NUR-621 Delivery Models Essay
Grand Canyon University NUR-621 Delivery Models Essay-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NUR-621 Delivery Models Essay assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NUR-621 Delivery Models Essay
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR-621 Delivery Models Essay depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NUR-621 Delivery Models Essay
The introduction for the Grand Canyon University NUR-621 Delivery Models Essay is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NUR-621 Delivery Models Essay
After the introduction, move into the main part of the NUR-621 Delivery Models Essay assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NUR-621 Delivery Models Essay
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NUR-621 Delivery Models Essay
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NUR-621 Delivery Models Essay
Health care in the US is a complex system which is characterized by fragmented care where there is no single entity that is accountable for the overall coordination and quality of patient care. As a result, patients tend to get the services they pay for and the fee-for-service system that is mostly used has led to a situation where massive resources are spent on acute care, tests, and procedure. Therefore, the health care industry players are increasingly under pressure to deliver better, effective care with minimal resources. As a result, incentives for inclusive care delivery models and payment for quality and care were created to rebalance the resource allocation and incentive value of care rather than volume of care in the health care system.
The care delivery model operates through a dyad model, which consists of nurses and physicians functioning as a team with operational role and accountability for patient quality of care, proficient service, efficiency in health care delivery. Importantly, the patient population is infused in delivery models that represent range of critical, acute, and progressive care (UK HealthCare, 2020). Therefore, the aim of this paper is delve into the health care delivery models by exploring specific areas such as addressing the triple aim in relation to population health management and delivery models, describe current trends in health care delivery models, and describe how quality and safety influence delivery models in health care.
The Triple Aim as it Relates to Population Health Management and Delivery Models
Over the recent past, there has been effort to enhance health care quality by minimizing defects in patient health care in different categories proposed by the Institute of Medicine (IOM) such as safety, timeliness, patient-centeredness, effectiveness, efficiency, and equity. However, there has been slow progress in realizing these objectives, making it difficult to improve individual patient care. Besides, considerably few improvement efforts tend tackle the flaws in care across the continuum of health care. Therefore, there is need for more effort to thrive, expand, and enhance site-specific care for every patient. However, these objectives aimed at realizing high-value health care may not be achieved unless the initiatives for improvement seek a wider system of related goals. Overall, these goals are the “Triple Aim” which entails enhancing the individual patient experience of care, enhancing health of populations, and lowering of the per capita cost of care for populations.
Essentially, the Triple Aim connotes a model created by the Institute for Healthcare Improvement (IHI) which illustrates a strategy to maximize the performance of health care system. The three dimensions, which are referred to as the “Triple Aim” include enhancement of patient experience of care through quality of care and satisfaction, improving the health of populations, and reducing the per capita cost of health care. The Triple Aim is crucial in the current health care system in the US to reduce health care cost (Institute for Healthcare Improvement, 2017). Moreover, Triple Aim will address issues such as aging populations and increased longevity and challenges associated with chronic health that put more pressure on medical and social services.
In population health, it is critical to simultaneously address the dimensions of Triple Aim due to its ambitious improvement at all
levels of health care system to improve the health of communities and all patients. Organizations that implement Triple Aim are likely to have healthy population because of new designs that identifies problems and solutions to such problems. Patients will expect less intricate and more coordinated care and the load of illness will reduce. Moreover, the reduction of per capita cost of health care for populations will enable health care organizations opportunity to enhance competitiveness, eradicate pressure on the public funds on health care, and ensure flexibility for communities to focus on activities that increases vigor and economic security for their populations (Institute for Healthcare Improvement, 2020). To succeed in this, it is critical to bind range of community determinants of health, empower populations, ensure sophisticated journey across the entire health care system in the entire life of a person, and significantly increase the role and influence of primary care and community services.
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Regarding the delivery models, Triple Aim thinking can be used to advance and strengthen many areas of reform in the US health care system. According to Institute for Healthcare Improvement (2020), the Triple Aim thinking may encompass innovative financing approaches such as Accountable Care Organizations (ACOs) and bundled payments; sanctions for preventable occurrences such as hospital acquire infections and readmission rates; new approaches for primary care including patient-centered medical homes; and the adoption of information technology.
