1. Daniel Berman DBA/HCA,MSN, RN, FACHE
Incorporating Healthcare Reform Trends into Clinical Provider Business Development
Daniel Berman DBA/HCA,MSN, RN, FACHE

2. Trends that should be addressed
The management equation for Healthcare
Increased Access to Care, Decreased Reimbursement and Higher Quality of Care
Acute Care Facilities are experiencing higher acuity
The shift from patient care to managing populations of care
The shift from inpatient acute care to outpatient care

3. Trends Shift to Disease Management Programs
The ACA has mandated Nurse Run Clinics with ARNP
The ACA has mandated at Federally Qualified Primary Health Centers have a specific ratio of ARNP to Patients
Community Based Prevention

4. Trends Care Models will be based on Wal Mart Approach to Retail
Utilization of Acute Care Down 50%
50% Less Inpatient Beds
Development of Community based Care networks with Hospitals
Care and payment for Care based on disease management and also disease financing

5. Trends
Financing of Care that is Community based with be based on prevention and keeping patients out of hospitals
Because of the cost of care nurse practitioners will be plentiful and opportunities for nurse run clinics
Need for creativity in technology and also service delivery

6. Opportunities for Nurse Business Services
Nurses who can provide consultation and direction to hospitals on cost and quality
Hospitals will be decreasing their education and staff development programs because of cost and will be looking for contractors to provide education(More cost effective because of not having salaried educators)

7. Opportunities for Nurse Business
Because of the need for Electronic Medical Records in Community Health and Practitioner Office opportunities for consultation
Case Management Nurse Consultants needed to help hospitals and community health agencies provide case management across the continuum

8. Opportunities for Nurse Business
Nurse developing programs in the integration of mental health and physical health
Nurses working for hospitals and insurers in developing networks of care for systems wanting to develop the accountable care organizations
Nurse run programs in Alternative Health

9. Opportunities for Nurse Business
Nurse run Businesses that provide consultation and direction for quality improvement in hospitals and healthcare
Nurses contracting with Insurers and employers to provide health coaching for specific employees with chronic conditions

10. Summary
This is a brief presentation that outlines some of the Affordable Care Act Trends and business opportunities. This is not exhaustive
There will be a presentation with more depth at the National Nurses in Business Conference in October 2013 in Orlando