the initiation of the ACA in 2010, discussion help

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the initiation of the ACA in 2010 addressed the shift from taking care of the sick to prevention and health promotion. The ACA was looking for cost-containment by preventing chronic diseases not reacting to chronic diseases. “The first, early disease detection, is addressed in the new law with provisions requiring both private and public insurance plans to cover—with no payments required from patients” (Redwood, 2010, p. 521). “Services include dozens of procedures ranging from blood pressure and lipid level monitoring to tests for colorectal cancer and sexually transmitted diseases. The reasoning is that, if more people are screened and more cases of disease are detected earlier as a result, many people will live longer and with a better quality of life” (Redwood, 2010, p. 521).

“The second, and in the long run the most important, aspect of prevention is lifestyle-based health promotion, primarily in the form of a healthy diet, regular exercise, and stress management. The goal here is to stop disease before it starts, and, if that fails, to reverse its course or at least minimize the damage” (Redwood, 2010, p. 521).

“We must now move from provider-preferred practices to implementing evidence-based guidelines as part of population health management while also providing patient-centered care. Although many health care providers like to think they are already doing patient-centered care, they must now elicit patient goals, preferences, and values, as well as engage patients in decision-making about their care” (Haas, 2014, p. 14).

“Many wellness and health promotion initiatives can be completely nurse-driven. Wellness programs can be planned and offered on nutrition, cooking, child wellness, exercise, and more, but they must be geared to education levels and times available given patients’ work schedules. Decision support programs should be considered to provide timely reminders of immunizations and routine testing needed so patients can have one-stop visits, where they receive these preventive health services when coming in for a visit with their health care team, no matter what the reason” (Haas, 2014, p. 14)