The Patient Protection And Affordable Care Act

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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). As a result, healthcare is shifting from management in an acute care setting toward prevention and wellness in a community-based primary care setting (Dickerson, 2014). This has created an enormous opportunity for the expansion and emergence of new roles for Advanced Practice Nurses (APRNs) and registered nurses (RNs) alike. Healthcare Reform is opening doors “to a more central…show more content…
Huber (2014) explains the ACOs receive a definitive payment for each enrolled patient and disperses it among those who provided care for each patient. ACOs receive incentives for reducing costs and delivering quality care and are penalized when not delivered (Gold, 2011). While patients may choose not to participate if their PCP is in an ACO, there are benefits if they choose to stay (Gold, 2011). First, their care would be coordinated properly, efficiently, and would have a seamless continuity of care. Secondly, all providers would have central access to their health information (Huber, 2014). Similar to ACOs, PCMHs provide patient care that is comprehensive, patient-centered, coordinated, accessible, safe and high quality (Agency for Healthcare Research and Quality [AHRQ], n.d.). In this model patients are assessed in a holistic approach (ANA, 2010). Care is coordinated by PCPs who arrange for appropriate “team members” to provide care for patient specific needs, allowing for continuity of care and reducing duplicate medications and labs (ANA, 2010). Team members support PCPs, are state-designated or community–based teams, and includes nurses, pharmacist, educators, care coordinators, dieticians, social workers, specialized physicians, integrative medicine providers, chiropractors, PAs, and behavior health providers (ANA, 2010; Cherry & Jacobs, 2016). PCMHs use best evidence-based practices to coordinate and integrate care, improve quality of care,
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