenas. Participation also gives members ready access to a network of colleagues, legislative affairs information, and professional and educational opportunities. Although supporting the profession through participation is central, it is equally important to remember that each professional nurse has the ability to make a difference.
Discussion Points
Compare and contrast the legislative and regulatory processes. Describe the major methods of credentialing. List the benefits and weaknesses of each method from the standpoint of public protection and protection of the professional scope of practice. Discuss the role of state BONs in regulating professional practice. Obtain a copy of a proposed or recently promulgated regulation. Using the questions in Exhibit 4-1, analyze the regulation for its impact on nursing practice. Describe the federal government’s role in the regulation of health professions. To what extent do you believe this role will increase or decrease over time? Explain your rationale. Analyze the pros and cons of multistate regulation (choose multistate regulation of RNs, APRNs, or a combination). Based on your analysis, develop and defend a position either for or against multistate regulation. Prepare written testimony for a public hearing defending or opposing the need for a second license for APRNs. Contrast the BON and the national or state nurses association vis-à-vis mission, membership, authority, functions, and source of funding. Identify a proposed regulation. Discuss the current phase of the process, identify methods for offering comments, and submit written comments to the administrative agency. Evaluate the APRN section of the nu.
Class Response 1IntroductionProfessional nursing boards and OllieShoresna
Class Response 1
Introduction
Professional nursing boards and nurse practice acts exist in each state so that licensed professionals can be aware of the different rules and regulations that need to be followed. Some professionals practice in numerous states throughout their career so it is important to be aware of the differences between states to ensure that laws are followed accordingly. The purpose of this discussion post is to identify the overall mission of these nursing boards, to identify the impact that regulations have on nursing practice, and to compare these between different states.
The Mission of Nursing Boards
The mission of professional nursing boards is a simple one, to protect the public. The National Council of State Boards of Nursing (n.d.) explains that the boards that make up this council help to ensure public safety and welfare and provide regulations for licensed professionals to adhere to to make this possible. Nurses are required to be licensed through their state’s board to be able to practice legally. The state board monitors nurses and provides regulations that must be followed to maintain an active license. This provides the public with an added level of safety and security. Nurses hold a lot of power in their licenses and laws must be upheld. Nursing boards follow up with complaints and issues that a nurse may encounter during their career to make sure that they stay practicing in a safe manner. If it is determined that a nurse is not adhering to these regulations, the state board may revoke the nurse’s license if deemed necessary for the safety of the public.
Impact on Nursing Practice
Each state’s board of nursing and practice act will have an impact on the nursing practice in that state. Depending on the state, advanced practice nurses may be allowed to practice independently. According to the true scope of practice for nurse practitioners, they should be allowed to do this in every state (Neff et al., 2018). When nurse practitioners are allowed to practice independently, there is improved access to primary care (Neff et al., 2018). I am from California where nurse practitioners are able to practice independently. Honestly, I was not aware that other states did not allow this. I agree with this article and can see how primary care can not evolve to be as accessible as it could be when nurse practitioners are limited and required to work under a medical doctor.
Regulations by State
As I mentioned before, I am from California. This being said, I did my nursing education in Arizona. I will be comparing and contrasting these two states as they are the ones I am most familiar with. Before I did my education outside of California, I was not aware that regulations differed so much between states. One major difference that I learned about is the renewal times and fees for registered nursing licenses. Advanced practice nurses' renewal follows the schedule of the renewal of the registered nurse's license. In California ...
Boards of Nursing (BONs) exist in all 50 states, the District of CJeniceStuckeyoo
Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.
It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.
Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.
APA format and at least 3 references
Then respond to two peers in apa format and 2 references
According to the National Council of State Boards of Nursing, (NCSBN), Advanced Practice Registered Nurses, APRN, are registered nurses with a masters or post master’s degree and special credentials and play a vital role in the healthcare system in the United States. (n.d.). APRN’s are able to assess and diagnose patients, as well as order tests and prescribe medication when needed. (n.d.). Unfortunately, there are state regulations that prevent full practice authority (FPA) for them which creates issues such as preventing cost-effective, efficient care for the lower socioeconomic population. (Bosse, et.al., 2017).
It is estimated by experts that there will be a shortage of primary care providers by 2025 due to the regulations preventing Nurse Practitioners full practice authority. (Neff, et. al. 2018). Full practice authority limitations and regulations limit an APRN’s ability to fully practice within their scope. American Association of Nurse Practitioners explained that FPA will mean that NP’s do not have to partner with physicians and practice under their own umbrella under (2020). California is a restricted state, meaning NP’s in CA have to practice under a physicians umbrella. Arizona, is a state where NP’s have full practice and do not have restrictions like in California. NP’s in AZ are able to have their own practice independently, while in CA, NP’s aren’t able to open their private practice just yet. (AANP, 2022). Another difference between NP’s in CA and AZ are the national certifications. While CA requires NP’s to have an RN license and a graduate degree, AZ requires it’s NP’s to have ...
July 22, 2016 David J. Shulkin, MD Under Secretary f.docxLaticiaGrissomzz
July 22, 2016
David J. Shulkin, MD
Under Secretary for Health
Department of Veterans Affairs
810 Vermont Ave. NW, Room 1068
Washington, DC 20420
Re: RIN 2900–AP44-Advanced Practice Registered Nurses; Proposed Rule (May 25, 2016)
The undersigned physician organizations representing national specialty and state medical societies are
writing to provide comments on the Veterans Health Administration’s (VHA) Advanced Practice
Registered Nurses (APRNs) Proposed Rule which, if finalized, would permit all VHA-employed APRNs to
practice without the clinical supervision of physicians and without regard to state law.
