FAMILY NURSE PRACTITIONERS AND THE AFFORDABLE CARE ACT

The Affordable Care Act was enacted in March 2010. Since then, community health centers in the US are serving 3 million additional patients. An addition 1.3 million patients are expected to be added through 2013.

AFFORDABLE CARE ACT FUNDING AND STATISTICS

In 2011 the Affordable Care Act helped support and create 67 new community health centers, 127 new health center access points, to serve an additional 300,000 patients.

The country’s 1,100 community health centers provide an array of preventative and primary health care services regardless of the patient’s ability to pay, with about half serving rural communities.

Approximately 50 recommendations from the US Preventive Service Task Force (USPSTF) are included in the Affordable Care Act’s preventive care benefits.3

Of the 20 million patients served in 2011:

The Affordable Care Act allocates $11 billion to be invested in community health centers to provide operational support, improve and expand care, and allow the centers to serve patients at more locations.

CAPITAL DEVELOPMENT FUNDING

Top 5 State Allocations

Money is to be used to support major construction and renovation projects of community health centers nationwide.

California | $413,146,828

Massachusetts | $188,091,171

Texas | $168,891,224

New York | $148,157,026

Illinois | $134,798,795

In 2011 community health centers employed more than:

An additional 245 new community health care sites in 2012 and 2013 are expected to add another 6,000 jobs, many in underserved and low income communities.

There are more nurses in the US than any other type of health care provider.

The Affordable Care Act’s Prevention and Public Health Fund will support the training of 600 new nurse practitioners and nurse midwives by 2015.

Since 2009, community health centers have added approximately:

PRIMARY PROGRAMS

Nurses will support preventative and primary health care through the Affordable Care Act through these initiatives/programs:

Community health centers

School-based health centers

The Affordable Care Act will provide $200 million in funding between 2010 and 2013 to help these centers provide overall health and wellness of children through health screens, health education and promotion and disease prevention.

Interprofessional education and collaborative practice

Home visiting

The Affordable Care Act will provide $1.5 billion over five years to allow nurses, social workers and other professionals to visit pregnant women and young children to improve health outcomes.

Graduate nurse education demonstration

Up to $200 million over four years will be given to five eligible hospitals to provide clinical training to advanced practice registered nurses.

UNDERSERVED AREAS

10 Most Medically Underserved Areas in 2010

COMMUNITY & SCHOOL-BASED HEALTH CENTERS

There are close to 2,000 school-based health centers nationwide.

The Affordable Care Act designated $200 million to support capital grants to improve and expand services for these centers between 2010 and 2013.

$95 million was awarded to 278 school-based health centers in July 2011 to serve an additional 440,000 children.

School-based health centers serve approximately 790,000 children.

NURSING WORKFORCE

Between 2008 and 2010, there were 2.8 million registered nurses.

50% of RNs have a bachelor’s degree or higher.1

13.2% of RNs have a master’s or doctoral degree.1

The following statistics are for Nurse Practitioners for May 2012 from the US Bureau of Labor & Statistics.2

105,780 nurse practitioners

$43.97: Mean hourly wage

$91,450: Mean annual wage

The top 5 industries for nurse practitioners are:2

NATIONAL HEALTH SERVICE CORPS (NHSC)

More than 10.4 million people currently receive health care from NHSC clinicians

Long-term retention (10 years after service completion) increased from 52% in 2000 to 55% in 2012

Long-term retention is higher in rural communities versus urban communities.

Short-term retention (up to one-year after service completion) increased from

64%, 2000

82%, 2012

Because of the Affordable Care Act, the number of available NHSC providers has nearly tripled, growing from 3,600 in 2008 to almost 10,000 in 2012.

For 40 years, the National Health Service Corps (NHSC) has supported primary care providers, including family nurse practitioners, through scholarships and loans repayment programs. To repay their debts, health care professionals work in underserved communities.

The Affordable Care Act will invest $1.5 billion over 5 years to grow NHSC. This investment is in addition to $300 million provided by the Recovery Act. With these investments, the NHSC tripled the size of its corps between 2009 and 2011.

Between 2009 & 2012 the increase in the nursing education loan repayment program has more than doubled.

1,199

2,209

Number of registered nurses and advanced practice nurses that provided care to underserved patients including veterans, children, and the homeless.

NURSE MANAGED HEALTH CLINICS (NMHC)

There are currently 200 NMHCs operating in 37 states with an estimated 2 million patient encounters each year.

Approximately 60% of patients seen at NMHC are uninsured or are on Medicaid.

Funding purpose:

The NMHC program will provide $15 million in funding between 2010 and 2013 to support the development and operation of existing and established NMHCs managed by advanced practice nurses.

Sources:

http://www.whitehouse.gov/sites/default/files/05-01-12_community_health_center_report.pdf

http://www.whitehouse.gov/sites/default/files/docs/nurses_report_0.pdf

http://hrc.nwlc.org/status-indicators/people-medically-underserved-areas

http://www.hrsa.gov/ourstories/schoolhealthcenters/

http://bhpr.hrsa.gov/healthworkforce/reports/nursingworkforce/nursingworkforcebrief.pdf

http://www.hrsa.gov/about/organization/bureaus/bcrs/nhscoverview.html

http://nhsc.hrsa.gov/currentmembers/membersites/retainproviders/retentionbrief.pdf

http://www.thefutureofnursing.org/sites/default/files/Research%20Brief-%20Nurse%20Managed%20Health%20Centers.pdf

http://bhpr.hrsa.gov/grants/nursemangfaq.pdf

http://bhpr.hrsa.gov/healthworkforce/reports/nursingworkforce/nursingworkforcebrief.pdf

http://nursingworld.org/NursingbytheNumbersFactSheet.aspx


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