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 within the last 5 years 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 in response to upcoming trends or predicted issues in health care.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide
Health Care Delivery Models and Nursing Practice – Rubric
Current or Emerging Health Care Law or Federal Regulation and E�ect
on Nursing Practice, Role and R 24.75 points
Criteria Description
An outline of emerging health care law or federal regulation and a description of the
effect on nursing practice and the nurse role, and responsibility.
5. Target 24.75 points
A clear and accurate outline of an emerging health care law or federal regulation
and a clear and accurate description of the effect on nursing practice and the nurse
role, and responsibility is present.
4. Acceptable 22.03 points
A detailed outline of an emerging health care law or federal regulation and a
detailed description of the effect on nursing practice and the nurse role, and
responsibility is present.
3. Approaching 19.55 points
An outline of an emerging health care law or federal regulation and a description of
the effect on nursing practice and the nurse role, and responsibility is present.
2. Insufficient 18.56 points
An outline of an emerging health care law or federal regulation and a description of
the effect on nursing practice and the nurse role, and responsibility lacks detail or is
incomplete.
1. Unsatisfactory 0 points
An outline of an emerging health care law or federal regulation and a description of
the effect on nursing practice and the nurse role, and responsibility is omitted or
inaccurate.
Examine changes introduced to reform or restructure the U.S. health care delivery system
Quality Measures Pay for Performance, Patient Outcomes, and E�ect on
Nursing Practice 33 points
Criteria Description
A 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.
5. Target 33 points
A clear and accurate discussion on how quality measures and pay for performance
affect patient outcomes, how they affect nursing practice, expectations, and
responsibilities of the nursing role is presented.
4. Acceptable 29.37 points
A detailed discussion on how quality measures and pay for performance affect
patient outcomes, how they affect nursing practice, expectations, and
responsibilities of the nursing role, is presented.
3. Approaching 26.07 points
A discussion on how quality measures and pay for performance affect patient
outcomes, how they affect nursing practice, expectations, and responsibilities of
the nursing role, is presented.
2. Insufficient 24.75 points
A discussion on how quality measures and pay for performance affect patient
outcomes, how they affect nursing practice, expectations, and responsibilities of
the nursing role lacks detail or is incomplete.
1. Unsatisfactory 0 points
A discussion on how quality measures and pay for performance affect patient
outcomes, how they affect nursing practice, expectations, and responsibilities of
the nursing role is omitted or inaccurate.
Professional Nursing Leadership and Management Roles 33 points
Criteria Description
A discussion of 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.
5. Target 33 points
A clear and accurate discussion of professional nursing leadership and
management roles that have arisen, how they are important in responding to
emerging trends, and in the promotion of patient safety and quality care in diverse
health care settings is present.
4. Acceptable 29.37 points
A detailed discussion of professional nursing leadership and management roles
that have arisen, how they are important in responding to emerging trends, and in
the promotion of patient safety and quality care in diverse health care settings is
present.
3. Approaching 26.07 points
A discussion of professional nursing leadership and management roles that have
arisen, how they are important in responding to emerging trends and in the
promotion of patient safety, and quality care in diverse health care settings is
present.
2. Insufficient 24.75 points
A discussion of professional nursing leadership and management roles that have
arisen, how they are important in responding to emerging trends and in the
promotion of patient safety, and quality care in diverse health care settings lacks
detail or is incomplete.
1. Unsatisfactory 0 points
A discussion of professional nursing leadership and management roles that have
arisen, how they are important in responding to emerging trends, and in the
promotion of patient safety and quality care in diverse health care settings is
omitted or inaccurate.
Predict Change in Nursing Roles and Nursing Practice 24.75 points
Criteria Description
Predictions for how the practice of nursing and nursing roles will grow or transform
within the next 5 years in response to upcoming trends or predicted issues in health
care.
5. Target 24.75 points
Predictions for how the practice of nursing and nursing roles will grow or transform
within the next 5 years in response to upcoming trends or predicted issues in
health care are thoroughly and insightfully discussed.
4. Acceptable 22.03 points
Predictions for how the practice of nursing and nursing roles will grow or transform
within the next 5 years in response to upcoming trends or predicted issues in
health care are discussed in detail.