Nurses are an integral part of physician-led health care teams that deliver high quality care to patients.
They are often the first and last person to interact with a patient during an episode of care, and, in the case
of APRNs, they are well equipped to play advanced roles in the health care team. However, APRNs are no
substitute for physicians in diagnosing complex medical conditions, developing treatment plans that take
into account patients’ wishes and limited health care resources, and ensuring that the treatment plan is
followed by all members of the health care team. Nowhere is this more important than in the VHA, which
delivers highly complex medical care to disabled veterans, including those with traumatic brain injuries and
other serious medical and mental health issues. Our nation’s veterans deserve high quality health care that
is overseen by physicians. For the reasons below, the undersigned organizations strongly oppose the
Proposed Rule and urge the VHA to consider policy alternatives that prioritize team-based care
rather than independent nursing practice.
Education and Training Matter
The key difference between medical and nursing education and training is the fact that medical students
spend four years focusing on the entire human body and all of its systems—organ, endocrine, biomedical,
and more—before undertaking three to seven years of residency training to further develop and refine their
ability to safely evaluate, diagnose, treat, and manage a patient’s full range of medical conditions and
needs. And, by gradually allowing residents to practice those skills with greater independence, residency
training prepares physicians for the independent practice of medicine. Combined, medical school and
residency training total more than 10,000 hours of clinical education and training.
In contrast, a nurse generally must complete either a two- or three-year masters or doctoral degree program
to become an APRN. While all baccalaureate nursing programs require a minimum 800 hours of patient
care, advanced nursing degree programs have different patient care hour requirements with no common
minimum standard. It has been estimated, for example, that nurse practitioners’ training includes 500-720
patient care hours, and that nurse anesthetists complet.
Boards of Nursing vs. Professional Nurse AssociationsWalden .docxrichardnorman90310
Boards of Nursing vs. Professional Nurse Associations
Walden university
Nurs 6050: Policy and Advocacy for Improving Population Health
April 7, 2019
Boards of Nursing vs. Professional Nurse Associations
Though different jobs qualifications and care provided are present, nursing is the core of Registered Nursing (RN) and Advanced Practice Registered Nursing (APRN).
The purpose of this presentation is to show how regulations affect nursing as a whole as well as both positions.
Information will be provided from the standpoint of the States Board of Nursing as well as from a Professional Nurse Association.
Differences between a board of nursing and a professional nurse associationBoard of Registered Nursing (BON)American Nurses Association (ANA)“A state governmental agency” (California Board of Registered Nursing, 2019) A strong and professional organization, which advocates for and represents the interests of registered nurses on a national spectrum (American Nurses Association)Created to ensure public protection by the regulation “of registered nurses” (California Board of Registered Nursing, 2019)With a goal to improve “the quality of health care for all” (American Nurses Association)Implements and enforces “the Nursing Practice Act”, mandating “nursing education, licensure, practice, and discipline” (California Board of Registered Nursing, 2019)“Exists to advance the nursing profession by fostering high standards of nursing practice; promoting a safe and ethical work environment; bolstering the health and wellness of nurses; and advocating on health care issues that affect nurses and the public” (American Nurses Association)
members of The Board
Board of Registered Nursing (BON)American Nurses Association (ANA)A nine-member board (California Board of Registered Nursing, 2019)
A nine-member board (American Nurses Association)“Composed of four members of the public and five registered nurses: two direct-patient care nurses, an advanced practice nurse, a nurse administrator, and a nurse educator ” (California Board of Registered Nursing, 2019)“Comprised of four officers and five directors-at-large” (American Nurses Association)The Governor chooses seven members and Legislature chooses two of the public members, all serving for four years (California Board of Registered Nursing, 2019).All members of the board are registered nurses, “elected by the Membership Assembly” (American Nurses Association).
Federal Regulations on Healthcare
Board of Registered Nursing (BON)American Nurses Association (ANA)The BON adhere to rules approved by the Office of Administrative Law and dictated by the Administrative Procedure Act (California Board of Nursing).
“ANA staff from the Health Policy Department review and analyze federal agency decisions, regulations, and rules affecting registered nurses, our profession, our patients, and the public health” (American Nurses Association).Prior to the rules becoming set in stone they’re subject to review .
This Handbook is designed to give the public, patients (their carers and families) and NHS staff all the information they need about the NHS Constitution for England.
Review the shortage of medical professionals and the increasing need for advanced practitioners to serve in primary care roles
Identify the current barriers that prevent CNP from practicing to the full extent of their education, scope and training
Outline concrete ways in which these barriers can be effectively removed so as to improve autonomy for CNP’s and quality of care for patients.
Human Trafficking
Monet Dean, Kristi Fisher, Krista Hammond, Ilham Mejahed
Full Practice Authority For NP In California-AB 890 Bill
Name: Sukhjit Dhaliwal
Sumar Abu-Samrah
Janice Dawson
Institution: United States University
10-18-2021
‹#›
ASSOCIATION MEMBER INTERVIEW
https://drive.google.com/file/d/1g5dbfxVjOPEL0jqhfqqsybdYoGTdgW8c/view?usp=sharing
Dr. Marketa Houskova Executive Director ANA, Policy Expert, Top Influencer.
(american nurses association - Google zoeken, n.d.)
