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

Home Health Nursing...A Growing Trend


In the article titled "Home Healthcare Internship and Preceptor Programs: One Organization's Journey," the importance and growing popularity of home healthcare was discussed. According to the article, nursing is shifting to community-based practice, stating that 43.8% of nurses work outside hospitals. The National Center for Health Workforce Analysis concludes that by 2020, the demand for home health services will require 248,848 RNs. In 2005 there were 152,622 RNs employed in home health nationwide. The VNA (Visiting Nurse Association) began to experience the effects of home health nursing shortages in 2002. On average, the agency was declining around 200 patients per month because of the lack of home health nurses and the rising turnover rate. An idea was proposed and eventually the pilot project took effect soon after and became a federally funded program. Essentially, the program consisted of 12 month internship program geared towards new graduate nurses, nurses returning to the workforce after completing a refresher program, and nurses transitioning to the specialty from a non-acute care setting. Preceptors initially volunteered and were provided with 20 hours of training. Before the program was implemented, nursing turnover rates were at 34%; after implementing the program for the first 12 months and after 24 months, the turnover rate declined to 10.4%. Also an additional 7,000 patients were seen per year since the start of the intern and preceptor programs.

The demand for home healthcare is obviously increasing; as nursing students, what can we do to improve the lack of concern regarding this nursing field?

Click here to view the full article