Assignment 5: Nursing care delivery models
Assignment 5: Nursing care delivery models
Answer the following questions:
Which four (4) components does the article point out are needed for the U.S. healthcare system to succeed?
The one recommendation form the ten cited in the Institute of Medicine Report to improve quality and reduce cost that is described in the article?
A recent factor to be identified of reducing cost is?
Name four (4) factors that influence patient outcomes described in the article.
Name the four (4) different nursing care delivery models and give a short description of each.
What is the meaning of the term “lean” as described in the article.
Summarize the method utilized in the study to offer a higher-quality and lower cost method for acute care in just a few sentences.
ORDER CUSTOM, PLAGIARISM-FREE PAPER
OBJECTIVE: The aims of this study were to design, pilot, and evaluate a care team model of shared ac- countability on medical-surgical units. BACKGROUND: American healthcare systems must optimize professional nursing services and support staff due to economic constraints, evolving Federal regulations and increased nurse capabilities. METHODS: A redesigned model of RN-led teams with shared accountability was piloted on 3 medical/surgical units in sample hospitals for 6 months. Nursing staff were trained for all functions within their scope of practice and provided education and support for implementation. RESULTS: Clinical outcomes and patient experience scores improved with the exception of falls. Nurse satisfaction demonstrated statistically significant im- provement. Cost outcomes resulted in reduced total salary dollars per day, and case mixYadjusted length of stay decreased by 0.38. CONCLUSION: Innovative changes in nursing care delivery can maintain clinical quality and nurse and patient satisfaction while decreasing costs.
Healthcare systems in the United States must bridge the transition from volume to value-based models. Com- ponents required to succeed include clinical integration, implementation of technology, and clinical performance improvement with operational efficiencies to manage financial constraints.1 Nursing services encompass the majority of the workforce in today’s acute care hospi- tals.2 Historically, models of care have been based on a mix of registered nurses (RNs) and unlicensed assistive personnel (UAP) with occasional reference to licensed practical nurses (LPNs) and the assignment of work- load. Evidence supports that patient needs are best met by planned skill mix and recognition that nurses are knowledge workers and need to be utilized in that manner.3,4 Models-of-care redesign that embeds im- proving efficiency and increasing accountability to patients’ clinical outcomes requires a cultural transfor- mation.1 All major changes in care design should be evaluated for their evidence-based and desired changes. The purpose of this study was to evaluate a pilot im- plementation of a shared accountability delivery model for medical-surgical patients that allowed licensed nurses and UAP to practice at their full authority through delegation and collaboration in RN-led teams.
Background
The healthcare system in the United States is in a state of rapid and unprecedented change with pressures to improve clinical quality and patient health and increase patient satisfaction, while curtailing costs. The Institute of Medicine report5 cites 10 recommendations to en- sure better health, higher-quality care, and lower costs. One recommendation was to optimize operations by continually improving healthcare operations to reduce waste, streamline care delivery, and focus on activities that improve patient health. The primary challenge of delivering care in acute settings is managing increasingly.
