Donna Shalala supports nurse managed health centers

  1. Secretary of the Department of Health and Human Services under Clinton supports NP managed health centers...

    One of the most common complaints about universal health care is that it will turn doctors' offices into overcrowded, beaurecratic nightmares resembling the DMV. These snide dismissals might be a bit overdramatic, but they aren't totally out of touch as the number of primary care physicians continues to dwindle. But proponents of health-care reform, such as Univeristy of Miami President and former Health and Human Services Secretary Donna Shalala, are looking to nurse-managed health centers to ease potential clogs.

    The plan, already in practice at 250 locations in 40 states, allows nurse practitioners to form the first line of health-care services, treating patients for common maladies and providing primary care services without a doctor.

    "While increasing access to health insurance will help improve access to health care, our nation's health-care crisis cannot be solved by insurance alone," Shalala said in a statement. "Enhanced nurse practitioner involvement in primary care has the potential to dramatically increase access to health care, improve care for patients with chronic diseases, and improve the efficiency of the health-care system, all by maximizing the use of our existing health-care resources. One option -- Nurse-Managed Heath Centers -- needs additional federal funding. Just as important, nurses need a seat at the table when true reform is being debated."

    Shalala is scheduled to meet today with Pennsylvania Gov. Ed Rendell and other health-care reform advocates in support of the American Academy of Nursing and its "Raise the Voice" campaign.
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    About Ginger's Person

    Joined: Mar '09; Posts: 70; Likes: 123
    Community mental health nurse; from US


  3. by   NRSKarenRN
  4. by   AtomicWoman
    We have a local community health center run by NPs. They definitely try to give potential patients a warm and fuzzy feeling about the kind of care they will receive. Good to see.
  5. by   zahryia
    This is excellent!!! Nurses please call your legislators!!
  6. by   NRSKarenRN
    American Academy of Nursing Campaign:

    GOAL Transforming America's health care system through nursing solutions

    Health care in America today is inaccessible to many, expensive for most and fragmented for all. Enabling the system to deliver the best possible care at an acceptable cost requires not just reformation but transformation - moving American health care away from its current hospital-based, acuity-oriented, physician-dependent paradigm toward a patient-centered, convenient, helpful and affordable system. America needs a system that keeps people as healthy as possible, treats the patient promptly, comprehensively and effectively.

    Through its Raise the Voice campaign, the Academy is mobilizing its 1,500 Fellows, partner organizations and health leaders to ensure that Americans hear and understand the exciting possibilities for transforming the health care system - and also that they see how nurses are leading the way. Due to the successes during the first year of the campaign, in 2007, the Academy received a grant from the Robert Wood Johnson Foundation to scale up activities and provide a platform to inform policymakers, the media, health providers and consumers about nurse-driven solutions for an ailing health care system - and to highlight the successes taking place every day.

    As part of Raise the Voice, the Academy is showcasing stories of nurse "Edge Runners" - the practical innovators who have led the way in bringing new thinking and new methods to a wide range of health care challenges. Edge Runners have developed care models and interventions that demonstrate significant clinical and financial outcomes. Many of the stories underscore the courage and fighting spirit of nurse leaders who have persevered despite institutional inertia or resistance.

    Raise the Voice is a platform for the nursing community to press for new thinking in the health care debate. The initiative helps the Academy take its call for change to Congress, the administration, the medical community and every other group engaged in that debate. Raise the Voice spokespersons will appear in newspapers and on TV and radio, telling the story of nurses who are changing America's approach to health care and, in doing so, helping our citizens live healthier and longer lives.

    The Academy's Advisory Council for Raise the Voice is chaired by Donna E. Shalala, PhD, President of the University of Miami and formerly the U.S. Secretary of Health and Human Services. Joining her on the Board are some of the nation's foremost health care champions - including foundation executives and former federal lawmakers and administrators.

    Raise the Voice tells a powerful story: how nurses are creating new, transformational options that help people stay healthy and cope better with illness. It's a story that Americans need to hear.
    View Edge Runners program stories ---powerful how nursing interventions can improve patient care and delivery.

    Last edit by NRSKarenRN on May 11, '09
  7. by   NRSKarenRN
    aan supports the nurse home visitation program proposed in president obama’s 2010 budget

    nurse home visitation program


    the nurse-family partnership is a home visiting-based program to promote the well-being of first-time, low-income mothers and their children. services such as home visiting by trained nurses, referrals to community resources, and the development of within-family resources are provided through the child's second birthday. experimental evaluations indicate that participation in nfp has positively impacted poor, unmarried mothers' outcomes (e.g., employment, life skills, problem behaviors, reproduction, parenting), and their sons' and daughters' outcomes as children (e.g., health, social/emotional, language, and cognitive development) or years later as teenagers (e.g., criminal/behavior problems, sexual activity, substance use). participants who were not poor and unmarried also experienced certain positive outcomes (as described below); however, these impacts were not as diverse or significant as those experienced by the poor/unmarried subgroup. furthermore, research suggests that nfp produces more significant positive outcomes when implemented by nurses than by paraprofessionals.

    the basic approach of nurse-family partnership is home visits by nurses, which begin during pregnancy. the nurse encourages the mother to change behaviors, such as smoking, poor nutrition and drinking, which may lead to poor pregnancy outcomes. she also educates the mother in how to recognize signs of pregnancy complications and helps the mother build supportive relationships with family and friends. after the child is born, she helps the parents provide better care (i.e., observing signs of illness and interacting with the child in cognitively stimulating ways) and plan future pregnancies. she encourages parents to continue their education and find work. in addition, the nurse links the family with other health and human services.
    Last edit by NRSKarenRN on May 11, '09