As highlighted, the Triple Aim model has a three-fold purpose which is geared towards cost reduction and quality improvement. For these goals to be attained effectively, program stakeholders focused on the execution of three fundamental components including creation of a strong ground for population health management, management of healthcare services at convenient scales, and establishment of a learning system. When placed into perspectives, these components reflect the need for a foundation, commendable demographic impact, and sustainability. Wilkinson and colleagues (2017) comment that such a foolproof approach is highly likely to result in efficacy as long as collaboration and accountability are established in all phases. Below is a detailed discussion of the key elements of this model:
Christian values are essential to embody in all aspects of life. While GCU utilizes these values as a foundational component for educational standards, these should also be standard for how students are influenced in their academic performance as well. Academic dishonesty, which is the opposite of academic integrity, plagues all academic levels. There are several reasons why I think students are tempted into dishonesty including pressure for success, lack of understanding about what constitutes plagiarism, and not fully understanding the entire process of academia. Integrity is the intrinsic belief to do the right thing even when no one is watching and is an essential value of the Christian doctrine. When students believe and practice integrity, they will be able to apply this outside of the classroom and to other aspects of life. If students are engaging in academic dishonesty, this may be suggestive of a lack of integrity outside of the classroom as well. Lack of integrity is one example of the brokenness seen in society today. It shows a desire for success regardless of the means to get there or if there was any actual self-growth in the achievement of success. Having an educational infrastructure based on Christian values will not only foster academic success but will support students to apply these values beyond the classroom and become a part of their daily lives.
Progress in practice, especially in the healthcare setting necessitates strategic planning. As the infamous adage goes, failure to plan is planning to fail. In their insightful piece, Whittington, Nolan, Lewis, and Torres (2015) observed that this phase incorporates three crucial steps including identification of the relevant population, formation of a strategic leadership structure, and clarification of the project purpose. Identification of a relevant populace was the first stage of execution, and it presented significant challenges following the diverse nature of the US demographics. To facilitate progress in this phase, IHI categorizes populations as ‘enrolled’ and ‘regional’: the first includes people currently served by the industry while the latter incorporates individuals in geographic segments. Noteworthy is the fact that providers are allowed to define their beneficiaries based on this guideline.
Strategic leadership is vital for the success of this program. For this reason, organizations participating in the Triple
Aim program are urged to embrace leadership structures that influence sustainable progress. For instance, Michigan’s Allegiance Health incorporated United Way (local chamber of commerce), social services agencies, local public health department, notable public servants, and public schools to partake in the community’s health program. Such a strategic approach to leadership ensures that a huge proportion of the population is served in the long-run. Once leadership is identified, the framework mandates stakeholders to develop a clear purpose statement to encourage participation among relevant investors. Apart from enhancing patronage, a clear purpose serves as a guide in all program efforts.
Management of Healthcare Services at Convenient Scales
After building the foundation for population management, stakeholders in the Triple Aim are expected to evaluate population needs, utilize the knowledge to design resolutions to present needs, then deliver augmented services on a wider scale. Hernandez (2013) adds that casting a wide net during execution allows stakeholders to involve other entities with common goals regardless of their industrial affiliation. As much as the relevant population is defined in the foundational phase, IHI urges participants to further segment their focus considering the limiting scope of individual organization operations. Shortly after the initiation of the Triple Aim, Alberta Health Services categorized their demographic target into various tags including frail older adults, older, tri-morbid adults, child-bearing women, young adults with mental illness and addictions, complex toddlers, and high-needs children. This kind of segmentation is recommended by IHI as it improves the administration’s capacity to resolve problems through prioritization. Laderman (2015) contribute to this discussion by adding that thorough evaluation of needs vs. resources gives room for informed decision-making during the entire execution phase.
Establishment of a Learning System
Sustainability is a major goal in public health management. For this reason, nationwide initiatives such as the IHI are usually designed with a broad long-term goal in perspective. A clear focus on the desired population outcomes mandates stakeholders in the Triple Aim framework to foster sustainability be improving public knowledge on relevant health matters. This move resonates with the third tier, which calls for improvement in the population’s health.
Write a 1,250-1,500-word essay about health-care delivery models. Include the following information in your essay:
Consider the triple goal in terms of population health management and delivery models. NURS 621 Delivery Models- Essay on a Delivery Model
Discuss current health care delivery model trends.
Describe how quality and safety affect health-care delivery models.
In your essay, include at least three peer-reviewed/academic references, including the HealthyPeople website.
NURS 621 Delivery Models- Delivery Model Essay
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
**In preparation for the “Delivery Models Essay,” visit the HealthyPeople.gov website of the U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion.
