...The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities. As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. 1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. 2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. 3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. 4. A minimum of three scholarly references are required for this assignment...
Words: 360 - Pages: 2
...The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities. As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. A minimum of three scholarly references are required for this assignment...
Words: 358 - Pages: 2
...Health Care Organization and Delivery System Health Care Organization and Delivery System HCS/531 November 09, 2011 In the current era of technology, health care system continues to research on improvising the various ways on delivering outstanding health services to its people. In health care industry, majority of the developed countries are run by national insurance generated by enforced general taxes. Unlike in United States healthcare insurances are run by partly private and government institution ensuring individuals based on certain eligibility. Although the distinct system in the United States protrudes as one of the best health care providers around the globe, some individuals considered it as unmanageable catastrophic scheme. Additional information regarding United States health care system, the implications of its belief and values, and some models of health care delivery used in America are presented below. The health care delivery system of United States is a complicated organization involving education and research, medical suppliers, private, and government insurers, health care providers, payers, and the government. It composed an approximate number of 10 million in employment from doctors, nurses, dentists, pharmacists, administrators, caregivers, and more. The system also involves several institutions such as hospitals, nursing homes, mental health facilities, and clinical sites serving millions of people yearly...
Words: 1235 - Pages: 5
...Evolving Practice of Nursing and Patient Care Delivery Models The Speech Hello, my fello nurses. Thank you for being here at the Summit of Nursing Evolution. My name is Chhay Yann-Ly and I am a nurse. We are living in an era where the United States (US) health care system is going through tremendous changes and challenges, with sky-rocketing health care costs, fragmented and poor quality of care, high volume of aging population, and passage of the Patient Protection and Affordable Care Act (PPACA) in 2010. A summary of the PPACA is basically to improve the health care delivery system, expand coverage, and control cost (Democratics Senate Gov/Reform, n. d.). With these changes, comes the evolutionary nursing professional transformation process. This speech is a crash course on the evolving practice of nursing and patient care delivery models. The goal of this speech is to discuss the continuity or continuum of care in relation to accountable care organizations, medical homes, and nurse-managed clinics health care models. Since nursing is the backbone of health care, all of these care delivery models require a robust nursing contribution for success (American Nurses Association (ANA), 2010). The first model is the accountable care organizations (ACO). ACOs is a “shared savings” with Medicare (part A & B). The ACO, according to the ANA (2010), is “a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility...
Words: 797 - Pages: 4
...Part III Acuity Adaptable Care Delivery Model and the Universal Room Model Brooke A. Dupre Creating Change Within Organization HCS/ 587 April 13, 2015 Instructor: Ginger Weatherspoon At Acadian Medical Center Campus of Mercy Regional Medical Center in Eunice Louisiana, our mission is "Quality Healthcare Close To Home. Organizations seek to change to reach their mission and strategic goals of quality health care. When current ways of working are not allowing us to reach our objectives, we must incorporate new ways that are likely to be more effective, the change should be considered through a process. The organizational change plan will explore Acuity Adaptable Care Delivery Model and the Universal Room Model. It will then describe the organizational change process of the acuity model, possible barriers to change, possible influencing factors, and lastly motivational theories to assist managers in working with and motivating staff during the change process, describe the methods that will be used to monitor implementation of your proposed change, examine the relationship between the organization’s related processes, systems, and personal or professional roles and their effect, identify communication techniques that will be used to address any implementation issues that may arise, the effectiveness once implemented, and outcome measurement with the Acuity Adaptable Care Delivery Model and the Universal Room Model. The acuity adaptable model is when patients are kept in...
Words: 1916 - Pages: 8
...Agile Care Team model Name: Institution: Agile Care Team model The current concern in most health care organizations is to devise the appropriate ways that will embrace the management of the departments within the premise. That should create, update, and continuously improve health care delivery aligned with the triple aim initiative. Mostly, their primary goal is to provide appropriate levels of patient care as well as care quality. Additionally, they target the patients and member population as well as well as the optimization of the costs for health care delivery. Thus, health care providers should learn from and implement Lean methodologies since the priorities focus on process efficiencies and health management outcomes. Notably, the focus of the approach is to understand and improve customer value within the organization. That will allow for remote access to various products and services. The improvement targets both the patients and providers, hence optimizing health care delivery. Agile Approach constitute the sequential execution of processes within a given period and provides a feedback loop to the clients to ensure solution validation. The goal of the model is to advance service delivery within various the hospitals since it enhances the relationship between the health providers and the patients. An example of a nurse-managed model The figure above illustrates the Triple Aim Model. Most health care models currently implement various...
