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.

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.

Research, which documents remarkable success stories show the efficiency of the medical home care model in controlled settings, although the efficiency of this model when adopted generally remains an open question. Like other good ideas, it might prove challenging to spread an initiative, which works tremendously well in some environments to the broader health care arrangement. Furthermore, health care organizations, which already meet most of the requirements linked with being a medical home, can actually improve more through incremental improvements, while nursing practices in need of change might be stuck if they cannot muster the human and financial capital needed to fix their practices. Health Care Delivery Models and Nursing Practice Essay

In short, the medical home model has the potential to transform the manner in which health care is delivered. The risk posed by the present enthusiasm for the theory is that is can lead to the adoption of unproven models on a broad scale nationwide before assessments of existing pilots can reveal what works best in what environments, and what points of reimbursements are required to get providers to engage in all the new activities covered in the medical home model. This could potentially lead to a failure to save costs or improve quality and could result in a good idea being termed ineffective before it has been given a chance to do well ( ).

When patients receive care from various sources, connecting that care into an effective trajectory becomes challenging. Policy reports globally urge a combined effort to enhance continuity of care and avoid fragmentation. However, efforts to explain the problem or offer solutions are weighed down because continuity has been described and measure in countless ways. Continuity of care is conceived in a different way in nursing. The experience of care by a one patient with a provider is the first core factor of continuity; the second factor is that care continues over time, at times this is referred to as chronological or longitudinal continuity ( ). Both factors should be present in order for continuity to exist, however their presence does not amount to continuity. Health Care Delivery Models and Nursing Practice Essay

The aging population in the entire world is growing rapidly as the largest portion of healthcare spending come from the cost of inpatient hospital. It is expected that more jobs will be available in the community and few will be available in acute hospitals. According to The United States Bureau of Labor Statistics, the number of human and social service assistance will grow by nearly 23% between 2008 and 2018. In 2008, over 65% of employees in the medical field were in social and health care assistance industries (Zerwekh, 2011, p. 530).
The ACO’s impact in the field of nursing will be positive as it will provide many opportunities for nurses who will seemingly become not only providers of care but also managers of care. Nurses with good qualifications in client management in the field of care will greatly be demanded since hospital systems will need people to manage clients and families and that these hospital systems will also acquire physician practices. It will be coherent for nurses to understand all the care provided at each level in the field such as, negotiating with medical pharmaceutical and medical providers, maximization of insurance payments and finally engagement and support of family members. Therefore, the role of nurses will increase in importance. Nurses will have to get advanced education in care leadership and management in order to position themselves better for success. Health Care Delivery Models and Nursing Practice Essay

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The main purpose of the expected changes is to transform the fee-for-service which is seen as the major driver of health cost in the nation. This purpose will be accomplished through proposed initiatives such as medical homes and nurse-managed health clinics which are aimed at taking medical services to the grassroots while cutting medical cost. The proposed system that will replace fee-for-service is taking shape and it will mainly involve increased clinical and financial accountability. This initiative will not only lower cost but will also redefine healthcare as a diverse activity that will encompass far more than sick care. The objective of the proposed amendment is to improve factors that make people exacerbate their illnesses including those that make people sick. These approaches will therefore require the use of automation (Hines, 2010, p. 76).
Notably, the emergence of the concept of the patient centered home is a result of the high problems of poor coordination, high cost and poor quality of care. According to the ACO, the patient-cantered medical home which is seemingly a model of care where patients have direct relations