Dr. Marketa Houskova is one of the biggest influence for the American Nurses Association. It was a surprise to see how quickly she responded and how helpful and passionate she is about nurses expressing their voices and advocating for high quality health care.
References
American nurses association - Google zoeken. (n.d.). American Nurses Association. Retrieved 2021, from https://www.google.com/search?q=american+nurses+association&tbm=isch&ved=2ahUKEwiTnOGs1MrzAhUH5J4KHddBBDAQ2-cCegQIABAA&oq=american+nurses+association&gs_lcp=CgNpbWcQAzIHCCMQ7wMQJzIHCCMQ7wMQJzIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBggAEAUQHjoECAAQGDoGCAAQCBAeOgQIABAeUKUaWLskYPIlaABwAHgAgAGsAYgBgwiSAQM0LjWYAQCgAQGqAQtnd3Mtd2l6LWltZ8ABAQ&sclient=img&ei=BohoYZOBK4fI-wTXg5GAAw&bih=746&biw=1536#imgrc=ggsEiG2uVVm_dM
Interview with the Registered Nurse Leader
As the executive director of the American Nursing Association Dr. Houskova’s:
Mission:
Advance the quality of health care such as access to care and to ethical practice in society through education, legislation, and policy advocacy.
Advocating for Nurse Practitioners to independently practice
https://drive.google.com/file/d/1PSiNh1-wojHYT_o-CnKVikg50kEQ5bTQ/view?usp=sharing
Provider gap. (2021). [ANA]. https://closetheprovidergap.com/
In the interview with Dr. Houskova, she mentioned the supporting the AB 890 act which will allow Nurse practitioners to practice independently without the supervision of a physician (Bill Text - AB-890 Nurse Practitioners: Scope of Practice: Practice without Standardized Procedures., 2019). As the provider grab continues to grow in California because of the shortage of primary care physicians, leaving access to health care difficult. According to the California Health Workforce Commission, after one year of analyzing health care delivery, recommendations were made and one included the full practice authority for NP’s as primary care providers (Expanding the Role of Nurse Practitioners, 2021). In hopes of joining the other 28 states what already changed their legislation allowing nurse practitioners to practice as primary care providers.
References
Bill Text - AB-890 Nurse practitioners: scope of practice: practice without standardized procedures. (2019). AB-890 Nurse Practitioners: Scope of Practice: Practice without Standardized Procedures. https://leginfo.legisla ...
Study Guide Health Care ReformHealth Care Reform OverviewWhe.docxpicklesvalery
Study Guide: Health Care Reform
Health Care Reform: Overview
When it comes to healthcare in America, we seem to believe that more is better--but does more healthcare result in better health? As a nation, we spend more on healthcare per person than any European country, yet our health outcomes are worse. The PBS documentary, Money and Medicine was aired in 2012, and addresses one of the key issues of healthcare reform--the cost of health care. Watch the trailer below, or the entire episode here: http://video.pbs.org/video/2283573727/
(Links to an external site.)
http://youtu.be/a9oEtRwoVxs
(Links to an external site.)
The Affordable Care Act
The Patient Protection and Affordable Care Act (ACA), passed in 2010, is a collection of laws that were created to reform health insurance and healthcare.
The ACA significantly impacts nurses both personally and professionally. Bedside nurses are impacted by organizational changes that affect patient care, and may be providing information and resources to patients and caregivers about the ACA. However, as Hynds, Hatch and Samuels (2014) noted, nurses indicate they need more knowledge to understand the ACA policy implications of their practice.
Now, you can either read the 974 pages of the law itself, or you can watch this short, animated video produced by the Kaiser Family Foundation, and visit the helpful online resources below:
http://youtu.be/JZkk6ueZt-U
(Links to an external site.)
The YouToons Get Ready for Obamacare
0:01 / 6:52
<div class="player-unavailable"><h1 class="message">An error occurred.</h1><div class="submessage"><a href="http://www.youtube.com/watch?v=JZkk6ueZt-U" target="_blank">Try watching this video on www.youtube.com</a>, or enable JavaScript if it is disabled in your browser.</div></div> Minimize Video
Affordable Care Act: Five Years Later
The Commonwealth Fund has developed several online, interactive resources to illustrate the impact of the Affordable Care Act in its first five years of implementation. Through personal stories, population and health systems data analysis, and graphics, the Commonwealth fund paints the picture of the impact of the ACA on individuals, businesses, providers and healthcare systems. Take some time to explore these resources in preparation for this week's discussion board. Link: The Affordable Care Act: A Look Back at the First Five Years.
(Links to an external site.)
Review the two interactive digital features: Coverage Reform
(Links to an external site.)
and Delivery Reform
(Links to an external site.)
.
Value-Based Purchasing--"Pay for Performance"
Increasingly, hospitals and healthcare providers are reimbursed not just for the amount of services provided (fee-for service), but for the results that are achieved for a particular patient population. As nurses, you may have observed policy changes that emphasize patient experience, prevention of hospital-acquired infections, and effective discharge planning ...
Accountable Care Organizations (ACOs) are organizations of health care providers who provide care to a group of patients. Created in an attempt to decrease the cost of service delivery and increase efficiency, value and profit, these organizations are new territory for the CPA professional. This presentation was given to the Michigan Association of Certified Public Accountants at their Healthcare Conference on April 23, 2013.
