Practice Model

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

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.

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-

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.

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).

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

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

Highlands Regional Medical Center (HRMC) is a hospital with multiple departments experienced in the care and healing of patients. HRMC is dedicated to creating a healthcare system that is patient oriented with a strong structure and impeccable staffing who understand and share empathy with their patients needs. The company’s mission and vision statement focuses on the value of patients, physicians and the communities it serves. “The delivery of compassionate and high quality health care services that improve the quality of life for our patients, physicians and the communities we serve.” (Highlands Regional Medical Center, 2017) I chose this organization as I have been a part of its family for over 5 years and have

There are various models designed to enhance the quality of health care provided in today’s society. Within the health care system the objective is to provide quality care to the patient is the primary goal, however, over time due to such a strong concentration on this objective expenses have been forgotten. Medical care has now grown to a ridiculous expense. Congress, medical professionals, administrators, and many others are now devising various plans and models to attempt to conquer and eliminate such expenses. The patient centered medical home, managed care plans, and accountable care organizations are just some of the ideas

In a day and age where everything is becoming mobile and consumer-driven, healthcare is no exception. Patients are now able to drive healthcare industry spending and have access to more health services. “A growing body of evidence suggests that the patient-centered medical home is an effective model to transform primary care and serve as a foundation for accountable care organizations, working together in integrated communities of care” (Harbrechet & Latts, 2015). Patient centered care could change the outdated medical models by focusing on patient-doctor relationships and what the patient deems important in their healthcare (Kahn, 2014). “Patient centered care has a triple aim: to improve individuals’ health; achieve improved population health; and reduce cost trends. A complementary goal was to improve satisfaction for patients and health care teams“ (Harbrechet & Latts, 2015). Early studies suggest that this type of care will also improve efficiency and lend us closer to the frontier of health production. The Patient Centered Health model is the fastest growing healthcare delivery system innovation (O’Kane, Barr, &Scholle, 2014). This is largely due to the Affordable Care Act and its impact on health coverage (Fifield, Forrest, Burleson, Martin-Peele, & Gillespie, 2013; Harbrechet & Latts, 2015). This paper will focus on how patient centered medicine impacts efficiency in healthcare.

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

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 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.

Mayo Clinic’s work is well known for many specialties, ranked in the top ten for most of them, the biggest thing that this not – for – profit organization is concerned with is, the care and satisfaction of the patients they serve. Patients from all fifty states travel to the Mayo facilities for treatment because they hold their employee and facility standards to high ethical and moral standards. The motto of the patient comes first plays a big part in way the Mayo facilities operates on a daily basis. As we take a look at some of the

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