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ANA Leading Patient Safety

A Federal regulation has been in place for some time, 42 Code of Federal Regulations (42CFR 482.23(b) which requires hospitals certified to participate in Medicare to "have adequate numbers of licensed registered nurses, licensed practical (vocational) nurses, and other personnel to provide nursing care to all patients as needed". This nebulous language and the continued failure of Congress to enact a federal law, The Registered Nurse Staffing Act, has resulted in states taking action to ensure there is optimal nurse staffing appropriate to patients' needs. ANA supports state and federal regulation and legislation that allows for flexible nurse staffing plans.

Transparent Public Reporting – An Effective Policy Lever identified in the National Quality Strategy
In addition, ANA's quality policy advocacy to promote transparency has been successful in key steps to achieve public reporting of staffing and skill mix data through work at the National Quality Forum (NQF). Specifically, reporting these measures publicly will act as an effective quality policy lever to reduce staffing variance in hospital nurse staffing and skill mix that is associated with patient death and harm. In 2014 through 2015, ANA's effective quality policy advocacy led to ANA's staffing and skill mix measures being advanced" for review for public reporting at the Measures Application Partnership. In 2016, ANA's staffing and skill mix measures were endorsed by the NQF at the hospital level of reporting, another key step. This endorsement was essential to pave the way for national quality safety data about hospitals to be available for consumers, purchasers and all stakeholder to view transparently when making healthcare decisions. ANA continues to work with CMS to advance these measures in CMS's hospital public reporting program, Inpatient Quality Reporting, via CMS regulations. See more of ANA's policy advocacy detailed through the ANA Leading Patient Safety link.

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