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The Importance and Challenge of Paying for Quality Nursing Care

University of Central Florida, Orlando

Susan B. Hassmiller, PhD, RN, FAAN

Robert Wood Johnson Foundation, Princeton, New Jersey

Susan C. Reinhard, PhD, RN, FAAN

AARP Public Policy Institute, Washington, D.C.

Historically, the economic value that nursing brings to the patient care process has not been recognized or quantified. Improving the quality of nursing care through work environment changes or increases in staffing is viewed by many as an added cost, but the benefits in terms of money saved through improved nursing satisfaction and patient outcomes are not considered. This article introduces nine articles that were originally presented at the Economics of Nursing Invitational Conference: Paying for Quality Nursing Care held at the Robert Wood Johnson Foundation in Princeton, New Jersey, June 13 and 14, 2007. Recommendations are to conduct research on the impact of policy and payment changes on the nursing workforce and quality of care and to correct the misalignment of socioeconomic and business case incentives for quality by payment systems and other changes.

Key Words: economics of nursing • business case • quality nursing care • paying for performance • nursing intensity weights • nursing intensity billing • staffing

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