Health Care Delivery Systems: Cost-Containment and Staffing Models
Shelley Hendel
Baptist School of Health Professions
NUR 4340
Professional Nursing Issues and Health Care Delivery Systems
January 31, 2016 Health Care Delivery Systems: Cost-Containment and Staffing Models
The Affordable Care Act (ACA), implemented in 2010 by the Obama administration is healthcare coverage that allows access to affordable quality healthcare to the citizens of United States of America (USA). Nurses, as leaders and educators can find ways to reduce costs of healthcare without reducing safe, efficient and quality care. Good patient outcomes, patient safety and satisfaction need to be considered when dealing with staffing and reducing costs associated …show more content…
Recently, due to shortages and tight budgets, these models have changed with the introduction of enrolled nurses (EN), assistants in nursing and unlicensed caregivers. Team nursing, primary nursing, functional nursing and case management nursing are different styles of models of nursing that have been implemented over the years. When comparing different team models to team nursing, Fernandez, Johnson, Tran and Miranda (2012) found that team nursing is the best model for new nurses to learn, especially on units where there are a diverse group of team members. Nursing satisfaction, absenteeism and role clarity/confusion did not differ amongst the different role models (Fernandez, Johnson, Tran & Miranda, 2012). Nurse safety measuring falls, medication errors and infections showed no difference comparing different models of nursing (Fernandez, Johnson, Tran & Miranda, 2012). According to Fernandez, Johnson, Tran and Miranda (2012) the most important factor of all models of nursing is effective communication and effective communication should be utilized in all models of nursing …show more content…
(2016) Nurse Staffing. Retrieved from http://www.nursingworld.org/nursestaffing
Avalere Health LLC. (2015) Optimal nurse staffing to improve quality of care and patient outcomes: Executive summary. Retrieved from http://www.nursingworld.org/DocumentVault/NursingPractice/Executive-Summary.pdf
Blais, K., & Hayes, J. (2015). Professional nursing practice: Concepts and perspectives (7th ed.). Boston: Pearson Education Inc.
Centers for Medicare and Medicaid Services. (2015). Retrieved January 29,2016, from https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nationalhealthaccountshistorical.html
Fernandez, R., Johnson, M., Thuy-Tran, D., & Miranda, C. (2012). Models of care in nursing: A systematic review. International Journal of Evidence-Based Healthcare, 10(4), 324-337.
Geyman, J. P. (2015). A five-year assessment of the affordable care act: Market forces still trump the common good in U.S. health care. International Journal of Health Services, 45(2), 209-225.
Healthcare cost and utilization report: 2011. (2012). Retrieved from
Shelley Hendel
Baptist School of Health Professions
NUR 4340
Professional Nursing Issues and Health Care Delivery Systems
January 31, 2016 Health Care Delivery Systems: Cost-Containment and Staffing Models
The Affordable Care Act (ACA), implemented in 2010 by the Obama administration is healthcare coverage that allows access to affordable quality healthcare to the citizens of United States of America (USA). Nurses, as leaders and educators can find ways to reduce costs of healthcare without reducing safe, efficient and quality care. Good patient outcomes, patient safety and satisfaction need to be considered when dealing with staffing and reducing costs associated …show more content…
Recently, due to shortages and tight budgets, these models have changed with the introduction of enrolled nurses (EN), assistants in nursing and unlicensed caregivers. Team nursing, primary nursing, functional nursing and case management nursing are different styles of models of nursing that have been implemented over the years. When comparing different team models to team nursing, Fernandez, Johnson, Tran and Miranda (2012) found that team nursing is the best model for new nurses to learn, especially on units where there are a diverse group of team members. Nursing satisfaction, absenteeism and role clarity/confusion did not differ amongst the different role models (Fernandez, Johnson, Tran & Miranda, 2012). Nurse safety measuring falls, medication errors and infections showed no difference comparing different models of nursing (Fernandez, Johnson, Tran & Miranda, 2012). According to Fernandez, Johnson, Tran and Miranda (2012) the most important factor of all models of nursing is effective communication and effective communication should be utilized in all models of nursing …show more content…
(2016) Nurse Staffing. Retrieved from http://www.nursingworld.org/nursestaffing
Avalere Health LLC. (2015) Optimal nurse staffing to improve quality of care and patient outcomes: Executive summary. Retrieved from http://www.nursingworld.org/DocumentVault/NursingPractice/Executive-Summary.pdf
Blais, K., & Hayes, J. (2015). Professional nursing practice: Concepts and perspectives (7th ed.). Boston: Pearson Education Inc.
Centers for Medicare and Medicaid Services. (2015). Retrieved January 29,2016, from https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nationalhealthaccountshistorical.html
Fernandez, R., Johnson, M., Thuy-Tran, D., & Miranda, C. (2012). Models of care in nursing: A systematic review. International Journal of Evidence-Based Healthcare, 10(4), 324-337.
Geyman, J. P. (2015). A five-year assessment of the affordable care act: Market forces still trump the common good in U.S. health care. International Journal of Health Services, 45(2), 209-225.
Healthcare cost and utilization report: 2011. (2012). Retrieved from