Words: 1015 - Pages: 5
...The U.S. Health Care System Catherine Wiley HCS531 September 12, 2011 Kenneth Feldman The U.S. Health Care System A health care system is a “network of agencies, facilities, and providers of health care within a specific geographic region” (Widipedia). The health care system is designed to meet the health care needs of a target population. According to Shi and Singh (2008), “A health care delivery system has two primary objectives: 1. Provide health care to all its’ citizens; 2. Services must be cost effective and meet standards of quality” (5). A system, “consists of a set of interrelated and interdependent components designed to achieve some common goals, and the components are logically coordinated (Shi & Singh, 28). As Shi & Singh (2008) state the health care system in the United States is a mixed market system. The source of coverage comes from the government, insurance from employers, and private payment. The health care system in the United States is not a system because there is no standardization, and is fragmented. Financing, insurance, delivery, and payment is from private and public sources. These four components creates the fragmentation of the system. These components compose the Quad-function Model and are necessary for the delivery of care in the United States. The components overlap to varying degrees in traditional insurance, government-run insurance...
Words: 1430 - Pages: 6
...The three human service delivery models are the public health service model, the human service model, and the medical model. The public health model combines aspects of the human service model along with the medical model when provisioning services to clients. Medical providers (including dentists, medical doctors, nurses, etc., including mental health care providers as well) administer health care combined with social services to patients [clients]. Their patients are the elderly, low income, disabled and participants of the public health care system. Doctors and other health care providers in the public health care system realize the need for low cost or free medical services for the disadvantaged. They provide preventative medical services to their patients in an effort to educate, conduct research, and improve the lives of those in need. According to our text the human services model deals with how the client/consumer/participant relates to situations that occur in the consumer's life. Whether those situations are conflicts arising from unexpected events, issues resulting from medical or mental health illnesses, the inability to provide for their basic needs, or any situation that cause stress or adversely effects the client's behavior. The focus of the human services model is to address these issues and find a solution for them through programs or services a human service organization may offer to the client. In the service delivery model the expected outcomes are to improve...
Words: 433 - Pages: 2
...Evolving Practice of Nursing and Patient Care Delivery Grand Canyon University: NRS 440V Jane Smith Evolving Practice of Nursing and Patient Care Delivery Hello fellow nurses, welcome to our Professional Nurse Evolution summit. My name is Jane Smith and like you I am a registered nurse, I work at the bedside. I always thought I’d live and die as a staff nurse at a busy level 1 trauma center in the inner city but recently I’ve looked up from the bedside and I see opportunities knocking at my door, and I see a way to help the community in which I serve in a different role. The practice of nursing is changing, growing, shifting in other words: transforming. Over the next decade, we will see nursing move from the acute care setting and into the community. I would like to discuss with you the concepts of accountable care organizations (ACO’s), medical homes, and nurse-managed health clinics, and continuum of care. Our health care system landscape is changing; no longer are we just treating illness, our health care system has evolved to one of disease prevention and wellness. With the signing of the Patient Protections and Affordable Care Act (PPACA), an additional 30 million Americans now have access to affordable and equitable health care (Institute of Medicine [IOM], 2011). The rising cost of health care and the sheer volume of those needing health care has led to reinventions in our care delivery models. According to the American Nurses Association (ANA), an ACO’s is a...
Words: 735 - Pages: 3
...following link: http://wiseamerican.us/product/hlt-314v-week-3-complete-assignment-dqs/ Contact us at: SUPPORT@WISEAMERICAN.US HLT 314V WEEK 3 DISCUSSION 1 Review current types of health care delivery systems in the United States and contrast the current status with the reform models or revisions proposed in the readings for this topic. Select one area in health care delivery where change or reform to the current system could improve the delivery of allied health care and present your findings. HLT 314V WEEK 3 DISCUSSION 2 What are the needs driving the development of integrated health care delivery systems (IDS)? What benefits directly apply to the provision of allied health care services? What limitations exist at present that could be improved, and how so? HLT 314V WEEK 3 ASSIGNMENT HEALTH CARE DELIVERY SYSTEMS ESSAY Details: In this assignment, you will compose an essay of 750–1,000 words examining the similarities and differences among health care delivery systems that currently exist in the United States. Include the following in your assessment: 1. Select two or three health care delivery systems to examine. 2. Provide a description and relevant details of the selected delivery systems. 3. Summarize the mission or philosophy statement for each of the health care delivery systems you selected. 4. Formulate your own mission or philosophy statement, with rationale as to why you chose these elements to include. Support your statements with appropriate and scholarly...
Words: 982 - Pages: 4
...The US Health Care System Danny Gomez HCS/531 February 7, 2012 The healthcare system in the United States is very complex. Both its inherent composition and the external factors that shape it include a multitude of elements that add to its complexity. This paper will present a definition of the health care system in the US, describe the implications of beliefs and values on this system, and offer examples of the various health care delivery models that comprise it. A health care system can be defined, as a grouping of organizations, institutions, and resources functioning with the intention to fulfill the health care needs of communities and/or populations. Such a system includes components that cover four major functions – financing, insurance, delivery, and payment. In a functioning system one would expected to find its components carefully coordinated and interrelated. However, the US this system is comprised of independent components that work simultaneously but not always collaboratively to deliver and fulfill the requirements of health care. The reality of the US health care system is that its components function independently, in a loosely connected fashion, and without a single central agency governing and regulating it. This characteristic is contrasting to systems in many other countries that have a national heath care program designed to provide a set of equitable health services to all its citizens. Access to health care services in the US varies,...