4 hours ago
Amy Miller
RE: Discussion - Week 7
Collapse
NURS 6050C: Policy and Advocacy for Improving Population Health
Main Question Post. The Patient Protection and Affordable Care Act of 2010 created several positive healthcare policies such as affordable health care, lifting the preexisting health condition clause from health insurance, requiring facilities to make healthcare charges public knowledge, and enforcing healthcare providers to become active in improving quality and health outcomes for patients (Library of Congress, n.d.). The act addressed a combination of the health care drivers of cost, quality, and access. According to a report released by the White House Press Secretary on April 17, 2014, “The Affordable Care Act is working. It is giving millions of middle class Americans the health care security they deserve, it is slowing the growth of health care costs and it has brought transparency and competition to the Health Insurance Marketplace.” (The White House, 2014). However, the price some healthcare providers had to pay a heavy financial - forcing some providers out of business. The negative side of the act is seldom portrayed in the news and media.
Section 3131(a) of the act required payment for home health services to be rebased over a period of four years (Centers for Medicare & Medicaid Services, 2013); resultant in a 2.8% reduction beginning in 2014 for four consecutive years totaling a reduction in payment of 11.6%. The reductions were placed along with mandates for quality reporting, new forms, and new processes resulting in increased administrative overhead costs while shouldering the burden of financial reductions.
Initiating a Change in Policy Process
Living in a rural community, I witness firsthand the lack of access to care as there are limited numbers of primary care providers. Couple the limited access to providers with the amount of paperwork and forms that must be signed by a physician and patients are not referred to home health services as often as one should be – the result is the patient presenting to the emergency room or a hospitalization to have one’s health care needs met. Currently, Medicare and Medicaid do not allow physician assistants or advanced practice registered nurses (APRNs) to sign the necessary orders and plan of care for home health services – only a “doctor of medicine, osteopathy, or podiatric medicine” may sign for services (Government Publishing Office, 2014, p. 693). I would like to use the knowledge gained as an APRN to legislate for this mandate to be changed and allow both physician assistants and APRNs to sign for coverage of home health services.
The Kingdon Model would be utilized for the legislation process by finding the three streams of problem, policy, and politics to coordinate with the above-mentioned issue (Milstead, 2019, p. 24). The problem would consist of the burdensome amount of paperwork imposed upon.
Boards of Nursing vs. Professional Nurse AssociationsWalden .docxrichardnorman90310
Boards of Nursing vs. Professional Nurse Associations
Walden university
Nurs 6050: Policy and Advocacy for Improving Population Health
April 7, 2019
Boards of Nursing vs. Professional Nurse Associations
Though different jobs qualifications and care provided are present, nursing is the core of Registered Nursing (RN) and Advanced Practice Registered Nursing (APRN).
The purpose of this presentation is to show how regulations affect nursing as a whole as well as both positions.
Information will be provided from the standpoint of the States Board of Nursing as well as from a Professional Nurse Association.
Differences between a board of nursing and a professional nurse associationBoard of Registered Nursing (BON)American Nurses Association (ANA)“A state governmental agency” (California Board of Registered Nursing, 2019) A strong and professional organization, which advocates for and represents the interests of registered nurses on a national spectrum (American Nurses Association)Created to ensure public protection by the regulation “of registered nurses” (California Board of Registered Nursing, 2019)With a goal to improve “the quality of health care for all” (American Nurses Association)Implements and enforces “the Nursing Practice Act”, mandating “nursing education, licensure, practice, and discipline” (California Board of Registered Nursing, 2019)“Exists to advance the nursing profession by fostering high standards of nursing practice; promoting a safe and ethical work environment; bolstering the health and wellness of nurses; and advocating on health care issues that affect nurses and the public” (American Nurses Association)
members of The Board
Board of Registered Nursing (BON)American Nurses Association (ANA)A nine-member board (California Board of Registered Nursing, 2019)
A nine-member board (American Nurses Association)“Composed of four members of the public and five registered nurses: two direct-patient care nurses, an advanced practice nurse, a nurse administrator, and a nurse educator ” (California Board of Registered Nursing, 2019)“Comprised of four officers and five directors-at-large” (American Nurses Association)The Governor chooses seven members and Legislature chooses two of the public members, all serving for four years (California Board of Registered Nursing, 2019).All members of the board are registered nurses, “elected by the Membership Assembly” (American Nurses Association).
Federal Regulations on Healthcare
Board of Registered Nursing (BON)American Nurses Association (ANA)The BON adhere to rules approved by the Office of Administrative Law and dictated by the Administrative Procedure Act (California Board of Nursing).
“ANA staff from the Health Policy Department review and analyze federal agency decisions, regulations, and rules affecting registered nurses, our profession, our patients, and the public health” (American Nurses Association).Prior to the rules becoming set in stone they’re subject to review .
This Handbook is designed to give the public, patients (their carers and families) and NHS staff all the information they need about the NHS Constitution for England.
Review the shortage of medical professionals and the increasing need for advanced practitioners to serve in primary care roles
Identify the current barriers that prevent CNP from practicing to the full extent of their education, scope and training
Outline concrete ways in which these barriers can be effectively removed so as to improve autonomy for CNP’s and quality of care for patients.
Human Trafficking
Monet Dean, Kristi Fisher, Krista Hammond, Ilham Mejahed
Full Practice Authority For NP In California-AB 890 Bill
Name: Sukhjit Dhaliwal
Sumar Abu-Samrah
Janice Dawson
Institution: United States University
10-18-2021
‹#›
ASSOCIATION MEMBER INTERVIEW
https://drive.google.com/file/d/1g5dbfxVjOPEL0jqhfqqsybdYoGTdgW8c/view?usp=sharing
Dr. Marketa Houskova Executive Director ANA, Policy Expert, Top Influencer.
