Analysis of Healthcare Reform's Impact on Nursing Practice

This report examines the impact of healthcare reform, specifically the American Health Care Act of 2017, on nursing practice in the United States. It discusses how quality measures and pay-for-performance initiatives influence patient outcomes and affect nursing responsibilities, including the need for skilled professionals and effective leadership. The report also analyzes the roles of professional nursing leadership and management in promoting patient safety and quality care within diverse healthcare settings, highlighting the Director of Nursing's importance. Finally, it predicts how nursing practice and roles will evolve in the next five years, considering trends such as an aging population and technological advancements, and the need for adaptation within the healthcare system to address emerging diseases and patient needs. The report emphasizes the importance of continuous change and adaptation within the healthcare landscape.

Running head: HEALTHCARE
Reforming Healthcare Delivery System in USA
Name of the Student
Name of the University
Author Note

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Outline a current or emerging health care law or federal regulation
introduced to reform or restructure some aspect of the health care
delivery system. Describe the effect of this on nursing practice and
the nurse's role and responsibility.
After Donald Trump turned into becoming the President of the United States, it was
under his arrangement to achieve change or rebuild the aspect of giving human services of
healthcare to its residents. Thus, The American Health Care Act of 2017 was a bill which was
passed by the United States House of Representatives. The House's American Health Care Act is
the initial move toward satisfying a significant number of the social insurance guarantees
Republicans have made to the American individuals. The bill, compelled by rules in the Senate,
will rescind Obama care's expense expands, sponsorships, and Medicaid extension (Obama,
2017). It additionally incorporates another duty credit to assist individuals with buying wellbeing
inclusion all alone, auxiliary Medicaid changes, and the Patient and State Stability Fund to
balance out the individual protection market. The American Nurses Association joined a
developing number of supplier bunches including the American Medical Association, the
American Hospital Association and the American Academy of Family Physicians assaulting the
House bill for its absence of inclusion, money related subtleties and straightforwardness (McKee,
Greer & Stuckler, 2017). The ANA, which holds the right of representing around 3.6 million
registered medical caretakers, says Donald Trump, while supporting the American Health Care
Act, is breaking a guarantee to keep up inclusion for the individuals who have picked up medical
advantages under the Affordable Care Act, which was marked into law in 2010 by President
Barack Obama. Trump has additionally said there would be a change period for the individuals

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who bought inclusion on open trades to something better (Kelly, 2017). The nursing network in
America is not fulfilled in a more noteworthy degree with the progressions that are consolidated
into the social insurance framework by the ongoing government.
Discuss how quality measures and pay for performance affect
patient outcomes. Explain how these affect nursing practice and
describe the expectations and responsibilities of the nursing role in
these situations.
A moderately ongoing advancement in the previous decade of high-power strategy action
identified with human services in healthcare security and quality in the United States being on
the rise of pay-for-performance (P4P) activities (Abrahamson et al., 2015). To give safe
consideration, not to mention care of incredible quality, a minimum amount of staff is required to
really perform different consideration acts. Nonetheless, staff should likewise have the
imperative information to give care ably, and the hierarchical setting must give nursing faculty
essential instruments and assets to give care (counting bolster administrations), enable them to
practice judgment in the interest of patients with the help of their chiefs, and team up with
different specialists and experts. As of now, most P4P programs include "pay for announcing"
(Kondo et al. 2016). Frequently there is an open revealing segment labeled on to these activities
that is intended to upgrade buyer data and give added motivating forces to improve the parts of
care being followed. It is significant for the nursing experts alloted to convey the best
consideration to the patient be skilled in their aptitude and consistently guarantee the positive
wellbeing result for the patient. Pioneers in human services offices the nation over are rapidly
endeavoring to make sense of how to boost their repayments under P4P. It appears to be evident

