Appraisal Of Health Care Delivery System

In a perfect world there would be better access to healthcare, there would always be quality care, and health care would be affordable. Each of these three components, accessibility, quality, and affordability, are the essential elements of delivering successful healthcare outcomes. By evaluating health care delivery systems students become much more likely to achieve these efforts.

Nurse leaders play a vital role in establishing standards and leading organizational change. The effects of the Affordable care Act (ACA) on the healthcare industry is characterized by change (Delmatoff & Lazarus, 2014). Given this ACA paradigm transformation, I believe today’s nursing leaders must adapt quickly and assist new leaders to develop the skills necessary to envision and evaluate new healthcare delivery systems. According to Chism (2009), the roles of the doctor of nursing practice (DNP) prepared nurse graduates may be incorporated to meet the transformation of today’s contemporary healthcare. After reading the assigned material, I gained confidence that the DNP program will prepare me for eligible leadership roles within the healthcare industry.

In the past, managed care in the United States took the form of voluntary programs. Such programs date from about 1850, when managed care was provided chiefly by cooperative mutual benefit and fraternal beneficiary associations. Limited coverage by commercial companies was also introduced during that period, and subsequently many plans were established by industries and labor unions.

1. What are the basic characteristics that differentiate the U.S. health care delivery system from that of other countries?

Healthcare is a hot topic for all Americans and everyone has their own views on how the healthcare system should run. This includes the public and the politicians. Today we are going to address issues in the United States healthcare system including access to care for both physical and financial reasons, how payment for care runs the industry, and quality of care in the aspects of internal factors including: public insurance plans, and private insurance, as well as the external factor of the economy.

Working in the health care environment the world needs effective, wise and visionary leaders, leadership matters in every organisation to change the health care environment so it may continue to grow to ensure it gives us better evidence based practice (Evans & M.L, 2015, p 34-50). All health care professionals are required at some point in their position to engage in management or leadership. As an AIN, EN or RN they all have a responsibility to educate, lead and manage within the health care profession (Innis & Berta, 2016, p.2-22). This allows each individual to develop useful and excellent leadership skills and management strategies to be able to educate and lead an exceptional team (Innis & Berta, 2016, p. 2-22). Although our greatest

Quality is an important factor that affects an organization’s service delivery approach or underlying system of care. To achieve a different level of performance and improve quality, an organization’s system needs to change its own delivery system and key processes. The resources (inputs) and activities carried out are addressed together to ensure or improve quality of care. A health service delivery system can be small and simple, such as an immunization clinic or large and complex or a managed care organization. A health care delivery system consists of resources, activities, and results. Activities or processes within a healthcare organization contain focuses on what care is provided and how is done based on the location, time, and patients of the care delivery. Providing services that meet the needs and expectations of patients and their community, including system that affect patient access, care provision that is evidence-based, patient safety, support for patient engagement, coordination of care with other parts of the larger health care system, and cultural competence, including assessing health literacy of patients, patient-centered communication, and linguistically appropriate

Healthcare changes occurring today along with shrinking budgets and reimbursement rates for hospitals has forced institution CEOs to do more with less. Changes and restructuring of various health facilities require nursing leaders with flexibility and adaptability. Nurse leaders must also consider budgetary constraints, cost effectiveness, patient safety, and quality care while maintaining focus on improved patient outcome. The responsibility of ensuring patients receive safe and high quality care belongs to every employee in the hospital, including support staff such as IV therapy. In this hospital, this led to the development of a nurse director position to oversee the

The Robert Wood Johnson Foundation, in the beginning of 2007, funded Health Workforce Solutions LLC (HWS) in their project to create new innovative care models that can establish proficient and successful ways to deliver health care (Joynt & Kimball, 2008, January). In total, HWS selected 24 models of the original 60 care delivery models to conduct in-depth research. Throughout the years, many institutions have incorporated these different models, either independently or in combination. Although all models met the criteria of HWS, and are beneficial in their own way, the Unit-Based Care Manager model will be the subject of this paper. The Unit-Based Care Manager model, "is a new role created for Clinical Nurse Leaders (CNL 's), where a hospital unit 's care team and delivery is redesigned to leverage the CNL 's knowledge, experience, and functionality" (Joynt & Kimball, 2008, January). In fact, one example of the benefits of implying this model is hand hygiene compliance. Results show from CNL Role Immersions Practicum Experiences, that improvement went from 30% to over 70% with just this implementation ( Reid & Dennison, 2011, September 30).

Leadership traits associated with nurse executives are honesty, credibility, supportiveness, visibility, and flexibility. Nurse executives analyze nursing functions and empower nurses through participatory decision making, shared governance, and employee involvement. Nurse executives share the vision and goals of the hospital and promote application of a nursing theory into the nursing care delivery system. They anticipate the future of health care and nursing and serve as monitor, role model, and preceptor to lower level management (Upeniecks, 2003). Nurse executives in the Magnet program are required to have advance practice degrees with certification in their specialty (ANCC). Understanding evidence-based management and enabling the use of evidence-based knowledge provides the nurse executive with the tools to improve patient outcomes. The transformational leader will remove barriers to improvement and encourage outcome based thinking. While nurse leaders are charged with questioning the status quo, nurse managers in the transformational approach to leadership are charged with maintaining the status quo.

The Healthcare system that provides the American access care coverage cost of the quality problem can recommend through certain recommendation and choose: The delivery system the payment system encourages good delivery of quality care, evaluates the effectiveness of drugs. The financing system has to be solved. Since the delivery system is not fixed it’s impossible to solve the cost and quality problem. Payments actually improve patient outcomes. This reduces racial and other inequalities in consequences as growth and cost of care are improved. An example of this is Medicare and Medicaid in the health care system. The agency or sponsors and evaluates research on the effectiveness of drugs. Analyses existing new data and research of comparative,

The healthcare delivery system of the United States of America (USA) has been negatively affected by sub-standard or poor service delivery to patients. In fact, this poor quality of service delivery has been characterized by high delivery costs, splintered organizational management, and absence of a central control authority (Brandeis University / The Heller School for Social Policy and Management, 2010). Consequently, the delivery of services in the context of poor management practices and prohibitive costs has limited patient access to services, compromised the standard of care that is delivered, and maintained and facilitated a culture of inefficiency and ineffective delivery of services to patients in low and middle-income communities (Brandeis University / The Heller School for Social Policy and Management, 2010). Furthermore, a systematic innovation in the healthcare system has

Nurse practitioners (NP) are advanced practice registered nurses (APRN) who are educated and trained to provide health promotion and maintenance through the diagnosis and treatment of acute illness and chronic condition. As a future NP, the author of this paper describes her philosophy of leadership, the leadership style which best fits on her abilities, leadership theory appropriate for her role in Family Nurse Practitioner (FNP) and how she envision her leadership evolving the next five years.

Introduction: The problem: Access to health care physically and financially, healthcare system in today’s society has failed to provide quality care for the U.S. Americans. There are so many ways that the system falls short in providing proper care. The healthcare is mainly based on the government to provide care for a particular group of people according to their income and not everyone has the same treatment, some having to pay for care through some type of insurance premium. When looking at this system of care, families are all

The United States has no special type of nationwide system of the health care delivery. In order to obtain health care insurance, the individuals must buy it in the private marketplace, or it is given to them by the government . Part of the traditional health insurance plans, permits the unrestricted selection of the health care provider and compensates on the fee for the service basis, recently, it covers less than 30% of all the employees. There are basically two kinds of MCOs: Health Maintenance organizations and Preferred Provider Organizations. About 70% of the employees registered in MCOs. HMO is the health care delivery system that associates