Health Policy

 
Health Policy
            Advocating for the removal of scope of practice restrictions and barriers is an important recommendation that would help to improve the nursing profession for the nurses and the patients as well. As a DNP, the removal for the scope of professional practice barrier will help in expanding the degree of education and training (Redman, Pressler, Furspan, & Potempa, 2015). The IOM report pushed for the congress to offer an expansion for the Medicare program to include an expanded coverage of the APN services. My efforts to advocate for the removal of the barriers would allow the nurses the capacity to conduct comprehensive admission assessments. It would also provide the proper certification of the nurses to provide health care services and ensuring potential admission of patients into the skilled nursing facilities.
             Some of the actions that will be undertaken to push for the overall implementation of the recommendation includes the congress extending the Medicaid reimbursement rates for all the primary care physicians who are part of ACA and APNs offering respective primary care services (Pittman, et al., 2015). Other advocacy efforts will include pushing for the limit the overall federal funding to the nursing education courses to only programs in states, which have accepted and implemented the Nursing Practice Act. The state legislatures should reform the scope of practice guidelines and rules to align within the Nursing Practice Act.  
            It is also critical for the advocacy effort to ensure that all third party payers should be required to take part in fee for service payments to offer reimbursement to the APNs who are practicing within their scope of professional practice. Other critical actions would be to review the inherent and proposed state regulations relating to APNs to improve health and safety of all patients (Pittman, et al., 2015). As a result, it is essential to push for the implementation of the advocacy recommendation to remove all the scope of practice barriers to improve quality and safety of nursing care services offered to the patients.





















References
Pittman, P., Bass, E., Hargraves, J., Herrera, C., & Thompson, P. (2015). The future of nursing: monitoring the progress of recommended change in hospitals, nurse-led clinics, and home health and hospice agencies. Journal of Nursing Administration, 45(2), 93-99.
Redman, R. W., Pressler, S. J., Furspan, P., & Potempa, K. (2015). Nurses in the United States with a practice doctorate: Implications for leading in the current context of health care. Nursing outlook, 63(2), 124-129.


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