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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:
$ 17.28
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.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance
Rubric:
Course Code Class Code Assignment Title Total Points
NRS-440VN NRS-440VN-O503 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%

Essay Sample Content Preview:

Healthcare Delivery Models and Nursing Practice
Student’s Name
Institution
Healthcare Delivery Models and Nursing Practice
The United States (US) healthcare system requires reform or restructuring to ensure that Americans have access to affordable, equitable, and high-quality care. According to Erickson et al. (2020), compared to other high-income countries, the US spends more on healthcare and has lower insurance coverage rates. With this in mind, there have been calls to reform the system, and various actions have been taken either to reform or restructure the system. This paper discusses an action that has been taken recently to reform the system. Specifically, this paper discusses an emerging healthcare law to improve the transition from volume to value by restructuring payment and quality models. The paper also explores the impact of quality measures and pay for performance on patient outcomes, new nursing leadership roles, and emerging trends in health care.
Emerging Healthcare Law
In 2020, the Value in Health Care Act of 2020 was introduced to change the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. Among other things, the bill provides certain incentives to healthcare professionals to encourage their participation in advanced alternative payment models (APMs) (Congress.gov, n.d.). APMs are a type of value-based payment (VBP) that offers financial incentives/penalties to healthcare professionals who meet/fail to meet cost and quality targets while delivering care (Erickson et al., 2020). So far, APMs have been effective in delivering low-cost, high-quality care. The bill extends the 5% annual bonus offered to healthcare professionals who participate in advanced APMs by six more years to encourage this shift. The idea is that increasing the time frame to 2028 will give more healthcare professionals time to participate in advanced APMs, thus improving healthcare quality. The bill will also address the overlap in value-based programs to ensure healthcare providers participate in APMs without confusion.
This emerging law will have a significant effect on nursing practice. Specifically, the law will facilitate the transformation to value-based care. There has been a need to shift from a system that pays for the number of services provided and the number of patients treated to a system that pays for outcomes, especially in terms of quality (Health Resources and Services Administration (HRSA), 2019). Value-based care facilitates this shift by ensuring that providers are paid for value and quality. The nursing practice will need to stay aligned to value-based care to ensure that patients’ outcomes take precedence over the number of services provided. As revealed by Teisberg et al. (2020), value is measured in terms of improvement in the health outcomes of patients against the cost of care. In addition, nurses have a role to play in facilitating value-based care. Through their education, training, and practice, nurses provide patient-centered care to improve patient health outcomes. They will need to collaborate with other professionals to coordinate care and improve patient outcomes.
Quality Measures and Pay for Performance
Quality measures and pay for performance affect not only pat...
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