...It’s important as members of the Gainesville Community Hospital to understand what HIPAA is, how it operates, and how it affects us as healthcare providers in many ways. The Health Insurance Portability and Accountability Act (HIPAA) was passed in 1996 by congress to ensure the protection and privacy of patient health information whether that be in a clinic, hospital, nursing facility, or dental office. The major focus of HIPAA is making sure that as patient information that is being shared whether by mail, phone, or electronically that information that is disclosed is protected. There is information that as healthcare providers we need to know to protect our patient rights and ourselves as the providers. HIPAA has implemented some new rights concerning health information of a patient called Protected Health Information (PHI). The privacy rule calls all “Individually identifiable health information”, PHI. We should also be aware that there is the possibility of being fined if there is a violation or breach to comply with the rules and regulations whether they are violated accidentally or purposely. If an employee violated a HIPAA regulation without knowledge of doing so than that employee can be fined 100 per violation with a maximum amount of 25,000. The maximum penalty is 50,000 per violation with an annual maximum amount of 1.5 million. No one wants to find themselves owing this kind of money and more importantly,...
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...Development of Nursing Profession The American healthcare system has been influenced by legislature and insurance companies for many years that the focus of healthcare has shifted from caring for the patient. There is a multiple of families, individuals, and children who go without health insurance daily because they cannot afford it. The healthcare system of this nation has needed to be reformed and revitalized to ensure every person has adequate healthcare. The Institute of Medicines report is sending a message of needed changes to help reform healthcare in the nation. These messages allow nurses to have a more powerful impact on medicine. According to Thomas Sullivan’s report “nurses have the ability to act as partners with other health professionals and to lead the improvement and redesign of the healthcare” (Sullivan 2010). America will need to improve the education process, the nursing leadership, and how it views primary care for patients. The education of nurses needs to be revised to ensure that future nursing graduates have the training needed to incorporate the Institute of Medicine’s recommended changes. One change, is “nursing should practice to their full extent of their education and training.” (IOM 2010 chap.4) To accomplish this task, nurses will need to take on more responsibilities and accountability of their profession. Nurses will need to be active within their organizations, professional committees, especially policy making. Also, continuing education for...
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...Policy Issue Analysis: The Affordable Care Act and Nursing April 7, 2013 Policy Issue Analysis: The Affordable Care Act and Nursing Problem Identification Healthcare costs are soaring in the United States today. More people than ever before are uninsured or underinsured. In 2006-07, there were 46 million people uninsured (Gulley, Rasch, & Chan, 2011), and 9 million children also did not have health insurance (Coddington & Sands, 2008). A change in how healthcare is managed and financed is greatly needed to avoid worsening of this situation. Background The cost of healthcare and the number of uninsured individuals has become a critical issue today. Healthcare spending in the U. S. has grown faster than the economy, by about two to three percent per year since the end of World War II (Brown, 2009, p. 1). If nothing changes, Medicare will cost as much as the sum of all federal income taxes in about 75 years (Brown, 2009, p. 2). Healthcare premiums have become so unaffordable, that many families do without. The lack of insurance has a direct effect on poor health outcomes, increasing morbidity and mortality, which also contributes to increased healthcare costs (Coddington & Sands, 2008, p. 1). The Patient Protection and Affordable Care Act (PPACA), also known as Obamacare, was signed into law on March 23, 2010, and the Supreme Court made a final decision to uphold the law on June 28, 2012 (U. S. Department of Health and Human Services). The...
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...and knowledge based procedure. According to the Institute of Medicine nursing is one of the biggest workforces in healthcare. By starting a transformation in the nursing field, there can be change in the healthcare industry (Committee on the Robert Wood Johnson foundation 2011). The Institute of Medicine, on October 5, 2010, released their research based report “The Future of Nursing: Leading Change, Advancing Health” as a recommendation to improve nursing. Nurse must be able to provide the public accessible and high quality healthcare, there needs to be a higher standard of healthcare and highly educated nurses Impact of the IOM report on nursing education The education nurses acknowledged during the twentieth century are no longer adequate enough to handle the requirements of today’s healthcare. “Nurses should achieve higher levels of education and training through an improved education system that promotes flawless academic progression.”(Institute of Medicine, 2010). As the healthcare field moves forward, technology has played a major role. As technology advance, patient needs and healthcare setting have become more complex, nurses are required to acquire higher education to deliver high-quality and safe healthcare. Higher education in nursing includes Baccalaureate degree in Nursing, Doctorate in Nursing in Nursing Practice (Institute of Medicine, 2010). During the course of the higher education he/she are able to gain leadership, team work, interpersonal and collaboration...