CMO-CNO Partnerships Can Drive Patient Safety and Quality: Formal Partnerships- Or Dyads- Between Clinical Leaders Can Break Down Leadership Silos and Result in Better Patient Outcomes
Read “CMO-CNO Partnerships Can Drive Patient Safety and Quality: Formal Partnerships- Or Dyads- Between Clinical Leaders Can Break Do
Read the Chapter 2 section, “Principles of Health Insurance,” and the Chapter 3 section, “Historic Foundations of Managed Care,” in Economics and Financial Management for Nurses and Nurse Leaders.
Read “No Equity, No Triple Aim: Strategic Proposals to Advance Health Equity in a Volatile Policy Environment,” by Wilkinson et al., from the American Journal of Public Health (2017).
Read “Insight in the Demand for Care of a Defined Population: A Key Element of Population Health Management,” by Vlonk and Reijn, from International Journal of Integrated Care (2013).
Course Code Class Code Assignment Title Total Points
NUR-621 NUR-621-O500 Delivery Models Essay 80.0
Criteria Percentage Unsatisfactory (75.00%) Less Than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
Content 70.0%
Triple Aim 24.0% The essay does not sufficiently identify the triple aim as it relates to population health management and delivery models. The essay vaguely identifies the triple aim as it relates to population health management and delivery models. The essay identifies the triple aim as it relates to population health management and delivery models. The essay thoroughly identifies the triple aim as it relates to population health management and delivery models. The essay thoroughly and skillfully identifies the triple aim as it relates to population health management and delivery models.
Current Trends in Health Care Delivery Models 23.0% The essay does not adequately describe current trends in health care delivery models. The essay does not clearly describe current trends in health care delivery models. The essay describes current trends in health care delivery models. The essay thoroughly describes population current trends in health care delivery models. The essay thoroughly and insightfully describes current trends in health care delivery models.
Quality and Safety 23.0% The essay does not adequately explain how quality and safety impact delivery models in health care. The essay vaguely explains how quality and safety impact delivery models in health care. The essay adequately explains how quality and safety impact delivery models in health care. The essay soundly explains how quality and safety impact delivery models in health care. The essay expertly explains how quality and safety impact delivery models in health care.
Organization and Effectiveness 20.0%
Thesis Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
Format 10.0%
Paper Format (Use of appropriate style for the major and assignment) 5.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
Delivery Models Essay – Rubric
Triple Aim
Criteria Description
Triple Aim
5. Target
19.2 points
The essay thoroughly and skillfully identifies the triple aim as it relates to population health management and delivery models.
4. Acceptable
17.66 points
The essay thoroughly identifies the triple aim as it relates to population health management and delivery models.
3. Approaching
16.9 points
The essay identifies the triple aim as it relates to population health management and delivery models.
2. Insufficient
15.36 points
The essay vaguely identifies the triple aim as it relates to population health management and delivery models.
1. Unsatisfactory
0 points
The essay does not sufficiently identify the triple aim as it relates to population health management and delivery models.
Current Trends in Health Care Delivery Models
Criteria Description
Current Trends in Health Care Delivery Models
5. Target
18.4 points
The essay thoroughly and insightfully discusses current trends in health care delivery models.
4. Acceptable
16.93 points
The essay thoroughly discusses population current trends in health care delivery models.
3. Approaching
16.19 points
The essay discusses current trends in health care delivery models.
2. Insufficient
14.72 points
The essay does not clearly discuss current trends in health care delivery models.
1. Unsatisfactory
0 points
The essay does not adequately discuss current trends in health care delivery models.
Quality and Safety
Criteria Description
Quality and Safety
5. Target
18.4 points
The essay expertly describes how quality and safety impact delivery models in health care.
4. Acceptable
16.93 points
The essay soundly describes how quality and safety impact delivery models in health care.
3. Approaching
16.19 points
The essay adequately describes how quality and safety impact delivery models in health care.
2. Insufficient
14.72 points
The essay vaguely describes how quality and safety impact delivery models in health care.
1. Unsatisfactory
0 points
The essay does not adequately describe how quality and safety impact delivery models in health care.
Thesis, Position, or Purpose
Criteria Description
Communicates reason for writing and demonstrates awareness of audience.
5. Target
5.6 points
The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience.
4. Acceptable
5.15 points
The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.
3. Approaching
4.93 points
The thesis, position, or purpose is adequately developed. An awareness of the appropriate audience is demonstrated.
2. Insufficient
4.48 points
The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.
1. Unsatisfactory
0 points
The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.
Development, Structure, and Conclusion
Criteria Description
Advances position or purpose throughout writing; conclusion aligns to and evolves from development.
5. Target
6.4 points
The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose.
4. Acceptable
5.89 points
The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and plausible conclusion aligns to the development of the purpose.
3. Approaching
5.63 points
The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.
2. Insufficient
5.12 points
Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.
1. Unsatisfactory
0 points
No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.
