NUR 514 Topic 1 DQ 1

Discussion: Consider the evolution of the U.S. health care system. Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse

NUR 514 Topic 1 DQ 1 Assessment Description

Consider the evolution of the U.S. health care system. Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse. Project what major evolving trends in the health care delivery system will affect nursing practice and how advanced registered nurses will influence the direction of health care.

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NUR 514 Topic 1 DQ 1 Sample

The U.S. healthcare system continues to evolve with increased integration of better approaches leveraging technologies and new trends to meet the growing patient care demands and needs. An aging population, improving healthcare technology trends, and shifting focus to value-based care as opposed to a fee-for-service model are the hallmarks of the evolving healthcare system in the country. Value-based health care as advanced by the Centers for Medicare and Medicaid Services is a paradigm shift in the healthcare system that compensates providers for quality as opposed to quantity of services offered to patients (Flaubert et al., 2021). The model incentivizes providers to improve patient health and lower the effects, and incidence of chronic diseases through increased health promotion and healthier living. NUR 514 Topic 1 DQ 1 The focus on primary health means that providers should strive to prevent diseases as opposed to treating them. 

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The shift to value-based health has a significant impact on care delivery and the role and responsibilities of advanced registered nurses. The model ensures that providers get compensated for quality care delivered evidenced through patient health outcomes. Imperatively, the model has led to an increased focus on preventive care and management of chronic diseases, and increased integration of health information technology to track and monitor patient outcomes as well as coordinate care (Shi et al., 2022). The model also means that providers emphasize patient-centered care as they work in teams to address patient’s holistic needs and concerns. The model also means expanded roles and responsibilities of advanced registered nurses (ARNs) as they become primary care providers, and care coordinators and develop quality improvement policies to enhance care delivery and outcomes.

Evolving trends in the health care delivery system that will impact nursing practice include the increasing integration of health technologies including telehealth and greater focus on population health. NUR 514 Topic 1 DQ 1 Furthermore, increased demand for primary care and the implementation of healthier alternatives to care will define future trends. As such, advanced registered nurses will embrace these changes and influence policies and interventions to improve health care and outcomes (Yoder-Wise et al., 2022). They will advocate policies focusing on patient care and lead interventions to improve care quality. They will also participate in research advancing nursing science for better primary care. These efforts mean that nurses, especially ARNs, will expand access to care and quality service provision based on their settings.

NUR 514 Topic 1 DQ 1 References

Flaubert, J. L., Le Menestrel, S., Williams, D. R., Wakefield, M. K., & National Academies of

Sciences, Engineering, and Medicine. (2021). The Role of Nurses in Improving Health Care Access and Quality. In The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. National Academies Press.

Shi, L., & Singh, D. A. (2022). Essentials of the US health care system. Jones & Bartlett

            Learning.

Yoder-Wise, P. S., & Sportsman, S. (2022). Leading and Managing in Nursing E-Book: Leading

            and Managing in Nursing E-Book. Elsevier Health Sciences. NUR 514 Topic 1 DQ 1

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