Patient Care Delivery Model Paper

broad range of individual patients. The patient should be able to benefit maximally from the care he/she receives.

The Affordable Care Act created a new approach to care which is called the Accountable Care Organization. ACO is a system of doctors and hospitals that share a financial and medical responsibilities. If the ACO is successful in meeting quality and cost savings targets, these organizations qualify for financial incentives or shared saving from Medicare programs. The goal of the ACO is to coordinate

Nurses play and important role in the health care system. Nurses have excellent inherent to manage change to improve the health care system (The Future of Nursing: Leading Change, Advancing Health. n.d.). They can be as innovators to lead changes. Nurses understand how to approach care and enhance quality at the lower cost (Nursing 's role in health care reform - American Nurse Today. n.d.). They can engage in research to Generate evidence-based practice and help shape the quality and safety through collecting and tracking data to enhance care. Nursing research benefits create the logical framework for clinical usage, prevention, and improved patient outcomes. Nurses can Redesign nursing education (Nursing 's role in health care reform - American Nurse Today. n.d.). All nurses should to maintain necessary competencies to match the requirements of the population aging and various culture and community health care needs, (Nursing 's role in health care reform - American Nurse Today. n.d.).

A national health care system such as the Patient Protection and Affordable Care of Act of 2010 that was passed in March that year, appears to offer some solutions to a great number of major issues facing our health care system. In June of 2012, this new

The Affordable Care Reform Act was passed to bring changes and improvement in the nursing field and health care system. There are many reasons that influenced the execution of the health care law. Many citizens from low-income families were unable to cater for their medical expenses. There was a shortage of nurses that were necessary to meet the high demands of the growing population. It is observed that the implementation of the Affordable Care Act has brought significant effects and changes to the practice of public health and community health nursing (Koh & Sebelius, 2010).

​Kaiser Health News recently published an article on a new trend in healthcare. This trend introduces the Accountable Care Organization (ACO). The Centers for Medicare and Medicaid services defines it as “groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients” (“Accountable Care Organization,” 2015). According to the Affordable Care Act (ACA), the goal of the ACO is to be able to share health cost-savings with providers who are able to save money by eliminating unnecessary procedures and reduce health costs while increasing quality of care. ACOs make health professionals become more accountable in maintaining good-quality, coordinated healthcare for a patient through a value-based system that is evaluated through a number of criteria and benchmarks (Ronai, 2011).

Johnathan Gruber, H.P. Newquist, Nathan Screiber, 2012. Health Care Reform: What it is, Why It’s Necessary, Why It Works: New York: Hill and Wang. Pp. 50-80

According to Shi and Singh an accountable care organization, also known as an ACO, describes an integrated group of providers who are willing and able to take responsibility for improving the overall health status, care efficiency, and satisfaction with care for a defined population. The ACO was established by the Patient Protection and Affordable Care Act (PPACA) Section 3022 mainly to better the quality of care to beneficiaries and to save money for Medicare (Golden). The accountable care organization is voluntary for provider participation and Medicare beneficiaries still can choose treatment from any provider they wish which is beneficial. The ACO has been viewed as a potential tool for rebuilding the traditional Medicare coverage according to Medicare Payment Advisory Commission known as MedPAC (Rosenbaum). According to CMS,

This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to

Primary care practice will be greatly impacted by health care reform. To provide better health care, the country will see a trend away from specialty to primary care and the avoidance of acute issues by delivering this care in the community setting. As a result, primary care physicians will be overwhelmed with the patient load as the number of the insured increases exponentially. The committee recognizes the scope of nursing practice that remains untapped and therefore the profession

There are over three million nursing professional in United States and they make the largest segment of nation’s health care workforce. Nurses can play a vital role in helping to realize the objectives set forth in the 2010 affordable act, legislation that represents the broadest health care overhaul since the 1965 creation of Medicare and Medicaid program (IOM 2010). Due to the restricting barriers nurses were not able to respond effectively to the changing health care systems. In 2008, The

Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.

Changes in the Health Care System and the Practice of Nursing have become complex. Technological changes, complicated client needs, short hospital length of stay, and departure from acute care to community based care, all these changes have underscore the need for professional nurses to think critically in order to provide safe and effective client care. A better educated nursing workforce can provide good health education to patients and their families. The affordable care of 2010 has required the need for nurses to expand their role of practice to meet complicated patient demands. This has prompted the Institute Of Medicine to review the “Future of Nursing, Leading change and Advancing Health”. {Creasia & Fribery,2011}

For all of mankind, the cost of health care is a major daily stressor. This article stated an interesting fact that, “A concern of businesses and governments for at least 30 years, the cost of health care in the United States has approached 15 percent of the total gross national product (Barbara R. Heller, Marla T. Oros, and Jane Durney-Crowley, 2013, para. 19).” Even with that fact, there are over 40 million individuals living in the United States that do not have health care coverage. The total health care spending in America surpasses that of any other developed country. This is due to technological advances that are readily available and breakthroughs in medicine. Still, there are present concerns in nursing practices, such as: the affects on the nursing profession, treatment options for their patients, and the patients participation in their own care. This article stated, “Nursing professionals, who have historically taken the lead in health education and health promotion, are disappointed by the lack of financing and reimbursement available through managed care organizations for

After reading The Future of Nursing: Leading Change, Advancing Health article by the Institute of Medicine, I gained a clearer view of the overall goal for nursing. Although there are many diverse parties that need to be associated in perfecting the continuously changing health care system, nurses vital to the contribution. Nurses provide direct patient care, deal with the health care system and health care policies, as well as interact with the interdisciplinary team. So the Institute of Medicine has a great nursing blueprint for help nurses make a different for not only the future of the health care system