What are the changes introduced to reform US health care delivery system.

The legislative arm of the government greatly affects the healthcare delivery systems in the country. Legal issues that have been affecting the healthcare industry related to Patient Protection and the Affordable Care Act (ACA, 2010) that was enacted by the government to improve healthcare delivery. The healthcare delivery systems issue understands clauses within it, such as the Commerce Clause and the effect that ACA has on healthcare professionals. The concern is on how healthcare should be provided, who can provide the care, where healthcare providers are restricted to particular jurisdictions, and the levels and methods of reimbursement for healthcare services offered. Nursing as a medicine field is not exempt from the effect of the developing trends in the healthcare delivery systems. This paper will discuss the current reforms in healthcare delivery systems and their impact on the nursing career. The paper will justify the vital role of nurses in implementing healthcare delivery changes and improving the safety and quality of care received by patients.

Healthcare Reforms

The United States healthcare systems have, in the past, been over-reliant on a fee-for-service and third party financing. The above has led to high healthcare costs in the country and uneven services and quality of the services. The concern has led to the urgency to create healthcare reforms in the country to minimize healthcare costs while delivering quality care to patients. The recent reform in the reimbursement policy is a step that the federal government has taken to ensure that the healthcare delivery systems move from rewarding volume to rewarding value. An example of such reform is in the Medicare Advantage that has done away with the fee-for-service model and focused more on improved incentives that have led to manageable

healthcare costs and improved patient outcomes per unit cost. Medicare Advantage empowers the consumers and gives them the ability to determine whether care is of value or not (Matthews, 2017).

The healthcare delivery system reforms brought about by the ACA are reliant on the change of payment methods i.e., the way through which healthcare providers are reimbursed for the services they offer. A notable delivery reform in the ACA is the development of the ACO (Accountable Care Organizations) programs. The ACOs tie reimbursement to the quality of care that is delivered within the healthcare organization. It is based on quality metrics and also the reduction of costs of healthcare. ACOs are made up of various healthcare providers. The latter take up the responsibility of being accountable for the quality and cost of care to beneficiaries that are initially enrolled in fee-for-service programs. The ACA intends for healthcare reform programs to invest in healthcare infrastructure and redesign care delivery on ways that will promote quality and efficient care.

The above reforms affect nursing practice as they are part of medical professionals. They affect the way that nurses offer care to the patient and the required levels of competence of the nurses. The nurses have the role of ensuring the patient’s safety during caregiving, which promotes the overall quality of services. Nurses carry out interdisciplinary processes to meet the quality improvement objectives that healthcare organizations have put in place. They also control, measure, and improve NSI (nursing-sensitive indicators) that determine patient outcomes dictated by certain nursing practices. To enhance quality, the nursing field has changed adopting laws such as H.R. 728 or the Title VIII Nursing Workforce Reauthorization Act (2019). The act aims to promote nursing education and offers programs that better the way nurses provide care through increasing knowledge. Nurses are encouraged to now work hand in hand

with physicians and participate in healthcare leadership, to enhance the quality of services that patients get (American Hospital Association, 2019).

Outcome-based quality measures are more patient-focused and incorporate outcomes such as mortality and morbidity. Such measures grade the quality of healthcare provided to a patient. The quality metrics work hand in hand with the pay for performance model, which replaces the pay for service model. Pay-for-performance focuses on the quality of care and not the quantity of care. It is based on the patient’s perception of the service that they receive. Quality measures and pay-for-performance improve the quality of care patients get and thus better health outcomes, as healthcare providers are reimbursed according to such metrics (Cherry & Jacob, 2016). The above concepts affect the nursing practice in that nurses, together with other healthcare professionals, have to be more diligent on the type of care they offer. They become more quality-focused than quantity focused, and healthcare services are solely focused on the patient’s outcome. In such situations, nurses have to make sure that they are well equipped to offer the best care possible. The nurses are responsible for continuously developing their skills and familiarizing themselves with new technologies that are constantly flooding the healthcare industry. It is the nurse’s responsibility to also ensure that patients receive optimal attention from physicians when the need arises. They should also report any problems they might identify during the process of providing care to patients.

Nursing Leadership and Management

Nurse managers and nurse leaders’ scope is based on the interaction they have with healthcare staff and interdisciplinary healthcare providers. Nurses play a vital role in patient care, and thus their role in health care delivery has changed over the years. Professional nursing

leadership has become a concept that is integrated to the level of quality inpatient care. Nurses have leadership roles, such as overseeing the quality metrics set in healthcare facilities and participating in policy settings. The policies in healthcare facilities affect the quality and safety of the care that a patient receives. Nurse leaders also play a role in enhancing compliance with regulatory requirements and have the accountability for overall quality of care. Nursing leadership has led to increased staff satisfaction, low staff turnovers, and improved patient outcomes. The nursing management role is based on the staff’s day-to-day activities that nursing leaders supervise (Bernardes, 2018). Nursing managers have roles in managing day to day tasks and assigning roles to subordinates to ensure safe and quality care for patients.

Emerging Trends

Nursing is a dynamic field, and one of the fastest-growing industries globally. Various trends are likely to affect nursing in the coming years and affect how nurses deliver healthcare services to the patient. The first trend is the shortage of nurses, which is predicted to hit an all-time low in the coming years. Another emerging trend is telehealth and remote nursing, which is advancing day in day out. Remote care has been in existence for several decades. It is, however, moving beyond the normal telephone conversations and incorporates new technologies such as emails, smart apps, and interactive video calls. Through telehealth, patients can communicate with healthcare providers on medical issues and even receive diagnoses about various healthcare issues. Telehealth changes nurses’ roles and the nursing practice as nurses have to be conversant with the new model of healthcare delivery. Acquiring skills and knowledge related to telehealth delivery is essential and is part of the nursing curriculum. Nurses are learning how to incorporate technology in their day to day interactions with patients (Bernardes, 2018).

Another trend related to technology is the change in patient data and nursing informatics. Technology has changed how data is gathered and shared. The use of electronic health records is an example of how nurses efficiently store and share patient data with other healthcare providers. Health informatics requires nurses to gather additional technological skills that are useful in the technologically advancing industry. Artificial intelligence is also becoming an acceptable trend in healthcare and will take over some tasks that nurses initially did. Automation of certain tasks will give nurses more time to concentrate on activities that will improve the quality and care of patients.

Looking to get Essay writing help for this assignment? Get custom essay for 15% OFF using coupon code “NEW15” or Buy Used Solution for same paper for less!