ANA Chart Compares Key Nursing Provisions in House and Senate Bills

By Judith Leavitt, MEd, RN, FAAN

There’s a tremendous amount of information available about the different congressional proposals on health reform. But it’s difficult to know how the proposed legislation might affect nurses and the profession. The American Nurses Association has just released an excellent chart offering side-by-side comparison of key provisions related to nursing in the two current bills, the House bill (H.R. 3962) and the Senate bill (H.R. 3590). These provisions include:

  • increased financial support for nursing recruitment and advanced education
  • increased funding for graduate education for nursing faculty
  • increased funding for education for students who will practice in underserved areas
  • establishment of a Public Health Workforce Corps
  • increased Medicare reimbursement rates for advanced practice nurses, including nurse–midwives
  • pilot programs to provide reimbursement under Medicare for nurse practitioners to create or lead “medical homes”
  • increased reimbursement to school-based health clinics under Medicaid

There’s much more to be gleaned here, and the chart format makes scanning for particular points of interest easy. Have a look!

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2016-11-21T13:20:44-05:00December 4th, 2009|career, health care policy, nursing perspective, students|1 Comment
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‘Who Do You Trust?’ asks ANA President Patton in White House Video

As the Senate debates health care reform legislation, lobbyists across the political spectrum are busy trying to make themselves heard both by legislators and the American public. In an attempt to blunt the impact of the numerous campaigns aimed at killing or gutting the legislation, the White House has released a video called “Who Do You Trust?”, in which Rebecca Patton, president of the American Nurses Association (ANA), appears with Joe Biden and Lori Heim, president of the American Academy of Family Physicians.

But questions do remain. Despite the obvious need for many of the insurance reforms proposed in the plan, the Democrats have yet to fully address the question of how this will be paid for by real changes in the delivery of care or real limits on the influence of pharmaceutical companies or medical device manufacturers.

How, for example, can cost controls ever occur in a system dominated by a fee-for-service model in which physicians’ income is often directly related to the numbers of tests and procedures they recommend, one in which they are rarely bound or directed by evidence-based guidelines or protocols? Would physicians’ organizations like the one represented in the White House video ever support a plan in which most physicians were, like most nurses, on salary? Why is that unthinkable?

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2016-11-21T13:20:49-05:00December 1st, 2009|health care policy, nursing perspective|1 Comment
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If You Think ‘Evidence-Based Practice’ Is Just Another Buzzword, Think Again

Do you ever wonder why nurses engage in practices that aren’t supported by evidence, while not implementing practices substantiated by a lot of evidence? In the past, nurses changed hospitalized patients’ IV dressings daily, even though no solid evidence supported this practice. When clinical trials finally explored how often to change IV dressings, results indicated that daily changes led to higher rates of phlebitis than did less frequent changes. In many hospital EDs across the country, children with asthma are treated with albuterol delivered with a nebulizer, even though substantial evidence shows that when albuterol is delivered with a metered-dose inhaler plus a spacer, children spend less time in the ED and have fewer adverse effects. Nurses even disrupt patients’ sleep, which is important for restorative healing, to document blood pressure and pulse rate because it’s hospital policy to take vital signs every two or four hours, even though no evidence supports that doing so improves the identification of potential complications.

That’s from the start of an article in the November issue of AJN, the first in a new series we are running to highlight the way’s evidence-based practice (EBP) changes what nurses do at the bedside—and saves lives. The authors point out that every day nurses perform dozens of actions and procedures without ever really asking whether the way they are doing them is the best way, or whether or not they are even helping patients by performing these actions.

While […]

2017-05-27T10:26:55-04:00November 24th, 2009|health care policy, nursing perspective, nursing research|0 Comments
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Mammography Screening: Change Isn’t Easy

Exactly what is the evidence supporting annual mammography screening and breast self-examination for women over the age of 40? Napoli pointed out that the available evidence from large international studies didn’t support the belief that early detection of breast cancer actually resulted in lower mortality rates and that the high number of false positive tests resulted in unnecessary anxiety and treatment. At the time, there was even some evidence that premenopausal women who are diagnosed with breast cancer through mammography may actually die earlier than women who are not screened.

2016-11-21T13:21:03-05:00November 17th, 2009|health care policy|1 Comment
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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