NRS-440VN Health Care Delivery Models and Nursing Practice

NRS-440VN Health Care Delivery Models and Nursing Practice

Federal Healthcare Law Reform

A recent federal law that reforms healthcare in the United States would be the Sustaining Excellence in Medicaid Act of 2019 (HR 3253). This bill was introduced into Congress on June 13 2020 and signed into law on August 6 2020. The Michigan representative, Debbie Dingell, introduced and sponsored this bill. The bill seeks to restructure the Medicaid program by providing for some extensions in some of its provisions (KDP LLP, 2019). One of the changes made was allowing the appropriations of Medicaid through to the fiscal year 2024. Another reform in Medicaid authorized in this bill is allowing the state fraud units within the program to consider and examine complaints from the non-institutionalized patients. This reform is important because it eliminates some of the disparities that arise from the ignoring of the complaints from such patients, yet, legally, they qualify for cover under the Medicaid program.

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Another reform introduced by this bill is extending the Medicaid eligibility for individuals to protect them from spousal impoverishment or poverty. Sometimes, spouses from the lower socioeconomic backgrounds are denied cover given that Medicaid does not extend to them. This bill extends cover to such populations, including those who receive home-based and community-based medical services. In addition to these reforms, this bill repeals the requirements placed for the drug manufacturers to always include the prices for generic drugs when determining the price. It also excludes drug manufacturers from the definition of drug wholesalers to allow rebate calculations.

This bill affects the nursing practice by adjusting the nurse’s role and responsibility. For instance, since the bill extends Medicaid to cover the spouses and protect them from impoverishment, the nurse should ensure that they educate all patients about the new changes to this bill. A patient may be suffering from spousal poverty which limits their access to quality medical care. The nurse should be able to identify such patients, and educate them about the new changes to help them access quality medical care. Another way this bill affects the nurse’s role and responsibility is that it adds to the role of advocacy in nursing. The nurse should advocate for the non-institutionalized patients whenever they have complaints, and help them appeal to Medicaid in the event of denial of services. The new bill covers the patients and enables them to have their complaints reviewed, hence, increasing their chances of getting social justice. The nurse should be an advocate and help the patients access social justice by helping them lodge complaints.

How Quality Measures and Pay for Performance Affect Patient Outcomes

Pay for performance is a reward system that rewards practitioners financially for their performance based on certain criteria in medical practice. It is a performance-based compensation approach that aims to improve the quality and delivery of healthcare services to patients. As such, this model also punishes the practitioners for achieving poor results. For instance, a psychologist whose patient fails to quit smoking at the end of their sessions does not receive the financial rewards associated with her role. In some ways, this model improves patient outcomes because it motivates the physicians and nurses to offer high quality services to their patients to ensure that they receive the financial rewards associated with their roles and criteria used for performance analysis. However, there is a risk to poor patient outcomes associated with this reward system, where it encourages patient dumping. This concept means that those patients with more complicated healthcare issues that have high risks tend to be relegated to the periphery, because the physicians prefer to focus on cases that are likely to be successful, so that they receive their rewards and bonuses (Kyeremateng et al., 2019). This practice leads to negative patient outcomes because those in the periphery suffer from lack of sufficient and timely medical attention.

A nurse who finds him/herself in such situations should consider applying ethical principles such as non-maleficence, which means to cause least harm. By applying this principle, the nurse would encourage the physicians to admit and attend to patients with complex medical issues. Additionally, the nurse should remind the rest of the practitioners about the Hippocratic Oath, which binds them to the duty to save lives. Patient dumping is a severe violation of this oath and the nurses’ responsibility should be to remind the colleagues about these ethical applications.

