NRS 440 Topic 2

Assignment: Health Care Delivery Models and Nursing Practice

NRS 440 Topic 2 Assessment Description

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

Outline a current or emerging health care law or federal regulation introduced within the last 5 years to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.

Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.

ORDER  A WELL RESEARCHED, AI FREE ASSIGNMENT NRS 440 Topic 2 HERE

What is special with us? We prioritize customer satisfaction by offering a “pay after delivery” policy, meaning you will pay when you’re fully satisfied with the quality of your work. Our commitment to originality means that every assignment is compiled from scratch, thoroughly checked for plagiarism and AI, and tailored to meet your specific requirements. We guarantee timely delivery, meaning you are assured that your assignments will always be submitted on time.

Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings. NRS 440 Topic 2

Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years in response to upcoming trends or predicted issues in health care.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Skip to main contentEnable accessibility for visually impairedOpen the accessibility menuOpen the Accessible Navigation Menu

NRS 440 Topic 2 Rubric

LISTGRID

PRINT TO PDF

Rubric Criteria

Total165 points

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Current or Emerging Health Care Law or Federal Regulation and Effect on Nursing Practice, Role and R

An outline of emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility.
0 points

An outline of an emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility is omitted or inaccurate. NRS 440 Topic 2

18.56 points

An outline of an emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility lacks detail or is incomplete.

19.55 points

An outline of an emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility is present.

22.03 points

A detailed outline of an emerging health care law or federal regulation and a detailed description of the effect on nursing practice and the nurse role, and responsibility is present.

24.75 points

A clear and accurate outline of an emerging health care law or federal regulation and a clear and accurate description of the effect on nursing practice and the nurse role, and responsibility is present. NRS 440 Topic 2

Quality Measures Pay for Performance, Patient Outcomes, and Effect on Nursing Practice

A discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role.

0 points

A discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role is omitted or inaccurate.
24.75 points

A discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role lacks detail or is incomplete.

26.07 points

A discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented.

29.37 points

A detailed discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented.

33 points

A clear and accurate discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role is presented.

Professional Nursing Leadership and Management Roles

A discussion of professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings. NRS 440 Topic 2
0 points

A discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends, and in the promotion of patient safety and quality care in diverse health care settings is omitted or inaccurate.
24.75 points

A discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends and in the promotion of patient safety, and quality care in diverse health care settings lacks detail or is incomplete.

26.07 points

A discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends and in the promotion of patient safety, and quality care in diverse health care settings is present.
29.37 points

A detailed discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends, and in the promotion of patient safety and quality care in diverse health care settings is present.
33 points

A clear and accurate discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends, and in the promotion of patient safety and quality care in diverse health care settings is present. NRS 440 Topic 2

Predict Change in Nursing Roles and Nursing Practice

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care.
0 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are omitted or inaccurate.
18.56 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care lack detail or are incomplete.
19.55 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are discussed.

22.03 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are discussed in detail.
24.75 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are thoroughly and insightfully discussed. NRS 440 Topic 2

Thesis, Position, or Purpose

Communicates reason for writing and demonstrates awareness of audience.
0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

8.66 points

The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.
9.12 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.
10.28 points

The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.
11.55 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

0 points

No advancement of the thesis, position, or purpose is evident. NRS 440 Topic 2 Connections between paragraphs are missing or inappropriate. No conclusion is offered.

8.66 points

Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.
9.12 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

10.28 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.
11.55 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.

Evidence

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.
0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.
7.43 points

Evidence is limited or irrelevant. NRS 440 Topic 2 The interpretation of other perspectives is superficial or incorrect.
7.82 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

8.81 points

Relevant evidence that includes other perspectives is used.

9.9 points

Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.
0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

7.43 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

7.82 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.
8.81 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

9.9 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., NRS 440 Topic 2 appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.
4.95 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.
5.21 points

Appropriate format and documentation are used, although there are some obvious errors.
5.87 points

Appropriate format and documentation are used with only minor errors.
6.6 points

No errors in formatting or documentation are present.

© 2024. Grand Canyon University. All Rights Reserved.

