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Hcallh Care Delivery Models and Nursing Practice

Curren, or Emerging Hcallh Care Law or Federnl Regula1ion and Effect on Nursing

Pruclice. Role. and R

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I Potentially mi.ssin, comra: 2022 _ 2022.

The Sustaining E.Al•clkncc in Medicaid AC1 of2019 is ont Ctf lhc la~·s n<•w LM dfro 1h11

nims 10 moJcrnizc 1hc hcuhhcun: sysh:m in the UniH'U S1a101. The lgt" l111io11 w1u introJuc..""U on

June I J1h, 201 9. 1n<l i,....,.mc low on Augusi 61h, 2020. 0cbhic l)iu[!<II , • rq,n,,<nloll\-.: from

Michigan, pror,oscd and su,rorted 1h ii bill . Thr Mcdie11l'-I cn-•gram w11c to ho r~1rur1un:d by 1hc

hill's expansion of ccnain Act fea lun!S TI1c Art brougt\( 1hou1 chungcs lt kc c, ,,.,ndmK 1hc

Medicaid dcmons1rnt ion progmm'1 co,·cmgc 10 mdudc ,11..'t.'1\.'\11 tcJ t,·hnmra l hcn hh lud lh1(".; .

Tht Act raised the funJinij fur ymrfy ull\Ji..'11tiou that 1"'1' M,., »nrnts 1u ~ll.'\.hu:ull

programs, thus procuo1in t!: l'\lmm umt v nuJ at-lhttnc lung4rnn while rcdut"int' uuil itut ionnl

care use (Congrcss .Muv, 2022 ). TI1c F1mily-h~Fa1111ly lka lth ln fonn.'ltlon (\_, 11 r.rs Progrnm.!11

which ovL,1K'C 1hc lkn l1h Rcsm11'CC.'( nnJ Sl.-n•iccs AJminis lt'allon. 11m cmdalty C.\lcnlkxl hy 1lu;

Acl. l'hc low nlS4'.l Hiv,~ Mcdi~nre·s caymt."111 srlL"l ll , which co,•m new 111cdica1ion.!I ond

biologics. A1v'\."On:ling lo (',,nsrcss.go\' (2022 ). the r"Cb'lllation is (,'l"Ucia l 10 nu n:ing prncticc

be\:nuse ii reduces inequalities by dismissing patients' compl1in1s even though they arc eligible

for Mtdil'Did.

Qu1llll' l'ay for Prrform1ncr, Oulromts, and Efftd on N•nlna

l'ra<II«

By definition. PU}' for pcr;fonnancc (P4P) is a l\ystcm of rewards fOC" hcalthcnrc

professionals bosed on how well 1hcy pcrfonn ngainSI predetermined 51andards or medical

practice. According 10 C11alys1 (2018 ), Valuc-bn.sed payment, some1im"" in henlthca~ is n

payment method lhat links financiul incentives and disina..-nlivcs to provider pcrfonnancc.

system strives to raise the standard of medical care given to patients. As a result, the model docs

not encourage sut,par performance. For instance, a psychiatrisl is not compensated if1he pa1ient's

mental health problems arc not resolved after the necessary sessions.

Given 1ba1 healthcare prorc:ssionals arc required 10 provide high:9uali1y heallhcarc

services to obtain reimbursement that is in line with their roles and the pcrfonnance analysis

criteria employed, the quality measurements used in pay for pcrfonnance are crucial in

enhancing patient outcomes. According lo Mathes el al. (2019), the model results in poor palicnl

outcomes because of patient dumping 10 some extent. It occurs when healthcan:- facilities or

providers transfer patients 10 other facilities or refer them to other hcahhcan: providers nol

because they cannot provide the services but rather because the patients cannot pay for 1hc

medical care they have received. Dumping furthermore happens when medical professionals

favor treating certain patients because they are confident lhal the procedures will be efTcctivc and

they will be paid. Patients with chronic conditions arc not given the cnrc they need due to the

practice.

Nunes should adopt various ethical standards in these circumstances, such as the

nonmalcficencc principle, which dcmamls thal no damage be done to the paticnls. By adhering lo

this principle, nurses and Olhcr healthcare professionals tend to cvay paticnl without considering

potential health problems. In this instance, nurses and doctors shoo Id uphold the Hippocratic

Oath, which strongly emphasizes their rcseonsibility to pi-esenic lives based on its golden

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·111l· llinc1iou of the num, infomu11icis1 i, one of the nt-w nursinl lcadcrshie and

manuit1;cnu .. ·nt roles thnt hu11 ari111cn lluc 1011mwin1 trends. To.~•~ the use of l<..-chnolotll'. in nurxina

iii wid~l!;:uJ. so nunctt ncet.1 tho :i1kills und knO'Wlodic !:S!!ircd to do so. A nun1c informaticist

ovt:r.RU the nd~tion nfnew [!r0l-'Cdllrc5 end tcchnolo~ ond i~ in charac of erovidins

inlbnnulion work0ows. Addhionnlly, lhcx cvoluntc the <1111n•s gunlily nnd ,sivc hcalthcorc teams o

chnncc to e!:!,vidc hi&hll infonncd cue. AR it imerovcs the elii!!mcnt ofnursin,s best (!!Cticcs

wilh clinical cure and workflow, 1hc 1?2!;ition ofnursini infonnaticisl 11u~s [?:!licn1 safcty and

1hc provision ofhigh:9uolity care.

