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


Thursday, October 22, 2009

Stakeholders for Home Healthcare Promotion Act

We believe that the stakeholders of the Home Healthcare Nurse Promotion Act are:

  • high- risk, under served clients and all other clients requiring home health care: The clients are stakeholders because if this bill is passed it will increase the amount of homehealth nurses to provide for those at risk. It will decrease the cost of the services for underserved clients because there will be more home health nurses available. It will also decrease hospital stay, if clients were able to be treated inside their home.

  • home health agencies (VNAA) : Home Health agencies will be affected because this act will promote an increase in the nurse-client ratio allowing more clients to be seen on a regular basis. It will also increase the retention rate of their staff.


  • new graduate RNs and current RNs: It will provide more opportunities for employment for new grads and current grad RNs. The bill will also allow RNs to change their specialty if they are currently seeking new interests in the healthcare field.

  • nursing schools and their educators: The curriculum in nursing schools will change if the bill is passed. There will be more focus on education concerning home health. The educators will have to update themselves on the knowledge of home health in order to meet the nursing school's standards.

  • legislators: Legislators are a stakeholder because they are the key component in helping to support the bill. They speak on the issue of Home Health to promote the government to pass the bill. We want to invite Virginia legislators to support the bill and to increase the awareness of the importance of Home Health.

  • government insurance (Medicare): We believe that Medicare is an important stakeholder because it will affect a change in their budget if the bill is passed. The government may have to provide more financial support to those on Medicare to receive Home Health services.


According to the missions and goals of this bill, we feel that all of these stakeholders will be affected in some way due to the passing of the Home Healthcare Act and the implementation of change.

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