(american nurses association - Google zoeken, n.d.)
Dr. Marketa Houskova is one of the biggest influence for the American Nurses Association. It was a surprise to see how quickly she responded and how helpful and passionate she is about nurses expressing their voices and advocating for high quality health care.
References
American nurses association - Google zoeken. (n.d.). American Nurses Association. Retrieved 2021, from https://www.google.com/search?q=american+nurses+association&tbm=isch&ved=2ahUKEwiTnOGs1MrzAhUH5J4KHddBBDAQ2-cCegQIABAA&oq=american+nurses+association&gs_lcp=CgNpbWcQAzIHCCMQ7wMQJzIHCCMQ7wMQJzIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBggAEAUQHjoECAAQGDoGCAAQCBAeOgQIABAeUKUaWLskYPIlaABwAHgAgAGsAYgBgwiSAQM0LjWYAQCgAQGqAQtnd3Mtd2l6LWltZ8ABAQ&sclient=img&ei=BohoYZOBK4fI-wTXg5GAAw&bih=746&biw=1536#imgrc=ggsEiG2uVVm_dM
Interview with the Registered Nurse Leader
As the executive director of the American Nursing Association Dr. Houskova’s:
Mission:
Advance the quality of health care such as access to care and to ethical practice in society through education, legislation, and policy advocacy.
Advocating for Nurse Practitioners to independently practice
https://drive.google.com/file/d/1PSiNh1-wojHYT_o-CnKVikg50kEQ5bTQ/view?usp=sharing
Provider gap. (2021). [ANA]. https://closetheprovidergap.com/
In the interview with Dr. Houskova, she mentioned the supporting the AB 890 act which will allow Nurse practitioners to practice independently without the supervision of a physician (Bill Text - AB-890 Nurse Practitioners: Scope of Practice: Practice without Standardized Procedures., 2019). As the provider grab continues to grow in California because of the shortage of primary care physicians, leaving access to health care difficult. According to the California Health Workforce Commission, after one year of analyzing health care delivery, recommendations were made and one included the full practice authority for NP’s as primary care providers (Expanding the Role of Nurse Practitioners, 2021). In hopes of joining the other 28 states what already changed their legislation allowing nurse practitioners to practice as primary care providers.
References
Bill Text - AB-890 Nurse practitioners: scope of practice: practice without standardized procedures. (2019). AB-890 Nurse Practitioners: Scope of Practice: Practice without Standardized Procedures. https://leginfo.legisla ...
Study Guide Health Care ReformHealth Care Reform OverviewWhe.docxpicklesvalery
Study Guide: Health Care Reform
Health Care Reform: Overview
When it comes to healthcare in America, we seem to believe that more is better--but does more healthcare result in better health? As a nation, we spend more on healthcare per person than any European country, yet our health outcomes are worse. The PBS documentary, Money and Medicine was aired in 2012, and addresses one of the key issues of healthcare reform--the cost of health care. Watch the trailer below, or the entire episode here: http://video.pbs.org/video/2283573727/
(Links to an external site.)
http://youtu.be/a9oEtRwoVxs
(Links to an external site.)
The Affordable Care Act
The Patient Protection and Affordable Care Act (ACA), passed in 2010, is a collection of laws that were created to reform health insurance and healthcare.
The ACA significantly impacts nurses both personally and professionally. Bedside nurses are impacted by organizational changes that affect patient care, and may be providing information and resources to patients and caregivers about the ACA. However, as Hynds, Hatch and Samuels (2014) noted, nurses indicate they need more knowledge to understand the ACA policy implications of their practice.
Now, you can either read the 974 pages of the law itself, or you can watch this short, animated video produced by the Kaiser Family Foundation, and visit the helpful online resources below:
http://youtu.be/JZkk6ueZt-U
(Links to an external site.)
The YouToons Get Ready for Obamacare
0:01 / 6:52
<div class="player-unavailable"><h1 class="message">An error occurred.</h1><div class="submessage"><a href="http://www.youtube.com/watch?v=JZkk6ueZt-U" target="_blank">Try watching this video on www.youtube.com</a>, or enable JavaScript if it is disabled in your browser.</div></div> Minimize Video
Affordable Care Act: Five Years Later
The Commonwealth Fund has developed several online, interactive resources to illustrate the impact of the Affordable Care Act in its first five years of implementation. Through personal stories, population and health systems data analysis, and graphics, the Commonwealth fund paints the picture of the impact of the ACA on individuals, businesses, providers and healthcare systems. Take some time to explore these resources in preparation for this week's discussion board. Link: The Affordable Care Act: A Look Back at the First Five Years.
(Links to an external site.)
Review the two interactive digital features: Coverage Reform
(Links to an external site.)
and Delivery Reform
(Links to an external site.)
.
Value-Based Purchasing--"Pay for Performance"
Increasingly, hospitals and healthcare providers are reimbursed not just for the amount of services provided (fee-for service), but for the results that are achieved for a particular patient population. As nurses, you may have observed policy changes that emphasize patient experience, prevention of hospital-acquired infections, and effective discharge planning ...
