#1: The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the topic material “Nursing and Health Reform.” Discuss how these two provisions have impacted, or will impact, your current practice of nursing. #2: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. How is this advantageous to patient outcomes?

#1: Impact of the Patient Protection and Affordable Care Act (PPACA) on Nursing Practice

The Patient Protection and Affordable Care Act (PPACA), also known as the Affordable Care Act (ACA) or “Obamacare,” is a comprehensive healthcare reform law passed in 2010. This legislation has had a significant impact on the field of nursing, as it includes several key provisions aimed at improving healthcare access, quality, and affordability. In this discussion, two key nursing provisions outlined in the topic material “Nursing and Health Reform” will be examined, along with their impact on the current practice of nursing.

One of the key nursing provisions of the PPACA is the expansion of Medicaid eligibility. The ACA expanded Medicaid to cover millions of low-income adults who were previously ineligible for this government insurance program. This expansion has provided access to healthcare services to a significant number of individuals who were previously uninsured or had limited access to care. As a result, nurses are increasingly providing care to a larger population, including those who may have had limited access to preventive care and chronic disease management before the implementation of the ACA.

The impact of Medicaid expansion on nursing practice is multifaceted. Firstly, nurses are now more likely to encounter patients who have complex health conditions that were previously unmanaged due to lack of access to primary care services. With Medicaid coverage, patients can now seek regular medical care, leading to earlier diagnosis and intervention for acute and chronic conditions. Nurses are often at the forefront of providing primary care services and health education, and the increased number of patients with Medicaid coverage has expanded their role in delivering preventive care and chronic disease management.

Secondly, the expansion of Medicaid has also increased the demand for nursing services in communities with previously underserved populations. Nurses are crucial in the delivery of care to Medicaid beneficiaries, providing services such as health assessments, care coordination, and patient education. The increased demand for nursing services has led to job growth in various healthcare settings, including community health clinics, primary care practices, and hospitals. However, it is important to note that the increased demand for nursing services also poses challenges, such as nurse shortage and workload issues, which need to be addressed to ensure optimal patient outcomes.

Another significant provision of the ACA that has impacted nursing practice is the emphasis on preventive care and wellness promotion. The law requires insurance plans to cover certain preventive services without cost-sharing, such as vaccinations, screenings, and counseling for various health conditions. This provision has led to an increased role for nurses in delivering preventive care services, including health screenings, immunizations, and health promotion activities.

The impact of this provision on nursing practice is evident in the changing focus of healthcare delivery. Nurses are increasingly involved in population health management and disease prevention efforts at the community level. They collaborate with other healthcare professionals to develop and implement health promotion programs, engage in community outreach, and provide education on healthy lifestyles and disease prevention strategies. This shift towards preventive care has the potential to reduce healthcare costs in the long term by avoiding the need for expensive treatments for preventable conditions, and nurses play a vital role in its implementation.

In conclusion, the Patient Protection and Affordable Care Act has had a significant impact on nursing practice through key provisions such as Medicaid expansion and the emphasis on preventive care and wellness promotion. These provisions have expanded access to care for previously uninsured or underserved populations, increased the demand for nursing services, and shifted the focus of healthcare towards prevention. Nurses now have an enhanced role in providing primary care services, chronic disease management, health promotion, and population health management. While these changes bring opportunities for improving patient outcomes, they also pose challenges that need to be addressed to ensure optimal nursing practice and patient care.