Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Health care delivery system nursing

25/11/2021 Client: muhammad11 Deadline: 2 Day

Running head: EVOLVING PRACTICE OF NURSING AND PATIENT CARE DELIVERY MODELS 1

8

EVOLVING PRACTICE OF NURSING AND PATIENT CARE DELIVERY MODELS

Evolving Practice of Nursing and Patient Care Delivery Models

Ishwari Basnet

Grand Canyon University: NRS-440V

February 27th, 2016

Evolving Practice of Nursing and Patient Care Delivery Models

Hello everyone! I Ishwari Basnet,I am a registered nurse and work in medical \surgical\mental health unit for more than ten years. I would like to welcome you all in this informal education session. Today, I would like to discuss about the changing role of nurses and concept of continuum of care and the new health care delivery models such as Accountable Care Organizations (ACOs), medical homes, and nurse -managed health clinics.

Evolving practice of Nursing and Health Care Models

Health care system is changing; it is not just focused on the curative care but the disease prevention and wellness. Also, the new healthcare reform has approach to the development of healthcare delivery models with the changes in nursing role from acute care settings to community health care. Patient Protection and Affordable Care Act (PPACA) formed at 2010 support the establishment of ACOs, medical homes and nurse-managed health clinics; also new payment policies. With the formation of Affordable Care Act (ACA), health has transformed from traditional treating approach to the preventive and wellness. Nurse’s role has also changed from front-line caregiver to the care integrators and coordinators and help in providing the health services to the underserved people. All the health models are focused on the concept of continuity of care which is defined as “a concept involving an integrated system of care that guides and tracks patient over time through a comprehensive array of health services spanning all levels of intensity of care” (Evashwick, 1989). It covers the delivery of healthcare over a period of time and for all levels and stages of care. Let’s talk about the three types of health care delivery model.

Accountable Care Organizations (ACOs)

In accordance to the Center for Medicare and Medicaid services, “Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients” (Cms.gov, n.d.). The ACO is the new unit built by the ACA; the health reform law 2010 which take care of the cost and quality of the care received by the patients. The main aim of ACO is to deliver flawless and high-quality care at the right time to the patients, especially the chronically ill patients. The ACO include the specific group of providers and suppliers assigned by the ACA and they encourage the active participation of nurse practitioners (NPs), clinical nurse specialists (CNSs) etc with physicians and physician assistants. As nursing leadership is encouraged in ACO, registered nurses can lead in quality assurance and develop the improvement initiatives (Nursingworld.org, n.d.).

Medical Home/Health Home

Medical homes (patient-centered medical homes, PCMH), similar to Accountable Care Organizations are primary health care delivery model focused on the deliverance of the primary care that is patient-centered, managed, synchronized, accessible, ample and believe in quality and safety. “The medical home is not a final destination instead, it is a model for achieving primary care excellence so that care is received in the right place, at the right time, and in the manner that best suits a patient's needs” (Pcpcc.org, n.d.). This medical health model helps in solving the health care costs problem with the support of primary care providers such as physicians, nurse practitioners and certified nurse-midwives. Nurses being front-line healthcare workers play a vital role in this model as they can actively participate in health promotion and disease prevention, order and interpret laboratory tests and other studies and refer the patients who need specialized care.

Nurse-Managed Health Centers (NMHCs)

NMHC is another initiation developed by ACA to promote the primary care, disease prevention and control of chronic conditions in the medically underserved and rural areas of United States. NMHC’s are managed by the nurses that include all the nurse practitioners, clinical nurse specialists, nurse midwives, and public health nurses. They provide many health services especially in the needed communities such as diagnosis and prescription to illness, pre- and post- natal care and referral to specialists (About Nurse-Managed Care, n.d.). This care model maintain the nurse managed clinics with the aim of enhancing access to primary care in the communities of medically underserved and/ or vulnerable populations, boost up the nursing practice and leadership for the nursing students by serving as clinical training sites and maintain the patient and workforce data.

To conclude, ACOs, medical homes and NMHCs are the concept of new health care delivery model created by the ACA to minimize the issues of health care cost and easy access of quality health care. These models are mainly patient-centered, competent, accessible and cost effective. The establishment of these types of health care delivery models has changed the role of nursing and set new parameter for the nurses. Nurses have advanced beyond the role of front-line healthcare workers to become care coordinators, efficiency experts and prove to be the backbone of most of these delivery care models. Nurse play as a care integrators and focused on the continuum care from the acute care to the community health settings through these models. Moreover, with the advancement of health technology and health reforms, preventive base health care has taken the priority than the curative care and nurse role is very important towards preventive health care too. Therefore, the opportunities for the nurses are increasing and the demand of the educated, skilled and professional nurses are vital during this changing time of health care system.