Professional Nursing Leadership and Management Roles

An emerging nursing leadership role that addresses emerging trends would be knowledge on nursing informatics and the use of technology in nursing (Harris et al., 2019). An emerging trend in healthcare is the use of technology in the practices, which are increasingly requiring nurses to learn and equip themselves with skills in technology. For instance, there are surgical robots used in surgery, and surgical nurses should be conversant with the machines, so that their role in the surgical room is fulfilling. Another example is the use of bedside alert systems which notify the practitioners when a patient leaves their bed unattended, hence, reducing the incidence of patient falls. Therefore, the nurse leaders are tasked with the responsibility of ensuring that the nursing teams are technologically savvy as part of their nursing roles. The nurse leader and manager will ensure the availability of trainings in technology to enhance the nursing team’s professionalism. By doing so, the nurses promote patient health and safety. For instance, the bedside alert systems reduce the incidence of patient falls, and learning how to manage the electronic health records promotes patient health and enhances their professionalism levels since they comply with the HIPAA rules.

Emerging Trends

            An emerging trend in healthcare is the use of medical robots in operations such as surgeries. This practice requires that the medical practitioners learn how to operate the robots in the event the surgeon is unable to continue operating because of an emergency. The nurse also needs to learn how to setup the machine and recognize situations in which the machine malfunctions. Therefore, given this change, the nurses’ roles will change to include technological operations in the healthcare setting. The nurses will be tasked with the responsibility of learning how technological devices work in a hospital because in some emergency situations, the nurse may save a life.

Another emerging trend in healthcare is the application of telemedicine. Telemedicine is on the rise, given the technological advent in today’s era. Incorporating telemedicine practices in nursing will transform their roles. Telemedicine will enhance the role of the nurse as a communicator because the nurse should be reachable to their client upon request, through the telehealth systems. Since the interaction with the patient is no longer in person, the nurse should enhance their role as a communicator by using clear language, providing timely communication to their patient, and communicating within the shortest time possible, to allow them to tend to other patients.

Another nursing role that is influenced by telemedicine is the use of technology to deliver nursing care to patients. Just like the medical and surgical robots, nurses will be required to enhance their knowledge on technology and the use of the internet platforms to communicate with patients. It remains critical that the nurse avoids challenges using the devices applied in telemedicine, which could have serious adverse health outcomes for the patients. Therefore, the nurse’s role changes to include those that require the heavy use of technology.

 

References

Harris, J., Roussel, L., & Thomas, P. (2016). Initiating and sustaining the clinical nurse leader role. Jones & Bartlett Learning.

KDP LLP. (2019). Extending Medicaid Funding, the Debt Limit, Membership into the American Legion, and Support For 9-11 Victims, Law Enforcement Officers, and Breastfeeding Moms – KDP LLP. Kdpllp.com. Retrieved 12 November 2020, from https://www.kdpllp.com/extending-medicaid-funding-the-debt-limit-membership-into-the-american-legion-and-support-for-9-11-victims-law-enforcement-officers-and-breastfeeding-moms/.

Kyeremanteng, K., Robidoux, R., D’Egidio, G., Fernando, S. M., & Neilipovitz, D. (2019). An Analysis of Pay-for-Performance Schemes and Their Potential Impacts on Health Systems and Outcomes for Patients. Critical care research and practice, 2019, 8943972. https://doi.org/10.1155/2019/8943972

Stewart. (2018). Role Development for the Nurse Practitioner. Jones & Bartlett Learning.

 

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:

  1. 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.
  2. 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.
  3. 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.
  4. 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. NRS-440VN Health Care Delivery Models and Nursing Practice

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Health Care Delivery Models and Nursing Practice

No of Criteria: 9 Achievement Levels: 5
Criteria
Achievement Levels
Description
Percentage
Unsatisfactory
0.00 %
Less Than Satisfactory
75.00 %
Satisfactory
79.00 %
Good
89.00 %
Excellent
100.00 %
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.NRS-440VN Health Care Delivery Models and Nursing Practice
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 NRS-440VN Health Care Delivery Models and Nursing Practice
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. NRS-440VN Health Care Delivery Models and Nursing Practice
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. NRS-440VN Health Care Delivery Models and Nursing Practice
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. NRS-440VN Health Care Delivery Models and Nursing Practice
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) NRS-440VN Health Care Delivery Models and Nursing Practice
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.
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