Evidence
Criteria Description
Selects and integrates evidence to support and advance position/purpose; considers other perspectives.
5. Target
4 points
Comprehensive and compelling evidence is included. Multiple other perspectives are integrated effectively.
4. Acceptable
3.68 points
Specific and appropriate evidence is included. Other perspectives are integrated.
3. Approaching
3.52 points
Relevant evidence that includes other perspectives is used.
2. Insufficient
3.2 points
Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.
1. Unsatisfactory
0 points
Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.
Mechanics of Writing
Criteria Description
Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.
5. Target
4 points
No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.
4. Acceptable
3.68 points
Few mechanical errors are present. Suitable language choice and sentence structure are used.
3. Approaching
3.52 points
Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.
2. Insufficient
3.2 points
Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.
1. Unsatisfactory
0 points
Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.
Format/Documentation
Criteria Description
Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc.,
5. Target
4 points
No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated.
4. Acceptable
3.68 points
Appropriate format and documentation are used with only minor errors.
3. Approaching
3.52 points
Appropriate format and documentation are used, although there are some obvious errors.
2. Insufficient
3.2 points
Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.
1. Unsatisfactory
0 points
Appropriate format is not used. No documentation of sources is provided.
NURS 621 Delivery Models- Delivery Model Essay
Delivery Models Essay
The U.S. health care system is complex and characterized by fragmented care, with no single organization responsible for the entire coordination and quality of patient treatment. As a result, people tend to receive the services they pay for, and the predominant fee-for-service system has resulted in large expenditures on acute care, tests, and procedures. Therefore, the actors in the health care business are increasingly under pressure to provide more effective care with fewer resources. As a result, incentives for inclusive care delivery models and payment for quality and care were introduced to rebalance the health care system’s resource allocation and incentivize value of care above volume of care. The care delivery model is based on a dyad model, which consists of nurses and physicians operating as a team with operational responsibility and accountability for patient care quality, competent service, and health care delivery efficiency. Importantly, the patient population is infused with a spectrum of critical, acute, and progressive care delivery approaches (UK HealthCare, 2020). Consequently, the purpose of this paper is to delve into health care delivery models by investigating specific areas such as addressing the triple aim in relation to population health management and delivery models, describing current trends in health care delivery models, and describing how quality and safety influence health care delivery models. NURS 621 Delivery Models- Delivery Model Essay
The Triple Aim in Relation to Management and Delivery Models for Population Health
In the recent past, efforts have been made to improve the quality of health care by avoiding faults in patient health care in categories given by the Institute of Medicine (IOM), such as safety, timeliness, patient-centeredness, effectiveness, efficiency, and equity. However, progress in achieving these goals has been modest, making it difficult to improve individual patient care. In addition, the vast majority of attempts to improve treatment across the continuum of health care focus on a relatively small number of problems. Therefore, more work is required to grow, develop, and improve site-specific care for each patient. However, these aims for achieving high-value health care may not be attained if initiatives for improvement do not pursue a broader system of interrelated objectives. Overall, these objectives comprise the “Triple Aim,” which comprises improving the experience of care for each individual patient, improving the health of communities, and reducing the per capita cost of care for populations. The Triple Aim refers to a model developed by the Institute for Healthcare Improvement (IHI) that depicts a method for optimizing the performance of the health care system. The “Triple Aim” comprises the enhancement of patient experience of care through quality of care and satisfaction, the improvement of population health, and the reduction of the per capita cost of health care. The Triple Aim is vital to reducing health care costs in the existing US health care system (Institute for Healthcare Improvement, 2017). In addition, Triple Aim will address concerns such as aging populations, greater lifespan, and the challenges associated with chronic health, which increase the demand on medical and social services. Due to its ambitious improvement at all levels of the health care system, it is crucial to simultaneously address the Triple Aim dimensions in population health in order to improve the health of communities and all patients. As a result of novel designs that identify problems and their remedies, organizations who use Triple Aim are more likely to have a healthy population. Patients will anticipate less complex and more coordinated care, and the disease burden will decrease. In addition, the reduction of the per capita cost of health care for populations will allow health care organizations to increase their competitiveness, alleviate the strain on public funds for health care, and provide communities with the flexibility to concentrate on activities that increase the vitality and economic security of their populations (Institute for Healthcare Improvement, 2020). To achieve this, it is essential to bind a wide range of community determinants of health, to empower populations, to ensure a sophisticated journey throughout the entire health care system throughout a person’s entire life, and to significantly increase the role and influence of primary care and community services. Regarding delivery models, Triple Aim thinking can be utilized to develop and strengthen numerous aspects of health care reform in the United States. According to the Institute for Healthcare Improvement (2020), the Triple Aim may include 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 such as patient-centered medical homes; and the adoption of information technology.
