GRADUATE NURSE EDUCATION DEMONSTRATION
In March 2012, the Centers for Medicare & Medicaid Services (CMS) issued a call for applications for a new initiative designed to increase the nation’s primary care workforce by supporting facilities that train Advanced Practice Registered Nurses (APRNs). Under this new initiative from the Affordable Care Act, CMS will begin making reimbursement payments to eligible hospitals in 2012 from the $200 million of available funds over the four year period of the Demonstration, helping the hospitals offset the costs of clinical training for APRN students.
The Need for Training Opportunities
The Graduate Nurse Education Demonstration
The Demonstration will be operated by the Center for Medicare and Medicaid Innovation (Innovation Center). The Innovation Center was created by the Affordable Care Act to test innovative payment and service delivery models to reduce expenditures while preserving or enhancing the quality of care.
Payments to the participating hospitals will be linked directly to the number of additional APRNs that the hospitals and their partnering entities are able to train as a result of their participation in the Demonstration. The payment will be calculated on a per-student basis, comparing previous enrollment levels in APRN training programs with enrollment under the Demonstration.
The need for primary care access is especially critical in underserved areas of the country. CMS not only aims to increase the overall number of primary care providers, but also aims to bring new primary care access to underserved areas of the country. Hospitals participating in the Demonstration must partner with two or more community-based care settings and must conduct at least half of clinical training in such settings. These settings may include Federally Qualified Health Centers or Rural Health Clinics. Students receiving training funded by the Demonstration will be encouraged to practice in non-hospital settings, including in underserved areas of the country.
• Hospital of the University of Pennsylvania (Philadelphia, Pa.)