Policy and politics for nurses and other health professionals : advocacy and action

Cover
Title Page
Copyright
Brief Contents
Contents
Acknowledgments
Preface
Contributors
SECTION 1 Introduction
	Chapter 1 Nursing’s History of Advocacy and Action
		Nurses as Advocates
		Advocacy and Public Health Nursing
		History and Political Advocacy
		Nursing Strong
		Conclusion
	Chapter 2 Policy and Politics Explained
		Introduction
		Policy Defined: A Framework for Government Action
		The Policy-Making Process
		What Is at Stake for Nurses and Other Health Professionals?
	Chapter 3 A Policy Toolkit for Healthcare Providers and Activists
		Introduction
		Stakeholder Power
		Expertise
		Conclusion
		Toolkit Case Studies
SECTION 2 Population Health
	Chapter 4 Population Health Care: Access, Cost, and Quality
		Lessons from Nursing History on Vulnerability, Disparities, and Political Advocacy
		The Face of Vulnerability Today
		Vulnerability and Disparities from a Population-Based Perspective
		Political Advocacy toward Health Equity
		Conclusion
	Chapter 5 Global Health: A Vision for Action
		The Politics of Global Health in the United States of America
		Conclusion
	Chapter 6 Mental and Behavioral Health
		Introduction to Mental and Behavioral Health
		Federal Government and Presidential Efforts to Improve the Nation’s Mental Health
		State-Related Mental Health Policies
		City and Community-Directed Mental Health Care Efforts
		Policies Encouraging Consumer-Directed Mental Health and Behavioral Health Services (The Recovery Movement)
		Challenges in the Provision of Mental Health and Behavioral Health Services
		Groups Requiring Additional Political Protection
		Lower Socioeconomic Status–Related Mental Health Policies
		Veterans’ Use of Mental Health Services and Policy Issues
		Policy Innovations to Improve Mental Healthcare Outcomes
		Ongoing Challenges: A Look to the Future of Policy Making in Mental Health and Behavioral Health
		Summary
SECTION 3 Affordable Care Act: From Enactment to Sustainability
	Chapter 7 Affordable Care Act (ACA) Reframed and Uncertain
		Health Reform in the United States: Recent and Past History
		Overview of the Patient Protection and Affordable Care Act
		Financing Health Reform
		Quality Improvement and Prevention Initiatives
		Constitutionality
		States and Health Reform
		Key Issues Going Forward
		Conclusion
	Chapter 8 Healthcare Quality
		Quality Care and Public Policy
		Human Error
		Patient-Centered Care
		Error Measurement Tools
		Agency for Healthcare Research and Quality
		Patient Safety Indicators
		National Database of Nursing Quality Indicators
		National Error-Reduction Efforts
		Public Quality Reporting Systems
		Centers for Medicare & Medicaid Services
		Conclusion
SECTION 4 Health Financing: Payers, Markets, and Models
	Chapter 9 Healthcare Costs: Follow the Money
		Health Care Is Different
		Resource Allocation and Market Role
		Cost—The Main Problem
		Health Policy—ACA and Beyond
		Conclusion
	Chapter 10 Private Health Insurance Market
		History of U.S. Health Insurance Reform
		Health Insurance Plans
		Employer-Sponsored Health Insurance
		Health Insurance Exchange Marketplace
		Laws and Regulations Impacting the Provision of Health Insurance
		The Health Reform Changes Impacting Private Insurers
		ACA and Its Impact on Employers
		Private Insurance Industry Response to ACA
		Health Insurance Legislative Changes on the Horizon
		Opportunities for Nursing
		Quality Patient Care and Care Coordination Strategies
		Conclusion
	Chapter 11 Medicare: Protector to Innovator
		Introduction
		Evolution of the Passage of Medicare: Timeline and Milestones
		Current Medicare Structure
		Overview of Medicare Spending
		How We Pay for Medicare
		Medicare Quality Improvement Organizations
		The Future Outlook: The Way Forward
		Conclusion
	Chapter 12 Medicaid and the Financing of Care for Vulnerable Populations: A Story of Misconceptions
		Introduction
		Health Outcomes in the United States in Relation to 10 Developed Nations
		Populations Served by Original Medicaid
		Original Medicaid Is Different Program in 50 States and Washington, DC
		Traditional Medicaid Costs and Variation by State
		ACA Medicaid
		Who Is Left Out
		Health Insurance and the Health of Vulnerable People
	Chapter 13 Innovation for the Delivery System of the Future: Medical Homes, Accountable Care Organizations, and Bundled Payment Initiatives
		Introduction
		The Innovation Center: Promoting Care Delivery Models for the Future
		Rationale for New Models
		The Four Major Healthcare Service Delivery Models
		Conclusion
SECTION 5 Health Care and Provider and Care Delivery
	Chapter 14 Hospitals: Consolidation and Compression
		Hospitals’ Role within the Delivery System
		Hospitals in a Historic Context
		Baseline Information
		Challenges Facing the Community Hospitals
		Hospital Strategies in a Competitive Market
		The ACA and The Rationalization of Hospital Care
		Healthcare Policy, Health Reform, and the Role of Hospitals
	Chapter 15 Enhanced Primary Care Roles for Nurses and Other Professionals
		Why Primary Care? The Case for Change
		Overtreatment, Overuse, Waste, and Healthcare Harm
		Support for Value-Based Care as a Bipartisan Approach
		How Payment Reform Shapes Needs and Opportunities in Primary Care
		What Skills Do Nurses Need in These Advanced Primary Care Settings?
		Nursing Education
		Mental Health
		Dental Care
		Conclusion
	Chapter 16 Physicians: It Is Increasingly about the Team
		Medical Professionalism
		Physician Supply: Who Are the Doctors?
		How Are Physicians Practices Organized and Reimbursed?
		Physician Accountability
		Medical Errors, Physician Practice, and the Barriers to Quality Care
		Overcoming the Barriers to Quality Care
		Conclusion: Choices and Interests
	Chapter 17 Health Information Technology and the Intersection of Health Policy
		Introduction
		Federal Origin and Influence in Development of HIT
		Nursing and Health Information Technology
		Nursing Terminology and the Data of Nursing Care
		A National Action Plan: The Macro Perspective on HIT
		Nursing and the Electronic Health Record: The Micro Perspective on HIT
		Health IT: The Intersection of Data Security and Health Policy
		Conclusion
	Chapter 18 Political Power of Nurses: Harnessing Our Values and Voices
		Origins of the Nursing Profession
		Nursing Definitions: Past and Present
		Nurses and Policy
		The Nursing Workforce
		Transforming the Care Delivery System
		Pathways to Nursing as a Career Choice
		Specialization and the Evolution of Nursing Roles
		Current State of the Profession
		Enhanced Nurse Licensure Compact
		21st-Century Nursing: Evolving Roles for Nurses
		Policy as a Tool to Influence Nursing Professionalism and Nursing
		Conclusion
		Legislative Resources
		Federal Agency Sites
		Other Related Sites
Index