Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

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Topic 2 DQ 2

Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. Explain how this model is advantageous to patient outcomes.

A Sample Answer For the Assignment: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

Title: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

A current nursing model of nursing care delivery is case management, which relies on clinical pathways to evaluate care (Masters, 2017). Case management is a system of coordinating health care services to ensure cost-effectiveness, accountability, and quality care (Hinkle & Cheever, 2014). Case managers may be nurses or may have backgrounds in other health professions, such as social work. The clinical pathway refers to expected outcomes and interventions established by the collaborative practice team (Masters, 2017). To manage the cases of a group of patients, a team is selected that includes clinical experts from the disciplines needed such as nursing, medicine, or physical therapy. Coordination of care beginning from admission up to discharge is vital to ensure that clinical pathway and benchmark are recognized, and care plan is updated according to the current patient status and needs. Care coordination failure results when a patient is readmitted within thirty days with the same readmission diagnosis. Case management is beneficial to patients as there is a follow through and continuity of care from admission up to the point of discharge to home where the case management team do wellness check and sets up home health care when deemed necessary to prevent re-hospitalization.

 

Masters, K. (2017). Role development in professional nursing practice. Fourth edition. Burlington, MA: Jones & Bartlett Learning.

Hinkle, J. L., & Cheever, K. H. (2014). Brunner & Suddarth’s textbook of medical-surgical nursing (Edition 13.). Wolters Kluwer Health/Lippincott Williams & Wilkins.

A Sample Answer 2 For the Assignment: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

Title: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

Case management has shown improvements in some health outcomes. Case management is “a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality cost-effective outcomes” (Jerez-Barranco et al., 2022). Case management is a huge help in the hospitals I work at. The case managers help set up care for patients weather it be at home or in a nursing home. The case managers work hand in hand with the patient, their families, the nurses, and other health organizations. Case mangers don’t receive enough credit for all they do.

Jerez-Barranco, D., Gutiérrez-Rodríguez, L., Morilla-Herrera, C., Cuevas Fernandez-Gallego, M., Rojano-Perez, R., Camuñez-Gomez, D., Sanchez-Del Campo, L., & García-Mayor, S. (2022). Components of case management in caring for patients with dementia: a mixed-methods study. BMC Nursing, 21(1), 1–9.

A Sample Answer 3 For the Assignment: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

Title: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

Nice information on this weeks discussion. I agree that case management has help with so much of patient care. For my hospital when I worked on the emergency department the workload that was placed on case managers was almost infinite. We relied on them to be able to set up transportation for patients going to different care facilities or going to a different hospital. They would also help with patients who come in to the unit without insurances be able to apply for emergency insurance. The case management would also help with the grieving process of the family when their loved one would pass away. They would supply the information they needed for the loved one that passes away.

A Sample Answer 4 For the Assignment: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

Title: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

With the emergence of the Affordable Care Act and the shift towards pay per performance payment model, new and innovative healthcare delivery systems must be implemented in order to provide quality and cost-effective care. One healthcare delivery system that involves an interdisciplinary team is the Patient-Centered Medical Home (PCMH) model. PCMH involves a community based health team that supports primary care practices (Haas, 2011) . Each PCMH is made up of a primary physician that develops an ongoing relationship for comprehensive care. This practice arranges for all the patients needs, including coordinating with other specialty providers, hospitals, home health agencies, and nursing homes. This model takes into account the whole person, and also includes the patients family and community services (O’Dell, 2016). In this model, rather than the patient coordinating care between all the different providers and services they need, the primary care practice takes on that coordination to alleviate gaps in communication and understanding.

This model is adventitious for patient outcomes because the patient is treated holistically and ideally all of their needs are addressed. Because there is one primary provider who coordinates with other providers and services, there is less passing of the patient back and forth which leaves less room for communication gaps, medication interactions and duplications, and unnecessary medical costs. Patient-centered medical homes have been shown to improve patient outcomes and satisfaction (O’Dell, 2016).