Thank you for hearing me and participating in this session. If you have any queries, please feel free to ask. I would look forward to hearing your opinion.

Thanks!

Summary of the Feedback

After this author gave the presentation, all the nurse colleagues took part in discussion session about the benefits and changes that new health reforms and the health care models brought in health care system of the country. This paper will summarize the feedback received from three colleague nurses and forecast the role of nursing.

Nurses who took the active participation in the discussion have their own point of view regarding the healthcare reforms and change of nursing role. However, majority of the number have similar point of view about my presentation and support the new healthcare reform. They also appreciate the new health care delivery models and the role of nursing in these care models.

‘Nurse A’, BSN nurse graduated from Bangladesh and working here in United States at recent times, talked about her experience she had as a nurse back in Bangladesh. She expressed that it was totally different; nurses are the front-line caregivers and are not allowed to take any decision; only follow the orders of the doctors. The role of nurse in health care system differs according the location and time. The emergence of importance of community health is providing the opportunities to the nurses in developed countries like the USA and this new health reform is being following by many developing countries as well. She is very happy and ambitious with this new healthcare reforms and healthcare models. Moreover, the role of nursing has been changing from the front-line caregiver to the care integrators and from acute care settings to the community. Nurses’ role in community settings is the major advancement in healthcare system such as NMHCs. Nurses can work as a leader of the organization in the community setting with self directed, critical thinking, and independent decision making qualities. She focused on NMHCs, where nurses are being encouraged to practice to the full extent of their skills and take significant leadership roles in health policy, planning, and provision. Therefore, new healthcare reforms help to provide nursing role a new perspective and lead to an innovation healthcare system.

‘Nurse B’ was also very excited about the healthcare reform as it believes on the potential of nurses for the transformation of US health care system. She focused on importance of the new health reform because of increasing chronic disease and cost and also taking on preventive care over the curative care. The new healthcare delivery models (ACOs, NMHCS, medical homes) will enhance the preventive care services leading the management of the chronic diseases in the community settings. This will help in reducing the problem of rising the cost of health services and can make aware about the disease prevention and health promotion. Moreover, preventive care services will require huge number of educated nurse workforce and leadership to improve the community’s health care. She further added up that the nurses are the fundamental to the patient-centered care delivery model. The nurses have the capability of building a strong relationship and coordination with the patients and the health care providers’ team and lead in organizing and functioning of different health care models. According to her, the concept of the new health care delivery model of providing the facilities to the underserved people is commendable.

‘Nurse C’ has different point of view regarding the healthcare reforms and healthcare models. She expressed her anxiety about the quality of the services provided by the hospitals and healthcare models when large number of people will be flooded into it for the treatment. She explained that Affordable Care Act (ACA) will benefit large number of people causing the crowd that will definitely affect the hospitals and health systems to take care of the influx of the new patients. That is increase in administrative cost, much more paper work, disease and care management, over-seeing and time dealing with Medicare for the millions of newly insured patients. She added that increase in number of patient will imply to the must increase in number of healthcare providers and nurses. If the strong and enough approach are not taken for the fulfillment of the need of nurses and healthcare providers then it will directly affect the quality of care. Moreover, it will affect the status and motivation of the existing nurse workforce. Therefore, she highly looked forward for the high-quality of health services provided to the patient that is she believed in quality rather than quantity.

To conclude, nurses are the major part of health care system and the role of nursing has changed and advanced with the implementation of the health care reform and health care delivery system. These types of reforms and models have transformed the entire health care system of the United States from acute care settings to community and benefitted many underserved people. However, knowledge and information of the health reforms should be given to everyone.

References

About Nurse-Managed Care. (n.d.). Retrieved February 24, 2016, from National Nursing Centers Consortium: http://nncc.us/index.php/about-nurse-managed-care

Cms.gov,. (n.d.). Accountable Care Organizations (ACO) - Centers for Medicare & Medicaid Services. Retrieved 23 February 2016, from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/

Evashwick, C. (1989). Creating the continuum of care. Health matrix, 7(1), 30-39.

Nursingworld.org,. (n.d.). Accountable Care Organizations. Retrieved 23 February 2016, from http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/Issue-Briefs/ACOs

Pcpcc.org,. (n.d.). Defining the Medical Home | Patient-Centered Primary Care Collaborative. Retrieved 24 February 2016, from https://www.pcpcc.org/about/medical-home

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Maths Master
Write My Coursework
Accounting & Finance Master
High Quality Assignments
ECFX Market
Best Coursework Help
Writer Writer Name Offer Chat
Maths Master

ONLINE

Maths Master

I will be delighted to work on your project. As an experienced writer, I can provide you top quality, well researched, concise and error-free work within your provided deadline at very reasonable prices.