NURS 621 Delivery Models- Delivery Model Essay Trends in Current Health Care Delivery Models
In order to provide accessible, high-quality, and inexpensive care, the United States and worldwide health care systems face obstacles. As a result, health care practitioners must be given the authority to handle these difficulties by adopting developing forms of health care delivery. Several models of health care delivery are fundamental to making positive contributions to patient care and the health care system. There are numerous trends in health care delivery paradigms at present. Among them are Accountable Care Organizations (ACOs) ACOs denote providers who collaborate to provide clients with cost-effective and high-quality cafés. It guarantees a higher degree of care integration, the delivery of quality-based care, and intelligent communication across the entire spectrum of patient care. The providers are incentivized financially to satisfy quality and cost effectiveness benchmarks. Patient Centric Medical Facilities (PCMH) The PCMH model is designed to aid primary care physicians (PCPs) in their coordination of patient care. The concept stresses building strong connections and trust among patients, office workers, and clinicians. Moreover, it is patient-centric because integrated care aims to enhance clinical outcomes and reduce costs. IT and evidence-based medicine, which are vital to reducing health care costs, are also utilized by the concept. Community-Based Healthcare These facilities offer specialized health care services, such as rapid access to treatment, emergency treatments, and lower wait times. Care that is both proactive and intensive for complex health conditions Currently, many individuals are diagnosed with chronic, complex health issues. Numerous of these diseases are attributable to an unhealthy lifestyle and an aging population. Consequently, this approach provides proactive ways for managing complicated community health issues.
NURS 621 Delivery Models- Delivery Model Essay Telemedicine
Telemedicine is a method of delivering health care to remote places. The model uses IT and telecommunications to provide remote health care. The strategy is essential for removing distance constraints and has the potential to increase the accessibility of medical treatments that are uncommon in rural areas. Despite advancements in health care delivery models, the Health People 2020 study reveals significant inequities in care accessibility across all levels of care based on gender, age, ethnicity, race, education, and family income. Furthermore, regional inequities exist, since millions of rural residents lack access to primary care services due to inadequate staffing. Therefore, it is necessary to appropriately disperse primary care workers and offer adequate training for culturally competent treatment to a diverse population (Healthy People 2020, 2020).
How Quality and Safety Influence Health Care Delivery Models
The organization of health care delivery is frequently impacted by a number of factors, including the beliefs of the leadership, the retention of staff, and economic concerns. Likewise, the impact of health care delivery methods on quality and safety is a crucial factor in decision-making. As previously said, health care delivery models emerge to answer the present difficulties facing the health care sector, and they continue to evolve to fit the ever evolving and dynamic health care system. To achieve maximum health, it is essential that people and groups get coordinated, high-quality health care services from the health system. Consequently, health care delivery models assure the provision of high-quality health services utilizing the appropriate care and according to the preferences and needs of service recipients. In accordance with the Institute of Medicine’s recommendations for safety, timeliness, patient-centeredness, equity, efficacy, care integration, and cost-effectiveness, the likelihood of achieving the desired health outcomes is increased by the provision of high-quality care through an appropriate care delivery model (Havaei, MacPhee & Dahinten, 2019). On the other hand, the health care delivery model is associated with safety because it utilizes multiple levels and sites of care in the health care system to manage the provision of safe health care services so that people can receive a variety of disease prevention, health promotion, disease management, diagnosis, treatment, and palliative care services based on their needs.
Conclusion
Health care in the United States is becoming increasingly sophisticated and developing, resulting in patients receiving the services they pay for, and the predominant fee-for-service system has led to a situation in which vast resources are spent on acute care, testing, and procedures. Therefore, it is necessary to provide care that is both effective and economical. To rebalance the resource allocation and incentive value of care, incentives such as inclusive care delivery models and payment for quality and care were established.
NURS 621 Delivery Models- Delivery Model Essay
References
Havaei, F., MacPhee, M., & Dahinten, V. S. (2019). The impact of nursing care delivery methods on the quality and safety of patient outcomes: A cross-sectional survey of medical-surgical nurses. 75(10), pages 2144-2155, in Journal of Advanced Nursing.
2020 for Healthy People (2020). Availability of Health Services. Healthypeople.gov. Institute for Healthcare Improvement. Retrieved on July 21, 2020, from https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services (2017). Triple goal initiative of IHI
Organization for Healthcare Improvement (2020). IHI’s Triple Objective | IHI is the Institute for Healthcare Improvement. 20 July, 2020. Retrieved from http://www.ihi.org/Engage/Initiatives/TripleAim/Pages/default.aspx.
British Healthcare (2020). Care Delivery Model. Ukhealthcare.uky.edu. Retrieved July 20, 2020, from http://ukhealthcare.uky.edu/medical-professionals/nursing/care-delivery-model.
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