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that guaranteeing that specific key assessments and medicines are performed and reported will
request that essential components of top notch nurture practice settings be available.
Discuss professional nursing leadership and management roles that
have arisen and how they are important in responding to emerging
trends and in the promotion of patient safety and quality care in
diverse health care settings.
Quality Nursing home consideration has been and keeps on being a significant territory
of worry for legislative organizations, nursing home holders, and administration groups. Long
haul care offices, especially nursing homes, are feeling expanding pressure by regularly changing
buyer inclinations, staffing deficiencies, money related requirements, and a recognition by the
overall population of value issues. During this season of extraordinary difficulties, coals of the
nursing home authority group are being called upon to guarantee quality consideration benefits
and oversee flow day by day operational needs, while driving endeavors to enable the association
to be practical later on (Spiers et al., 2016). A principal stage for authoritative change has been
the execution of value improvement/the board programs. One reason of these proactive, quality
authoritative activities is that initiative drives change. One basic player in the administration
group is the Director of Nursing (DON) (Boettcher, Hunter & McGonagle, 2019). This job has
kept on extending throughout the years to incorporate more prominent position, duty, and range
of control. This improvement has been to a great extent affected by changing requests of the
association and the generally powerful situation of administering the division with the biggest
staff, requiring contribution with both nursing and human services administrations the
executives’ capacities. Tragically, most nursing offices have not altered to any extraordinary

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degree their central operational practices to adjust the roles, duties, and readiness of the DON
with these new requests. The DON needs and desires to be permitted to have a compelling
influential position, being one of the main thrusts of the quality plan and giving guidance for an
association. This perception lines up with the point of view of DONs in the examination that are
keen on an increasingly vital position of authority. Culture change activities are a case of late
supplier driven endeavors to impact conveyance models inside the field.
Predict two ways in which the practice of nursing and nursing roles
will grow or transform within the next five years to respond to
upcoming trends or predicted issues in health care.
The American Health Care Act (AHCA) is an option in contrast to the Affordable Care
Act, first presented in the House of Representatives in March 2017, and in the long run passed by
the House, with changes, in May 2017. Sound arrangement of development of policy originates
from an establishment of exchange, bargain, and responsibility to a shared objective, which for
this situation, is improving wellbeing and social insurance. Second, debate and analysis are
unavoidable. No arrangement is impeccable that it would be grasped by all voting public
gatherings and ideological groups. The capacity to have a national talk is a foundation of our
popular government. Third, change is steady. No supportable future is acknowledged by keeping
the benchmark the equivalent (Wilson et al., 2016). Without alterations to open law and the
strategy contemplations important to order change, the social insurance framework would not
have the option to address the difficulties today or those of tomorrow. Requests on medicinal
services change because of different reasons, including the necessities of patients. Consistently,
new fixes and medications help oversee basic illnesses. Each such advancement influences the

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whole social insurance framework as much as it positively affects patients. As diseases become
progressively normal, our medicinal services framework must adjust to treat them. From
arrangement to patients and everything in the middle of, the human services industry is
continually advancing. Maturing populaces, mechanical headways and disease inclines all affect
where medicinal services are going.

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References
Abrahamson, K., Miech, E., Davila, H. W., Mueller, C., Cooke, V., & Arling, G. (2015). Pay-
for-performance policy and data-driven decision making within nursing homes: a
qualitative study. BMJ Qual Saf, 24(5), 311-317.
Boettcher, P. A., Hunter, R. B., & McGonagle, P. (2019). Using Lean Principles of Standard
Work to Improve Clinical Nursing Performance. Nursing Economics, 37(3), 152-163.
Kelly, A. S. (2017, July). Health Reform in the Trump Era: Will Politics Unmake Policy?. In The
Forum (Vol. 15, No. 2, pp. 345-362). De Gruyter.
Kondo, K. K., Damberg, C. L., Mendelson, A., Motu’apuaka, M., Freeman, M., O’Neil, M., ... &
Kansagara, D. (2016). Implementation processes and pay for performance in healthcare: a
systematic review. Journal of general internal medicine, 31(1), 61-69.
McKee, M., Greer, S. L., & Stuckler, D. (2017). What will Donald Trump's presidency mean for
health? A scorecard. The Lancet, 389(10070), 748-754.
Obama, B. H. (2017). Repealing the ACA without a replacement—the risks to American health
care. Obstetrical & Gynecological Survey, 72(5), 263-264.
Spiers, J. A., Lo, E., Hofmeyer, A., & Cummings, G. G. (2016). Nurse leaders’ perceptions of
influence of organizational restructuring on evidence-informed decision-making. Nursing
Leadership, 29(2), 64-81.
Wilson, L., Mendes, I. A. C., Klopper, H., Catrambone, C., Al‐Maaitah, R., Norton, M. E., &
Hill, M. (2016). ‘Global health’and ‘global nursing’: Proposed definitions from The
Global Advisory Panel on the Future of Nursing. Journal of Advanced Nursing, 72(7),
1529-1540.