DNP 835 New health care delivery models

New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community based and focused on improving quality outcomes, population health, and reducing readmissions to acute care settings. Describe a new health care delivery model and discuss whether or not it is sustainable.

Everyone is trying to do more with less these days, but it can be especially difficult in the area of health care. Hospitals, health systems, medical clinics and health plans across the country are asking themselves, “How can we be more efficient while delivering even better patient care?”

Recent research initiatives discovered that some of the most innovative nursing-driven models of health care involved elevating the role of nurses from caregivers to “care integrators.”

Their quest for answers has led to a number of innovative solutions, including new health care delivery models that are redefining the role of nursing. In many cases, nurses have gone beyond the role of caregivers to become key integrators, care coordinators and efficiency experts who are redesigning the patient experience.

“We’re facing the perfect storm, considering the shortage of health care workers, economic pressures and quality initiatives that health care providers must deal with on a daily basis,” said David Cherner, M.B.A., M.P.H., managing partner of Health Workforce Solutions (HWS), a San Francisco-based consulting firm, and project director of a recent national study of innovative health care models. “Leaders have recognized that health care workers need new tools to work more effectively and efficiently.”

“Nurses drive a lot of the change in health care,” he continued, “and we had discovered from a previous research project that there were some successful care models out there that were already proven and could be replicated by others.” The challenge was to find the winners and make them accessible.

So, with more than $700,000 in grant money from the Robert Wood Johnson Foundation, HWS set out to identify and profile some of the most innovative, nursing-driven models of health care delivery that emphasize interdisciplinary collaboration, could be widely replicated and offer promise for new methods of workforce organization into the future.

After the initial research inquiry, interviews and leadership roundtables, the HWS team started with 171 projects to consider, narrowed the field to 60, and then selected 24 care delivery models for in-depth study. They focused on acute care models and transitional care models, and enlisted outside nurse leaders to help guide the work.

HWC published their findings in a white paper, Innovative Care Delivery Models: Identifying New Models that Effectively Leverage Nurses.

The research team found innovation throughout the health care system, from urban academic medical centers to for-profit health plans to rural health associations. Whether it was the team-nursing model at Virginia Mason Medical Center, the primary care coordinator role at UPMC Shadyside or the Living Independently for Elders (LIFE) program at the University of Pennsylvania School of Nursing, each model demonstrated a practical and innovative approach to one or more real problems.

“Nurses form the backbone for most of these delivery models,” said Cherner, “and although each model is different, there were several key themes that the investigators discovered.”

Eight common themes found among the care delivery models included:

1. Elevating the role of nurses and transitioning from caregivers to “care integrators.” In 23 of the 24 models, the organization created at least one new role for nurses and often elevated the RN role to one of integrating care for the patient.

2. Taking a team approach to interdisciplinary care.

3. Bridging the continuum of care outside of the primary care facility.

4. Defining the home as a setting of care. (Six of the models rely on a patient’s home as the primary location for care delivery.)

5. Targeting high users of health care, especially older adults.

6. Sharpening focus on the patient, including an active engagement of the patient and her or his family in care planning and delivery, and a greater responsiveness to patient wants and needs.

7. Leveraging technology.

8. Improving satisfaction, quality and cost. All of the models were developed in response to specific problems or concerns about patient quality, patient and provider satisfaction or unsustainable costs and utilization.

“In most cases, change didn’t happen overnight,” said Cherner. “Some of these models took years to develop. But we found that when nurses want to make improvements and can get buy-in from leadership, they can make important changes.”

“Our hope is that nurses and health leaders will look at these models and use them to begin to drive change from within their own organizations,” he continued. “Some models are ready to be replicated ‘as is,’ and others can generate ideas for building new models and inspiring more innovative solutions to today’s health care problems.”

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Important information for writing discussion questions and participation

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Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource