29 Jan There is general agreement

NR711 Fiscal Analysis and Project Management

Week 4 Discussion

DQ1 Reimbursement Issues for the DNP-Prepared Nurse

There is general agreement that healthcare consumption in the United States is on an unsustainable trajectory—currently consuming roughly 19% of Gross Domestic Product (GDP). At the same time, a significant portion of the population is unable to access basic healthcare services. Through the implementation of the Affordable Care Act (ACA), the traditional model of fee for service is being replaced by value-based models intended to reduce costs while providing more accessible services to a greater segment of the population. As a DNP nursing leader, what changes do you anticipate within the next 5 years to your own practice as a result of these changes? What will you do to address or implement these changes?

DQ2 Value-Based Reimbursement

With the Affordable Care Act, the reimbursement model is shifting to provide incentives for innovating value-based programs, such as Medicare Shared Savings and Bundled Payment programs. These programs are designed to impact efficiency as well as outcomes. One of the 2010 IOM (The Future of Nursing: Leading Change, Advancing Health) recommendations that addresses improving efficiency and outcomes relates to nurses practicing at the full extent of their education and training. As a DNP-prepared nursing leader, analyze how you will work within your organization and/or state to address current limitations on nursing practice and/or expand nursing practice to the full extent of the nurse’s education and training.