A New Professional Expectation Nurse Participation in Health Policy: The End Stage Renal Disease (ESRD) Program Case Study Kathryn Taylor, RN December.

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Presentation transcript:

A New Professional Expectation Nurse Participation in Health Policy: The End Stage Renal Disease (ESRD) Program Case Study Kathryn Taylor, RN December 5, 2011 Academic Advisor: Andrea Ruff Capstone Advisor: Christine Goeschel

Outline Why this topic matters Background Nurse Participation Recommendations

Why this topic matters constructionfun.wordpress.com

The ESRD Case-Study A unique policy situation Social Security Amendments of 1972 A unique clinical situation

Outpatient dialysis reimbursement changes Mandated by the Medicare Improvements for Patients and Providers Act (MIPPA) Implemented by the Centers for Medicare and Medicaid Services (CMS)

Outpatient dialysis reimbursement changes From two separate prospective payment and fee-for-service systems Composite rate Separately billable medications (overused?) To one prospective payment system Case mix-adjusted and outlier policy Pay-for-performance

Nurse Participation Kathleen Smith

Nurse Participation Kathleen Smith Nancy Sharp medschoolwatercooler.blogspot.com

Nurse Participation Kathleen Smith Nancy Sharp Bonnie Greenspan

Nurse Participation Kathleen Smith Nancy Sharp Bonnie Greenspan Glenda Payne

Frontline Nurses dialysisnursingjobs.wordpress.com

Recommendations nursingjobs.org

Questions?