The Current Trends in Health Care Delivery Models
Health care systems in US and the globally encounter hurdles in delivering accessible, high-quality, and affordable care. As such, health care providers need to be empowered to address these challenges by assuming evolving health care delivery models. Essentially, there are several health care delivery models that are essential in making positive contribution in patient care and health care system. Currently, there are many different trends in health care delivery models. They include;
Accountable Care Organizations (ACOs)
ACOs connote providers who work collaboratively to provide cost-effective and quality café for their clients. It ensures delivery of greater degree of care integration, quality-based care delivery, and sophisticated communication throughout the spectrum of patient care. The providers enjoy financial incentives designed to meet quality targets and cost effectiveness.
Patient Centered Medical Homes (PCMH)
The PCMH model is developed to give primary care physician (PCP) support in leadership role patient care coordination. The model emphasizes on developing a strong relationships and trust between patients, practice staff, and providers. Moreover, it is patient oriented as it seeks improve clinical outcomes and reduce cost through coordinated care. The model also relies on IT and evidence-based medicine that is crucial in health care cost reduction.
Community-Based Hospitals
These establishments provide specific health care services such as quick availability of treatment, emergency services, and ensuring shorter wait time.
Proactive and Intensive Care for Intricate Health Conditions
Currently, many people are diagnosed with complex and long term health conditions. Many of these conditions are attributed to unhealthy lifestyle and aging population. Therefore, this model identifies proactive mechanisms to control complex health conditions in the community.
Telemedicine
Telemedicine is a health care delivery model to reach out remote areas. The model applies IT and telecommunications to deliver health care from a distance. The model is critical in eradicating distance barriers and has the potential to enhance availability of medical services that are rarely found in rural areas.
However, despite the advancement in health care delivery model, the review by the Health People 2020 indicates that there are considerable disparities in care accessibility by sex, age, ethnicity, race, education, and family income in all levels of care. Moreover, geographical disparities also exist with millions of people living in rural settings lack access to primary care services as a result of poor staffing. Therefore, there is need to effectively distribute primary care workforce and provide them with sufficient training for cultural competent care to diverse population (Healthy People 2020, 2020).
How Quality and Safety Impact Delivery Models in Health Care
The health care delivery organization is often determined by various factors including leadership beliefs, staff retention, and economic issues. Similarly, the impact of health care delivery models on quality and safety is also a key consideration in decision making. As stated earlier, health care delivery models emerge to address the current challenges facing the health care industry and they keep changing to accommodate the ever-evolving and dynamic health care system. Essentially, it is vital for the individuals and populations to be given quality health care services that are seamlessly coordinated in the health system to enjoy optimal health. Consequently, health care delivery models ensure quality health services that utilize the right care and responding to the needs and inclinations of the service users. The quality health care provided under the appropriate care delivery model enhances the chances of obtaining the desired health outcomes which is consisted with IoM’s recommendations of safety, timeliness, patient-centered, equitable, effectiveness, care integration, and efficiency (Havaei, MacPhee & Dahinten, 2019). On the other hand, health care delivery model is associated with safety since it utilizes various levels and sites of care in the health care system to manage the provision of safe health care services to enable people to receive a range of disease prevention, health promotion, disease management, diagnosis, treatment, and palliative care services based on the needs of the people.
Conclusion
Health care in the US is increasingly becoming complex and evolving making patients to get the services they pay for and the fee-for-service system that is mostly used has led to a situation where massive resources are spent on acute care, tests, and procedure. Therefore, there is need for provision of quality and cost effective care. As such, incentives such as inclusive care delivery models and payment for quality and care were created to rebalance the resource allocation and incentive value of care.
References
Havaei, F., MacPhee, M., & Dahinten, V. S. (2019). The effect of nursing care delivery models on quality and safety outcomes of care: A cross‐sectional survey study of medical‐surgical nurses. Journal of advanced nursing, 75(10), 2144-2155.
Healthy People 2020. (2020). Access to Health Services. Healthypeople.gov. Retrieved 21 July 2020, from https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services.
Institute for Healthcare Improvement. (2017). IHI triple aim initiative.
Institute for Healthcare Improvement. (2020). The IHI Triple Aim | IHI – Institute for Healthcare Improvement. Ihi.org. Retrieved 20 July 2020, from http://www.ihi.org/Engage/Initiatives/TripleAim/Pages/default.aspx
UK HealthCare. (2020). Care Delivery Model. Ukhealthcare.uky.edu. Retrieved 20 July 2020, from https://ukhealthcare.uky.edu/medical-professionals/nursing/care-delivery-model
Sample Answer 2 for NUR-621 Delivery Models Essay
Quality and safety within the healthcare system define the best quality that any patient deserves. Various models of healthcare aim to meet better patient outcomes. In all the models, nurses form the main pillar in the healthcare delivery models because of the unique role they have in offering patient care (Bertram & Manvi, 2022). Therefore, all in the healthcare workforce must strive to emerge and carry out specific mediations to create an atmosphere that promotes effective cultures and values, assists health in finding meaning in healthcare, and contributes to work-life integration. This paper will focus on delivery models in healthcare, address the Triple Aim as it relates to population management and discuss the current trends in healthcare delivery models. Again, the study will discuss the impact of quality and safety in healthcare delivery models.