NRS 440 Topic 2 Health Care Delivery Models and Nursing Practice Sample

While the U.S. remains the only developed nation without the universal health coverage (UHC) model, its healthcare system continues to undergo radical changes aimed at empowering patients and consumers by impacting quality, safety, and delivery, and reducing the cost of care. Recent legislation, especially at the federal level, is necessitating the development and implementation of healthcare delivery models that enhance care provision while also impacting the nursing practice in significant ways (Rice et al., 2020). The purpose of this paper is to discuss actions and decisions through laws and policies to reform and restructure the healthcare system and the role of nurses in this transforming environment. NRS 440 Topic 2

Current or Emerging Health Care Law or Federal Regulation

The federal government through Congress has introduced multiple legislations in the last five years to reform and restructure the healthcare delivery system after the landmark enactment of the Patient Protection and Affordable Care Act in 2010. These legal instruments and policies primarily guide healthcare professionals throughout their practice to deliver quality, and affordable care to patients. The Sustaining Excellence in Medicaid Act of 2019 (HR 3253) was signed into law on August 6, 2020. This law aimed to restructure Medicaid by proposing an extension within the current provision. Among the proposals was the expansion of the appropriation of Medicaid until 2024. The National Association of Counties (NACO) (2020) asserts that the law reauthorizes coordinated care programs that are essential in delivering healthcare that meets consumer demands. NRS 440 Topic 2 The law enhances federal support for state Medicaid programs that transition individuals in long-term care facilities back into community-based settings. Through the bill, 43 states and the District of Columbia have developed infrastructure to assist older adults and people living with disabilities to stay in the settings of their choice while attaining lower institutional admission rates and cost savings for the Medicaid program. 

The enacted legislation means that nursing practice improves to adequately cater to the expanded care delivery, not just for older patients in such facilities but for all areas of care provision (Prentice et al., 2022). The law expands Medicaid programs in states to increase access to care for various cadres of patients. Therefore, nursing practice must develop effective interventions to cater to this population, especially through culturally competent care and evidence-based practice (EBP) interventions (Rice et al., 2020). Nurses’ roles and responsibilities also expand as they cater to new patients implying the need for advanced education, training, and specialization. NRS 440 Topic 2 Nurses and nursing practice should focus on delivering quality and affordable care while improving accessibility for all patients.

Quality Measures & Pay-for-Performance, Patient Outcomes

Quality measures and Pay-for-Performance incentivize providers to offer quality care and get compensated based on patient outcomes. Developed by the Centers for Medicare and Medicaid Services (CMS), pay-for-performance stresses quality over quantity of care. The model allows healthcare payers to allocate funds to encourage best clinical practices and promote positive health outcomes. Quality measures and pay-for-performance are part of a national strategy to transition healthcare to value-based medicine as it ties reimbursements to metric-centered outcomes, proven best practices, and patient satisfaction (Duong et al., 2021). Therefore, these metrics align payment with value and quality for patients. These measures and performance-centered requirements improve patient outcomes as providers and healthcare organizations focus on quality as opposed to quantity (Waters et al., 2022). NRS 440 Topic 2 The organizations and providers also seek better interventions to ensure they deliver value-based care to patients and improve their outcomes.

Given that quality measures affect patient outcomes, they equally have certain effects on nursing practice and changes to their roles and responsibilities based on expectations. These measures mean that nursing practice should focus on quality interventions through evidence-based practice and patient-centered care. For instance, quality measures will ensure that nurses develop better interventions like culturally sensitive care to improve patient outcomes (Rice et al., 2020). The expectations and responsibilities of the nursing role include advancing training and competencies to cater to diverse patients and increasing care needs, expanding access to care through specialization, and working in collaboration with other providers and inter-professional and multidisciplinary teams to deliver patient-centered care.

NRS 440 Topic 2 Professional Nursing Leadership and Management Roles

The rising changes in healthcare due to legislation affect nurse leaders and managers based on new roles and responsibilities. The move to value-based care requires nurses to be equipped with better competencies and skills; implying that they should enhance their training and education to attain better approaches and understanding of healthcare issues and possible yet effective interventions (Waters et al., 2022). These leadership and managerial roles ensure that they provide better supervision and focus on patient needs. Increased leadership positions give nurses a vital role in improving patient care and reducing costs. Nurses are now patient and health advocates who promote wellness within and outside health facilities and independent nurse-managed care organizations (Oldland et al., 2020). NRS 440 Topic 2 Nurses are now becoming critical administrators to improve healthcare coordination and implementation of based practices for better patient outcomes.