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...Future of Nursing: Leading Change, Advancing Health to understand how the 2010 Institute of Medicine (IOM) report impacts nursing we must first understand what it is. The IOM report is the result of a two-year project that was launched by the Robert Wood Johnson Foundation (RWJF) along with the Institute of Medicine. The report presents recommendations for an action plan for the future of nursing (Institute of Medicine, 2010 p.119). The report titled the “Future of Nursing” contained research that supported a formation for the envision on the way nursing will become. The central idea was to make sure the public would receive quality, affordable care where they would feel protected. The report was designed for nurses, policy makers, government officials, insurance companies and the public, all of which have a vested interested to ensure quality, safe, cost effective health care (Holzemer, 2010 p.119). The recommended changes in these areas of nursing serve as a fundamental part of attaining the goals set forth by the Affordable Care Act(2010). The four dominant message points of the report centered on nursing practices, education, leadership and workforce data collection. The initial key is to enhance existing nursing practices in healthcare. http://iom.nationalacademies.org/Reports/(2010 p.85). Nursing and all other professional health care personnel are experiencing a changing healthcare landscape and a...
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...The 2010 IOM Report: The Future of Nursing Michelle Kennedy Grand Canyon University NRS-430V April 5, 2015 The 2010 IOM Report: The Future of Nursing The Institute of Medicine (IOM) released its 2010 report called The Future of Nursing: Leading Change, Advancing Health and it calls for an increase in nurses working in the profession to be “80 percent BSN-prepared” by the year 2020. (An 80% BSN workforce by 2020?, n.d.). The four key messages that the committee developed included ideas such as: * Nurses using their complete education and training during practice * Nurses should have access to a better education system that lets them further their education successfully * Nurses should work with physicians as partners in changing the healthcare system in the United States * Policies and Procedures should effectively use data collection EDUCATION Along with the education portion of “BSN in Ten”, The Institute of Medicine focused on facts that nurse’s education from the 20th century were not adequate for the 21st century anymore. The patients’ needs and care environments have changed and become more complex. There have been arguments that it is not possible to teach nursing students in 2 years for an Associate’s Degree what the Bachelor’s Degree nurses learn in 4 years. There is not enough emphasis spent on the evidence based practice in a 2-year degree, therefore, making the Bachelor’s Degree a better choice. The nurses need to be educated to deliver...
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...Medicine 2010 Report Guiding the Future of Nursing Susi Rubendall Grand Canyon University: NRS-430V-0506 February 22, 2015 Nurses are critical to the future health and healthcare of America. The enactment of the Affordable Care Act (ACA) calls for a transformation of healthcare to provide a safer, more affordable, more accessible and higher quality of healthcare. Central to these goals is high quality nursing care and practice. In 2008 the Robert Wood Johnson Foundation (RWJF) asked the Institute of Medicine (IOM) to become a partner to examine and consider what it would take to radically change and address the biggest issues of healthcare, cost and improved care. This ground breaking and far reaching collaborative effort resulted in the presentation in 2010 of a cohesive document “The Future of Nursing: Leading Change, Advancing Health”. The report focused on recommendations for improvements which include nursing’s important role in improving healthcare in America. This paper will look at the impact of the IOM 2010 report on nursing practice, nursing education and nursing leadership. Impact on Nursing Practice Nurses as the largest part of the healthcare workforce are poised to have an important role in transforming healthcare to provide quality care and improve health outcomes in America. An important message of the IOM report is the Key Message #1: Nurses should practice to the full extent of their education and training (IOM, 2010). One...
