Practice Model

The current health care sector is too costly and too fragmented with a lot of variation in care even with established evidence based guidelines. Providers lack the tools, support and information they need to offer the coordinated health management that can reduce cost and improve outcomes. Primary Care Physicians are constrained in their abilities to perform any proactive care that involves avoiding Hospital or ER visits, and influencing healthy lifestyles.

Quality patient centered care is vital to a hospital or clinic’s ability to treat whole patients. Dabney and Tzeng (2013) address the necessity to implement patient-centered care into clinic and hospital settings. The article clarifies what patient-centered care and service quality is by consolidating many works and sighting benefits medical professionals can observe in their practice.

Personal Practice Framework Part Two             Nurse practitioners (NP) provide a combination of direct nursing care and medical management to the patient as a whole. The NP is considered a leader and should provide education and support to the patient (Elliott, Begley, Sheaf, & Higgins, 2016). As a leader it is important to recognize and assist in finding solutions to barriers. The NP is responsible for advocating for the patient and recommending treatments that consider the best interest of the patient. The integration of personal practice framework helps make the provider aware of their own views and provide better patient-centered treatments (Moyo, Goodyear-Smith, Weller, Robb, & Shulruf, 2016).

Budzi, Lurie, Singh, and Hooker (2010) state, “Nurse Practitioners’ (NP) interpersonal skills in patient teaching, counseling, and patient centered care contribute to positive health outcomes and patient satisfaction.” According to their research they encourage healthcare systems in the U.S. to hire more NPs to allow for better access affordable, and quality care (Denisco & Barker, 2016). With the demand for primary care providers, The NP role aids in delivering a solution to some of the healthcare issues that exist today. Organizations like the Institute of Medicine (IOM) and Centers for Medicare and Medicaid (CMS) all agree to allow nurses to practice to their full abilities to make healthcare more accessible and affordable, especially for the aging baby boomers and less accessible rural neighborhoods, and densely populated urban areas. Research has proven that NPs that provide primary care have similar health outcomes to primary care physicians (DeNisco et. al., 2016). NPs particularly take pride in their holistic approach, forming therapeutic relationships between other providers of the healthcare team, patients, and their families, aiding the informed decision making process, use of the evidence based practice approach in health management (Brown, 2005). Some of the other actions or qualities that

In 2001, the US Institute of Medicine’s seminal report, ‘Crossing the Quality Chasm: A New Health System for the 21st Century’, recommended six goals for improvement in healthcare, with one focusing on patient-centred care (Institute of Medicine [IOM], 2011). Furthermore, various international organisations, such as the Institute for Patient- and Family-

Responsible health teachings that are planned to help prevent illness, reduced morbidity, improve health and wellness practices and manage chronic conditions effectively with increasing patient care results. In this respect, Nurse Practitioner must stay consistent in maintaining a culturally sensitive patient-centered care environment by recognizing patients as part of the decision-making process (National Organization of Nurse Practitioner Faculties, 2016). The development of evidence-based practice and evaluation practicing of learning become vital parts by providing a significant response to improving the teaching-learning process and, more likely, participate in the competent and excellent in the management of patient care (National League of Nursing, 2016). Health care is continuously developing and improving; Nurse Practitioner must be committed to lifelong learning to continue with the stated fast-paced revolutions. Additionally, NP collaborates with other members of the health care team to promote healthy partnership within the organization to providing optimal care and transition to the care continuum accordingly (National League of Nursing, 2016). Nurse Practitioner decision-making is affected by their ethical principles to make simple decisions

Once revered by the volume of care provided, insurance companies now emphasize value of the care provided. In order to remain successful in a market such as this, healthcare institutions must adopt a new culture where the patient experience is central to the care provided. This culture needs to envelope a new mindset where the patient, and patient family are considered equal, active participants in their care.

Professional practice models can help guides nursing practice in any healthcare setting. Nursing care models are commonly adopted by Magnet organizations because they promote staff autonomy, shared decision making, patient-centeredness, and quality care. Nurses most often develop PPMs which reflect not only nursing values but the organization’s values as well. This paper will explore several elements of the Brigham and Women’s Hospital’s (BWH) Professional Practice Model (PPM). First, the model’s fundamental nursing framework will be identified. Next, a brief discussion on how the model promotes patient-centeredness, evidence-based practice, and interdisciplinary collaboration will be presented. Lastly, a summary of how the model fosters quality, safety, informatics, shared governance and leadership will be reviewed.

The Mayo Clinic is well known for quality embark. They are very determined in setting a new standard in healthcare by eliminating waste and improving efficacy. The healthcare has changed over the years and so has Mayo. They have put their effort in to quality because their patient was the focus which has made them money in the long run. They were about improvement and transformation. They overtime than had a test done to see if they could reduce the errors made by 50%. They went about in measuring patient safety and health care and found out they can prevent the areas so they need to have improvement in quality to be able to do that.

I have learned to engage in practice-informed research and research –informed practice while at Mason and partners clinic as there are many challenges faced by the community we serve. The community faces many barriers as most of the Manassas clients are mostly undocumented Latino immigrant families. I have learned that many of the patients are used to living in crisis and continue to live in crisis as they migrate to the United States. Many of these patients run away from their countries due to corruption and violence. I have learned to meet people where they are and assist them in getting the most each time they are referred to social work while at the clinic. I continue to learn through Seminar 495 and 496 of what are the best approaches

The Patient Protection and Affordable Care Act (PPACA) with the creation of the Patient-Centered Outcomes Research Institute (PCORI) has sought out to provide health care providers and other organizations in the medical field, research and data to make better decisions about providing healthcare. These decisions are of course centered on patient-outcomes and cost effectiveness. Since the creation of the PCORI it has focused on very general topics in the medical field and may not address a large enough scope of issues before its reauthorization in 2019. The PCORI needs to focus on more specific and quickly effective issues to maintain its relevancy

Nursing Practice continues to evolve in order to adapt to perpetual revamping and reshaping of the healthcare system. The Patient Protection and Affordable Care Act (PPACA) calls for a dramatic and rapid metamorphosis of patient care delivery models in order to provide cost effective, safe, efficient, and high quality care to every American (Cherry & Jacob, 2016).

rganizing the delivery of health care around the needs of the patient may seem like a simple and obvious approach. In a system as complex as health care, however, little is simple. In fact, thirty years ago when the idea of “patient-centered care” first emerged as a return to the holistic roots of health care, it was swiftly dismissed by all but the most philosophically progressive providers as trivial, superficial, or unrealistic. Its defining characteristics of partnering with patients and families, of welcoming―even encouraging―their

The magical Mayo Clinic has what every hospital is looking for; exceptional patient care, top of the industry research, and an impeccable budget. Mayo Clinic is considered a leader in cancer, heart disease, respiratory disorders, and urology in research as well as patient care. It is a rarity that a hospital is ranked at the top of the U.S. ratings in so many specialties. According to Kotler and Keller, “The clinic’s two interrelated core values trace back to its founders and are at the heart of the all the organization does: placing the patient’s interests above all others and practicing teamwork” (2012). Mayo Clinic is so good at customer service because the doctors

The professional development of a teacher can be a challenging task yet not impossible. During the process of this course I have learned how to face this challenge. However developing my own ideas and style of language teaching is still a work in progress. As a prospective language teacher I take in all methods and principles this course as given me. In doing so I believe it will make me a better professional. This course has presented me with some thoughts ELT teachers need to have once the period of formal training is over.