NURSING’S HEATH POLICY AGENDA ANA (2008) credit to Patrick Robinson, PhD, RN, ACRN Executive Assistant Dean University of Illinois at Chicago College of Nursing

Nursing’ s Heath Policy Agenda  A System in Crisis! Or rather a non-system in crisis.  What are the major issues? 2

Critical issues of the ANA policy agenda for health care reform  Access  Quality  Cost  Workforce 3

Access Health care is a basic human right and as such every citizen is entitled a basic package of health care services Access means care is...  Affordable (co-pays based on ability to pay)  Availability (hours, location, waiting times)  Should include special services for vulnerable populations, e.g. home visits  Acceptability  Culturally appropriate  Patient-centered

Quality Safe care  Integrated clinical systems  Error monitoring and prevention Effective care  Evidence based practice  Support for research Patient-centered care  Consumer responsibility for care  Input of community to be served  Collaboration for management of health  Public reporting of outcomes

Quality (cont.) Timely care  Sufficient staff and space to meet needs Efficient care  Appropriate care in the appropriate setting Equitable care  Available to all (elimination of health disparities)

Cost 50 million (17%) uninsured for part of ,000 people die of year because of lack of health insurance Health expenditures are $2 trillion (16% of GDP) U.S. companies may become noncompetitive internationally if their health care costs cannot be controlled

Tertiary Care Secondary Care Primary Care Preventive Care Acute Care Intensive Care Current Priorities Recommended Priorities Pyramid of Priorities for Reforming Health Care Costs

Single payer system  All citizens are insured by a single (highly regulated) organization  Employers and employees still contribute (this is not free-health care)  The payer is government regulated, but the providers (physicians, hospitals, NPs) are still private --- This is not socialized health care!  Huge potential for cost savings  Risk is shared

Workforce  Nursing Shortage  Staffing by acuity  Educational opportunities, mobility, and financial support

ANA Priorities for the 110 th Congress ANA Priorities for the 110 th Congress Click on the link above to visit web site