Triple Aim as it Relates to Population Health Management and Delivery Models.
Triple Aim is a framework developed by the US healthcare system to improve the care experience, improve health among different populations and reduce healthcare costs. For the effective attainment of these goals, stakeholders need to focus on the execution of the three fundamental channels (Peyton & Zigarmi, 2021). For instance, creating a strong ground for managing healthcare within the population, managing healthcare issues are appropriate scales, and developing a better learning system. These perspectives reflect on the need to develop a foundation of healthcare that would aid in achieving sustainability.
Public health improvement is a key priority in healthcare systems internationally. This sentiment is true in the US health care system as it has been struggling to meet costs and outcomes in healthcare. The US government has been taking gear towards allowing each person in the US to be eligible for quality healthcare cover. Medicare and Medicare are examples of programs that have aided in making tremendous efforts in improving the quality of health care in the US (Bertram & Manvi, 2022). Therefore, Triple Aim has been playing a significant role in allowing easy access to health care across populations. Various US healthcare organizations have heightened this process by adopting telehealth technology to allow patients in remote areas. These measures align with the second goal of Triple Aim, which is to improve healthcare among different populations.
Another fundamental aim of the Triple Aim framework is to improve the patient experience. This objective is one of the fundamental indicators of quality in healthcare. The objective links to the safety and positive clinical outcomes among patients. A delivery model that can achieve high standards of safety among patients is in the direction of meeting the Triple Aim objectives. Gaging and evaluating experiences support healthcare quality control, public liability, and patient (Healthy People, 2022). Numerous patient experience measures have been established and utilized in healthcare, including questionnaires, focus sets, and interviews. The absence of individual ownership for Quality Improvement, inadequate training, and worker enlightenment on the means and significance of quality improvement, plus the lack of organizational principles for transformation, adversely affects the enhancement of patient experiences. Organizational change is the most commonly used strategy to ensure quality improvement. Indeed, it incorporates an extensive range of issues, from physical modification of the health facility environment to staff changes.
Reducing the cost of healthcare is another important measure in the Triple Aim framework. The effective method to measure per capita cost is still one of the major challenges facing health care systems to date. This challenge comes from the need to capture relevant expenditures, index them effectively in the local market, and measure the actual healthcare costs. Besides, the current pricing and discounting methods still affect effective measures of the per capita cost. As per the Centers for Medicare and Medicaid Services (CMS), the US spends 18% of its GDP on healthcare, and this figure is expected to rise. The Triple Aim aims to achieve the Quadruple Aim’s two parts of better patient outcomes and enhanced population health outcomes while lowering healthcare costs per capita. According to Bertram and Manvi (2022), society’s requirements extend beyond healthcare, and resources are required to attain other desirable outcomes. Maintaining a relationship between this element and enhanced patient experience and population health guarantees that although costs are reduced, the quality of care is not impaired. As a result, while the goal is to enhance population health so that people do not need to see providers as often, they will be considerably cheaper if and when they do.
Current Trends in Health Care Delivery Models.
Healthcare organizations are currently depending on modern technology to improve their delivery models. The inclusion of modern technology in healthcare has been raising the quality and safety of patients. Technology can empower superior patient choice, permitting them to select lower acuity locations to obtain care or even partake in telehealth. Smartphone healthcare apps that allow a patient’s insurance can ensure that patients visit in-network facilities. To do this successfully and at the populace level, healthcare schemes should evaluate the general health of the public they serve, recognize any prevailing concerns or extents of risk, and weigh the overall mortality (Healthy People, 2022). The cost discount constituent of the Triple Aim heartens the healthcare establishments to discover means to diminish the cost of care they deliver while increasing quality, classifying residents at risk, and addressing the community’s health apprehensions.
