As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Solution:

Presentation

The introduction of new policies within the health care sector such as the Affordable Care Act has resulted to a dynamic revolution which has impacted the healthcare system within the United States. These changes have been driven by the need to align with the dynamic shifts in new practices to facilitate the improvement of the quality of care delivery and substantially influenced not only on the present but also on the future nursing practice. According to Islam et al. (2015), forces such as evidence based practice, mobility and portability, advanced technology systems, robotic operations, focus on delivery of quality care and patient safety, stem cells and genes and the need to ensure competence in nursing staff are the key drivers to these dynamic and revolutionary changes. As such, the future of nursing practice is founded on approaches such as continuum of care, Accountable Care Organizations (ACOs), medical homes and nurse-managed health clinics (Centers for Medicare and Medicaid Services, 2015).

Continuum of Care

This entails maintaining acuity of care by tracking and guiding a patient through the comprehensive and intensive healthcare services over-time in an extensive span of intensive care (Hendrie et al., 2014). The healthcare services are distinguished into seven fundamental categories which are; wellness, outreach, housing, acute hospital care and ambulatory care are delivered in every phase of care. It is crucial to note the four essential mechanisms of integration which include care coordination, case-based financing, intellectual planning and management, and institution of integrated information systems. The continuum of care ought to be unique for each patient needs.

Accountable Care Organizations (ACOs)

ACOs are groups associations of medical providers and healthcare system functioning in collaboration to deliver quality and coordinated patient care, in which this care is targeted particularly, for the Medicare patients. Care coordination is an important aspect in ascertaining deliver of effective and efficient care to every patient, most specifically those that suffer from chronic illnesses are in constant need for critical care. In addition, a high degree of coordination of care is crucial in preventing and minimizing medical errors (never-events), and avertable service redundancy. The savings attained following the delivery of high quality care and profound utilization of healthcare resources are directed to the Medicare provision (Centers for Medicare and Medicaid Services, 2015)……Please click the icon below to purchase full solution at $10