NRS 440 Health Care Delivery Models and Nursing Practice GCU
NRS 440 Health Care Delivery Models and Nursing Practice GCU
NRS 440 Health Care Delivery Models and Nursing Practice GCU
In order to achieve better results, stakeholders must constantly implement laws that reform and restructure the health care delivery system. This is necessitated by the requirement to provide high-quality care that is also cheap. As patient advocates, nurses play a crucial role in these changes and restructuring. The new care delivery models are developed to provide high-quality treatment at the lowest cost to patients and other stakeholders, such as nurses (Gott, 2018). In order to alter or restructure the way health care is delivered, this article will look at recent laws and federal regulations. The impact of quality standards and remuneration for performance on nursing practice and patient outcomes is also covered in the paper. The essay also examines the professional nurse leadership and management roles in promoting patient safety and high-quality treatment as well as responding to new trends.
The provision of care in the American healthcare system depends on the improvement of nursing education and practice. As one of the greatest labor forces in the nation, the Nursing Workforce Reauthorization Act of 2019 is vital because it would update, reauthorize, and improve key programs to support and develop the nursing workforce. The Nursing Workforce Reauthorization Act of 2019 prioritizes improving nursing education, practice, and programs to retain nurses in order to satisfy the growing national demand brought on by an aging population and the ensuing retirement of the baby boomers’ nursing generation (Merkley, 2019). The law provides nurse practitioners with a variety of programs to promote nursing care, services, and these professionals’ general health. The goal of this law is to promote nurse accountability and broaden the nurse’s scope of practice in order to boost career satisfaction and boost retention rates.
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The act will help to match the nursing sector with its profession since nurses will have the chance to further their education and serve in both rural and urban places, particularly in communities and populations that are underserved. The act guarantees that nurses will have improved practice skills based on their degree of training, education, and speciality. The statute urges nurses to exercise greater responsibility in their capacity as primary care providers, particularly in underserved and rural areas (Congress.GOV., 2019). The act makes sure that the nursing workforce in the United States is prepared to meet care needs both now and in the future and can address issues with access to care in the populations they serve.
Also Check Out: NRS 440 IOM Future of Nursing Report and Nursing Assignment
Assessment Description
Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.
Include the following:
- Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
- Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
- Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
- Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
SAMPLE 2: Healthcare Delivery Models and Nursing Practice
Healthcare stakeholders including elected officials and providers need to regularly implement laws that reform and restructure the healthcare delivery system to improve the quality of care and attain better outcomes for patients and increased satisfaction for nurses. Nurses as patient advocates have a critical role to ensure changes occur through lobbying and creating awareness among health populations. Laws create new care delivery models that enhance accessibility and better outcomes (Mathes et al., 2022). The purpose of this paper is discussion actions aimed at reforming and restructuring the healthcare system and the nurse’s role in this changing situation.
Emerging Law and Its Impacts
The Patient Protection and Affordable Care Act (PPACA) provides incentives for the development, testing, and evaluation of new delivery systems to enhance accessibility, and quality and reduce overall costs. Legislation that has occurred within the last five years is the Title VIII Nursing Workforce Reauthorization Act of 2019. This law focuses on improving nursing education, practice, and retention in different care settings. The legislation provides programs aimed at enhancing the delivery of nursing care, and nursing services and focuses on the well-being of nurses in the United States (AONL, 2022). The goal of this reform is to expand opportunities for nurses to have more responsibilities, extend the scope of practice and attain increased levels of satisfaction based on their position and job delivery.
The act will assist in aligning the nursing workforce with the current trends in the profession. Title VIII incentivizes nurses by offering support through tuition reimbursement so that they can continue with their education. The law also funds institutions educating nurses to practice in rural and medically underserved communities. The law also makes critical changes to nursing roles and practices. For instance, it recognizes all four advanced practice registered roles of nurses and ensures that nurse leaders are eligible for education grants (Bestsennyy et al., 2022). The legislation allows stakeholders to address the national nursing shortage and ensure a robust and diverse nursing profession that is critically important for underserved communities and those in rural settings.
Quality Measures and Pay for Performance Impact on Patient Outcomes
Quality measures and pay-for-performance are essential components in the fast-changing healthcare environment as they offer a host of benefits to patients and their outcomes. Quality measures enhance patient safety as they reduce their exposure to health and medical risks like hospital-acquired infections (HAIs) and medication errors. Quality measures and pay for performance focus on quality as opposed to quantity offered. Therefore, the approach allows the redirection of funds to support best clinical practices and the promotion of positive health outcomes (AONL, 2022). Public reporting is an aspect of quality measures that increases transparency in systems and the protection of organizations while enhancing their overall reputation. The implication is that quality measures are a critical component of quality care and patient safety.
Pay-for-performance models like the Centers for Medicare and Medicaid Services (CMS)’s value-based care focus on ensuring that providers are paid based on the quality of services that they offer to patients and not quantity (NEJM Catalyst, 2018). Providers can only be compensated through the CMS’s system based on programs aimed at reducing adverse events or near misses from occurring in a facility (Mathes et al., 2019). Patients attain the best outcomes when providers institute safety measures to reduce their susceptibility to risks in any setting. These measures ensure that patients have a reduced risk of health-associated infections, falls, and even pressure sores as well as medication errors.