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...Impact of the 2010 IOM report on the Future of Nursing Carolina Rosales Grand Canyon University Professional Dynamics NRS-430V Vernon Thacker February 20, 2016 Impact of the 2010 IOM report on the Future of Nursing Nurses have an important role in the healthcare system. Nurses are the first and last part of the chain in the patient care. During the past 40 years the nursing profession has become more popular with over 3 million of active registered nurses ("Total Number of Professionally Active Nurse," 2016), the nursing career is one of the largest and essential part in the healthcare system. During the year of 2008, The Institute of Medicine and The Robert Wood Johnson Foundation (RWJF) built a two-year study to answer the immediate necessity to redesign the career of nursing (Institute of Medicine [IOM], 2010). The idea was to build some guidelines for the future of nursing profession in order to adjust, engage and guide actual needs and rapid changes of healthcare reform. The committee placed together some important roles surrounded by legal concerns picturing the future of nursing. The IOM report pays particular attention on many critical elements of nursing. The principal focus of the report was to create recommendations not only for the advance practice registered nurses, but also to provide opportunities for leadership and improvements in nursing education. Nurses are an integral part in the healthcare system; we contribute in all areas from acute care...
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...Healthcare reform and policy establishment has been driven by politics since modern medicine began to make a rise in our western culture. In 1935, President Franklin Roosevelt was the first to attempt to integrate a national health care program within social security. President Harry Truman proposed a multi payer insurance fund while in office but also was unsuccessful. Multiple presidents have attempted to succeed at providing healthcare reform and finally succeeded in 2010 with the Affordable Care Act. Each political party has their own agenda that they use to guide the policies they support. Unfortunately, many health care providers are not aware of the policy challenges that our profession faces daily and the impact our government has on healthcare policies. Policy making is driven by committees within our federal and state government where bills that have been presented are reviewed. Each party typically will push for new policies that benefit their political party often voting for bills in the legislature that gain the most popular vote. The passing of policies through our legislature impacts healthcare in various ways. For example take the Bill presented by Illinois congresswomen on safe patient-staff ratio. If this bill is passed and becomes policy, hospital systems will be forced to revamp patient census requirements, when there is only one study available showing improved quality of care. . It is crucial that evidence based practice be incorporated with policy making...
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...Delivery of High- Quality, Prevention-Oriented Primary Care Healthcare is the professional medical care provided to the community by the health practitioners such as nurses, pharmacists, and doctors (Shi & Singh, 2012). Diagnosis, treatment, and care for the sick, provision of health education, counseling to the patients, and disease prevention, are some of the performed services by healthcare professionals. System wide incentives are the measures that the government uses to improve and encourage quality provision of primary healthcare among the citizens. Such incentives may include both the financial and the non-financial incentives (Shi & Singh, 2012). Atlas (2011) points out that the financial incentives are the monetary assistance provided towards healthcare to the citizens while the non-financial incentives may include extensive training plans and the reduction of the amount of work each practitioner is able to perform. In order to encourage the delivery of high quality healthcare, both the citizens and the healthcare providers will need to be knowledgeable of the incentive systems. Such efforts will ensure that each healthcare stakeholder utilizes the available incentive for their benefit (Shi & Singh, 2012). Additionally, healthcare providers will be accountable on how they use the incentives such as financial incentives provided by the government. Moreover, the usage of subsidies should be mandatory for every healthcare stakeholder (Atlas, 2011). For example, the training subsidy...
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...their unique needs, to reduce errors, and increase safety (IOM, 2010, 87). The IOM report states “Nurses have the opportunity to play a central role in transforming the healthcare system to create a more accessible, high-quality, and value-driven environment for patients” (IOM, 2010, 85). In order to work towards this goal, the IOM places a major emphasis on education, the importance of collaboration with physicians and other health professions, and the importance of leadership in nursing practice to make the changes to allow for improvements. This paper will address the IOM’s impact on nursing education, the impact on nursing practice, and the impact on the nurse’s role as leaders to in order to transform the healthcare system. Nursing is a dynamic profession requiring lifelong learning to meet the needs of America’s complex health care system. To ensure safety and quality care, the IOM report places emphasis that the nurse is responsible to stay current on knowledge and practice in order to meet the ever-changing needs of patients. The report states that there is a dramatic shift in demographics, as we face an older and diverse American population with respects to race, ethnicity, culture, and socioeconomic factors (IOM, 2010, p. 86). With the growing nature of an aging and obese population, healthcare today focuses more on chronic conditions, such as diabetes, hypertension, and cardiovascular disease (IOM, 2010, p. 86 ). The IOM report emphasizes need for nurses to achieve...
