Читать книгу Quality and Safety in Nursing - Группа авторов - Страница 60

In March 2010, the US Congress passed and the President signed into law the ACA. Although the provisions were many and even over 10 years later remain amazingly controversial, from the perspective of driving improvements in quality several key provisions of the law, as they have been phased in, have provided significant opportunity to reshape delivery of care. Nurses played a critical role in designing and supporting passage of these provisions and have since had significant opportunity to influence, recommend, and in some cases design innovations in care delivery that are consistent with these provisions and with implementation of various aspects of the law focused on the improvement of quality. Nurses have also benefited from the emphasis on quality in clinical practice through inclusion in pay for quality reimbursement structures and alternative payment models that replace fee‐for‐service models. The following are some of the key provisions specific to quality and safety.