Health Care Delivery Models And Nursing Practice

Health Care Delivery Models And Nursing Practice

The Patient Protection and Affordable Care Act of 2010 (PPACA) contains many provisions that seek to intertwine the quality of care with the cost of care. Nurses’ education, skills and professional scope make them indispensable contributors to the successful implementation of evolving patient–centred care delivery models. One of the innovative healthcare delivery models is Accountable Care Organizations (ACOs). It is a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility for the quality and cost of care provided to its patients (HPI, n.d.). It is a group of providers that promotes accountability patient population and coordinates items and services under Medicare and encourages investment in infrastructure and redesigned care processes for high quality and efficient service delivery.

The largest benefit that accountable care could bring for the healthcare industry is to garner cost savings or reduce spending.  Another major benefit of ACOs is their ability to improve population health management and patient outcomes. A brief from the Center for Health Care Strategies and the Urban Health Research and Practice at Northeastern University shows that new healthcare delivery models like ACOs offer innovative methods for payers and providers to achieve better population health outcomes. Medicaid ACOs, for instance, have shown a greater focus on preventing disease and promoting wellness, which leads to stronger population health improvements. This reduces the likelihood that a disease would progress and lead to more costly hospital stays. The community gains a wide number of advantages including, improved patient outcomes, the better quality of care, greater engagement with providers, and an overall reduction in out-of-pocket costs.

Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. Explain how this model is advantageous to patient outcomes.

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.


This article analyzes the work methods based on care design, identification of needs, care organization, planning, delivery, evaluation, continuity, safety, and complexity of care, and discharge preparation. It describes the diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation that contribute to adopting a given work conception and/or method for nursing care delivery. Later, the concepts underlying the several methods—management theories and theoretical nursing concepts—are presented, with reference to relevant authors. The process of analysis and selection of the method is explained, highlighting the importance of diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation. The importance of various elements is highlighted, such as structural aspects, nature of care, target population, resources, and philosophy of the institution, which may condition the adoption of a method. The importance of care conceptualization is also underlined. The work methods are presented with a description of the key characteristics, advantages, and disadvantages of the task-oriented method (functional nursing) and patient-centered methods: individual, team nursing, and primary nursing. A critical and comparative analysis of the methods is then performed, alluding to the combination of person-centered methods.

The methods are based on administration and nursing theories and refer to how work is conceptually structured, organized, and allocated to nurses. Organizational methods define how nurses organize and distribute work with the purpose of providing efficient care in an environment where safety issues are a major concern. Therefore, they should not be seen simply as an assignment of activities but also as a way in which nurses choose and adopt a philosophy of care. According to Fowler and colleagues [2], work methods represent the structural and contextual dimensions of nursing practice, determining how nurses organize their work, communicate, interact with team members and other health professionals, and make clinical decisions. In this way, care is delivered based on specific communication and coordination patterns. From a management point of view, the methods adopted for care organization should reflect the conceptual framework, the perspectives, and the theories which the manager will use to promote the delivery of safe and efficient nursing care. Thus, the work methods are translated in the adoption of dynamic principles that promote a strong interaction in interpersonal relationships, taking into account the patient’s level of dependency, as well as the quality and safety of care, with the patient’s experience and satisfaction in mind

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