scholarly journals The role of the nurse practitioner and childhood Obesity

2018 ◽  
Vol 15 (2) ◽  
pp. 27-33
Author(s):  
Joan Buckley ◽  
Judith Bennett-Murray
Keyword(s):  
Nurse Practitioner ◽  
Healthcare Delivery ◽  
The United States ◽  
Robert Wood Johnson Foundation ◽  
Institute Of Medicine ◽  
Long Term Effects ◽  
Healthcare Delivery System ◽  
Quality Healthcare ◽  
The Future ◽  
Future Of Nursing

To remove barriers that prevent nurses from leading, changing and advancing health care, the Robert Wood Johnson Foundation (RWJF), and the Institute of Medicine (IOM) launched an initiative in 2008 that would transform the nursing profession. In 2010, the appointed RWJF Committee on the Future of Nursing, made the recommendation at the IOM, that nurses practice to the full extent of their education and training; not for the purpose of saving money, but to be a part of the transformation of a seamless, quality healthcare delivery system that improves health outcomes (The future of nursing: the Institute of Medicine (IOM) issues report, 2010; Russell-Babin, Wurmser, 2016). The Centers for Disease Control (CDC) (2011 - 2014) reported that in the United States, more than one-third of adults and 17% of children between the ages of two and nineteen are obese (Ogden, Carroll, Kit, & Flegal, 2014). These epidemic numbers are of great concern worldwide when the long-term effects of diabetes, cardiovascular disease, hypertension, and cancer will have the potential to overwhelm healthcare systems (Bergman, Stefanovski, Buchanan, Sumner, Reynolds, Sebring, Xiang, & Watanabe, 2011). The Nurse Practitioner will transform healthcare and the effects of co-morbidities, such as obesity on the nation’s population (RussellBabin, Wurmser, 2016).

Bring School Nursing Out of the Shadows: Advocacy for the Future of Nursing 2030

2020 ◽  
Vol 35 (2) ◽  
pp. 85-88 ◽  
Author(s):  
Kathleen Johnson
Keyword(s):  
Healthcare System ◽  
American Association ◽  
School Nursing ◽  
Robert Wood Johnson Foundation ◽  
Institute Of Medicine ◽  
Recommendations For Action ◽  
The Future ◽  
Future Of Nursing ◽  
Town Halls

School nursing is part of America’s hidden healthcare system. Recently, the Institute of Medicine commissioned the Robert Wood Johnson Foundation and the AARP (formerly the American Association of Retired Persons) to review progress on its Future of Nursing 2010 study. Additionally, the AARP and the Future of Nursing Campaign for Action held town halls that focused on school nursing. This article is a summary of the testimony offered to the Future of Nursing and Campaign for Action leaders about the value that school nursing brings to the health of our nation and the recommendations for action.

scholarly journals Nursing Leadership in a Rapidly Aging Society: Implications of “The Future of Nursing” Report in Japan

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Harue Masaki ◽  
Hiroko Nagae ◽  
Megumi Teshima ◽  
Shigeko Izumi
Keyword(s):  
United States ◽  
Health Care ◽  
The United States ◽  
Nursing Leadership ◽  
Institute Of Medicine ◽  
Improve Health Care ◽  
Aging Society ◽  
The Future ◽  
Future Of Nursing ◽  
Improve Health

The recent US Institute of Medicine (IOM) report about the future of nursing highlights the areas where nurses can serve, contribute, and move forward to improve health care in the United States. Japanese nursing scholars examined the IOM report for its implications in the Japanese context and explored the future of nursing in Japan. The purpose of this paper is to provide support for the premise that the report’s recommendations could have implications for the future of nursing outside of the United States, especially in Japan. Particular areas and activities by nurses in Japan will be presented as examples of nurses taking leadership in designing care for the rapidly aging society of Japan.

How Research Will Adapt to HIPAA: A View from Within the Healthcare Delivery System

2002 ◽  
Vol 28 (4) ◽  
pp. 491-502
Author(s):  
Mary L. Durham
Keyword(s):  
Health Information ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
The United States ◽  
Personal Health Information ◽  
Personal Health ◽  
Business Associations ◽  
Electronic Information ◽  
Healthcare Delivery System ◽  
Institutional Review

While the new Health Insurance Privacy and Accountability Act (HIPAA) research rules governing privacy, confidentiality and personal health information will challenge the research and medical communities, history teaches us that the difficulty of this challenge pales in comparison to the potential harms that such regulations are designed to avoid. Although revised following broad commentary from researchers and healthcare providers around the country, the HIPAA privacy requirements will dramatically change the way healthcare researchers do their jobs in the United States. Given our reluctance to change, we risk overlooking potentially valid reasons why access to personal health information is restricted and regulated. In an environment of electronic information, public concern, genetic information and decline of public trust, regulations are ever-changing. Six categories of HIPAA requirements stand out as transformative: disclosure accounting/tracking, business associations, institutional review board (IRB) changes, minimum necessary requirements, data de-identification, and criminal and civil penalties.

scholarly journals Regionalization of Emergency Care Conditions: Classifications, Comparisons, and Considerations

2021 ◽  
Author(s):  
Nathan Walton ◽  
Nicholas Mohr
Keyword(s):  
Emergency Care ◽  
Emergency Preparedness ◽  
Systems Of Care ◽  
Healthcare Delivery ◽  
The United States ◽  
Third Party ◽  
Professional Organizations ◽  
Healthcare Delivery System ◽  
Comparative Review ◽  
Core Components