3. Approaching 19.55 points
Predictions for how the practice of nursing and nursing roles will grow or transform
within the next 5 years in response to upcoming trends or predicted issues in
health care are discussed.
2. Insufficient 18.56 points
Predictions for how the practice of nursing and nursing roles will grow or transform
within the next 5 years in response to upcoming trends or predicted issues in
health care lack detail or are incomplete.
1. Unsatisfactory 0 points
Predictions for how the practice of nursing and nursing roles will grow or transform
within the next 5 years in response to upcoming trends or predicted issues in
health care are omitted or inaccurate.
Thesis, Position, or Purpose 11.55 points
Criteria Description
Communicates reason for writing and demonstrates awareness of audience.
5. Target 11.55 points
The thesis, position, or purpose is clearly communicated throughout and clearly
directed to a specific audience.
4. Acceptable 10.28 points
The thesis, position, or purpose is adequately presented. An awareness of the
appropriate audience is demonstrated.
3. Approaching 9.12 points
The thesis, position, or purpose is discernable in most aspects but is occasionally
weak or unclear. There is limited awareness of the appropriate audience.
2. Insufficient 8.66 points
The thesis, position, or purpose is unfocused or confused. There is very little
awareness of the intended audience.
1. Unsatisfactory 0 points
The thesis, position, or purpose is not discernible. No awareness of the appropriate
Development, Structure, and Conclusion 11.55 points
Criteria Description
Advances position or purpose throughout writing; conclusion aligns to and evolves
from development.
5. Target 11.55 points
The thesis, position, or purpose is logically advanced throughout. The progression
of ideas is coherent and unified. A clear and logical conclusion aligns to the
development of the purpose.
4. Acceptable 10.28 points
The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on
each other. Conclusion aligns to the development of the purpose.
3. Approaching 9.12 points
Limited advancement of thesis, position, or purpose is discernable. There are
inconsistencies in organization or the relationship of ideas. Conclusion is simplistic
and not fully aligned to the development of the purpose.
2. Insufficient 8.66 points
Writing lacks logical progression of the thesis, position, or purpose. Some
organization is attempted, but ideas are disconnected. Conclusion is unclear and
not supported by the overall development of the purpose.
1. Unsatisfactory 0 points
No advancement of the thesis, position, or purpose is evident. Connections
between paragraphs are missing or inappropriate. No conclusion is offered.
Evidence 9.9 points
Criteria Description
Selects and integrates evidence to support and advance position/purpose; considers
other perspectives.
5. Target 9.9 points
Specific and appropriate evidence is included. Relevant perspectives of others are
clearly considered.
4. Acceptable 8.81 points
Relevant evidence that includes other perspectives is used.
3. Approaching 7.82 points
Evidence is used but is insufficient or of limited relevance. Simplistic explanation or
integration of other perspectives is present.
2. Insufficient 7.43 points
Evidence is limited or irrelevant. The interpretation of other perspectives is
superficial or incorrect.
1. Unsatisfactory 0 points
Evidence to support the thesis, position, or purpose is absent. The writing relies
entirely on the perspective of the writer.
Examine changes introduced to reform or restructure the U.S. health care delivery system
Mechanics of Writing 9.9 points
Criteria Description
Includes spelling, capitalization, punctuation, grammar, language use, sentence
structure, etc.
5. Target 9.9 points
No mechanical errors are present. Appropriate language choice and sentence
structure are used throughout.
4. Acceptable 8.81 points
Few mechanical errors are present. Suitable language choice and sentence
structure are used.
3. Approaching 7.82 points
Occasional mechanical errors are present. Language choice is generally
appropriate. Varied sentence structure is attempted.
2. Insufficient 7.43 points
Frequent and repetitive mechanical errors are present. Inconsistencies in language
choice or sentence structure are recurrent.
1. Unsatisfactory 0 points
Errors in grammar or syntax are pervasive and impede meaning. Incorrect language
choice or sentence structure errors are found throughout.
Examine changes introduced to reform or restructure the U.S. health care delivery system
Format/Documentation 6.6 points
Criteria Description
Uses appropriate style, such as APA, MLA, etc., for college, subject, and level;
documents sources using citations, footnotes, references, bibliography, etc.,
appropriate to assignment and discipline.