Accountable Care Organizations (ACOs) are organizations of health care providers who provide care to a group of patients. Created in an attempt to decrease the cost of service delivery and increase efficiency, value and profit, these organizations are new territory for the CPA professional. This presentation was given to the Michigan Association of Certified Public Accountants at their Healthcare Conference on April 23, 2013.
4 hours ago
Amy Miller
RE: Discussion - Week 7
Collapse
NURS 6050C: Policy and Advocacy for Improving Population Health
Main Question Post. The Patient Protection and Affordable Care Act of 2010 created several positive healthcare policies such as affordable health care, lifting the preexisting health condition clause from health insurance, requiring facilities to make healthcare charges public knowledge, and enforcing healthcare providers to become active in improving quality and health outcomes for patients (Library of Congress, n.d.). The act addressed a combination of the health care drivers of cost, quality, and access. According to a report released by the White House Press Secretary on April 17, 2014, “The Affordable Care Act is working. It is giving millions of middle class Americans the health care security they deserve, it is slowing the growth of health care costs and it has brought transparency and competition to the Health Insurance Marketplace.” (The White House, 2014). However, the price some healthcare providers had to pay a heavy financial - forcing some providers out of business. The negative side of the act is seldom portrayed in the news and media.
Section 3131(a) of the act required payment for home health services to be rebased over a period of four years (Centers for Medicare & Medicaid Services, 2013); resultant in a 2.8% reduction beginning in 2014 for four consecutive years totaling a reduction in payment of 11.6%. The reductions were placed along with mandates for quality reporting, new forms, and new processes resulting in increased administrative overhead costs while shouldering the burden of financial reductions.
Initiating a Change in Policy Process
Living in a rural community, I witness firsthand the lack of access to care as there are limited numbers of primary care providers. Couple the limited access to providers with the amount of paperwork and forms that must be signed by a physician and patients are not referred to home health services as often as one should be – the result is the patient presenting to the emergency room or a hospitalization to have one’s health care needs met. Currently, Medicare and Medicaid do not allow physician assistants or advanced practice registered nurses (APRNs) to sign the necessary orders and plan of care for home health services – only a “doctor of medicine, osteopathy, or podiatric medicine” may sign for services (Government Publishing Office, 2014, p. 693). I would like to use the knowledge gained as an APRN to legislate for this mandate to be changed and allow both physician assistants and APRNs to sign for coverage of home health services.
The Kingdon Model would be utilized for the legislation process by finding the three streams of problem, policy, and politics to coordinate with the above-mentioned issue (Milstead, 2019, p. 24). The problem would consist of the burdensome amount of paperwork imposed upon.
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1. Advanced Practice Legislation SAVE Act Essay
Advanced Practice Legislation SAVE Act EssayAdvanced Practice Legislation SAVE Act
EssayPermalink: https:// /advanced-practic…n-save-act-essay/Advanced Practice
Legislation SAVE Act EssayAdvanced Practice Legislation PaperSelect a bill that is related to
Advanced Practice nursing and is currently in congress and address the following:1. Provide
a thorough description of the bill including the sponsor of the bill, committees, latest action,
amendments, the number co-sponsors (include the name of the congressman from your
state if applicable) and the reason the bill was presented. 10points2. Address how the bill
relates to advanced practice nursing. For example, practice authority, reimbursement,
collaborative practice, NP’s as primary care providers. What are the challenges to getting
the bill passed? 15points3. Address how this bill affects health care in general including cost
savings, patient safety, quality, access to care. 20points4. Find an advanced practice
professional organization and explain the purpose of the organization and the APN roles
who participate in this organization. What are the benefits of joining this organization?
Review their political advocacy portal to find out how they are involved political advocacy
Advanced Practice Legislation SAVE Act Essay. Include the advocacy efforts they are
currently engaged in. Are they involved in contacting legislators regarding current
advanced practice legislation and specifically the bill you are discussing. What support or
resources does the organization have for new members who want to be involved in
legislation? How does the organization keep members abreast of upcoming legislation? For
example: Sunset of the nurse practice act in your state. 30points5. Contact your legislator
through the “home” office (in your state, not Washington, D.C.) and convey to speak to
someone about health-related legislation and tell them the name of the bill you want to
discuss. Find out the legislator’s view point on the bill, whether or not they are in support of
the bill and why or why not. 30 points6. What is your viewpoint on the bill? Do you support
passage of the bill? Advanced Practice Legislation SAVE Act Essay Why or why not? How can
you as an advanced practice student participate in the passage of the bill? How will passage
of the bill influence your practice? 10points7. APA-10points Advanced Practice LegislationA
description of the Bill (SAVE ActThe SAVE Act is a bipartisan bill (Senate Bill 143 and House
Bill 185) that aims to remove requirements for APRNs in North Carolina to work in
collaboration with a physician. The key sponsors of the bill include Senator Ralph Hise and
Representatives Donny Lambeth, Josh Dobson, Gale Adcock, and Sarah Stevens. The bill is
co-sponsored by over forty legislators including Representatives Ager John, Jonh Autry,
Rep Lisa Barnes, Deb Butler, Allison Dahle, and George Cleveland and Senators Jim
2. Burgin, Deanna Ballard, Senator Danny Britt, senator, Jim Burgin, and Ben Clark. The Bill
is aimed at delivering Safe, Accessible, value Directed and Excellent (SAVE) health care by
updating APRN regulations. Advanced Practice Legislation SAVE Act Essay. Senate bill 143
is currently before the senate rules committee and while the house bill 185 is before the
House health committee.The bill was presented to update laws regulating APRN practice.
