NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
Define ACOs and discuss their impact on the contemporary health care system. How do ACOs drive cost-effectiveness, innovation, and collaboration in the delivery of health care?
Re: Topic 5 DQ 2
Accountable Care Organizations (ACOs) are composed of physician groups, hospitals, and other professions that provide health care to provide quality, systematic care to Medicare patients. ACOs tend to reduce health care costs through the coordination of care that eliminates overlapping or duplicated methods of care. All members must collaborate to create a smooth transition in care to achieve maximum reimbursement. ACO members are driven to create innovations that improve care and reduce costs to receive full reimbursement from Medicare. NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
Within this idea, many programs have been created to provide optimal patient outcomes. The total joint replacement initiative seeks to optimize patients, reduce the recovery period, minimize complications, and decrease health care costs. The joint replacement center addresses areas of nutrition, wound healing, deep vein thrombosis prophylaxis, pain control, medications for nausea, early ambulation, and physical and occupational therapy. These areas are addressed to prevent complications and hospital readmissions.NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
Perioperative service at the hospital I work at has established clinical pathways that utilize evidence-based practices for optimal care. This is a beneficial scenario for patients. The nation’s health care personnel must collaborate to develop innovative ideas to maximize patient outcomes while reducing costs. D’Aunno et al. (2018) identify several factors of high-performing ACOs.NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
These components are physician collaboration with hospitals, optimal physician group practice before ACO adoption, effective physician leaders focused on high-quality care, adept use of information systems, constructive feedback to physicians, and care coordinators (D’Aunno et al., 2018). Addressing these areas in an ACO will assist in providing optimal care with resultant reimbursement.
References NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
D’Aunno, T., Broffman, L., Sparer, M., & Kumar, S. R. (2018). Factors that distinguish high-performing accountable care organizations in the medicare shared savings program. Health Services Research, 53(1), 120–137. https://doi.org/10.1111/1475-6773.12642
RESPOND HERE (150 W0RDS, 2 REFERENCES) NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
Check Out Also: NUR 514 Topic 5 DQ 1 Research an organization that uses an innovative
Re: Topic 5 DQ 2 NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
McAlearney et al. (2018) states “Across the health care landscape in the United States, momentum is shifting away from volume-based care and building toward value-based care most often interpreted as a function of reducing cost while simultaneously improving quality.” (p. 4767) Accountable care organizations involve organizational partnerships for the purpose of coordinating patient care
across the health care continuum to improve health outcomes. ACOs focus on outcomes as this is what drives reimbursement. Improving care while reducing costs may require innovative use of existing resources and use of innovative means of achieving treatment goals. Looking at the end result is a straightforward way of quantifying the efficacy, and quality of the services delivered by participating providers.
81% of ACOs involve new partnerships between independent health care organizations whose providers are motivated to partner for resource complementarity, risk reduction, and legislative requirements, and are using a variety of formal and informal accountability mechanisms.”NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
(Lewis et al., 2017, p. 25) Value-based reimbursement creates the incentive for ACOs to manage patient care across health care settings, requiring improved care coordination among providers. These efforts reduce unnecessary health care utilization, improve patient outcomes, and reduce health care spending. (Agarwal & Werner, 2018) NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
References NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
Agarwal, D., & Werner, R. M. (2018). Effect of Hospital and Post-Acute Care Provider Participation in Accountable Care Organizations on Patient Outcomes and Medicare Spending. Health Services Research, 53(6), 5035–5056. https://doi-org.lopes.idm.oclc.org/10.1111/1475-6773.13023
Lewis, V. A., Tierney, K. I., Colla, C. H., & Shortell, S. M. (2017). The new frontier of strategic alliances in health care: New partnerships under accountable care organizations. Social Science & Medicine (1982), 190, 1–10. https://doi-org.lopes.idm.oclc.org/10.1016/j.socscimed.2017.04.054
McAlearney, A. S., Walker, D. M., & Hefner, J. L. (2018). Moving Organizational Culture from Volume to Value: A Qualitative Analysis of Private Sector Accountable Care Organization Development. Health Services Research, 53(6), 4767–4788. https://doi-org.lopes.idm.oclc.org/10.1111/1475-6773.13012 NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
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DQ2
Innovative care models are patient population while maximizing the role of advanced practice and registered nurses in delivering high-quality care. Thus, nurses play a critical role in implementing the innovative care model and promoting their success. First, nurses and advanced practice nurses are change agents in any organization through which they influence readiness for change and change acceptance within the organization to support the implementation of innovative care models (Gordon et al., 2020).
Moreover, nurses are leaders through their training and knowledge base. The leadership competencies enable nurses to create an environment that supports change and innovation, for example, encouraging autonomy and creativity enhances innovativeness in the health environment (Brodtkorb et al., 2019). Nurses are concerned with the prevention of diseases and the wellness of their clients. Taking these into consideration, come up with models that promote better patient care while also promoting the well-being of their patients, which is possible through the evaluation of problems affecting patient populations and the development of improvement plans.
Innovative care models bring together various professionals and multidisciplinary team members to work collaboratively and attain the goal of care excellence. The activities in developing innovative care models require policy changes, which bring on board various stakeholders to work with nurses collaboratively to support the needed changes (Cacchione, 2020).
Similarly, the implementation process involves coordination, shared decision-making, and a team-based approach, which promotes collaboration between nurses and other professionals and shareholders. In the implementation of innovative care models, nurses act as project managers who monitor progress and evaluate the impact on patients and other stakeholders. This process requires interactions with various healthcare stakeholders to manage and promote stakeholder interests.
References NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system
Brodtkorb K, Skaar R, Slettebø Å. (2019). The importance of leadership in innovation processes in nursing homes: An integrative review. Nordic Journal of Nursing Research, 39(3):127-136. doi:10.1177/2057158519828140
Cacchione, P. (2020). Innovative care models across settings: Providing nursing care to older adults. Geriatric Nursing, 41(1),16-20. https://doi.10.1016/j.gerinurse.2020.01.011.
Gordon, K., Gray, C., Dainty, K., DeLacy, J., Ware, P., & Seto, E. (2020). Exploring an Innovative Care Model and Telemonitoring for the Management of Patients With Complex Chronic Needs: Qualitative Description Study. JMIR Nursing, 3(1):e15691. . NUR 514 Topic 5 DQ 2 Define ACOs and discuss their impact on the contemporary health care system