5. Target 6.6 points
No errors in formatting or documentation are present.
4. Acceptable 5.87 points
Appropriate format and documentation are used with only minor errors.
3. Approaching 5.21 points
Appropriate format and documentation are used, although there are some obvious
errors.
2. Insufficient 4.95 points
Appropriate format is attempted, but some elements are missing. Frequent errors
in documentation of sources are evident.
1. Unsatisfactory 0 points
Appropriate format is not used. No documentation of sources is provided.
Examine changes introduced to reform or restructure the U.S. health care delivery system
**Reforming the U.S. Healthcare Delivery System: Implications for Nursing**
**Introduction:**
The U.S. healthcare delivery system has undergone significant reforms and restructuring in recent years to address various challenges and improve patient outcomes. This paper examines recent changes introduced to reform the healthcare system, the role of nurses within this evolving landscape, the impact of quality measures and pay for performance on patient outcomes and nursing practice, the emergence of professional nursing leadership and management roles, and predictions for future trends in nursing practice.
**1. Current Health Care Law or Federal Regulation:**
One notable regulation introduced within the last five years is the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. MACRA replaced the Sustainable Growth Rate (SGR) formula and introduced a new payment framework known as the Quality Payment Program (QPP). Under MACRA, healthcare providers, including nurses, are incentivized to participate in alternative payment models (APMs) or merit-based incentive payment systems (MIPS) based on quality measures, improvement activities, promoting interoperability, and cost reduction efforts. The implementation of MACRA has significant implications for nursing practice as nurses are increasingly involved in care coordination, patient education, and quality improvement initiatives to meet the requirements of value-based care models.
**2. Quality Measures and Pay for Performance:**
Quality measures and pay for performance initiatives are designed to improve patient outcomes by incentivizing healthcare providers to deliver high-quality, efficient care. Nurses play a critical role in achieving these goals by ensuring adherence to evidence-based practices, promoting patient safety, and facilitating care coordination. Quality measures such as hospital readmission rates, patient satisfaction scores, and adherence to clinical guidelines directly impact nursing practice by influencing resource allocation, workflow processes, and performance evaluation. Nurses are expected to actively participate in quality improvement initiatives, collect data, analyze outcomes, and implement evidence-based interventions to enhance patient care and meet performance targets.
**3. Professional Nursing Leadership and Management Roles:**
In response to emerging trends in healthcare delivery, professional nursing leadership and management roles have become increasingly important in promoting patient safety and quality care. Nurse leaders are responsible for shaping organizational culture, fostering interdisciplinary collaboration, and implementing strategic initiatives to address healthcare challenges. Roles such as nurse managers, clinical nurse leaders, and nurse executives are instrumental in driving organizational change, optimizing resource utilization, and promoting a culture of continuous improvement. Nurse leaders also play a crucial role in advocating for nursing staff, addressing workforce challenges, and ensuring a supportive work environment conducive to delivering high-quality patient care.
**4. Predicted Trends in Nursing Practice:**
Looking ahead, two predicted trends in nursing practice include the expansion of telehealth services and the integration of artificial intelligence (AI) and technology into patient care delivery. Telehealth has gained momentum in recent years, particularly in response to the COVID-19 pandemic, and is expected to continue growing as a convenient and cost-effective alternative to traditional in-person care. Nurses will play a vital role in delivering telehealth services, conducting virtual assessments, providing remote patient monitoring, and facilitating patient education and support. Additionally, the integration of AI and technology into healthcare delivery holds promise for enhancing clinical decision-making, optimizing workflows, and improving patient outcomes. Nurses will need to adapt to these technological advancements, acquire new skills, and embrace innovative approaches to care delivery to meet the evolving needs of patients and healthcare systems.
In conclusion, the reform and restructuring of the U.S. healthcare delivery system have profound implications for nursing practice. Nurses are integral to driving quality improvement efforts, promoting patient safety, and adapting to emerging trends in healthcare delivery. By embracing leadership roles, leveraging technology, and advocating for patient-centered care, nurses can contribute to the transformation of healthcare delivery and the advancement of quality, safety, and accessibility for all patients.
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