Words: 1107 - Pages: 5
...Accountable Care Organization is a healthcare organization characterized by a payment and care delivery mode. lt seeks to tie provider reimbursements to a quality metrics and reductions in the total cost of care for an assigned population of patients. A group of coordinated health care providers form an ACO, which then provides care to a group of patients. The ACO may use a range of payment methods, (e.g. capitation, fee-or-service with an asymmetric or symmetric shared savings). The ACO is accountable to the patients and the 3rd party payer for quality, appropriateness, and efficiency of the health care provided. The Centers for Medicare and Medicaid Services (CMS), an ACO is considered an organization of health care providers that agree to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program. This paper identifies the differences between HMO’s and ACO’s but also correlates the similarities between ACO’s and Patient Center Medical Home (PCMH). The ACO’s place a degree of financial responsibility on the providers in hopes of improving care management and limiting unnecessary expenditures while continuing to provide patients freedom to select their medical services. The success and challenges of ACO are identified and explored. By increasing care coordination, ACO’s can help reduce unnecessary medical care and improve health outcomes, leading to a decrease in utilization of acute care services...
Words: 4110 - Pages: 17
...Systematic Approach to Care through Effective Person-Centred Care Planning. The NHS places a strong emphasis on delivering person-centred care to patients. Patient-centred planning was adopted as national government policy in 2001 via the “Valuing People” paper and more recently as part of the “Valuing People Now” document (DOH,2009). Person-centred planning is now promoted as a key method in delivering the personalisation objectives of the Governments “Putting People First” programme for social care (DOH, 2007). The Coalition continues this commitment towards personalisation of care with its “Capable Communities and Active Citizens” document (DOH, 2010). One key area to ensure that care is delivered in a systematic person-centred way is through effective care planning that involves the patient in the process as a key stake holder. Several systematic models to nursing care are available that will facilitate practitioners in ensuring that all needs of the individual are identified and met. This essay will define what is meant by the term “person centred care”, will explore the systematic nursing models of care delivery and will highlight good practice in constructing person-centred care plans. This will be done using examples of an original care plan (constructed by the author for a real patient whose name has been changed) - and will draw upon information and evidence from a range of contemporary sources. It is appropriate in the context of this essay to firstly define...
Words: 1679 - Pages: 7
...Benchmark Assignment: Evolving Practice of Nursing and Patient Care Delivery Models The Evolution of Nursing Practice To my colleagues, the health care system has begun a decade of transitions that, for the nursing profession, promise to change the practice of nurses, expand current nursing roles and create new ones, and provide many opportunities for nurses to participate in shaping the future delivery system. With the passage of the Affordable Care Act (ACA) in 2010, care delivery and financing systems are undergoing significant transformations that will accelerate in 2014, when major provisions of the legislation are implemented. The purpose of the this letter is to explain how the practice of nursing is expected to shift and to also discuss the concepts of continuum of care, accountable care organizations (ACO’s) medical homes, nurse-managed health care clinics (NMHCs). Under the Accountable Care Organizations, strategies will be developed to align the goals of health care delivery reorganizations, enhance care coordination, and improve patient transitions across the care delivery continuum. Expansion of medical care homes, NMHC’s, and enhanced coverage for preventative care services will help to shift the delivery system's current focus on acute care to a greater emphasis on prevention and treatment of chronic care conditions using health care teams and information technology. Medical homes, sometimes referred to as NHMC’s, are identified as a concept that began in pediatrics...
Words: 1142 - Pages: 5
...comprehensive assessment, service coordination and case management, care planning including advance care planning, clear communication processes including shared health records, patient empowerment and self-management, quality use of medications and ongoing monitoring. The healthcare system is complex and people have difficulty navigating the system due to inadequate linkage between organisations and services People with complex needs require a comprehensive range of services, delivered across organisational boundaries, with clear assessment processes, access routes and pathways through services. Both overseas and Australian experience indicate that case management is ideally targeted to individuals who are likely to receive the most benefit i.e. those with complex needs requiring intense management from a range of different organisations, as this is where case management is deemed most cost effective. Therefore, the focus of many integrated care projects is on service coordination as a way of integrating care management and creating care pathways through the system. The move towards models of integrated care is an effort to manage the labyrinth of the healthcare system that has become increasingly complicated as additional services and funding streams have been introduced to encourage innovation, change traditional healthcare practices and address gaps in service provision. However, the delivery of services to people with complex needs is the responsibility of many...
Words: 2014 - Pages: 9
