Welcome fellow nurses and other medical professionals or advocates. Like me, you are surely aware of the vastly and quickly changing climate in the medical community when it comes to things like continuum of care, accountable care organizations, medical homes and nurse-managed health clinics. I will speak about all of these things and what the future would seem to hold for each of them.
When it comes to the overall continuum of care, the Affordable Care Act was certainly a game-changer and will greatly shape the future of the United States medical system. There has been a swelling in the efforts by many healthcare providers to manage what is often called the "continuum of care" for patients. The doctors and health systems that exist out there are being formed and shaped into a number of different structures and agreements with the aim to achieve essentially one basic thing….to manage the care of patients across all of the care settings that they will encounter and from birth to death. These changes must take place because there are issues like lack of coordination in the hospitals of America, a lack of recognition about the financial implications involved, the perspective of the patient is at stake and so forth (Dunn, 2015).
When it comes to the future of accountable care organizations, or ACO's, the implications are no less massive and upcoming. Indeed, rather than getting a fee for each service, there is a fee paid based on the quality of the healthcare that is delivered. In other words, outcomes are more of a focus than the volume of patients that are being treated, evaluated and processed. Not everyone is on board when it comes to ACO's as some Pioneer ACO's, nine in total, left a program that was centered on the quality vs. quantity paradigm. A lot of the feedback about the idea and results surrounding ACO's is good but it is clear that not everyone is sold on the idea of ACO's and it remains to be seen how this will all evolve in the coming years and decades. (Budryk, 2014).
As for nurse-managed health clinics, or NMHC's, the need for these facilities is clear. However, there is a rather glaring funding shortage when it comes to such facilities, at least as of 2012. Such was the assertion of Tine Hansen-Turton. She gives the example of a woman who had chronic back pain. She had gone to other clinics and places of medical practice but got little to no positive results from it. However, a NMHC was able to find the source of the problem and they helped her in a way that the prior facilities could not, for whatever reason. It is clear that nurses can fill the void that is being created by doctors leaving Medicare, physician shortages in general and for those patients for which money is an issue. However, it all costs money and there seems to be a lack of focus on providing the necessary money to take care of our country's medical needs. Hopefully, this will change in a post-Affordable Care Act World (RWJF, 2015). Much the same thing can be said of medical homes (Commonwealth, 2015).
In closing, I would say that we all need to focus on evidence-based practice, what works and what is best for us all as we move forward.
Reactions
The following reactions are notated as follows in no particular order and with no names, ages, organizations or so forth attached. For each item, there will be a summary of what the nurse or other person said and there will then be a response from the author of this report based on prior research and knowledge about the ACA and the other assorted details surrounding healthcare in a post-ACA world. Unless cited otherwise, the responses below are the opinion, viewpoint and general prior knowledge of the author of this report.
Comment: One person noted that the spending projections regarding the Affordable Care Act are definitely not going to fall in line with what actually happens in terms of actual spending. She cited that Social Security, Medicare and so forth are wildly exceeding what was originally planned in terms of size and scope and that "ObamaCare would be the same way.
Response: It is indeed true that government programs almost always exceed the spending outlays that are originally planned. There are actually much more recent examples than Social Security (started in the 30's) and Medicare (started in the 60's). For example, Cash for Clunkers (the car trade-in initiative done during the...
People who are in poor health are less likely to work and, when in work, are less prolific. They are less probable to invest in their own schooling or to save for retirement, and so to support the broader economy. Experts believe that the present economic and labor market, social security arrangements, retirement age and the relations between all of them will need to be considered when addressing the
Future of Nursing ACTION-ORIENTED BLUEPRINT The Future of Nursing Report "Future of Nursing: Leading Change, Advancing Health" The enactment of the Affordable Car Act of 2010 created the opportunity to transform the healthcare system in providing the envisioned higher-quality, more affordable and accessible care for the population (RWJF, 2011). This is the ideal shared by more than 3 million already-committed nurse practitioners all over the country. But there exist barriers to the realization of
Evolving Practice of Nursing and Patient Care Delivery Models How the Practice of Nursing is Expected to Grow and Change: The Future of Nursing has a few healthcare delivery challenges unique to it, but there are several such issues that commonly occur in other nations, as well. Population aging is one issue that generates demand for increased healthcare services. A growing number of individuals, from all age groups, suffer from chronic
IOM Nursing Report The author of this report has been asked to offer an analysis and summary of the Institute of Medicine (IOM) nursing report. In reading and analyzing that report, there will be a few questions answered by the author of this report. The first answer will be the impact of the IOM report on nursing education. The second answer will be the impact of the IOM report on nursing
Nursing Shortage Issues Surrounding the Nursing Shortage In the early 2000s, national strategies to improve the nursing workforce profile were largely focused on increasing the number of nurses at the bedside through the use of sign-on bonuses and travel nurses. While these strategies tended to provide local short-term solutions, they did little to address long-term issues affecting the nursing shortage. With nursing education programs challenged to increase student enrollment, many colleges were
Nursing Research Value of Research to Nursing Nursing is different from other health care professions. It has a large scope for practicing therefore it is necessary to understand theory in order to provide a strong framework for understanding of this profession. The daily practice of nursing contributes to a nursing practice theory, which can be empirically tested. A quantitative nursing research has three levels such as descriptive, co-relational and experimental. Therefore nurses
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now