DNP 840 Select one bill from DQ 1 and discuss how it aligns with quality, safety, experience, or financial metrics in your organization Re: Topic 4 DQ 2

The reimbursement systems implemented under ACA affect the financial metrics within my healthcare organization. The legislation incentivizes healthcare organizations to concentrate on quality improvement and positive patient outcomes. The focus on quality as opposed to quantity in healthcare is critical, with ACA rewarding organizations that deliver quality care to their patients. This law has thus led to a significant shift in reimbursement systems towards a value-based payment model (Brown et al., 2021). In my organization, therefore, the current focus is on progressive improvement of the quality of care delivered to the patients. this approach has led to a significant decline in readmission rates or incidences of hospital-acquired infections that are often classified as indicators of poor healthcare services. This focus on quality care has also enabled the organization to reduce medical complications, readmissions, and duration of hospital stay. As a result, the facility has reported a significant reduction in the costs incurred by patients seeking healthcare services. The focus on preventive care in line with the recommendations of ACA has also led to increased affordability of healthcare services offered by the institution to both inpatients and outpatients. The alignment of ACA with the financial metrics of the organization has had a positive impact on both the patients and the facility. It has led to improved efficiency in service delivery, while the reduction in HAIs and duration of hospital stay has also led to increased patient satisfaction.

As a DNP prepared nurse, I can be actively involved in advocacy and patient care. In addition, I can actively participate in patient education while also influencing policies that are aligned with the core values of my organization (Williams et al., 2018). I strongly believe in evidence-based and individualized care that appreciate the uniqueness of each case. However, I am also aware of the challenges of costs of care in the country. Therefore, I can play a central role in pushing for the expanded coverage under ACA to ensure that the underprivileged in the society have access to healthcare services.

References

Brown, E. A., White, B. M., Jones, W. J., Gebregziabher, M., & Simpson, K. N. (2021). Measuring the impact of the Affordable Care Act Medicaid expansion on access to primary care using an interrupted time series approach. Health Research Policy and Systems, 19(1), 77. https://doi.org/10.1186/s12961-021-00730-0

Williams, S., Phillips, J., & Koyama, K. (2018). Nurse Advocacy: Adopting a Health in All Policies Approach. OJIN: The Online Journal of Issues in Nursing, 23(3). https://doi.org/10.3912/OJIN.Vol23No03Man01