Nunc infonnntiClsts enhance ht-althcarc prolocols, policies, and practices according 10

(Kumc-rcr & McDermott, 2020). The information offered by the expert• is cruciul for guuging the

development of healthcare practice,; and procedures in the hcallhcare setting and c'Stabli,hing •

foundntion for chnngc. By accurately detecting the faults and their eradication, the role plays•

significant role in decreasing errors in medical procedures and lhc expenses associated with

them. Additionally, successful medical gadget testing and sclc..-ction arc made eossiblc by nursing

infonnuticists.

Predict Change In N ursing Roles and N ursing Practice

The delivery of healthcare services is improving by some changes in the industry. The

use of medical robolics in surgery is one of lhc trends in the hculthcurc industry.~

lessen the workload of i1ura:c..-ons. this tcchnolo~ hus ~ired hcnlthcarc ~fcssionuls to learn

how to operate robots. Healthcare professionals must be vigilant obscrvcni of any technological

failure. Nurses• jobs will have chan~ over the next five ~cars to include technical cx~ise ond

the ability to control robotics. Tclcmcdicinc is one of the tc.,chnolo&ics cxlcnsivcl~ used durins

the Covid-19 !?!!ndc·mic.

5

T'hroush 1hc use of 1clcmcdicinc 1cchnolol,2'., nurses can communiauc with medical

crofc..-ssionals via tcl5?!:!onc without havinS to cnsae: in ~on !Fundmkov ct al., 2019).

Tclehcnhh solutions allow cuslomers to cvaluntc the nurse right l.\wny. improving the nurse's

ubility lo communicate. Given thnt 1?2;ticnts nnd nurses cnHUS,C virtunlll , in the next five ~can,

IIU f'Sl'S must imerovc their communication nbilit~ bx usini,i; (?l11in lansua~c and ~tini,i; timely

communication that intl)f\)Vl"S CJn: Jcliwry to al l patients. Bc..-sidcs. nurses will need to use

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nurses need 10 hccom~ mOtY knm, lf'.'dgt'uble about 1he UK of \IUI'-""' 1oclmok>j.1c:s 1nJ th<'

in tcm<"I h' roimuunfca tc "'ith polimts. The- rok of• nu1x ,tw11,;'t"S 11, 1h11 of• trouhll'SIK.ll._lt n'

"' hile cmployin¥ ,11rious 1echnologiC'!i sm~ 1hc- nu™'°' 1hou!J Ix 1w_1u~_1!f.!!1£_J1tr~~h in that

cou !J OC\-clop when U'--inJ; the d1ffcni11 I) C':""'- of it, hn,1l(lf,)'

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References

Catalyst. N. E. J. M. (2018). What is pay for performance in healthcare? NEJM Catalyst, 4(2).

bttps://c:a111y,t.aejm.orKfdol/luWI0.1056/cal.18.0245

Congress.gov. (2022). H.R.3253 -S11s1aining £:ccellence in Medicaid Act a[ 1019,

hltps://,,.·ww.congttSS.gov/bilVl 16tb~ngrenfhouse-bill/32SJ#

Fund=kov, K. F., Boe Danbjerg, D., Jess, M., Munk. L., Olsen Zwislcr, A. D., & Dicpcrink,~K,

B. (2019). Telernedicine in specialised palliative care: Healthcare professionals' and their

perspectives on video consultations-A qualitative study. Journal of clinit.:al

nursing, 28(21-22), 3966-3976. hltps://www.ro1urcbg1te.aet/prolll</Karln-

Dieperink-2/publi<ation/334606402

India, V., & Radhika, M. S. (2019). Hippocralic oath: Losing relevance in today's world? lnclian

Journal of Psychiatry, 6/(Suppl 4) , S773-S775.

https://doLorg/10.4103%2Fpsycbi1try.lndlanJ Psych lat ry _ 140 _ 19

Kamerer, J. L .. & McDermoll, D. (2020). Cybcrsccurily: Nurses on the front line of prcvenlion

and education. Journal of Nun·it1g Regulation, /0(4). 48~53.

bttps://doLorg/10.1016/S2155-8256(20)300l 4-4

Mathes. T .. Pieper, D .. Morchc, J., Polus. S .. Jaschinski, T .. & Eikl'ITilann, M. (2019). Pay for

performance for hospitals. Cochrane Database o{Svstemalic Reviews, (7).

http,://www.coc:branelibnry .rom/cdsr/doi/10.1002/14651858.CDOl 1156fub2/abstr

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