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...York University Liberal Arts & Professional Studies Workplace Violence in Healthcare By: Alyssa Mohammad - 210477172 Colleen Duncan-Reid - 209503145 Fifame Sonou - 208122467 Manjot Singh - 210688679 Course: HRM 3470 - Recruitment, Selection, and Performance Appraisal of Personnel Instructor: Dr. Souha R. Ezzedeen Date of Submission: Thursday, November 25, 2010 An emerging health and safety issue in today’s organizations which has detrimental effects on employees as well as employers is workplace violence. This type of violence can be physical or verbal assault. Healthcare organizations recognize that there is a potential for four types of violence. The most common of these four types is client or patient. This occurs when the patient, a visitor or family of a patient is violent towards workers or another patient. Type two is criminal intent which occurs when the perpetrator has no relationship to the workplace. Type three is worker-to-worker. This often includes the perpetrator either employed or previously employed by the organization. Type four which is often not recognized by employers is personal relationship violence (PRV). This type raises the issue of domestic violence in the workplace. The perpetrator has a personal relationship with an employee or a client and is trying to intimidate/hurt the victim through the use of physical force, verbal harassment or manipulation (financial or emotional) in order to maintain control over the...
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...Professional Development of Nursing Professionals Grand Canyon University NRS-430V Professional Dynamics NRS-430V-O108 November 03, 2013 Professional Development of Nursing Professionals In 2010 the IOM produced a report addressing the challenges facing our healthcare system and outlining the vital role nursing must play in addressing those challenges (Institute of Medicine [IOM], 2010). As the needs of patients have become more complex the skills of nurses caring for them must change as well. Nurses must have the requisite skills to deliver high quality patient care and take a leadership role in negotiating the obstacles of our ever changing healthcare system. Adoption of the IOM’s recommendations for the role of nursing in healthcare would drive changes to nursing education, nursing practice and nursing’s role as a leader within the healthcare field. The IOM has identified as a need, the improvement of the education of nurses to better enable them to meet the increasingly complex needs of their patients as well as be actively involved in the reform of the healthcare system. In its report the IOM (2010) states, “Nursing education at all levels needs to provide a better understanding of and experience in care management, quality improvement methods, systems-level change management, and the reconceptualized...
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...would be elated and bursting with pride. The nursing profession since her time has emerged to become the most influential and impacting in the healthcare reform. With over 3 million members, the nursing profession has grown to be the largest portion of the health care workforce. ("The Future of Nursing," 2010). This is also the opinion of the Institute of Medicine that published a comprehensive report that would impact the nursing profession specifically in their nursing practice, education and a nurse’s role in leadership. The report that was submitted by the Committee of the Robert Wood Johnson Foundation whose initiative was to analyze and remodel the profession of nursing to meet the healthcare needs. After the two year long process the recommendations were presented to Institute of Medicine. The education of nurses was one focus where the foundation recommended that nurses should attain a higher level education and training. The emphasis on education is a result of the increasing demands on qualified nurses that are competent to deliver high quality care. Nurses with higher degrees are being called upon to fill technological roles while managing teams of health professionals. The educational entrance of professional nursing is designated at the baccalaureate degree according to the American Nursing Association.(Creasia & Friberg, 2010, p. 23) By encouraging a seamless transition from professional nurse to the masters, and doctorate of nursing practice the nurse can establish...
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...practice to the full extent of their education and training.” (The Future of Nursing, 2010) “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.” (The Future of Nursing, 2010) “Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States.” (The Future of Nursing, 2010) In 2008, the Robert Wood Johnson Foundation approached the Institute of Medicine (IOM) to propose a partnership between the two organizations to assess and respond to the need to transform the nursing profession. The report covers the theory that nurses will be able to fill the new and expanded roles of the healthcare system. By reviewing these key points presented the transformation of the nursing profession, nurses must have the education to enable them to provide patient centered care with the safest and most effective delivery. Additionally, they must engage with physicians and other health care professionals to deliver efficient and effective care and assume leadership roles in the restructure of the health care system. Impact of IOM Report on Nursing Education According to Thomas Sullivan’s report “nurses have the ability to act as partners with other health professionals and to lead the improvement and redesign of the healthcare” (Sullivan 2010). America will need to improve the education process, the nursing leadership, and how...
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