The Evolution Of The U.S. Health Care System

The Evolution Of The U.S. Health Care System

 Value-Based Health Care and Evolving Trends

The health practice keeps on experiencing significant shifts to respond to the increasing demand for quality, efficient, and cost-effective health care. The transition to value-based health care is among the evolutions with far-reaching effects on health care delivery. More changes are expected over time as the practice responds to evolving trends.

Shift to Value-Based Health Care

Value-based health care has progressively replaced the traditional fee-for-service model. As a result, reimbursement is based on patient health outcomes instead of the volume of services offered to patients (Teisberg et al., 2020). The implications are profound considering that many systems are used to pay based on patient services volume. The health care delivery must demonstrate value and adopt models that improve value. For advanced registered nurses, the shift must focus on priorities, activities, and strategies that improve overall patient care and satisfaction. They must adapt accordingly and change care provision approaches to rely more on teamwork, coordination, and health care information to deliver the desired value.

Evolving Trends

As the nursing practice continues responding to the shift to value-based care, more evolutions are expected over time. As Dash et al. (2019) postulated, there will be more reliance on technology and information systems as health care delivery becomes more data-driven. This implies that the nursing practice will rely more on data and incorporate systems that enable health care providers to use and share data. Patient risks will increase proportionately due to data-based health care delivery dangers such as privacy concerns. Advanced registered nurses will be pivotal in the process as drivers of technology in health care. They will be more involved in nursing informatics to increase the overall health care value.

Evolution is inevitable in health care as the demand for value-based care increases. Advanced registered nurses will continuously be involved in these evolutions to ensure that patient care appropriately responds to the needs of the time. More trends, including increased technology use, are expected to enhance patient satisfaction and other critical demands over time.


Dash, S., Shakyawar, S. K., Sharma, M., & Kaushik, S. (2019). Big data in healthcare: Management, analysis and future prospects. Journal of Big Data6(1), 1-25.

Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and implementing value-based health care: a strategic framework. Academic Medicine95(5), 682-685. doi: 10.1097/ACM.0000000000003122


Differentiate between \”leading\” and \”managing.\”

Discuss potential causes of conflict occurring within health care organizations.

Organizational Change Model

Nursing Theories

Nursing Theory in Practice

Ethical Issues in Conducting Research

Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry.

Compare and contrast two nursing theories.

Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry

Imagine the following scenario: You are taking the evidence-based practice course and one of your classmates shares an EBP project draft with you.

What is your personal worldview?

Topic 4 Assignment: Nursing Theory

Worldview and Nursing Process Personal Statement

Topic 6 DQ 1: Appropriateness of Research

Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse.

Differentiate between “leading” and “managing.”

Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care

Emerging Technology Brief

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The health care system in the United States tends to evolve constantly to keep up with the changes that consistently characterize the health care provision (Stalter & Mota, 2018). For instance, the shift to a value-based healthcare has resulted to quality care instead of attending to the highest number of patients by the providers. Value-based health connotes a reward system that provides incentives to health care providers depending on the quality they deliver to individuals with Medicare. The goals of value-based health care are to lower costs of health care, better health for individuals, and better public health in populations (Lewis, 2019).

Value-based health care has impacted the delivery of care by ensuring provision of quality and affordable care services. On the other hand, it has impacted the nursing role by positively affecting the work environment for nurses, with quick patient discharge, reduced readmissions, and assignment of fewer patients to nurses. Consequently, the nurse to patient ratio, burnout, and workload decreases leading to less stress and increasing opportunities to pay more attention to patients, leading to improved health outcomes (Lewis, 2019). Value-based health care also stresses on strong care coordination, which also improves the workplace and environment for nurses.

The projected major evolving trends in the health care delivery system that are likely to affect nursing practice include the impact of the alarming nursing shortage, increased specialization, concerns of privacy and confidentiality, continued growth of telehealth, advancing nursing education online, increasing entrepreneurship opportunities in nursing, and the rise of nurse navigator. According to AONL (2021), the advanced registered nurse can influence the direction of health care by formulating a clear strategic plan and goals to help in leading to desired direction.




AONL. (2021). AONL Nurse Leader Competencies.

Lewis, S. (2019). Value-based healthcare–meeting the evolving needs of our population. Australian Health Review, 43(5), 485-485.

Stalter, A. M., & Mota, A. (2018). Using systems thinking to envision quality and safety in healthcare. Nursing management, 49(2), 32-39. doi: 10.1097/01.NUMA.0000529925.66375.d0


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Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

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The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

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Important information for writing discussion questions and participation

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Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • Student paper example
  • Citing Sources
  • The Writing Center is a great resource