Hospitals and health schemes have leveraged technology to bring proficiencies to scheduling and upsurge patient acquiescence, resulting in lower costs. Depressing the readmission frequency by 1% has been effective in saving billions in healthcare expenses and missing productivity. Healthcare establishments are designing delivery models of care to serve populations better and help accomplish the Triple Aim’s symbiotic goals (Bertram & Manvi, 2022). The model focuses on patient and family involvement when designing care models, reforming primary care services and schemes, and advancing disease prophylaxis and health promotion.
Transformational leadership in health care has been a modern trend used to champion change in health care and adopt effective delivery models. Distinguishability to the outcomes of an improvement initiative enables leaders to understand the involvement and support of the approach by all team memberships. Besides, it permits leaders to recognize the competencies of the organization. Outcome measures are the definitive arbiter of whether an establishment is accomplishing high-level objectives supporting the Triple Aim (Bertram & Manvi, 2022). As part of the Triple Aim, improving working conditions for caregivers raises hopes of addressing the welfare of the nurses. Although research relating issues such as burnout to impartial clinical outcomes revealed no connections, studies employing self-reports of inferior quality and errors showed that physicians who were more burnt out frequently reported worse quality. However, a transformational leader that focuses on employees has been important in solving these healthcare issues.
Impact of Quality and Safety on Delivery Models in Health Care
Focusing on quality and safety has revolutionized delivery models in healthcare. Working as a team in health care has played a key role in meeting patient outcomes. For instance, improving the provider experience necessitates workplace improvements (Andrew, 2019). Teamwork is one of the interventions required in this scenario. Teamwork is a collaborative process among team members that helps them form successful, mutual relationships to achieve team goals by sharing information and abilities. In the healthcare setting, teamwork is a valuable resource, and healthcare practitioners are coordinating their actions to provide patients with safe, effective, patient-centered, timely, efficient, and equitable healthcare services. In addition, collaboration may safeguard workers against emotional tiredness, depersonalization, and disengagement caused by the Triple Aim’s problems.
Staff development programs have increased in the recent past as it defines the needed quality and safety in health care that further modifies healthcare delivery models. Staff development programs that focus on teaching and developing intervention skills have been identified as an effective strategy to prevent burnout and address the Triple Aim’s problems. For instance, skill-development initiatives, which concentrate on training and transmitting new intervention skills or developing current abilities, have been suggested as a burnout-buffering technique; however, there have been few studies on their effectiveness (Andrew, 2019). Enhancing one’s sense of self-efficacy can be achieved by improving intervention skills.
Healthcare resources have been used effectively to meet the quality and safety concerns in healthcare. On the other hand, workplace resources are those features of the job that lessen both job demands and modifications in workers as a result of those demands. Furthermore, employment resources assist healthcare providers in reaching their work objectives by stimulating personal growth, learning, and development (Peyton & Zigarmi, 2021). Job resources exist at the organizational (such as a good income and job security) and interpersonal (such as supervisor and coworker support) levels, as well as at the level of the specific job role (such as involvement in decision-making) and undertaking (such as autonomy and performance feedback) (Kay, 2018). The utilization of these resources has shaped the delivery process on the positive end.
Conclusion
Throughout the last decade, healthcare organizations have focused on the rise in oppression as a result of the increased importance of quality reporting, reduced reimbursements, a domestic shortage of nurses and physicians, electronic health-record provisions, and precertification. As a result of these extrinsic ultimatums, operations have inadvertently worsened physician performance expectations. Supplemental requirements for physicians continue to be imposed without an increase in resources or time, and usually, albeit unintentionally, at the expense of what physicians’ regard as the most important quality of medicine: the physician-patient relationship.
References
Andrew Moravick, M. C. by. (2019, January 18). Navigating Healthcare Marketing: The quadruple Aim as a compass. HIMSS Media. Retrieved December 12, 2021, from https://www.himssmedia.com/news/navigating-healthcare-marketing-quadruple-aim-compass.
Bertram, J., & Manvi, S. (2022). Residency Education as a Catalyst for Quality Amidst the Shifting Climate of Health Care. Rehabilitation Oncology, 40(1), 32-37. https://doi.org/10.1097/01.REO.0000000000000283
Healthy People. (2022). About Healthy People | Healthy People 2020. Healthypeople.gov. Retrieved 14 March 2022, from https://www.healthypeople.gov/2020/About-Healthy-People.
Peyton, T., & Zigarmi, D. (2021). Employee perceptions of their work environment, work passion, and work intentions: A replication study using three samples. BRQ Business Research Quarterly, 23409444211002210. https://doi.org/10.1177%2F23409444211002210