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In the Balanced Budget Act of 1997, Congress mandated that Health CareFinancing Administration (HCFA) implement a Prospective Payment System (PPS)for inpatient rehabilitation. The Centers for Medicare and Medicaid Services(CMS, the successor agency to HCFA) issued the final rule governing such aPPS on August 7, 2001.

Hospitals. --- Hospitals --- Inpatients --- Rehabilitation Centers --- Prospective Payment System --- Patients --- Health Facilities --- Reimbursement Mechanisms --- Persons --- Health Care Facilities, Manpower, and Services --- Insurance, Health, Reimbursement --- Health Care --- Financing, Organized --- Names. --- Economics --- Health Care Economics and Organizations --- Prospective payment --- Rehabilitation services

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Medical informatics --- Health facilities --- Public health administration --- Health facilities. --- Public health administration. --- Health administration --- Health care administration --- Health sciences administration --- Medical care --- Facilities, Health --- Health care facilities --- Health care institutions --- Health institutions --- Institutions, Health --- Medical care facilities --- Medical care institutions --- Medical facilities --- Clinical informatics --- Health informatics --- Medical information science --- Public health --- Administration --- Health services administration --- Information science --- Medicine --- Data processing

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From the moment it was first proposed, the role of the nurse practitioner has been steeped in controversy. In the fields of both nursing and medicine, the idea that a nurse practitioner can, to some degree, serve as a replacement for the physician has sparked heated debates. Perhaps for that reason, despite the progress of the nurse practitioner movement, NPs have been reluctant to speak about themselves and their work, and their own vision of their role has thus remained largely invisible. Current research is dominated by instrumental and economic modes of discourse and tends to focus on the clinical activities associated with the role. Although information about demographics, educational preparation, position titles, reporting relationships, and costs of care contribute to our understanding, what was missing was an exploration of the lived experience of the nurse practitioner, as a means to deepen that understanding as well as our appreciation for their role. The Acute-Care Nurse Practitioner is based on in-depth interviews with twenty-six nurse practitioners working in acute-care settings within tertiary-care institutions all across Canada. Employing a hermeneutic approach, Rashotte explores the perspectives from which NPs view their reality as they undergo a transformational journey of becoming—a journey that is directed both outward, into the world, and inward, into the self. We learn how, in their struggle to engage in a meaningful practice that fulfils their goals as nurses, their purpose was hindered or achieved. In large part, the story unfolds in the voices of the NPs themselves, but their words are complemented by descriptive passages and excerpts of poetry that construct an animated and powerful commentary on their journey. Poised between two worlds, NPs make a significant contribution to the work of their colleagues and to the care of patients and families. The Acute-Care Nurse Practitioner offers an experiential alternative to conventional discourse surrounding this health care provider’s role.

Nurses --- Health Personnel --- Health Care Facilities, Manpower, and Services --- Occupational Groups --- Persons --- Health Care --- Named Groups --- Nurse Practitioners --- Health & Biological Sciences --- Nursing --- Nurse practitioners --- Intensive care nursing --- Attitudes. --- Canada. --- Acute care nursing --- Critical care nursing --- Clinical nurse specialists --- Nurse clinicians --- Critical care medicine --- Physicians' assistants --- Practice --- medical --- role --- nursing --- interview

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Health facilities --- Health Facilities. --- Health facilities. --- Moscow. --- Russia (Federation) --- Facilities, Health --- Health care facilities --- Health care institutions --- Health institutions --- Institutions, Health --- Medical care facilities --- Medical care institutions --- Medical facilities --- Medical care --- Public health --- Facility, Health --- Health Facility --- Moscow --- Pravitelʹstvo Moskvy --- Health Sciences --- nonlinear dynamics --- oscillations --- waves --- chaos --- dynamical systems --- selforganization --- Nonlinear theories --- Nonlinear theories. --- Nonlinear problems --- Nonlinearity (Mathematics) --- Calculus --- Mathematical analysis --- Mathematical physics

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Care for the uninsured is a county responsibility in Florida. This report examines the approaches used by three south Florida counties - Broward, Miami-Dade and Palm Beach - to fund care for the indigent and compares their financing mechanisms, types of services provided, patient travel patterns and costs and productivity across hospital ownership and insurance type.

Hospitals - Florida - Cost of operation. --- Economics --- Persons --- Delivery of Health Care --- Health Services --- Socioeconomic Factors --- Medical Indigency --- Health Services for the Aged --- Economics, Hospital --- Medically Uninsured --- Uncompensated Care --- Community Health Services --- Patient Care Management --- Health Care Facilities, Manpower, and Services --- Health Care Economics and Organizations --- Health Care Quality, Access, and Evaluation --- Population Characteristics --- Names. --- Health Care --- Health Services Administration