The Patient Protection And Affordable Care Act

1777 Words Aug 7th, 2016 8 Pages
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 role for APRNs in the creation, leadership, and management of new and innovative patient-centered care systems” (American Nurses Association [ANA], 2010, p. 2). Innovative patient-centered models, including Accountable Care Organizations (ACOs), Nurse-Managed Health Clinics (NMHCs), and Patient-Centered Medical Homes (PCMHs) are examples where new nursing opportunities can be seized (ANA, 2010).
ACOs consist of a group of specialists, primary care providers (PCPs) including physicians, advance practice nurses (APRNS), and physician assistants (PAs), allied health professionals, and hospitals (ANA, 2010; Huber, 2014). Through collaboration they share the responsibility to coordinate and deliver cost effective, efficient, and quality care…
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