Transcript My Title Here - University of Illinois at Chicago

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 2006
18,000 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
Pyramid of Priorities for Reforming
Health Care Costs
Intensive
Care
Tertiary
Care
Acute Care
Preventive
Care
Secondary
Care
Primary Care
Current Priorities
Recommended Priorities
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 110th Congress
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