What is this bill?

The Home Health Nurse Promotion Act of 2009 (H.R. 1928) is a bill proposed to increase home healthcare services, particularly for underserved and at-risk populations, by assisting visiting nurse associations and other non-profit home health agencies to improve training and workforce development for home healthcare nurses, promoting and facilitating academic-practice collaborations, and enhancing recruitment and retention of home healthcare nurses.

Click here to see the full bill


What is the purpose?

The purpose of the Home Health Nurse Promotion Act of 2009 is:
- Assisting visiting nurse associations and other non-profit home health agencies to improve training and workforce development for home healthcare nurses
- Promoting and facilitating academic-practice collaborations
- Improving recruitment and retention of home healthcare nurses

The governmental objectives of the bill are to increase the number of home healthcare nurses thereby expanding the access that high-risk patients and underserved populations have to these nurses. With this bill the government hopes to close the disparity gap between the patients who can afford to receive home health care and those who can't. They hope to accomplish these goals by:
- authorizing grants under the Title VIII of the Public Health Service Act so that non-profit home healthcare providers can more easily recruit and train nurses in the specialized fields of home health and geriatric care
-offering loan forgiveness to nursing students who commit to working three years for a non-profit healthcare provider
- establishing a pilot program to enable no less than five Colleges of Nursing to partner with non-profit providers to develop curricula and teaching opportunities that develop the skills necessary for home health

Why is this bill needed?

It will help fill a current national need for home healthcare nurses by underserved populations. There currently is a significant shortage of home healthcare nurses, which is harming individuals’ access to cost-effective home healthcare, particularly among underserved and high-risk populations. Fifty-nine percent of VNAs surveyed indicated that they must decline patient referrals on a weekly basis. (VNAA Survey, 2008)

It will help meet the projected need for home healthcare nurses. The aging population, the increasing prevalence of chronic disease, longer life spans, and the general preference to live as independently as possible at home will create an unprecedented demand for home-based care during the next several decades. Home healthcare is predicted to experience a 36% demand shortfall by 2020 (U.S. Department of Labor, 2007). Demand for home healthcare nurses is expected to increase 109% by 2020. (HRSA, 2004)

It will help control national healthcare costs by prioritizing home and community-based nursing care. Such care is consistently being cited as a cost-effective alternative to institutional care. National average per-beneficiary spending by Medicare for those with at least one chronic condition during the last two years of life is $2,262 in the home health sector, $7,257 for outpatient care, and $25,376 for inpatient care. (Wennberg, J., Fisher, E., et al. 2008)


The aging population is rapidly increasing therefore increasing the need for home health care. The increasing aging population, prevalence of chronic disease, and strong preference by individuals to live independently at home as long as possible will create an unprecedented demand for home-based care during the next several decades. By 2020, home health utilization is projected to increase by 36 percent. As a result the demand for home healthcare nurses is projected to increase by 109% by 2020, compared to 37% for hospital nurses.


Visiting nurse associations have been shown to lower costs for high-cost patient populations. Yet because they provide a substantial amount of uncompensated care, they are increasingly unable to compete for nurses in a national nursing shortage environment. According to a recent survey 81% of the visiting nurse associations indicate that their salary limitations are the number one barrier to recruitment. Approximately 22% of the visiting nurse associations indicate that their local hospitals offer salaries $10,000 greater than they are able to offer.

Potential impact of the policy change on nursing, clients, and the health care system

There is currently a shortage of home healthcare nurses. This legislation will offer visiting nurse agencies and other home healthcare providers the opportunity to recruit highly specialized nurses who have expertise in geriatric care. This will increase the number of home healthcare nurses and their availability to the population. By increasing the availability, there will be greater access to cost-effective health care for clients specifically in underserved and high-risk populations. This legislation will help to control national healthcare costs by prioritizing home and community-based nursing care which is a cost-effective alternative to institutional care.

Click here for article: Nursing Shortage Hits Home Health

Official website of the Visiting Nurse Associations of America

If you would like more information about the VNAA and their support of the Home Health Nurse Promotion Act of 2009 please feel free to visit their website:

www.vnaa.org


Tuesday, October 13, 2009

Sign the Petition to Save Home Health Care


Congress is proposing to drastically reduce Medicare reimbursement for home health services to the chronically sick and elderly. They plan on cutting $57 billion out of the Medicare home health benefit over 10 years. Home health represents only 4.5% of the total Medicare budget, but 11% of the proposed total cuts.

Home health is a key solution for lowering the cost of health care. It is the most cost effective way to care for the sick and elderly. More importantly, the sick and elderly want to stay in their home. They recover more quickly at home with family and friends. Without home health care, seniors will be readmitted into hospitals and transferred to nursing homes, both of which will put a greater financial burden on our Medicare system.

To our Elected Representatives in the United States Congress:
We, the undersigned patients, providers and supporters of home health care, want it publicly known that we demand that you do all that you can to save the home health community. If Congress follows through with drastic cuts to the Medicare benefit for home health care services;

  • Thousands of patients will be forced into institutions
  • Thousands of people will be put out of work
  • Medicare will actually pay more for caring for many people than if the home care option were available

We ask you to educate yourself, join our cause, and convince your colleagues to protect home health care as Congress debates health care reform in Washington D.C. Protecting jobs and providing the best treatment possible for patients should be your top priority, and home health care is a key part of the solution.

Click here to sign the petition!

3 comments:

  1. We are impressed by the presentation of your blog and the information. We found this blog easy to read and in a user friendly format. However, we would like additional information about your co-sponsors. In your post, you mentioned how the need for RNs will increase with the demand for home health nurses. How will LPNs be utilized in the passage of this bill?

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  2. We are very thrilled for your interest in our bill. This bill has many co-sponsors, so we found that providing information about each one on our page would be redundant. I will however, suggest posting a link that will allow you to access more information about the co-sponsors. As for the utilization of LPN's, we have found that many hospitals are trying to hire only RN's. This has become for cost-friendly to hospitals. While I'm sure LPN's are currently still being hired as home health nurses, they will be effected in the same way as an RN.

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  3. Articles and content in this section of the website are really amazing. Great ideas indeed! I will surely keep this in my mind!

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