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Economics and Change

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Economics and Change
Theresa Williamson
FSCJ
Dimensions of Professional Practice
NUR3805
Dr. Kramer
September 22, 2015

Economics and Change

In March of 2010 President Obama signed the Affordable Care Act (ACA) into law. This act was to ensure that all Americans have access to healthcare. It provided coverage for pre-existing conditions, free preventative care, discounted medications for seniors and protected consumers against health care fraud. As health care professionals we had to accept and adapt to the change that was inevitably going to occur. This is going to be a collaborative effort on many different levels from nursing to case managers to nurse leaders. This act is going to require us to look at the way we charge for healthcare and how we are reimbursed for the care provided more carefully. The expectations are going to change for all involved with providing quality care to patients in any healthcare setting.
The Affordable Care Act was not a spontaneous change but more of a mix between a developmental change and planned change. According to Blais and Hayes (Blais & Hayes, 2011, p. 254-255) “developmental change refers to physiopsychologic changes that occur during an individual’s life cycle or to the growth of an organization as it becomes more complex.” As a nation and a whole more and more people were not covered for health care or could not afford to pay for health care out of pocket. “More than 45 million American are uninsured, and as a result, they experienced increasing morbidity and mortality.” (Kocher, Emanuel, & DeParle, 2012) According to Lippitt (Lippitt, 1973) “planned change is an intended purposive attempt by an individual, group organization, or larger social system to influence the status quo of itself, another organism, or a situation.”
There are three approaches to the change theory; Power-coercive,

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