Evolving Practice of Nursing and Patient Care Delivery Models

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Evolving Practice of Nursing and Patient Care Delivery Models
Grand Canyon University: NRS 440V
May 10, 2013

Nurses, The health care system is currently experiencing a comprehensive renovation to benefit patients by delivering affordable, high-quality care. The transformation is a direct outcome of the Patient Protection and Affordable Care Act of 2010 (PPACA). This act contains numerous specifications to interconnect cost-effective care with high-quality care. The current arrangement of health care is disintegrated, deficient of specific accountability for the management and superiority of patient care. The law is trying to repair the resource allocation of health care, while compensating quality of care over quantity of care. To accomplish this, they are creating incentives for combined models of care delivery and distributing funds for proficient and quality care (Haas, 2011). Accordingly, because nurses take on an elaborate role of patient care and outcomes, they must adapt to the restructured health care system (Haas, 2011). The rationale for this speech is to describe the anticipated shift in nursing practice and to examine the models of continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health care clinics. In addition to recognizing them as important contributors of primary care services, the PPACA acknowledges the prospective leadership responsibility for the advance practice registered nurse (APRN) in the innovative care system (U.S. Government Printing Office, 2013). An ACO includes cooperation between numerous health care specialists, who accept shared accountability for the care and costs delivered to patients. ACO contributors undertake liability for patients and coordinate care under Medicare, while encouraging funding in organization and modernized care practices for superiority and

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