Affordable Care Top 10: The Top 10 Things Nurses Need to Know About the Affordable Care Act – Michele Gonsman

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The Affordable Care Act will dramatically affect the way that you practice and you need to be prepared for the changes.  Attend this crash course and learn the top 10 most important changes you need to be aware of to navigate the new healthcare system.  Discuss how the Affordable Care Act is impacting patient satisfaction scores, readmission rates, patient bill of rights, and “The Patient Factor”.  You cannot afford to miss this timely opportunity to learn about the significant and most influential healthcare legislation in history.

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OUTLINE

Who does this affect?

• Essential Health Benefits
• Medicaid
  • 1- 133% of the poverty level
  • State run programs
• Medicare
• Privately Insured        
  • Can you keep your insurance?
  • Significant Changes
• Uninsured
• Individual Mandates

Health Care Exchanges

• Levels of Coverage
• Web Site

Patient Bill of Rights

The Patient Factor

• Patient Accountability

ACOs and Patient Homes

• Coordinated Care
• Standards of Care
• Outcome Based Payment
• Access to care

Patient Satisfaction Scores

• Recapturing the Money
  • Clinical Domain
  • Patient Experience Domain
• Strategies

Readmission Penalties

• Pneumonia, heart attacks, and heart failure
• Observation Status

Chronic Disease Management

Documentation

• HIPPA/Omnibus
• EMR

Opportunities for Nursing

• Advanced Practice Nurses
• Case Management
• Community Health Centers
• School Based Centers
• Telehealth
• Fraud Waste and Abuse

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OBJECTIVES

• Define the following concepts: Accountable Care Organizations, Patient Homes, Patient Satisfaction and Preventable Readmissions.
• Name 5 challenges to health care providers.
• Learn 3 strategies that acute care facilities are using to increase patient satisfaction scores.
• List 8 aspects of the Patient Bill of Rights.
• Define the “Patient Factor.”

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