1HEALTHCARE LAW While socioeconomic determinants attached to the various health conditions are tallied in a very complex ways nowadays but the incidences of psychosocial disturbances leading to drinking of alcohol and smoking has been reported to have increased as well and not only the financial and the quality of life but also the various other factors like past trauma, repressed emotion, unhealthy food eating and sedentary lifestyle leads to the various forms of distortions in the affection with various types of systematic, metabolic, mental health, cardiovascular, renal and neurological diseases amongst the American in the modern decades (Obama 2016). Heart attack, hypertension, stroke that is cerebrovascular accidents and obesity in addition to metabolic disorders like diabetes mellitus type 2 are the various types of public health conditions that has affected the population of united states, in the modern times. With the change of the decades the United States federal laws has become better and more effective, in a sense they have evolved in order to comply with clinician’s best practice guidelines as well as to contribute to the patient centered care in any situation and health condition, in a very pertinent manner. The emergent health law in United States has impacted the quality and safety of patient centered care. ThePatient Protection and Affordable Care Act 2010 act refers to the most emergent trends relating of more expansion of health care and health finance services in context with health insurance and delivery of a better framework and infrastructure of better and more efficient collaborative health care services (Philbin et al., 2018). The bundled care at an low economic cost and better multidisciplinary service delivery system which formed the major facets and the most appraised aspects of the health care delivery service in the recent years – was the impact of this health law introduced in order to have better patient centered outcomes and more financial support to both the patients and the employees that is the health staffs working in the health care organization of united States (Vaccarella & Davies, 2019). It impacted not only the life of the patients but the professional lives of the nurses and also their
2HEALTHCARE LAW quality of nursing service delivery in a great impactful manner. The emerging law bought by the federal system is still in practice and is still continuing to reform the health care system of United States in a great manner (Philbin et al., 2018). This act has made or rather rendered a very demanding nursing practice as with the compliance with evidence based practice guidelines and better collaboration with other health care professionals from different other disciplines, in order to deliver a better patient centered care and a quality nursing care, thus bettering the whole of patient recovery experience to a great degree (Hullender et al., 2019). The pay for performance is the important strategy that not only improves health care staff performance to a huge extent but also adds to intrinsic motivation plus extrinsic motivation in the health care staffs so that they complies better with the evidence based practice guidelines (Martos et al., 2017), thus elevating the quality of care. The expectations from the nursing professionals is that they apply themselves well in the clinical practice scenario by adhering to the proper standardized hand hygiene and medication administration guidelines as well as the documentation and patient handover guidelines in order to add to the quality of care and also increaee the level of patient satisfaction (Mulligan & Castañeda, 2017) The extra pay and the incentives, bought into operation, by the new federal policies and health care laws has shown a drastic improvement in the quality of skilled nursing practice, in united states (Cloutier et al., 2016). As nursing is very integral part of the care and the most coherent part of the health care service in both health care institutions and organizations as well as in the community care settings. As there are various errors such as non-compliance with hand hygiene, non- adherencetoevidencebasedpracticestandardsandthehugeproblempertainingto medication administration error – the United States health care law or the federal regulation is to be bettered and the united states health care law framework has done it in many ways starting from policy making to the implementation and execution of the health care law
3HEALTHCARE LAW implementation to the increasing effort to bring about more adherence of the practicing (Vaccarella & Davies 2019) and the enrolled nurses in united Standards, with the evidence based practice standards but as the scientific researches suggests, there are still gaps that are needed to be bridged and more qualified parameters are to be bought into united states health care practice, so that the patient centered care is bettered in each and every case. Nursing leadership and management role is very important to address the quality of evidence based practice guidelines as a nursing leader ensures proper policy and evidence based practice guidelines compliance by the nurses in the team as well that of the peers. The leadership roles in responsibility, ownership and risk taking as well as supervision and auditing of the nursing procedures in a more meticulous manner and this overall improve not only the quality of nursing practice but also improves the meaning and extend of patient safety in a united states law mediated patient centered practice framework (Manchikanti et al.,2017). Health information technology is a current emergence trend in the united states and global health framework and this has not only started to change the way how patient data is stored but also improved drastically the way of getting access into the insight of the case that is to be treated clinically. In the future, that is in the next five years, the nursing roles and practice will be targeting at a more informed service, not only in the trauma care departments but also in the other health care departments and this is where, more staff training and nursing educationwillberequiredtodeliveramoreknowledgeinformedandtechnology empowered, safe, patient centered care nursing practice. Hence, it can be concluded saying that in United States, the health care laws which have been bought into practice in the modern era, are important and it is very important to understand that the range of diseases has expanded and increased, given the scientific researchesandadvancementinbiomedicaltechnologiesattributingtobetterformsof assessments and diagnoses possible.
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