These measures incentivize nurses to deliver quality care and focus on their roles in the most effective manner. Nurses want to practice in safe environments and settings that focus on better patient outcomes (Start et al., 2020). Therefore, risk reduction, promotion of quality care, and patient safety as well as satisfaction have positive effects on the nursing practice. The expectations among nurses are that their scope of practice will expand as they assume more responsibilities through innovative care delivery models like the Accountable Care Organizations (ACOs) and nurse-managed care organizations in rural settings to increase accessibility and promote primary care interventions. The role of nursing in these situations will expand as they transition to being critical care providers among underserved and rural populations.
Professional Nursing Leadership and Management Roles
Reforms in healthcare through different legislative frameworks like the PPACA and even the Title VIII Act of 2019 envisage a health system that is based on the prevention and promotion of primary care. Imperatively, providers should embrace the changes in their roles, especially nurse leaders and nurse managers. Different roles in nursing leadership and management have emerged because of these reforms. For instance, nurse leaders are now focused on motivating their subordinates to attain advanced education, conduct research, and join professional organizations to improve their skills and expertise (Start et al., 2020). Leadership roles like focusing on innovative ideas and evidence-based practice (EBP) interventions have emerged because of these legislative reforms in healthcare. Nurse managers seek ways to reduce the cost of care and attain quality standards as mandated by CMS to attain reimbursement. Managerial roles for nurses in innovative care models like nurse-managed care settings demonstrate the shift emanating due to these reforms.
Again, nurses are becoming primary care providers in a host of settings and offering care to those in rural areas and underserved communities. As program managers and EBP leaders, nurses are an integral part of the reforms and management of these settings to enhance quality, and accessibility, and reduce the cost of care (Bestsennyy et al., 2022). These roles are essential in responding to emerging trends like the increased use of health information technology to increase access to healthcare services, especially for individuals with chronic conditions like hypertension and even diabetes among others.
The professional nursing leadership and management roles promote patent safety and quality of care in diverse health care environments as they focus on improved access and collaborative approach to disease conditions and provision of care. Nurse leaders are not patient advocates and promote primary care while emerging managerial roles implore them to develop effective interventions to optimize available resources for quality care outcomes.
Emerging Trends
Different trends are emerging in healthcare provision. These trends range from increased use of innovative care delivery models that leverage health information technology, with a core component being informatics nursing. Informatics nursing incorporates nursing computer science and information science to establish medical data systems to support the nursing practice and enhance patient outcomes. The growth of computerization knowledge in health care and the medical field continues to rise at an alarming rate in recent times and is a trend that nurses and other healthcare providers must leverage to enhance the overall quality of care and promote interventions to benefit a majority of patients and health populations (Bestsennyy et al., 2022). These technologies include electronic health records (EHRs), computerized provider order entry (CPOE), and telehealth.
The nursing practice and nursing roles will expand and change in the next five years as care shifts to primary and prevention where the emphasis is on the promotion of better interventions to deliver quality. The nursing practice will expand in scope as more states change their laws to allow nurses to practice to full authority based on their level of education and training (Start et al., 2020). This means that more nurses will become primary care providers to fill the physician shortage and expand access. These trends implore nurses to attain advanced education and professional certification in different specialties to deliver quality care and manage emerging needs and a rise in care demand.
Conclusion
Health care delivery models impact the nursing practice in different ways. These models are changing based on the trends and legislative frameworks as demonstrated in the paper. This means that providers like nurses and physicians must assume new roles in both leading and managing health care aspects to enhance accessibility, reduce overall costs, and improve the quality of care, especially in rural areas and underserved communities and populations in urban settings.
References
American Organization for Nursing Leadership (AONL) (2022). Title VIII Reauthorization.
https://www.aonl.org/advocacy/key-issues/title-viii-reauthorization
Bestsennyy, O., Chmielewski, C., Koffel, A. & Shah, A. (February 2022). From facility to home:
How healthcare could shift by 2025. https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/from-facility-to-home-how-healthcare-could-shift-by-2025
Mathes, T., Pieper, D., Morche, J., Polus, S., Jaschinski, T., & Eikermann, M. (2019). Pay for
performance for hospitals. Cochrane Database of Systematic Reviews, (7): CD011156.
DOI: 10.1002/14651858.CD011156.pub2.
NEJM Catalyst. (2018, September 25). What is pay for performance in healthcare?
https://catalyst.nejm.org/pay-for-performance-in-healthcare
Start, R., Brown, D. S., May, N., Quinlan, S., Blankson, M., Rodriguez, S. R., & Matlock, A. M.
(2020). Strategies for creating a business case that leverages the RN role in care coordination and transition management. Nursing Economics, 38(4), 203-217. https://www.aaacn.org/sites/default/files/documents/misc-docs/2020-NEC_JA_p203.pdf
Shryock, T. (2022 February 2). Getting paid in 2022. Medical Economics Journal, 99(1).
https://www.medicaleconomics.com/view/getting-paid-in-2022
Health Care Delivery Models and Nursing Practice – Rubric
Criteria Description
Current or Emerging Health Care Law or Federal Regulation and Effect on Nursing Practice, Role and Responsibility
Criteria Description
Quality Measures Pay for Performance, Patient Outcomes, and Effect on Nursing Practice
Criteria Description
Professional Nursing Leadership and Management Roles
Criteria Description
Predict Change in Nursing Roles and Nursing Practice
Criteria Description
Thesis Development and Purpose