Healthcare delivery in the Unites States stimulates policy change at a rapid pace. The Patient Protection and Affordable Care Act of 2010 (ACA) is intended to expand access to care and ultimately improve the health of Americans. The Triple Aim, created by The Institute for Healthcare Improvement, delineates policy implications for improving population health, the healthcare experience, and per capita cost. The Quadruple Aim adds a fourth policy implication, for example, addressing the needs of the healthcare provider. Advanced practice registered nurses are key in carrying out the goals of the ACA and achieving the Triple and Quadruple Aims, via the formation of interprofessional teams. This article offers insight into these policy implications and identifies filters through which related nursing policy will be developed.
Keywords: advanced practice; interprofessional education; policy/politics; quality improvement; social determinants of care.
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