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The Future of Nursing: Leading Change, Advancing Health
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