Background: Regionalization is a system of organizing hospitals and providers to optimize care by matching patient needs with the appropriate healthcare resources. Regionalized care has been shown to improve outcomes in trauma, burn, stroke, STEMI, cardiac arrest, and NICU/OB care.Methods: This study was a comprehensive literature review to develop a classification- based, comparative review of existing regionalized systems of care by their components and characteristics. We performed a text-based analysis of the writing of the involved organizations (professional, regulatory, etc.) and interviews with the organizational leaders directly involved with regionalized systems of care. The scope of the review was three-fold: (1) to provide a summation of the available literature and established models of regionalized emergency care, (2) to identify the common core components of regionalized systems, and (3) to apply lessons about regional networks to sepsis care.Results: Regionalization in the US has followed a predictable pattern of development. Systems center on the delivery of time- or volume-sensitive care that is limited due to scarcity of resources, available facilities, or expertise. In response to perceived differential quality or inefficiency, professional organizations have published clinical guidelines and suggested regionalized tiered systems of facilities by resources and expectations of participation. These guidelines are used by government or third party certifying organizations to apply criteria to participating facilities. These efforts have been effective in establishing regionalized networks characterized by eight core components: triage/transfer protocols, resource-stratified networks, prevention/outreach/education, emergency preparedness, rehabilitation, internal/benchmarked data registries, performance improvement, and research.Conclusions: Several national models for regionalized systems of care are gaining traction and improving outcomes within the United States’ healthcare delivery system. Insights from this process hold promise to improve existing systems and establish new ones, notably in sepsis.

Healthcare in the United States

2018 ◽  
pp. 73-85
Author(s):  
Hillary Knepper
Keyword(s):  
United States ◽  
Healthcare Delivery ◽  
Basic Structure ◽  
The United States ◽  
Healthcare Industry ◽  
Healthcare Delivery System ◽  
Patient Protection ◽  
Public Revenue ◽  
The Impact ◽  
The U.S

Healthcare in the United States is a dynamic mix of public and marketplace solutions to the challenge of achieving the maximum public good for the greatest number of people. Indeed, in the U.S. the healthcare industry generates over $3 trillion in the economy. This creates a uniquely American paradox that is examined here. The basic structure of the U.S. public-private healthcare delivery system is explored. The dynamics of public sector involvement in healthcare delivery is reviewed, with particular emphasis on the impact of the Patient Protection and Affordable Care Act. Economic impact, employment indicators, and recent cost estimates of public revenue investment will be considered. Finally, a discussion about the future implications of healthcare for public administration in the 21st century is presented. Eight tables and figures present a visual and detailed explanation to accompany the narrative.

Patient Centric Healthcare InformationSystems in the U.S.

2011 ◽  
pp. 498-506
Author(s):  
Nilmini Wickramasinghe
Keyword(s):  
Quality Of Healthcare ◽  
The United States ◽  
Final Report ◽  
Institute Of Medicine ◽  
High Quality ◽  
Quality Healthcare ◽  
Improving Patient Care ◽  
The U.S ◽  
Patient Centric

Healthcare expenditure is increasing exponentially, and reducing this expenditure (i.e., offering effective and efficient quality healthcare treatment) is becoming a priority not only in the United States, but also globally (Bush, 2004; Oslo Declaration, 2003;Global Medical Forum, 2005). In the final report compiled by the Committee on the Quality of Healthcare in America (Institute of Medicine, 2001), it was noted that improving patient care is integrally linked to providing high quality healthcare.

New Payment Models and Big Data Analytics

2014 ◽  
pp. 1622-1636
Author(s):  
Avnish Rastogi
Keyword(s):  
Care Delivery ◽  
Healthcare Delivery ◽  
Big Data Analytics ◽  
National Research Council ◽  
International Perspective ◽  
Institute Of Medicine ◽  
Healthcare Delivery System ◽  
Quality Outcomes ◽  
Younger Age ◽  
Government Mandates

It has been fascinating to watch how American healthcare delivery system is going through a paradigm shift to meet new government mandates and bend the care delivery cost curve. For years, US health care system has been fragmented and falling short on quality, outcomes, costs, and lacking framework to support care continuum. According to the study conducted by National Research Council and the Institute of Medicine, for many years, US population has been dying at the younger age than population with similar characteristics in other countries such as Canada, Australia and Japan. When compared with the peer countries, US Population did worse in health areas such as drug related deaths, obesity, chronic diseases, disability, etc. (Institute of Medicine of the National Academics. 2013 in, U.S Health in International Perspective Shorter Lives, Poorer Health.)

Healthcare in the United States

2021 ◽  
pp. 480-491
Author(s):  
Hillary Knepper
Keyword(s):  
United States ◽  
Healthcare Delivery ◽  
Basic Structure ◽  
The United States ◽  
Healthcare Industry ◽  
Healthcare Delivery System ◽  
Patient Protection ◽  
Public Revenue ◽  
The Impact ◽  
The U.S

Healthcare in the United States is a dynamic mix of public and marketplace solutions to the challenge of achieving the maximum public good for the greatest number of people. Indeed, in the U.S. the healthcare industry generates over $3 trillion in the economy. This creates a uniquely American paradox that is examined here. The basic structure of the U.S. public-private healthcare delivery system is explored. The dynamics of public sector involvement in healthcare delivery is reviewed, with particular emphasis on the impact of the Patient Protection and Affordable Care Act. Economic impact, employment indicators, and recent cost estimates of public revenue investment will be considered. Finally, a discussion about the future implications of healthcare for public administration in the 21st century is presented. Eight tables and figures present a visual and detailed explanation to accompany the narrative.

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