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, November 5, 2009

Responses from Stakeholders

Part of our political action plan was to contact key legislators. Because Representative Steve Kagen is the primary sponsor of this bill, we felt it necessary to contact him and invite him to visit our blog. He was contacted via e-mail and informed that we supported his vision regarding the need for change in home health care. He did not respond personally but was courteous enough to respond with an e-mail that read, "Thank you for contacting me. My staff and I are working hard for you and will respond as soon as possible. I am very interested in listening to your opinions and feel honored to have the opportunity to serve your best interests. Because of the large number of correspondences we receive, it may take me several weeks to respond. Thank you for your patience. Thanks again for sharing your concerns with me. Let's work together, and we will build a better future for all of us." Although we did not get immediate feedback, we hope to continue our efforts in educating the general public about this growing concern.

A JMU home health instructor responded: “I am very impressed. I would like to know if this can be used even as a teaching tool in our Home Health practicum course senior level 2. The visuals are sharp, the content is focused. This blog spurred me on, and I signed up for SaveHomeHealth and their postings. I will contact Mark Warner. I feel like I am taking part in something very important as I am in the field each week (even at the minimal level of faculty overseeing students with their nurse preceptors). Again, this is very professional appearing!”

A current senior II was contacted. She said that our page looked great and that it was very professional. She stated that she is currently in a home health clinical and realizes the importance and need for home health nurses. She joined our blog and supports the Home Health Promotion Act of 2009.

The Vice President of Public Policy for the VNAA, Kathleen Sheehan, responded to the letter sent and asked to schedule a phone call with one of our group members to further discuss our blog page.

We did not receive responses from the two co-sponsors and the three Virginia Legislators that were contacted via e-mail.

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