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Review of the Institute of Medicine (Iom) Report: "The Future of Nursing: Leading Change, Advancing Health"

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The Institute of Medicine (IOM) partnered with the Robert Wood Johnson Foundation (RWJF) in 2008, prior to the Affordable Care Act passing, stated a two year study on the nursing profession and changes needed to advance the future of nursing practice. The introduction of the report states the groups “established a 2-year Initiative on the Future of Nursing. The cornerstone of the initiative is this committee, which was tasked with producing a report containing recommendations for an action-oriented blueprint for the future of nursing, including changes in public and institutional policies at the national, state, and local levels” (IOM, 2011). This report also determined that nurses should continue to strive for higher levels of education and advanced training using an improved education system that promotes seamless academic progression unlike the stair-step type systems currently in place that do not facilitate education advancement. So when Congress passed the the Affordable Care Act March of 2010, which is the biggest reformation of the healthcare system since the Medicare and Medicaid programs were first created in 1965, created even more of a need for more nurses in advanced clinical roles. According to Medicaid.gov, “The Affordable Care Act is actually two separate pieces of legislation; the Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152). Together these 2 legislative acts expand Medicaid coverage to millions of low-income Americans and makes numerous improvements to both Medicaid and the Children's Health Insurance Program”(CMS, 2016). The stated goal of this legislation was to transform the current healthcare situation into a patient-centered, easily accessible, and affordable system; in order for this to happen the role of nurses has to change and evolve. For this to...

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