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Models of health care delivery and practice in nursing – us english


Over the last decade, significant improvements have been made to America’s healthcare delivery system. This is primarily due to policy changes that were implemented in response to continuing challenges like rising healthcare costs and access to better care. The role and responsibility for nurses involved in healthcare delivery have been affected by these changes. This paper discusses changes made to the U.S. health care delivery system, and how they have affected the nursing profession.

Restructuring and Reform in Healthcare:

Patient Protection and Affordable Health Act (PPACA), a federal statute, was enacted in 2010, to overhaul the U.S. healthcare system. The PPACA aims increase healthcare access, quality and lower healthcare costs. The law’s significant impact on nursing practice has been the rise in primary care needs. With the expansion of insurance coverage, there has been an increased demand for primary care services, and nurses have taken on expanded roles to meet this demand (Kaplan, Brown, & Foreman, 2017).

The PPACA also includes provisions that impact the responsibility and role of nurses in healthcare delivery. The PPACA mandates that Medicare and Medicaid program pay according to the quality of outcomes. This has led to a greater focus on quality and better performance. The law also mandates that healthcare facilities implement electronic health records (EHRs), which has affected the way nurses document patient care and share patient information (McBride & Tietze, 2017).

Influence of quality measures on the nursing profession and performance pay:

Pay for performance and quality measures are being increasingly used to control healthcare costs and improve outcomes. A set of quality standards is used to assess the quality of healthcare facility care. On the other side, pay for performance is a payment model in which healthcare providers get paid according to their quality performance (Reynolds 2017, 2017). Pay for performance and quality measures have had a significant impact on nursing practice. Nursing staff are often required to gather and report information on quality measures. Nursing staff are expected to be involved in quality improvement projects, including identifying improvement areas and applying evidence-based interventions that improve patient outcomes.

What are the expectations and responsibilities of nurses in quality measures and pay for performance?

As nurses, you are expected to be involved in the development of quality measures as well as pay for performance. The duties of nurses include collecting and reporting data about quality measures and participating in quality improvement initiatives. They also need to use evidence-based treatments to improve patient outcomes. In order to provide high-quality care for patients, nurses should collaborate with pharmacists and physicians.

Management and Leadership in Nursing:

To respond to new trends, professional nursing leadership and management positions have emerged to promote quality and patient safety in a variety of healthcare settings. A Chief Nursing Officer is one such role. This person is responsible to lead nursing practice, manage nursing staff, and ensure high-quality and safe patient care. The Nurse Informaticist is another emerging role. This is responsible for managing information technology and healthcare systems in order to improve patient care.

Nursing’s Future and Emerging Trends:

Telehealth is a new trend in nursing. The integration of genomics and nursing are also two emerging trends. Telehealth is the remote delivery of healthcare services using telemedicine and other information technology. Telehealth is a promising option to increase access and quality of healthcare, as well as reduce costs. Integration of genomics into nursing practice is the application of genetic information for patient care. This allows nurses to improve their patient outcomes and tailor patient care. Nurses will have to learn new skills to deliver genetic-based care as genomics is integrated more into healthcare delivery.

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