With the introduction of the Affordable Care Act (ACA) there have been many recommendations to improve the health care of all Americans. These recommendations are designed to expand coverage, hold insurance firms accountable, decrease the cost of health care, offer more choices, and enrich quality of care. While these recommendations are aimed at patients, nurses will inevitably be affected in the way they give care. The ACA has proposed three models of care that are designed to reduce costs and provide a value-based health care system. These models are the Accountable Care Organizations (ACOs), the Medical/Health Homes, and the Nurse-Managed Health Clinics (NMHCs). With a focus on reducing admissions, reducing readmissions, and decreasing
…show more content…
The medical/health home utilizes primary care providers and advanced practice nurses to coordinate and ensure comprehensive, patient-centered care. Using a team approach, providers encourage preventive care and chronic care management, while discouraging specialist and emergency room care. Pediatricians have used this model in the past for children with special needs and it has proven to be effective. Much like ACOs, medical/health homes have specific requirements to meet, and will receive financial rewards for meeting those requirements. Improved outcome is the goal of the medical/health homes by providing cost-effective, patient and family centered care, health promotion, and access to specialty …show more content…
In the IOM Report, The Future of Nursing: Leading Change, Advancing Health, nurses are called to take a larger role in America’s health system. They are asked to practice to the full extent of their education, achieve advanced levels of education and training, and be invested partners with physicians and other health care partners. All three of these models will require nurses to be successful. By answering the call of the IOM report and the ACA, nurses have the opportunity to not only improve the nation’s health, but also strengthen their
The medical/health home utilizes primary care providers and advanced practice nurses to coordinate and ensure comprehensive, patient-centered care. Using a team approach, providers encourage preventive care and chronic care management, while discouraging specialist and emergency room care. Pediatricians have used this model in the past for children with special needs and it has proven to be effective. Much like ACOs, medical/health homes have specific requirements to meet, and will receive financial rewards for meeting those requirements. Improved outcome is the goal of the medical/health homes by providing cost-effective, patient and family centered care, health promotion, and access to specialty …show more content…
In the IOM Report, The Future of Nursing: Leading Change, Advancing Health, nurses are called to take a larger role in America’s health system. They are asked to practice to the full extent of their education, achieve advanced levels of education and training, and be invested partners with physicians and other health care partners. All three of these models will require nurses to be successful. By answering the call of the IOM report and the ACA, nurses have the opportunity to not only improve the nation’s health, but also strengthen their