New nursing job roles and care models will emerge as healthcare transforms to meet the changing and increasing demands emanating from an aging population and diversity. These changes implore nurses to move from a controlling directive style to becoming more engaging, empowering, and recognizing of efforts by subordinates while improving care coordination through interdisciplinary teams (Prentice et al., 2022). Both nurse leaders and nurse managers must work collaboratively as their roles interplay and align based on their healthcare settings and similarities in patient care demands.

NRS 440 Topic 2 Emerging Trends

Several critical trends are emerging to enhance care delivery. These include the increasing role of technologies in healthcare, diversity in the nursing workforce, and integration of healthcare teams through collaborative working. Healthcare technologies like artificial intelligence will alter nursing practice and roles as nurses leverage this resource to enhance their competencies and lead teams to improve care delivery (Martinez-Ortigosa et al., 2023). AI analyzes patient conditions and improves diagnosis, helping nurses attain better patient outcomes and make effective decisions. AI can transform nursing roles by emphasizing nurse informatics and ensuring that nurses are well-equipped to use and manage AI systems and related technologies to improve their decisions in patient care management (Rony et al., 2024). Nurses can leverage this technology and others to improve care provision through providing patient-centered care.

NRS 440 Topic 2 Conclusion

The transforming healthcare system in the U.S. is focusing on improving patient outcomes, lowering costs, and enhancing quality care. Current policies and legislation are essential to attain these goals based on the transformation of the system and focus on patient-centered care. Care delivery models like pay-for-performance affect nursing practice and nurse roles as they emphasize value and quality over quantity to improve patient outcomes. Therefore, nurses must leverage technologies like artificial intelligence to improve decision-making and attain accurate diagnoses for different medical and healthcare conditions among patients and health populations.

NRS 440 Topic 2 References

Duong, N. E., Kim, D., Hernandez, F. A., Heizman, L. M., Zahn, J., Ball, T., & Stathakos, K.

            (2021). Value-Based Pay-for-Performance Gaps in the Care Delivery Framework for a

Large-Scale Health System. Population health management, 24(6), 691–698.

https://doi.org/10.1089/pop.2021.0024

Martinez-Ortigosa, A., Martinez-Granados, A., Gil-Hernández, E., Rodriguez-Arrastia, M.,

Ropero-Padilla, C., & Roman, P. (2023). Applications of Artificial Intelligence in Nursing Care: A Systematic Review. Journal of Nursing Management, 2023. https://doi.org/10.1155/2023/3219127

National Association of Counties (2020). President signs Medicaid bill reauthorizing

coordinated care programs important to counties. https://www.naco.org/blog/president-signs-medicaid-bill-reauthorizing-coordinated-care-programs-important-counties

Oldland, E., Botti, M., Hutchinson, A. M., & Redley, B. (2020). A framework of nurses’

responsibilities for quality healthcare—Exploration of content validity. Collegian, 27(2), 150–163. https://doi.org/10.1016/j.colegn.2019.07.007

Prentice, D., Moore, J., Fernandes, B., & Larabie, E. (2022). Nursing care delivery models and

Intra-professional collaborative care: Canadian nurse leaders’ perspectives. SAGE Open Nursing, 8, 23779608221133648. https://doi.org/10.1177/23779608221133648

Rice, T., Rosenau, P., Unruh, L. Y., & Barnes, A. J. (2020). United States: Health System

Review. Health systems in transition, 22(4), 1–441.

 file:///C:/Users/ADMIN/Downloads/HiT-22-4-2020-eng.pdf

Rony, M. K. K., Kayesh, I., Bala, S. D., Akter, F., & Parvin, M. R. (2024). Artificial intelligence

in future nursing care: Exploring perspectives of nursing professionals-A descriptive qualitative study. Heliyon, 10(4). https://doi.org/10.1016/j.heliyon.2024.e25718

Waters, T. M., Burns, N., Kaplan, C. M., Graetz, I., Benitez, J., Cardarelli, R., & Daniels, M. J.

(2022). Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC health services research, 22(1), 958. DOI: https://doi.org/10.1186/s12913-022-08348-w NRS 440 Topic 2