Presenter Information

Mark FigueroaFollow

Start Date

23-8-2019 9:00 AM

End Date

23-8-2019 11:00 AM

Description

Background: Government regulation in home health nursing is a serious and widespread issue with effects negatively impacting the lives of patients in the community setting. Excessive regulation limits healthy competition, access to primary care, and scope of practice in home health care nursing. Patients prefer to recover and receive care in a setting that is comfortable, familiar, and conducive to their independence.

Objectives: The purpose of this integrative literature review was to identify regulations that hinder a patient’s home health care benefit, and to explore its effect in the delivery, quality, and access to home health care in the community setting.

Method: This integrative literature review was conducted using keywords “Home Health Care” and “Government Regulation” to search the literature between 2008 and 2018 in the database CINAHL Complete. These results were then refined by the major headings of “laws” and “quality of care” and the English language. In Medline via PubMed, a search was built using the following Medical Subject Headings (MeSH), which are used to index articles in the database: (“Home Health Care”[Mesh]) and (“Government Regulation”[Mesh]). Results were again refined to the years 2008 to 2018 and the language was set to English. A total of 9 articles were ultimately used from both databases.

Results: Three major government regulations were identified within the literature: nursing scope of practice, provider payments, and provider licensing.

Conclusions: Current research identified three major inhibitory regulations affecting the delivery of home health care services to patients in the community: scope of nursing practice, provider payments, and provider licensing. Given the serious nature of immediate and long-term effects experienced by patients due to the lack, disruption, and delay in home health care services was key to identifying the affects these regulations caused in the patient demographic.

Key Words: Home health care, Medicare, government regulation, quality of care, community health care, health care regulation, neglect, scope of practice, quality care in home health care

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Aug 23rd, 9:00 AM Aug 23rd, 11:00 AM

Examining the Effects in Patient Care that Emerge from Government Regulation in Home Health

Background: Government regulation in home health nursing is a serious and widespread issue with effects negatively impacting the lives of patients in the community setting. Excessive regulation limits healthy competition, access to primary care, and scope of practice in home health care nursing. Patients prefer to recover and receive care in a setting that is comfortable, familiar, and conducive to their independence.

Objectives: The purpose of this integrative literature review was to identify regulations that hinder a patient’s home health care benefit, and to explore its effect in the delivery, quality, and access to home health care in the community setting.

Method: This integrative literature review was conducted using keywords “Home Health Care” and “Government Regulation” to search the literature between 2008 and 2018 in the database CINAHL Complete. These results were then refined by the major headings of “laws” and “quality of care” and the English language. In Medline via PubMed, a search was built using the following Medical Subject Headings (MeSH), which are used to index articles in the database: (“Home Health Care”[Mesh]) and (“Government Regulation”[Mesh]). Results were again refined to the years 2008 to 2018 and the language was set to English. A total of 9 articles were ultimately used from both databases.

Results: Three major government regulations were identified within the literature: nursing scope of practice, provider payments, and provider licensing.

Conclusions: Current research identified three major inhibitory regulations affecting the delivery of home health care services to patients in the community: scope of nursing practice, provider payments, and provider licensing. Given the serious nature of immediate and long-term effects experienced by patients due to the lack, disruption, and delay in home health care services was key to identifying the affects these regulations caused in the patient demographic.

Key Words: Home health care, Medicare, government regulation, quality of care, community health care, health care regulation, neglect, scope of practice, quality care in home health care