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Policy, Politics, & Nursing Practice, Vol. 9, No. 2,
68-72 (2008)
DOI: 10.1177/1527154408320046
The Importance and Challenge of Paying for Quality Nursing Care
Lynn Y. Unruh, PhD, RN, LHRM
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
References
- Cho, S., Ketefian, S., Barkauskas, V.H., & Smith, D.G. (2003). The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs. Nursing Research, 52(2), 71-79.[CrossRef][Medline]
[Order article via Infotrieve]
- Cromwell, J., & Price, K. (1988). The sensitivity of DRG weights to variation in nursing intensity. Nursing Economics, 6(1), 18-26.[Medline]
[Order article via Infotrieve]
- Dimick, J.B., Swoboda, S.M., Pronovost, P.J., & Lipsett, P.A. (2001). Effect of nurse-to-patient ratio in the intensive care unit on pulmonary complications and resource use after hepatectomy. American Journal of Critical Care, 10, 376-382.[Abstract]
- Kane, N.M., & Siegrist, R.B. (2002). Understanding rising hospital inpatient costs: Key components of cost and the impact of poor quality. Blue Cross, Blue Shield Association. Retrieved October 1, 2007, from http://www.bcbs.com/betterknowledge/cost/4_Inpatient_Qual_Assess.pdf
- National Quality Forum. (2006). Nursing care quality at NQF. Retrieved October 1, 2007, from http://www.qualityforum.org/nursing/#measures
- Needleman, J., Buerhaus, P.I., Stewart, M., Zelevinsky, K., & Mattke, S. (2005). Nurse-staffing in hospitals: Is there a business case for quality? Health Affairs, 25(1), 204-211.[CrossRef]
- Robert Wood Johnson Foundation. (n.d.). Economics of nursing invitational conference: Paying for quality nursing care. Retrieved March 31, 2008, from http://www.rwjf.org/programareas/resources/product.jsp?id=24411&pid=1142
- Thompson, J.D., & Diers, D. (1991). Nursing resources. In R. B. Fetter, D. F. Brand, & D. Gamache (Eds.), DRGs: Their design and development (pp. 121-183). Ann Arbor, MI: Health Administration Press.
- Unruh, L., & Hassmiller, S. (2007, January). Economics of nursing invitational conference addresses quality and payment issues in nursing care. Online Journal of Issues in Nursing. Retrieved February 15, 2008, from www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/Columns/Legislative/EconomicsandQuality.aspx
- Welton, J.M., Fischer, M.H., DeGrace, S., & Zone-Smith, L. (2006). Nursing intensity billing. Journal of Nursing Administration, 36(4), 181-188.[CrossRef][Medline]
[Order article via Infotrieve]
- Welton, J.M., & Halloran, E.J. (2005). Nursing diagnoses, diagnosis related group, and hospital outcomes. Journal of Nursing Administration, 35(12), 541-549.[CrossRef][Medline]
[Order article via Infotrieve]

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