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Family Nurse Practitioners and the Affordable Care Act

FAMILY NURSE PRACTITIONERS AND THE AFFORDABLE CARE ACT The Affordable Care Act was enacted in March 2010. Since then, community health centers in the U.S. are serving 3 million additional patients. An additional 1.3 million patients are expected to be added through 2013. AFFORDABLE CARE ACT FUNDING AND STATISTICS IN 2011 the Affordable Care Act helped support and create 67 127 300,000 to serve an additional patients new community health centers new health center access points The country's 1,100 community health centers provide an array of preventative and primary health care services regardless of the patient's ability to pay, with about half serving rural communities." Approximately 50 recommendations from the U.S. Preventive Service Task Force (USPSTF) are included in the Affordable Care Act's preventative care benefits.13 Of the 20 million patients served in 2011: almost 40% had no health insurance almost two-thirds a third bers of racial or were children were me ethnic minorities The Affordable Care Act allocates $11 billion to be invested in community health centers to provide operational support, improve and expand care, and allow the centers to serve patients at more locations.' CAPITAL DEVELOPMENT FUNDING Top 5 State Allocations Money is to be used to support major construction and renovation projects of community health centers nationwide. California $413,146,828 Massachusetts $188,091,171 Texas $168,891,224 New York $148,157,026 Illinois $134,798,795 IN 2011 community health centers employed more than: 131,000 people nationwide 15% increase in staff since 2009 = 1,000 An additional 245 new community health care sites in 2012 and 2013 are expected to add another 6,000 jobs, many in underserved and low income communities.' There are more nurses in the U.S. than any other type of health care provider.? Since 2009, community health centers have added approximately: The Affordable Care Act's Prevention and Public Health Fund will support the training of: 3,000 nursing positions 600 new nurse practitioners and nurse midwives by 2015.? 800 in advanced practice a 20% percent increase.? PRIMARY PROGRAMS Nurses will support preventative and primary health care through the Affordable Care Act through these initiatives/programs:? Community health centers School-based health centers Interprofessional education and collaborative practice 20 million served at 8,500 sites The Affordable Care Act will provide $200 million in funding between 2010 and 2013 to help these centers provide overall health and wellness of children through health screenings, health education and promotion and disease prevention 16,000 nurses 4,300 advance practice nurses work at these health centers Graduate nurse education demonstration Home visiting The Affordable Care Act will provide Up to $200 million over four years will be given to $1.5 billion over five years five eligible hospitals to provide clinical training e to advanced practice registered nurses to allow nurses, social workers and other professionals to visit pregnant women and young children to improve health outcomes UNDERSERVED AREAS 10 Most Medically Underserved Areas in 20103 46 MT 45 ND 48 SD 42 WY 44 MO 43 49 NM 50 MS rank state COMMUNITY & SCHOOL-BASED HEALTH CENTERS $95 million The Affordable Care Act designated was awarded to $200 million 278 school-based health centers There are close to 2,000 school-based health centers to support capital grants to improve and expand centers School-based health centers serve approximately 790,000 children in July 2011 to serve an additional services for these ce between 2010 and 2013 440,000 children nationwide NURSING WORKFORCE Between 2008 and 2010, there were 2.8 million registered nurses.5 50% 13.2% of RNs have a bachelor's of RNs have a master's degree or higher." or doctoral degree." The following statistics are for Nurse Practitioners for May 2012 from the U.S. Bureau of Labor & Statistics:12 105,780 nurse practitioners $43.97 mean hourly wage $91,450 mean annual wage The top 5 industries for nurse practitioners are:12 Home health Physician offices care services Outpatient la General medical & care centers surgical hospitals Colleges, universities & professional schools NATIONAL HEALTH SERVICE CORPS (NHSC) More than 10.4 million people currently receive health care from NHSC clinicians Long-term retention (10 years after service completion) increased from Short-term retention (up to one-year after service completion) increased from? 52% 2000 55% 64% 82% 2012 2000 2012 Long-term retention is higher in rural communities versus urban communities." Because of the Affordable Care Act, the number of available NHSC providers has nearly tripled, growing from 3,600 in 2008 to almost 10,000 in 2012. For 40 years, the National Health Service Corps (NHSC) has supported primary care providers, including family nurse practitioners, through scholarships and loans repayment programs. To repay their debts, health care professionals work in underserved communities.? The Affordable Care Act will invest $1.5 billion over 5 years to grow NHSC. This investment is in addition to $300 million provided by the Recovery Act. With these investments, the NHSC tripled the size of its corps between 2009 and 2011.2 BETWEEN the increase in the nursing education loan repayment 2009 & 2012 program has more than doubled. A- 100 1,199 2,209 Number of registered nurses and advanced practice nurses that provided care to underserved patients including veterans, children, and the homeless. 2 NURSE MANAGED HEALTH CLINICS (NMHC) There are currently 200 NMHCS operating in 37 states with an estimated 2 million patient encounters each year.8 Funding purpose: Approximately 60% of patients seen at NMHC are • Improve access to comprehensive health care • Provide services to medically underserved and vulnerable population 60% uninsured or are on Medicaid. • Serve as clinical training sites for students • Establish and enhance electronic processes for establishing patient and workforce data collection systems. The NMHC program will provide $15 million in funding between 2010 and 2013 to support the development and operation of existing and established NMHCS managed by advanced practice nurses. Sources bttp:// community_health center_report.pdf http://nhsc.hrsagov/currentmembers/membersites/ retainproviders/retentionbrief pdf http://www.thefutureofnursing org/sites/default/files/ Research20Brief-N20Nurse20Managed2O1lealth20Centers pdf pdf 10 nunsingworkforce/mursingworkforcebrief pdf 11: htp:// urves_report_0.pdf batp://www.hrsa gov/ourstories/schoolhealthoenters/ batp://bhpchrsagov/healthworkforce/reports/ mursingworkforce/mursingworkforcebrief pdf barp:// nhscoverviewhtml 12 htep:// aspx 13: Created by: Created for: SIMMONS shol of Nursing and Health Sciences [email protected]

Family Nurse Practitioners and the Affordable Care Act

shared by SimmonsNursing on Oct 21
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Family Nurse Practitioners are poised to contribute the the growing shortage of primary care professionals with support from the Affordable Care Act.


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