Please respond to each post in a polite way.

1) Shaping our roles as NPs: Cost and transition of NPs to inpatient care settings
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As discussed by Kapu, Klienpell, and Pilon, there is currently an optimal milieu for nurse practitioners to be not only be a part of an inpatient healthcare team, but to improve outcomes as well (2014). A force that will shape my role in the emerging healthcare environment is the increase in education and training in nurse practitioners towards the inpatient setting, and the transition away from nurse practitioners predominantly in primary care). The push towards decreasing healthcare costs has greatly led this charge towards this transition, as the value of healthcare is quantified by many in terms of revenue generation and cost-effectiveness of care; nurse practitioners having the ability to bill patients, and their salaries are less expensive than physician providers, meeting both of these targets . As a nurse practitioner student with ICU background and an affinity for the inpatient setting, this shift is exciting and allows for greater opportunity to in the future expand upon my training and be a part of the inpatient care team. To delve deeper into this topic, healthcare in general is changing due to the great drive to decrease all healthcare costs (Kapu et. al, 2014). As nurse practitioners, whether we would like to work in the in or outpatient setting, cost reduction and revenue generation are going to be major topics now and in the future that will mold the new face of healthcare.

2-I know that these first few classes are our introduction to the world of advanced practice nursing and that we are all headed in different directions. I cannot help but look at this question from the perspective of information and the changes that have come about with the implementation of the electronic health record (EHR).

As a member of the Informatics cohort I part of a force that will affect every one of us. There are not many of us now that are not using computers and data daily to do our jobs. Computers and data have become a more part of our practice, whatever that might be: “Teich estimates that 80 percent of healthcare providers are in an EHR environment now compared to five years ago, which has facilitated the need for informaticists.” (Andrews, 2013)

As an informaticist, it will be my job to make sure that the advanced practice nurse is ready for the educated patient. It will be my job that information flows from one source to another in real-time.

All of us are going to have a new role and I feel that if I understand how MY role affects yours, we will be able to move forward. According to Andrews (2013), the beginning of informatics and the role of the informaticist is going to touch every part of healthcare-it will be “…a tool that when properly implemented can increase options for treatments, reduce risks, improve processes, help with financial management, and ultimately improve patient care.” .

This is an exciting time to part of a new way of “doing” healthcare!!