For the last four decades, the laws regulating APRNs as one of health care providers with
high training have not been changed. With the SAVE Act, lawmakers aim at modernizing
healthcare in North Carolina by eliminated unnecessary and outdated restrictions on
APRNs (NCNA, 2019). Everybody in the United States is looking at schemes that can be
used to save the cost of healthcare while ensuring patients receive excellent care. The bill
proposes the removal of the requirements for clinical CNMs and NPs to be supervised and
physicians. By removing the requirements for APRNs to work under the supervision o
physicians, APRNs in North Carolina will be able to deliver care independently and fully
exploit their training, and education, which will provide North Carolina residents to have
faster access to quality and less costly healthcare.How the bill relates to advanced practice
nursingThe bill relates to advanced practice nursing in that it seeks to eliminate state
impediments that hinder APRNs from having independent practice. The bill addresses
outdated state laws and regulations on APRNs, including certified nurse midwives (CNMs),
nurse practitioners (NPs), certified registered nurse anesthetists (CRNAs), and clinical
nurse specialists (CNSs). These advance practice roles have attained a certain level of
education and become certified. Nevertheless, restrictions imposed by state laws reduces
the ability of APRN to deliver care independently which in turn less access to care and also
raises costs of healthcare (Roberts, 2019) Advanced Practice Legislation SAVE Act
Essay.The SAVE aims at accomplishing two goals. According to Roberts (2019), the first
goal addresses the power of the North Carolina Board of Nursing to control the roles of
advance practice nursing. Under the present law, certified midwives and nurse practitioners
are regulated by the state Board of Nursing as well as the Medical Board. The bill seeks to
provide the Board of Nursing with the exclusive authority of regulating the practice of CNMs
and NPs. The North Carolina Board of nursing exclusively supervises CRNAs and CNSs.
Advanced Practice Legislation SAVE Act Essay In addition, the legislation aims at codifying
the services being performed by both CRNAs and CNSs and endows each profession with
the APRN title. The scope of practice of CNSDs and CRNAs will not change as a result of the
passage of the bill into law, meaning that they will not be providing any novel services.The
other objective of the legislation is to eliminate the mandatory requisite for CNMs and NPs
to collaborate with a physician to provide patient care. North Carolina is among the states
that restrict CNMs and NPs to practice authority mandating them to have a written
collaborative practice agreement supervising physician. The agreement delineates
prescribing authorities, patient management, as well as the way the physician and the ARN
will be communicating with one another. Roberts (2019) asserts that the problem with
requiring APRNs to have practice agreements with Physicians is that the physician does not
do much of the supervising. CNMs and NPs are not required to be in the same geographic
area as the physician and they meet only biannually. The agreements between NPs and
CNMs can be costly because nurses are required to pay collaborating fees to the physician,
3. which increases health care costs. Advanced Practice Legislation SAVE Act Essay.The
challenges to getting the bill passes are opposition from physicians and physician
organizations such as the North Carolina Medical Board. Physicians have the perception
that APRNs are not sufficiently trained to provide safe care As Roberts, (2019) indicates,
antagonists of the bill maintain that the elimination of collaborative practice agreements
will put patients at safety risks as nurses are not in a position to provide high-quality care
compared to physicians.How the bill affects health careThe bill will improve access to care
by North Carolina residents. When CNMs and NPs are authorized to practice
independently, they will be able to deliver less costly care. When collaborating with a
physician and the physician relocates to another state or retires, the nurse is forced to halt
his or her practice until they get another physician to collaborate with. Roberts
(2019) claims that the removal of collaborative agreements will increase acre access in the
state since nurses with the required education and certification will be able to deliver
primary care services since their practice will not be constrained by accessibility or
relocation of the collaborating physician. Advanced Practice Legislation SAVE Act
Essay.Apart from improving access to care, the independent practice of APRNs will lead to
health cost savings because APRNs provide less costly care compared to physicians. It is
approximated that with the passage of the bill, the state will be able to save up to four
billion dollars healthcare costs. According to Roberts (2019, the bill will also address the
regional shortages of physicians in the state. There is a shortage of physicians in remote
regions and there is also an uneven distribution of physicians in the region Advanced
Practice Legislation SAVE Act Essay. Giving APRNs more flexibility to practice could
alleviate the shortages of health care providers in rural regions of the State.APN
professional organizationThe American Association of Nurse Practitioners (AANP) is a
professional nursing organization for NPs of different specialties. The organization
represents over twenty thousand NPs across the country. The purpose of AANP is to offer
lawmaking leadership at the national and state levels as well as the local level, promote
research, education, and practice, and promote health policy. The organization also
establishes standards that NPs must adhere to ensure that they serve patients that receive
care from nurse practitioners as well as other consumers of health care. ANNP acts as the
voice of nurse practitioners and represents NPs’ interests as providers of care that are less
costly, of superior quality, comprehensive and centered on the patient.Nurse practitioner
participation in the AANP provides a variety of benefits. Professional nursing organizations
offer the opportunities to engage in advocacy efforts connected in areas like health, policy
and regulators issues. Being a member of the professional organization offers members the
networking and training opportunities to advance their careers as well as knowledge in the
profession. Like any other professional organization, AANP organizes conferences and
