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Pages:
4 pages/β‰ˆ1100 words
Sources:
Check Instructions
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
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Topic:

Health Care Delivery Models and Nursing Practice

Essay Instructions:

Health Care Delivery Models and Nursing Practice

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 to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and 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.
PLEASE BELLOW IS THE RUBRIC: Course Code Class Code Assignment Title Total Points
NRS-440VN NRS-440VN-OL191 Health Care Delivery Models and Nursing Practice 165.0

Criteria Percentage Unsatisfactory (0.00%) Less Than Satisfactory (75.00%) Satisfactory (79.00%) Good (89.00%) Excellent (100.00%) Comments Points Earned
Content 80.0%
Current or Emerging Health Care Law or Federal Regulation and Effect on Nursing Practice, Role and Responsibility 20.0% Emerging health care law or federal regulation is omitted. The law or regulation presented is not relevant to health care. Emerging health care law or federal regulation is incomplete. Effect on nursing practice and nurse role and responsibility is partially described. Emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is summarized. There are some inaccuracies. Emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is described. Some information or detail is needed for clarity. Discussion on emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is well-developed.

Quality Measures Pay for Performance, Patient Outcomes, and Effect on Nursing Practice 20.0% Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is omitted. Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is incomplete. Summary on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented. There are inaccuracies or slight omissions. Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented. Some information is needed for clarity. A thorough and insightful discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented.

Professional Nursing Leadership and Management Roles 20.0% Discussion on professional nursing leadership and management roles and the imporantance of these roles in responding to emerging trends and patient safety and quality care is omitted. An incomplete discussion on professional nursing leadership and management roles and the imporantance of these roles in responding to emerging trends and patient safety and quality care is presented. A summary on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. There are inaccuracies or slight omissions. A discussion on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. Some detail or information is needed for clarity. A well-developed discussion on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. The discussion demonstrates a thorough understanding of the nursing profession in emerging trends and patient care in a diverse health setting.

Predict Change in Nursing Roles and Nursing Practice 20.0% Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are omitted. Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are incomplete. The predictions are unrealistic or lack evidence for support. Insert Satisfactory CoA summary on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. There are inaccuracies or slight omissions.Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are summarized. The predictions are realistic, but there are inaccuracies or slight omissions. ntent 2 Descriptor Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are discussed. The predictions are generally supported and realistic. Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are thoroughly discussed. The predictions are based on evidence and highly relevant to emerging trends.


Organization, Effectiveness, and Format 20.0%
Thesis Development and Purpose 5.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction 5.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment) 2.0% Template is not used appropriately, or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 3.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Weightage 100%
References should be between three to six

Essay Sample Content Preview:

Health Care Delivery Models and Nursing Practice
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Health Care Delivery Models and Nursing Practice
Although the United States of America (USA) spends more money on healthcare than other developed countries, it produces uneven health outcomes and low insurance coverage rates. This is because the previous payment system known as the fee-for-service (FFS) bases reimbursement for healthcare providers on the number of procedures, appointments, or tests rendered instead of the appropriateness or quality of the services offered, contributing to suboptimal outcomes. One of the reforms introduced to change healthcare delivery in the USA is the value-based payment (VBP). VBP was presented with the primary objective of shifting payments to promote the quality of medical services and incentivize cost-effective and high-quality patient care.
VBP is a federal regulation introduced to improve equity, access, and the quality of healthcare services. For many years, the USA over-relied on the FFS payment system, which has seen the country spending more funds on healthcare without improving the well-being of Americans. For instance, a 2017 report by the Institute of Medicine portrayed that about 30% of the $2.5 trillion that the USA spent on health in 2009 was wasted. During the same year, unnecessary services accounted for around $210 billion. In 2017, the American Medical Association (AMA) showed that up-to-date more than 20% of the money spent on medical care goes to waste (Erickson et al., 2020). Furthermore, physicians are likely to perform unnecessary treatment procedures in 7 out of 10 patients to profit from them. In that light, the implementation of VBP is done to reduce wastage of resources in the healthcare sector by ensuring that patients receive high-quality services for the money they pay.
Furthermore, VBP enables nurses to be more responsible for their patients. For example, caregivers take time to interact with sick individuals to understand their health issues. They also maintain a proper record of the tests performed and other services provided to avoid unnecessary repetition to increases hospital charges. Additionally, nurses are also responsible for incentivizing patients on things they should avoid promoting their health.
Quality measures and pay-for-performance significantly affect patient outcomes. In particular, measuring the quality of healthcare services offered by physicians is crucial to improving patient outcomes. For example, nurses should analyze what their patients are suffering from before suggesting the best treatment methods. They should not rush when making decisions to avoid compromising their services and patient safety. When it comes to pay-for-performance, it encourages penalties or financial rewards to individual healthcare providers, institutions, departments, or groups of physicians (Mendelson et al., 2017). The pay-for-performance programs foster clinicians’ behavioral change and improve the quality of patient care. They also improve the health outcome of patients and reduce unnecessary expenses of healthcare services. The pay-for-performance and quality measure significantly change t...
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