Nurses (Case Study Sample)

{EVOLVING PRACTICE OF NURSING} {NAME} {SCHOOL} Evolving Practice of Nursing The ongoing change of the healthcare delivery scheme is significantly impacting the healthcare workforce. As more New Yorkers gain protection through the Affordable Care Act (ACA), claims on the healthcare bodies well as its workforce are accumulating. The focus on population health as well as its goal of a delivering patient-centered care to reduce the need for hospitalization as well as prevent avoidable readmissions has fostered new well-being care delivery models based on an interdisciplinary team approach to care. New York has seen a steady upsurge in Patient-Centered Medical Homes (PCMHs), a team-based, primary care-focused model designed to improve well-being quality as well as efficiency. Similarly, Accountable Care Organizations (ACOs) as well as Health Homes seek to redesign care as well as prevent hospital admissions to minimize the need for the more expensive healthcare interventions. The Delivery Scheme Reform Incentive Payment (DSRIP) program, an important component of New York's recently approved Medicaid waiver, will also drive healthcare delivery innovation as well as makeover. Similarly, New York State's Well-being Innovation Plan (SHIP) proposal reflects a shift toward an Advanced Primary Care (APC) model that "provides patients with timely, well organized, as well as integrated care, as well as enhanced access to teams of providers.”1New reimbursement copies as well as pressures to reduce the cost as well as improve the delivery of care are driving these changes, with value-based payment schemes replacing the fee-for-service model, as well as up surged risk-sharing becoming the norm among providers. Population well-being strategies aim to treat persons primarily through a preventive technique utilizing primary care. Consequently, more patients will be treated in outpatient as well as ambulatory settings as well as fewer in acute care settings or emergency rooms. These trends have upsurge the claim for certain healthcare professionals, including registered nurses (RNs), nurse practitioners (NPs), physician assistants (PAs), medical assistants, as well as care coordinators The well-being care in the USA is on the verge of getting a face lift as well as giving the patients the long awaited top notch services delivery. As such this is a call to the nurses, as are at the middle of the service delivery, in the well-being care sector. With the shift in the well-being care sector the nurses are bound be in high claim. The assertion is definitely going to be tied to the skill levels as well as not otherwise. For those nurses who commit themselves to furthering their studies, it is going much easier for them to offer their services. This is because most of the policies regarding the level of teaching that the nurses have is bound to change once the recommendations by the Institute Of Drug are implemented. The recommendations have been received with mixed feelings, with most of the nurses taking it as a means to get rid of the associate degrees, testing with nurses' roles to improve quality as well as patient satisfaction, as well as to lower costs. The body established the release nurse role, which has full authority over the acquittal process from acute care through home care, hospice, or palliative care. Positive outcomes include increasing the number of released patients who see a home well-being provider within 24 hours of release from 44% to 77%. Other innovations at Kaiser include the use of general RNs as well as LPNs in clinic settings to provide well-being coaching as well as teaching for patients with chronic conditions such as congestive heart failure, diabetes, depression, as well as hypertension. RNs provide care management-related services within the primary care setting. Feedback from research Evolving Practice of Nursing as well as Patient Care Delivery Model show the practice of nursing is expected to grow as well as change the practice of nursing is anticipated to change in terms of not only practice, but also leadership as well as teaching in order to attain its function in providing well-being care in the U.S. The concept of persistence of care is a vital element of good primary care together with other impressions like integration of care, patient-centered care as well as coordination of care. Persistence of care or continuum of care simply refers to the association that exists amid a practitioner as well as a patient, which will go beyond particular episodes of disease. In essence, the concept of persistence of care is defined by 2 major constituents: a focus on the person context as well as well-being requirements of the client; as well as care over time – future, present as well as past. With the restructuring of United States well-being delivery scheme, persistence of care will mostly entail release planning following acute care, from hospital to self-care or community. The objective will be to sustain a reliable approach to care amid nurses as well as to personalize care to the changing requirements of the patient during a disease. The types of persistence are relational continuity, which is a continuous therapeutic relationship amid a provider as well as patient; management continuity, which is a consistent approach to the management of an illness that is responsive to the changing requirements of a patient. Third is informational continuity, which entails using information on past incidents as well as person circumstances in making the present care relevant for every client. One of the major as well as most important ways wherein Obamacare or the Affordable Care Act (ACA) is seeking to lower costs of healthcare is through encouraging hospitals, physicians as well as other providers of healthcare. . As such this is a call to the nurses, as are at the middle of the service delivery, in the well-being care sector. With the shift in the well-being care sector the nurses are bound be in high claim. The assertion is definitely going to be tied to the skill levels as well as not otherwise. Hospital care While hospitals have been the foundation of our healthcare delivery scheme for decades, care is shifting out of the acute care arena into alternate inpatient settings, ambulatory settings, the home as well as the community. David Houle, a futurist, as well as Jonathan Fleece, a healthcare attorney, authors of “The New Well-being Age: The Future of Health Care in America,” predict one-third of all hospitals will close by 2020 because of this trend. Only the sickest, most acutely ill patients will occupy hospital beds in the future, according to the authors’ review of hospital care expense, medical errors as well as hospital-acquired infections as well as extensive ED wait times. Medical homes The patient-centered medical home, simply put, is a mult...