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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National Forum to Focus on Role of Nursing in Community, Public Health, Primary Care, and Long-Term Care Settings


Below is a press release we received for an important and timely December 3rd event on the future of nursing, including links to attend the forum by live Webcast or to follow it on Twitter.

Initiative Exploring the Future of Nursing Convenes National Forum in Philadelphia

The Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine (www.iom.edu/nursing) will hold the second of three national forums on December 3 in Philadelphia. Participants including committee chair Donna Shalala discuss how to improve the delivery of medical treatment for Americans in Community Health, Public Health, Primary Care, and Long-Term Care settings across the country. This forum will look at opportunities in which nurses – who are key front-line providers of care – can play a role in ensuring patients in all settings receive the best possible care.

**A live webcast of the meeting will be available via www.thefutureofnursing.org**

**Follow the forum live on Twitter at http://twitter.com/FutureofNursing**

[…]

2016-11-21T13:20:47-05:00December 2nd, 2009|career, nursing perspective, nursing research|0 Comments
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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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H1N1 Flu Vaccine: Remembering Why I Became a Nurse

By Shawn Kennedy, editorial director

Last week, I got away from my desk, computer, and stacks of paper and (briefly) became a “real nurse” again. As a member of my county’s Medical Reserve Corps, I volunteered to help administer H1N1 flu vaccine at a local school. Our vaccinees were children over two years and young adults up to 24. We were distributing FluMist, a live attenuated vaccine administered intranasally (see the article on FluMist in the October AJN).  The applicator looks like just like a syringe, but without a needle.

I was impressed with how organized the process was. Employees of the health department were there controlling traffic, fetching supplies, inputting data, interviewing new arrivals and helping them complete forms. A physician was on hand to screen individuals if there were any questions about whether someone should receive the vaccine.

I was one of 20 RNs, most of whom worked as county public health nurses. We had a brief reminder of the vaccine administration procedure (we had received instructions and a link to a video demonstration about administering the vaccine the prior week), and then were sent to our stations at tables in the large gymnasium. There was a light-hearted and almost casual atmosphere—the key to it, I think, was that there were no needles involved. Such looks of relief when I took the rubber tip off the applicator!

I had just one solitary young man come to my table. He looked embarrassed and a little nervous, judging from his leg twitching up and […]

2016-11-21T13:20:50-05:00November 30th, 2009|career|0 Comments
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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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