Changes in Healthcare

Topics: Health care, Health economics, Medicine Pages: 5 (1847 words) Published: September 24, 2014
Changes in the Practice of Nursing
The health care in the United States is changing, patients need and demand outstanding services delivery. So we as nurses are called up onto deliver this service. With the shift in the health care sector nurses will be even more in demand. This demand will be tied to skill levels and education. This is why it is so important for all nurses to commit to furthering their studies, it will make them more marketable. There will be many new job opportunities due to the restructure of the United States health care system.Providing health insurance to an additional 30 million people will likely make access to care a problem because of inadequate availability of primary care providers to meet the expected increase in demand. This is calling for innovative new ways on how to deliver health care in the United States. A few delivery systems are: -An accountable care organization (ACO) is a group of care providers who coordinate health care for a patients. This could include Doctors, Hospitals, Specialist and other health care providers. The idea is to keep health care cost down and avoid unnecessary test and procedures, but provide high quality care. (Gold, 2013) -Nurse Managed Health Clinics (NMHC) emphasize health promotion, education and disease prevention. It is a facility which is based in a community and staffed with advanced practice nurses as leaders. It provides primary healthcare services to the community. (Kovner & Walani, 2010) -Another module or philosophy of primary care is a medical home. It is a team-based facility, which is patient-centered, comprehensive, coordinated, accessible, and focuses on quality and safety.  ("hrsa," n.d.) All patients should receive the best coordinated care possible, especially the chronically ill, to get the right care at the right time is the purpose of these new modules. At the same time we should avoid unnecessary duplication of services and preventing medical errors -

For example:
The growth of chronic illness and aging populations, in particular, has placed a substantial burden on the healthcare system. Very popular is the patient-centered medical home model that emphasizes continuous coordinated patient care. It has been shown to lower costs while improving health care outcomes. The patient-centered medical home is a way of organizing primary care that emphasizes care coordination and communication to transform primary care into "what patients want it to be." Medical homes can lead to higher quality and lower costs, and can improve patient’s experience of care. Nurse Managed Health Clinics are led by advanced practice nurses to provide basic primary healthcare and screening. This could possibly be very cost effective if operated to their full potential. But let’s not forget that we also see and increasing demand of Nurse Practitioners (NP) in the hospital setting. We all know our two co-workers who went back to school and completed their NP program and now work in our Emergency Department as NP’s. Many hospitals also started using NP’s to take care of their in-patients. To keep up the demand of these facilities nurses with higher education are the future of the new health care system. Continuity of care is needed, it is the process by which the patient and the physician are cooperatively involved in ongoing health care management toward the goal of high quality, cost-effective medical care. Better quality care is given by higher educated nurses, so to stay marketable and to provide the best possible care to our patients it is in our...

References: . Med-Surg Nursing, 23(1), 61-6. Retrieved from http://eds.a.ebscohost.com.library.gcu.edu:2048/eds/detail?vid=4&sid=d44f4649-8f31-43d2-bce8-b6a777bc1157%40sessionmgr4003&hid=4102&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=ccm&AN=2012491341
Accountable Care Organizations . (2013). Retrieved from http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/
Gold, J. (2013). ACO is the hottest three-letter word in health care. Retrieved from http://www.kaiserhealthnews.org/stories/2011/january/13/aco-accountable-care-organization-faq.aspx
Kovner, C., & Walani, S. (2010, January). Nurse Managed Health Centers . nursing research network. Retrieved from http://thefutureofnursing.org/resource/detail/nurse-managed-health-centers-nmhcs
M. Colette Carver,Anne T. Jessie. (2011, May). Patient-Centered Care in a Medical Home. The Online Journal of Issues in Nursing, 16(2). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-16-2011/No2-May-2011/Patient-Centered-Care-in-a-Medical-Home.html
Swan, B. A. (2011, Nov.-Dec.). Health Care Reform: Current Updates and Future Initiatives
For Ambulatory Care Nursing. Nursing Economic, 29(6), 331-4. Retrieved from http://eds.a.ebscohost.com.library.gcu.edu:2048/eds/detail?vid=4&sid=d44f4649-8f31-43d2-bce8-b6a777bc1157%40sessionmgr4003&hid=4102&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=ccm&AN=2011388254
What is a medical home? Why is it important? (n.d.). Retrieved from http://www.hrsa.gov/healthit/toolbox/Childrenstoolbox/BuildingMedicalHome/whyimportant.html
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