Health Care Delivery Models and Nursing Practice Essay Paper

Health Care Delivery Models and Nursing Practice

Current or Emerging Health Care Law and Effect

Patient Protection and Affordable Care Act of 2010 (PPACA) is a current health care law that has a significant impact on healthcare especially in terms of the quality of care and the cost of healthcare, as well as healthcare professionals such as nurses. PPACA has created incentives that integrate care delivery models to facilitate provision of quality care and at the same time ensure efficient and balanced allocation of resources in the health care system.  PPACA also aimed to attain universal coverage and improve accountability of the healthcare system to the diverse population (Glied & Jackson, 2017). In addition, PPACA aims to improve access to primary health care services. And to expand preventative care and investments in community health.  Health Care Delivery Models and Nursing Practice Essay Paper

The Patient Protection and Affordable Care Act of 2010 (PPACA) places the role of a unique role to the nurse to ensure patient care is well coordinated by identifying during patient care. in addition, the nurse has the role of promoting health and facilitating preventative care in communities (Glied & Jackson, 2017).

PPACA supports Accountable Care Organizations (ACA) that promotes healthcare that is provided using coordinated and value-based care models. The care that is value-based encourages healthcare providers to ensure health of various population groups by focusing on the healthcare outcomes, instead of the volume of the provided care services. Value-based care leads to healthcare systems that focus on wellness, prevention, and eradication unnecessary costs. Therefore, nurses play an integral role in ACA by promoting health, navigating chronic diseases, and ensuring that populations do not develop secondary conditions (Glied & Jackson, 2017). This is because nurses are the front-line when it comes to patient care and healthcare payer, and also, they have the knowledge and expertise to influence practice changes and policy changes.  Health Care Delivery Models and Nursing Practice Essay Paper

Moreover, according to PPACA healthcare organizations, provider groups, and insurance providers are supposed comply with the value-based payment (Glied & Jackson, 2017). The nurse is obligated to promote these changes. Nurses have the role of directing changes in care process and supporting evidence-based practice and quality improvement. Nurses should take a leading role in the team-based care process and promote patient-centered care. nurses play a significant role in ensuring provision of quality care and promoting efficient use of healthcare resources to deliver evidence-based and patient-centered care.

Effect of Quality Measures and Pay-for-Performance on Patient Outcomes

The quality measures aim to assess the quality of care provided by hospitals. Healthcare organizations that score highly on the choose quality measures are awarded monetary bonuses while the hospitals that score low are penalized a percentage of their reimbursement. The pay for performance refers to the initiatives whose aim is to improve the quality, value, and efficiency of healthcare. Healthcare organizations, doctors and other healthcare providers are provided with financial incentives to ensure improved quality of care and eventually improve patient outcomes (Allen et al., 2017).

Quality measures and pay-for-performance improve patient outcomes by motivating hospitals and healthcare providers to adhere to the provided quality measures in order to qualify for the incentives and avoid being penalized (Allen et al., 2017). High-level of adherence to quality measures is associated with better patient outcomes. In addition, quality measures and pay-for-performance have been shown to decrease healthcare inequalities and ensure provision of better quality of care.

Nurses have the role of assessing the impact of nursing practice on patient outcomes when it comes to health promotion, disease prevention, and alleviation of suffering. Therefore, nurses have the role of adhering to the set quality standards in order to ensure that healthcare organizations fulfill the required quality measures and thus qualify for the pay-for-performance incentives, rather than being penalized; this will ensure provision of high-quality of care and thus result to improved patient outcomes (Allen et al., 2017).

Professional Nursing Leadership and Management Roles

The nursing leadership role focuses on patients and healthcare teams like those that focus on patient advocacy, communicating and collaborating with healthcare providers and patients as well. regarding patient advocacy, the nursing leadership has to advocate for better patient care and influencing policies that support improved quality of care and patient care. professional nursing leadership requires nurse leaders to make decisions and take responsibility for their decisions (Joseph & Huber, 2015). Nurses are perceived as leaders when it comes to provision of patient care since leadership is an important component of effective nursing care. Nurses play a significant role in delivery of healthcare due to their pivotal role in provision of high-quality and safe care and ensuring good patient outcomes (Joseph & Huber, 2015).  Health Care Delivery Models and Nursing Practice Essay Paper



In addition, nurse managers have the role of ensuring the delivery of high quality of patient care and striving to improve care in healthcare organizations. The nurse managers are in a good position to facilitate implementation of policies, procedures, and systems that favor provision of high-quality care within healthcare organizations. Therefore, nurse managers have an essential role when it comes to patient safety and ensuring high-quality care. The managerial activities that impact quality performance in healthcare organizations include setting goals, developing strategies aimed to improve care, establishing quality agenda, promoting culture of quality improvement, promoting adherence to quality measures, as well as procuring and allocating resources for quality (Parand et al., 2014).

Ways in which the Practice of Nursing and Nursing Roles will Grow/Change

Patient outcomes and quality initiatives with significantly impact nursing practice. According to Salmond & Echevarria (2017) nurses are the direct caregivers and thus significantly influence patient outcomes and care provision. With the quality measures and pay-for-performance initiatives, consumers will be able to access the performance of healthcare organizations. Access to such information will change the nursing role in the healthcare system. other healthcare providers rely on nurses to examine for likely risks and ensure that healthcare organizations avoid mistakes especially since Medicare does not reimburse preventable errors. Nurses will be required to use complex knowledge during patient care and be ready with new competencies in areas such as evidence-based practice and leadership. Nurses will also be required to continue with education and achieve higher education levels in order to respond to the needs of the changing healthcare system and patient needs. Evidence indicates that well-educated nursing staff is linked to better quality of care, positive patient outcomes and reduce medication errors (Salmond & Echevarria, 2017).

Technology is also expected to change the nursing role. There are many and rapid developments in healthcare technology and thus nurses are expected to keep up with the technological developments.  Nurses will thus be required to use the technologies and evidence-based guidelines to improve the quality of care and patient outcomes. In addition, technology has enabled telemedicine and therefore nurses may be required to use technology to provide care remotely and monitoring patients’ progress even after hospital discharge (Bowles et al., 2015).


Allen T, Mason T & Whittaker W. (2014). Impacts of pay for performance on the quality of primary care. Risk Manag Healthc Policy, 1(7), 113–120.

Bowles K, Dykes P & Demiris G. (2015). The Use of Health Information Technology to Improve Care and Outcomes for Older Adults. Res Gerontol Nurs, 8(1), 5–10.

Glied S & Jackson A. (2017). The Future of the Affordable Care Act and Insurance Coverage. Am J Public Health, 107(4), 538–540.

Joseph L & Huber D. (2015). Clinical leadership development and education for nurses: prospects and opportunities. J Healthc Leadersh, 1(7), 55–64.

Parand A, Sue D, Renz A & Charles V. (2014). The role of hospital managers in quality and patient safety: a systematic review. BMJ Open, 4(9), e005055.

Salmond S & Echevarria M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthop Nurs, 36(1), 12–25.  Health Care Delivery Models and Nursing Practice Essay Paper

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