meetings as networking events for members. Advocacy is another benefit that I can get from
joining the AANP. Goolsby and DuBois (2017) indicate that professional nursing
organizations play an important role in advocating for their members’ interests and
communities or patients served by nurse practitioners.Participation in a professional
organization enables members to have a say in identifying and developing health policy
initiatives. These organizations publish policy agendas and policies related to regulation,
4. reimbursement, safety, and practice. Additionally, professional organizations offer
informative educational resources and position statements to inform their members on
crucial pertinent policy and support both old and new members to voice their opinions at
the institutional, state and federal levels. Resources are aimed at preparing members to
have effective communications with policymakers (Goolsby & DuBois, 2017) Advanced
Practice Legislation SAVE Act Essay.AANP has involved in advocacy efforts at the state as
well as the federal level. Federal legislation directly influences the NP role and the patients
served by NPs. AANP has a legislative team that represents NPs along with their patients on
significant matters connected with practice, reimbursement, healthcare reform, licensure
and access to care. Apart from advocating on policies related to NP practice, AANP
represents NPs’ health organizations and national committees, enabling NPs to take their
perspectives to health care leaders. With the support of NPs, AANP works in partnership
with federal legislators to ensure sufficient coverage of and access to NP services. At the
state level, AANP supports NP policy initiatives (AANP, 2020).The organization AANP is
involved in contacting legislators regarding current advanced practice legislation. AANP
contacts legislators via phone calls, emails or meetings in Capitol Hill. AANP is currently in
numerous advocacy efforts. The AANP pushes the 116th congress to eradicate feeder
barriers that restrict the ability of patients to access less-costly, superior care and ensure
that legislators do not enact laws that create additional barriers for NPs. Advanced Practice
Legislation SAVE Act Essay. AANP is advocating for the passage of S. 296/H.R. 2150 to grant
authority to NPs to sign eligibility of patients to receive home health care and S. 237/H.R.
808 to authorize NPs to certify patients’ requirement for therapeutic shoes. AANP is also
Advocating for the passage of S. 2842/H.R. 3911 to allow NPs to order and oversee
pulmonary and cardiac rehabilitation. The professional nursing organization keeps
members up to date of upcoming legislation and healthcare issues through its advocacy
center on its website.Health-related legislationThe Home Health Care Planning
Improvement Act of 2019 H.R. 2150/S. 296) is legislation to authorize physician assistants
and APRNs to sign eligibility of patients for home healthcare services. Under the present
Medicare regulations, physicians are the only providers authorized to declare that patients
are eligible to receive health care (Jaffe, 2019), after calling my legislator and discussing this
bill, the legislator supports the legislation because when enacted into laws, the bill will
enable patients to easily access home health services by expanding the scope of providers
who can endorse the requirement for home health care under the rules set forth by
Medicare. The legislator stated that the legislation is a pragmatic and practical approach of
increasing access to him health care by elderly individuals who require it the most, entailing
those who are provided care by clinicians who are not physicians.My viewpoint of the billI
view the Home Health Care Planning Improvement Act of 2019as a legislation that will be
beneficial to patients, APRNs and physician assistants. If enacted, physician assistants and
advanced practice nurses would be able to provide certification for home healthcare,
possibly cutting the requirement for a physician. I support the passage of the legislation
because physician assistants and APRNs provide professional, personal and invaluable care
to numerous individuals around United States. When enacted, the bill will enable Medicare
patients to more easily and directly access home care and significantly cut the cost of health
5. care services. It will be a win for providers, patients as well as Medicare Advanced Practice
Legislation SAVE Act Essay.As an advanced practice student, I can participate in the passage
by asking my congressperson to speak with other lawmakers on how the bill will benefit
their constituents and convince them to pass the bill. As indicate by Edelman et al (2017),
knowing local legislators, enlightening them about health care matters affecting their
constituents and advising them on the needs of their constituents is a way in which nurses
can be involved in policy-making.The passage of the bill will influence my practice by
enabling be provide home care services to my patients in a timely and consistent manner.
When Medicare beneficiaries under the Care of APRNs need home care, (a physician, is
often not the primary care provider for the patient) must be contacted to certify the
requirement for home health care. This leads to incoherent care and the inclusion of a
provider who might not know the care needs of the patient. The bill will ensure that as a
clinician with a better knowledge of the patient, I will be able to order care that is clinically
appropriate for the patient. Advanced Practice Legislation SAVE Act Essay ReferencesAANP.
(2020). AANP Advocacy: Championing the NP Role and Amplifying the NP Voice. Retrieved
from https://www.aanp.org/advocacyEdelman, C., Mandle C., & Kudzma, E. (2017). Health
Promotion Through the Life Span. St. Louis, MO: Elsevier.Goolsby, M., & DuBois, J. (2017).
Professional organizations membership: Advancing the nurse practitioner role. Journal of
the American Association of Nurse Practitioners, 29(8), 434-440. Advanced Practice
Legislation SAVE Act Essay.Jaffe, S. (2019). Home Health Care Providers Struggle With State
Laws and Medicare Rules As Demand Rises. Health Affairs, 38(6), 981-986. North Carolina
Nurses Association, (NCNA). (Feb 26, 2019). NC Legislators Introduces Bipartisan SAVE
Act to Increase Access to Quality Health Care. Retrieved from https://ncnurses.org/about-
ncna/latest-news/nc-legislators-introduce-bipartisan-save-act/Roberts, J. (2019). SAVE
Act: Increasing Freedom for N.C. Nurses. Retrieved
from https://www.johnlocke.org/update/save-act-increasing-freedom-for-n-c-
nurses/ Advanced Practice Legislation SAVE Act Essay
