Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Nursing Implementation

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.

Standards of Care II

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Quantitative Scratch Collapse Test Methodology With Handheld Dynamometer: Normative Upper-Extremity Force Data and Reliability Analysis.

Journal of hand surgery global online·2026

Same author

Glycerol-driven TNAP activation in thermogenesis and mineralization.

Nature·2026

Same author

Identifying an ideal attachment layer for smile reanimation, using a model platform for biomechanical analysis of facial palsy procedures.

Plastic and reconstructive surgery·2026

Same author

From Legislation to Kidney Care: Unpacking the Impact of the New Budget Reconciliation Act.

Journal of the American Society of Nephrology : JASN·2026

Same author

Current trial landscape of IgA nephropathy therapy.

Med (New York, N.Y.)·2026

Same author

How should we best manage the consequences of nephron loss in IgAN?

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association·2025

Same journal

Intracardiac Vascular Access for Hemodialysis Despite Associated Ascending Aortic Aneurysm.

Seminars in dialysis·2026

Same journal

Measures of Equivalent Hemodialysis Urea Clearance and Their Proposed Utility for Monitoring Adequacy.

Seminars in dialysis·2026

Same journal

Risk of Serious Adverse Events and Death With Low-Dose Methotrexate Versus Hydroxychloroquine in Adults Receiving Dialysis.

Seminars in dialysis·2026

Same journal

Severe Hematoma Following Initial Arteriovenous Fistula Puncture in a Hemodialysis Patient, Emphasizing Thoracic Outlet Syndrome: A Case Report.

Seminars in dialysis·2026

Same journal

Phosphate Kinetic Modeling in Patients Treated With Hemodialysis or Hemodiafiltration: A Prospective, Multicenter, Cross-Sectional Study.

Seminars in dialysis·2026

Same journal

Impact of Expanded Hemodialysis on Inflammation and Iron Metabolism in Chronic Hemodialysis Patients.

Seminars in dialysis·2026

See all related articles

Search research articles

Related Experiment Video

Updated: Dec 31, 2025

Author Spotlight: Understanding Age-Related Macular Degeneration Pathophysiology with QAF Workflow

Author Spotlight: Understanding Age-Related Macular Degeneration Pathophysiology with QAF Workflow

Published on: May 26, 2023

Four years into MACRA: What has changed?

Jonathan Cheng¹, Jackson Kim¹, Scott D Bieber²

¹Department of Medicine, Division of Nephrology, University of Southern California, Los Angeles, CA, USA.

Seminars in Dialysis

|January 8, 2020

Summary

This summary is machine-generated.

The Medicare Access and CHIP Reauthorization Act (MACRA) shifts Medicare reimbursement toward value-based care. Early data show improved quality and cost savings for kidney disease treatment under MACRA's Advanced Alternative Payment Models.

More Related Videos

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

In vivo Macrophage Imaging Using MR Targeted Contrast Agent for Longitudinal Evaluation of Septic Arthritis

In vivo Macrophage Imaging Using MR Targeted Contrast Agent for Longitudinal Evaluation of Septic Arthritis

Published on: October 20, 2013

Related Experiment Videos

Last Updated: Dec 31, 2025

Author Spotlight: Understanding Age-Related Macular Degeneration Pathophysiology with QAF Workflow

Author Spotlight: Understanding Age-Related Macular Degeneration Pathophysiology with QAF Workflow

Published on: May 26, 2023

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

In vivo Macrophage Imaging Using MR Targeted Contrast Agent for Longitudinal Evaluation of Septic Arthritis

In vivo Macrophage Imaging Using MR Targeted Contrast Agent for Longitudinal Evaluation of Septic Arthritis

Published on: October 20, 2013

Area of Science:

Nephrology
Health Policy
Healthcare Economics

Background:

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 aims to transition Medicare from fee-for-service to value-based care.
MACRA incentivizes providers based on cost and quality metrics, impacting Medicare reimbursement through bonuses and penalties.
Two participation tracks exist: Merit-based Incentive Payment System and Advanced Alternative Payment Models, both emphasizing provider accountability for high-quality, cost-efficient care.

Purpose of the Study:

To analyze the impact of MACRA on nephrology reimbursement and patient outcomes.
To highlight the potential of value-based care models in improving kidney disease treatment.
To underscore the importance of a multidisciplinary approach in adapting to new healthcare policies.

Main Methods:

Review of early data from End-stage renal disease Seamless Care Organizations (an Advanced Alternative Payment Model).
Analysis of policy shifts, including the July 2019 executive order focusing on chronic kidney disease care, home dialysis, and transplantation.
Assessment of the implications of changing nephrology reimbursement structures.

Main Results:

Early data indicate that End-stage renal disease Seamless Care Organizations have achieved cost savings while improving care quality.
The 2019 executive order signals a strategic shift towards comprehensive kidney disease management beyond traditional in-center hemodialysis.
The evolving reimbursement landscape presents opportunities for enhanced patient outcomes and cost-effectiveness in nephrology.

Conclusions:

MACRA and related policy changes offer a significant opportunity to improve kidney disease care delivery and patient outcomes.
A collaborative effort involving policymakers, nephrology providers, and patient advocacy groups is essential for successful implementation.
Value-based care models hold promise for delivering high-quality, cost-efficient kidney disease management.