The Affordable care Act: Related to Community and Public Health, and Nurses’ Roles

The Affordable Care Act was signed into law by President Barrack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:
1. “About the Affordable Care Act”
2. “Health Care Transformation: The Affordable Care Act and More”
*What are the most important elements of the Affordable Care Act in relation to community and public health? **What is the role of the nurse in implementing this law?
– APA 7th Edition, no abstract.
– Thesis is comprehensive and contains the essence of the paper.
– Clear, standard, written, academic English.
– All format elements are correct.
– Sources are completely and correctly documented, as appropriate.
– All Sources are not more than 5YEARS.

SAMPLE ANSWER

What are the most important elements of the Affordable Care Act in relation to community and public health?

The most important provisions of the Affordable Care Act (ACA) include expansion of health coverage and improvement of preventive and public health services. The law builds prevention into coverage expansion, and establishes new funding and mechanisms for various public health programs and activities (Chait, & Glied, 2018). Making health coverage accessible and more affordable increases the number of people with coverage. By financing community-based public health and prevention programs, ACA can help start to decrease inequalities and improve access to preventive services. The law expanded access to preventive and primary care by mandating that all insurers offer preventive services minus cost sharing in addition to expanding access to coverage for these preventive services. The coverage of preventive care at no cost has provided millions of patients with free access to primary care, cancer screenings, and vaccines. The National Prevention Council, the $15 billion Prevention and Public Health Fund and Health Promotion provided the opportunity to rationalize a range of many programs and policies and support both effective interventions and infrastructure (Chait, & Glied, 2018). The law has made an investment to expand access to primary and preventive healthcare in underserved areas through health centers. The law allocates $9.5 billion for patient services and operations in community health centers and an additional $1.5 billion for renovation and construction (Chait, & Glied, 2018). These centers are essential part of federal safety net.  The ACA expands preventive services to rural communities and funding mechanisms for screening tests,

The ACA increased federal funding for community health centers (CHCs). The establishment of Community Health Center Fund for the construction, expansion and operation of health centers is very critical. These CHC give care to underserved populations and areas (Brenda. 2015). CHC stress on coordinated preventive and primary services that promotes decreases in health inequalities for low income people, rural communities, racial and ethnic minorities.  Section 2951 of Title II of ACA highlights requirements for publically sponsored home visiting programs for mothers, young children and infants.

School-based health centers enhance overall health of children via health promotion, health screenings as well as disease prevention activities. The ACA provides funding to address pressing capital needs to enhance delivery of services at school-based health centers. National Health Service Corps (NHSC) places nurses inn underserved communities and areas for two years in exchange for settling down their student loans (Wakefield, 2020). In so doing, the expansion of NHSC has improved training and employment opportunities for nurses. Some provisions of Title V empowers non-profit hospital organizations to partner with public and community health programs to carry out community health needs assessments. This provision improves community collaborations and community engagement to make health improvements.   

The aim of the ACA is to reduce care costs, improve quality of care and increase access for all residents. The law expanded the role of nurses and created amazing opportunities for nurses. Its provisions reflect the important role of nursing in transforming healthcare delivery system. In exchange, nurses play an important role in implementing the ACA.  They support the health of communities and families by acting as information sources on how to access health coverage offered by ACA. Nurses are uniquely placed to shape health care because of their understanding of patient care within the community and hospital setting. Nurses are the major stakeholders in the implementation of ACA. The ACA encourages nurses to continue transformational leadership, innovation and care coordination in order to promote cost containment, improve patient outcomes and advance quality of care (Cleveland, Motter, & Smith, 2019).

References

Brenda. S. (2015). The Intersection of Public Health and the Affordable Care Act: The Changing Role of Public Health. Journal of Public Health Management & Practice, 21(1), 80 – 82

Chait, N. & Glied, S. (2018). Promoting Prevention Under the Affordable Care Act. Annual Review of Public Health, 39:507-524

Cleveland, K.A., Motter, T., & Smith, Y. (2019). Affordable Care: Harnessing the Power of Nurses” OJIN: The Online Journal of Issues in Nursing, 24(2), Manuscript 2

Wakefield, M. (2020). Nurses and the Affordable Care Act: A call to lead. Retrieved on December 23, 2020 from https://nursingcentered.sigmanursing.org/features/more-features/Vol39_3_nurses-and-the-affordable-care-act-a-call-to-lead

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