$41 Chat With Writer
Write My Coursework

ONLINE

Write My Coursework

I am an experienced researcher here with master education. After reading your posting, I feel, you need an expert research writer to complete your project.Thank You

$42 Chat With Writer
Accounting & Finance Master

ONLINE

Accounting & Finance Master

I have written research reports, assignments, thesis, research proposals, and dissertations for different level students and on different subjects.

$48 Chat With Writer
High Quality Assignments

ONLINE

High Quality Assignments

After reading your project details, I feel myself as the best option for you to fulfill this project with 100 percent perfection.

$36 Chat With Writer
ECFX Market

ONLINE

ECFX Market

I have written research reports, assignments, thesis, research proposals, and dissertations for different level students and on different subjects.

$23 Chat With Writer
Best Coursework Help

ONLINE

Best Coursework Help

I am an elite class writer with more than 6 years of experience as an academic writer. I will provide you the 100 percent original and plagiarism-free content.

$23 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

W8PAD530 - Application letter for civil engineering job - Download servicemaxx j1708 software free - Soap Note - PICO(T) Questions and an Evidence-Based Approach - A database driver is software that lets the - 1998 french film about post impressionist painter - WK 11 socw 8205 Discussion 2: Social Work in Palliative Care - Pierce the spaceman worksheet answers - LEGAL Forum Week 1# - Cirque du soleil 2019 dubai - Calculate the degree of unsaturation in the following formulas - 350 bar to kpa - Alien frontiers 5th edition differences - 150-300 word correction facilities united states - Garland chocolates case study - 1958 opera by samuel barber crossword clue - Articulating your philosophy of nursing - ME - Online - Research paper 5 - Ul certified surge protector - How does a colorimeter work - Communication for business shirley taylor 3rd edition pdf - Seamus heaney triptych poem - Cisco mds smart zoning - Used c clamp truss press - Forensic accounting questions and answers pdf - Need very detailed pick 5 out of 8 questions - How to write a counselling verbatim - HELP - Intended only for brilliant answers - Discussion: Mission Area Goals—Capabilities and Elements - Runge kutta excel - Titration of acids and bases lab report discussion - Problem 12 6 preparing a payroll register - Literature evaluation table gcu - Secondary sector business examples - List of sei strategies - Eagles nest arthurs seat - Plan for success essay - Strayer writing standards sws format - Alpha cell deep cycle battery - Cyq level 2 principles of exercise fitness and health answers - Assignment 04.11 write your argument - Electric charge bbc bitesize - Statistical approach to normality - Movie rental source netflix does most of its business renting current bestselling dvd releases. - Oslo company prepared the following contribution format income statement - 152 renwick street marrickville - How many mcg in mg - How to make a parachute out of a grocery bag - Visa vcf 4.0 file format specification - Sample informative speech outline - Preliminary work in construction - Sports management - Difference between romantic and modernist poetry - The energy detective pro - Maths sample space diagrams - Classic vs contemporary literature - Our lady of the visitation primary school - Is onomatopoeia a rhetorical device - Slavery race and the making of american literature - Psychology assignment. - Negotiation and Conflict Discussion week 6 - O tom cat cavernous sinus - Security architecture - Unit 8 Discussions (ECO202 & SOC101) - Csu stanislaus student email - 1 what is an it risk assessment's goal or objective - Twinkle of a fading star - Descriptive and inferential - Lean mean fighting machine meaning - Calculate flow rate operations management - Mendel conducted his most memorable experiments on - Writing assignment - Healthcare Ethics - The great gatsby thesis statement - Module 5 Journal Article Analysis - Intranet sasinc org for employees time attendance - Deliverable 7 - Provide Insights through Data Visualization/ WORD DOC and TABLEAU Presentation - Rels201 - Harvard style referencing uwa - The keys of canterbury - Directive purpose of written communication - Microbiology case study examples with answers - Organizational design and strategy in a changing global environment - A time line is not meaningful unless all cash flows occur annually. - How to write a chemistry literature review - How much is the itread treadmill - Air resistance lab coffee filters answers - Homework Question - Future of the juvenile justice system proposal presentation - Adib foreign exchange rates - Wk 1, HCS/335: DR 1 - Fleur de sel woolworths - Pallbearer sorrow and extinction zip - How to factor x 4 16 - Main earth continuity test - Insulation resistance test nz - Celine dion company issued 600 000 - Thursford christmas show 2016