Advanced Practice Nursing Consensus Work Group, 327

Advanced practice registered nurses (APRNs)

(see also Certified registered nurse anesthetists;

Certified nurse midwives;

Clinical nurse specialists;

Consensus model for APRN regulation;

Nurse practitioners)

ACA and, 22-23

and access to care, 27-28, 98, 107, 108-109, 249, 463, 490

accountable care organizations, 132

case studies, 107, 108-109

certification, 98, 328

chronic disease management, 86, 121, 124, 332, 418-420, 452

competencies, 97, 197

costs of education, 168, 169

earnings, 43

economic value of, 486

education and training, 41-42, 43, 44, 98, 124, 144, 164, 168, 169, 194, 195, 196-197, 203, 328, 445-446, 470-471

funding for, 124, 470-471

growing use of, 98

hospital privileges and medical staff membership, 473

insurance company policies, 9, 10, 71, 117

interprofessional collaboration, 98, 131, 203, 226-227

licensure, 100, 101-103, 327-328

opposition to independent practice, 107-108, 457-460

patient satisfaction, 114

practice transformation, 10, 97, 98-103, 106, 108-109, 112, 142, 144, 145, 248

primary care, 10, 22-23, 55, 59, 88, 95, 132

production rates, 490

public awareness of, 112, 455

recommendations, 9-11

regulatory barriers, 5, 10, 59, 96, 97, 99, 102, 103, 108, 144, 248, 444, 446-451

reimbursement/payment policies, 9, 10, 71, 102-103, 104, 115, 446, 449, 471-472

residencies, 124

safety and quality of care, 92, 98-99, 111, 144, 490

scope of practice, 10, 23, 26, 43, 44, 55, 59, 70-71, 97-98, 101, 106, 112, 142, 248, 443, 473

specialties, 23, 26, 41-42, 88 n.2, 97-98, 327, 328, 329

visibility in surveys and coding, assessment, or benchmark schema, 469-470

workforce size, 23, 26, 327, 390

Affordable Care Act (ACA)

access to primary care, 22, 49, 54, 86, 88, 96, 108, 136, 257, 269

accountable care organizations, 131, 132, 148

Center for Medicare and Medicaid Innovation, 131

clinical training for APRNs, 124

community health centers, 131, 133

coordination of care, 65, 148

demonstration projects and pilot programs, 71, 239, 491

education funding, 491

faculty incentives, 187, 188

home visitation programs, 75

insurance coverage for uninsured Americans, 1-2, 21, 49, 257, 269, 272

medical/health homes, 131, 132, 148

National Center for Workforce Analysis, 9, 256, 262

National Health Care Workforce Commission, 9, 255, 256, 262, 265

NMHCs, 131, 136

nursing-related provisions, 22, 34

reimbursement rates for nurses, 10, 278

research priorities, 274

and scope-of-practice regulations, 29, 96, 106

structural changes in health care, 85, 86, 213

transitional care, 71, 148

workforce monitoring, 265

African Americans, 55, 56, 57, 68, 128, 129, 130, 138, 184, 199, 208, 228-229, 231, 232, 247, 429, 585, 631

Agency for Healthcare Research and Quality, 238, 239, 392, 394

Aging population, 48, 66



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