Assignment on Healthcare - Outline of Health Care Law

Running head: HEALTHCARE
Healthcare
Name of the Student
Name of the University
Author Note

HEALTHCARE1
1. Outline of health care law that has been introduced to restructure the US healthcare
delivery system
The affordable care act refers to a comprehensive healthcare reform law that has been
enacted in March 2010. It is a United States Federal status that has been enacted by the 111th
United States Congress and was signed into a law by the Former President of USA, Barack
Obama. From the first day of its victory in the election, Trump administration has been repelling
the affordable care act due to various reason according to the former prime minster of the nation
repealing the ACA would be highly dangerous this this change can highly affect the heath care
professions as well as the heath care service users. In the year 2017, May 4, The US house o
representative voted for passing the American Health Act and hence repeal most of the
Affordable Care act (Kopp, 2018). The American Health Act got passed by a narrow margin of 4
votes, and thus it can be understand the decision of implanting the American Heath Act Law in
the place of the Affordability Care Act is highly debatable.
After the implementation of the American healthcare Act, a good number of legislators are
being formulating laws for improving the status of the nurses in the healthcare industry of USA.
One of the mention worthy act includes the HR bill by David Joyce. The aim of the Title VIII
Nursing Workforce Reauthorization Act of 2019 is enhancing nursing education, practice as
well as retention in the USA healthcare industry (Kopp, 2018). Along with this, the mentioned
act aims to reauthorize the nursing workforce development programs on the basis of the Fiscal
year 2024 while aligning the same with the current trends in the professions. In order to meet its
objectives, the mentioned act offers a huge range of programs that can improve the delivery of
the nursing service along with the wellbeing of the nurses in America. In the year 2019, the
government had appropriated 221 million dollars for conducting programs for supporting

HEALTHCARE2
training and education of the nurses. As per Adams et al., (2018), the legislation would authorize
$78 million for advanced education for nurses, $18 million for workforce diversity grants, $44
million for nursing education and $91 million for repayment of loan and scholarship program
within the time range of 2020 to 2024. Considering the fact that for 5 decades the title VIII
programs has been meeting the growing healthcare demands by bolstering the nursing
recruitment, nursing education, and retention as well as faculty preparation (Schaeffer &
Haebler, 2019).
2. Discussion on the impact of quality measures and pay for performance on the
patient outcomes and nursing practice. Describe the expectations and
responsibilities of the nursing role in these situations.
Pay for performance refers to a value based payment that is comprised of payment models
which attach financial incentives or disincentive to the provider performance. When it comes to
quality measures, it can be defined as the tool that is used for easing the healthcare processes,
outcome a, perception of the patient as well as organizations structure they are associated with in
order to ensure high quality heath care service. In the hospital setting, on the basis of hospital
based patient utilization outcome, the impact of pay for performance programs are found to be
linked with initial hospital readmission improvement (Burstin, Leatherman & Goldmann, 2016).
It has been seen that the Medicare health care service users has faced significantly less
readmissions after implantation of the pay for performance program. When it comes to the
Quality measures tool, similar improvement in patient outcome has been received. Quick
recovery of the patients due to the enhancement of the quality of care has been evidenced,
When it comes to the impact of both the programs on nursing practice. According to
researchers, while the primary focus of the pay for performance are concentrated on the