Limited English proficiency—The number of people living in the United States with limited English proficiency is increasing (U.S. Census Bureau, 2003). Retooling for an Aging America advised that meeting the needs of the growing geriatric population would require expanding the roles of health professionals “beyond the traditional scope of practice” (IOM, 2008). Additionally, patients’ insurance policies often limit their choice of provider, especially if the provider is not a physician (Craven and Ober, 2009). https://www.cms.gov/NationalHealthExpendData/02_NationalHealthAccountsHistorical.asp#TopOfPage (accessed August 29, 2010). While some staff feared that patients would abuse the hotline, that concern was not borne out. But Ms. Mashore defied that prediction. 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The Institute of Medicine (IOM)'s new report, The Future of Nursing, Leading Change, Advancing Health is an "action-oriented blueprint" that resulted from a 2-year collaboration between the Robert Wood Johnson Foundation and the IOM. Unequal treatment: Confronting racial and ethnic disparities in health care. .burj #acBadge_feature_div{display:inline-block}.burj .ac-badge-wrapper{max-width:560px}.ac-badge-wrapper{margin:5px 0 10px;display:flex}.ac-keyword-link{color:#0066C0;font-size:12px}.ac-for-text{color:#111;display:inline;margin-left:5px;line-height:22px;white-space:nowrap;overflow:hidden;text-overflow:ellipsis}.ac-product-highlights-for-text{color:#111;display:inline;margin-left:4px;line-height:22px;white-space:nowrap;overflow:hidden;text-overflow:ellipsis}.ac-badge-wrapper .a-declarative{display:inline-flex}a:hover .ac-keyword-link{color:#E47911;text-decoration:underline}.ac-badge-wrapper a.badge-link:hover{text-decoration:none}.ac-badge-rectangle{height:22px;background-color:#232F3E;border-color:#232F3E;display:flex}.ac-badge-triangle{width:0;height:0;border-right:10px solid transparent;border-top:22px 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Goldman, D. P., and E. A. McGlynn. International Journal of Health Services 24(3):431-458. As the population continues to age, a dramatic growth in demand for health care services will be seen (IOM, 2008). Providing effective care in the community will require improvements in community infrastructures, resources, and the workforce. With the enactment of these laws, collectively referred to in this report as the Affordable Care Act (ACA), the United States has an opportunity to transform its health care system to provide higher-quality, safer, Broadly, the consensus is that care in the United States must become more patient centered; primary care and prevention must play a greater role relative to specialty care; care must be delivered more often within the community setting and even in people’s homes; and care needs to be coordinated and provided seamlessly across health conditions, settings, and providers. Not a MyNAP member yet? As outlined in Crossing the Quality Chasm, patient-centered care is built on the principle that individuals should be the final arbiters in deciding what type of treatment and care they receive (IOM, 2001). 2007. 2009. —Tami Minnier, MSN, RN, FACHE, chief quality officer, University of Pittsburgh Medical Center, Shadyside had been one of the first three hospitals to participate in Transforming Care at the Bedside (TCAB), an initiative of the Institute for Healthcare Improvement (IHI) and the Robert Wood Johnson Foundation, enabling front-line nurses to test their ideas for improving the safety and quality of care. As discussed in Chapter 3, in many situations, APRNs are qualified to diagnose potential and actual health problems, develop treatment plans, in some case, Case Study: Nurse Midwives and Birth Centers, The Midwifery Model of Maternity Care Gives Mothers Control and Improves Outcomes, When Wendy Pugh delivered her first child at age 30 in a Washington, DC, hospital in 1999, her labor was induced—not out of medical necessity, she said, but because “there was a scheduling issue with the doctor.” She didn’t question the obstetrician’s decision at the time, but when she got pregnant again, she polled her friends and discovered that many had had cesarean sections. 1988. Watchful waiting vs. immediate transurethral resection for symptomatic prostatism. 2005. For decades, the major focus of the U.S. health care system has been on treating acute illnesses and injuries, the predominant health challenges of the early 20th century. President Obama’s fiscal 2010 budget. }); Table 2. Now, as one of the first nurses in the state to be certified as a lead risk inspector, she weaves environmental health into her practice. Hundreds of hospitals reported success in terms of improved patient outcomes. In order to navigate out of this carousel please use your heading shortcut key to navigate to the next or previous heading. Reviewed in the United States on December 5, 2013. vides an overview of these shifts in thinking and practice that a growing number of health care experts believe should be at the core of any proposed health care solutions. Jha, A. K., J. }); Figure. So we are a good investment for the school district and community. 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Reviewed in the United States on September 12, 2014. 2010. Tbe pages of the book went from 373 to 643. A more diverse population—Minority groups, which currently make up about a third of the U.S. population, are projected to become the majority by 2042 and 54 percent of the total population by 2050 (U.S. Census Bureau, 2008). Matthews, S. 2009. AmazonUIPageJS : P).load.js('https://images-na.ssl-images-amazon.com/images/I/914MtH7KMXL.js?AUIClients/GestaltDetailPageMobileWebMetaAsset'); 2010. “The sickness” was, in fact, many chronic conditions (among them hypertension, mild cognitive impairment, coronary artery disease, and chronic obstructive pulmonary disease) and two life-threatening acute conditions. 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