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References:

Haas, S. A. (2011). Health reform act: new models of care and delivery systems. AAACN Viewpoint, 33(2), 11–12. https://eds-s-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=1&sid=3e032cc4-e57a-4ef1-b9d1-eb4c99795b45%40redis

 

O’Dell, M. (2016). What is a Patient-Centered Medical Home? Mo Med. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139911/

A Sample Answer 5 For the Assignment: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

Title: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

Pay for performance including bonus programs or salary increases for healthcare providers and multidisciplinary team collaborations when they provide optimum outcomes given the patient health status, decrease the risk and occurrence of adverse and sentinel events, lower the percentage of morbidity, mortality, and decrease provided cost-effective care. Incentive-driven practice that reduces healthcare costs awards healthcare systems, hospitals, and clinics for doing better than expected. The primary goal of this model is to improve healthcare quality through financial incentives. Failure to meet set benchmarks has the institution to re-engineer, redesign, and innovate new strategies to improve services with improved quality management to revise and reach acceptable goals. This model can be essential to healthcare institutions maintaining financial sustainability across economical, societal, and environmental domains.

What are some pros and cons of the pay-for-performance model? The main advantage of the model is the financial growth and sustainability of the hospital or clinical practice for performing well, especially when profiting in healthcare is at a minimum with optimum performance. It allows the organization to meet and improve its delivery of care. Avoidance of bankruptcy and closure is greatly reduced.  The main disadvantage of this model is negative incentives. If the healthcare organization is penalized for underperformance due to customers affected by many social determinants of health which lead to barriers not encountered by organizations that serve a community with full preventive, secondary, and tertiary levels of care accessible. Organizations that are limited in services and care will eventually fail when patients and staff leave to seek better services and care. Patient care can become biased in institutions serving a lower socioeconomic community than one that serves a higher socioeconomic community. This issue may increase social disparities(Hill-Briggs et al., 2021).

 

Reference

Hill-Briggs, F., Adler, N. E., Berkowitz, S. A., Chin, M. H., Gary-Webb, T. L., Navas-Acien, A., … & Haire-Joshu, D. (2021). Social determinants of health and diabetes: a scientific review. Diabetes care, 44(1), 258-279.

A Sample Answer 6 For the Assignment: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

Title: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

One innovative health care delivery model that incorporates an interdisciplinary care delivery team is The Affordable Care Act. President Barack Obama signed the Affordable Care Act in 2010 to help reduce the cost of medical care and make it more accessible to all. Many programs run by the Centers for Medicare and Medicaid Services are now included.

All these initiatives aim to improve care quality while also controlling costs. Nurses have a lot of responsibility and power in improving health care because they have the most numbers in the medical field. Improved coordination of care across all providers and settings will also improve quality, outcomes, and cost of care for all. Nurses can help reduce the number of unnecessary hospitalizations and ER visits, repetitive diagnostic testing, duplicate prescriptions, and adverse drug interactions by carefully coordinating care, thereby improving healthcare.

Various Pay for Performance models influence hospital repayment through Medicare: The Hospital Value-Based Purchasing Program (VBP), the Hospital Readmissions Reduction Program (HRRP), and the Hospital-Acquired Condition (HAC) Reduction Program. (NEJM Catalyst, 2018)

When quality healthcare is provided at a price that everyone can afford, it makes it more accessible to all and reduces health disparities. This is covered by health equity legislation. The Centers for Medicare and Medicaid Services developed and maintain the Pay for Performance Model (CMS). It compensates employers and employees for how well healthcare providers perform as an incentive to improve patient care quality while also lowering overall healthcare costs. (GCU, 2018)

 

References

Grand Canyon University (Ed). (2018). Trends in health care: A nursing perspective. Retrieved from https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.1/

NEJM Catalyst (2018) What Is Pay for Performance in Healthcare? Retrieved from https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0245

A Sample Answer 7 For the Assignment: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

Title: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team NRS 440

I agree this model would be very considerate to patient outcomes. Patients who can continue to count on their PCP throughout multiple years or their health care journey, is so important. Having a trusting bond with your PCP is essential for improved patient outcomes and patient satisfaction. Considering the patient care journey as a whole and having a holistic treatment plan promotes wellness and less need for disease management. When preventative care is accessible and with a trusted professional, patients and their families can feel more comfortable in their lifestyles.

Nurses would work side by side with these providers will also promote positive patient outcomes and develop trusting bonds with their patients.

I have seen many home patients who don’t have a primary care physician. These patients either use an urgent care, a convenient care, or use the emergency room for their health care needs. I have also seen home patients who will change primary care physicians every year or two because they either don’t agree with what they say or feel that another may be better. I feel having a steady, trusted primary care physician is important. It allows you to have someone who you can call or see when you have questions and who you trust to go to when something just isn’t right. Having this physician relieves the burden of stress from the patient and allows them to focus on healing and caring for themselves.

The patient-centered medical home (PCMH) model is an approach to delivering high-quality, and cost-effective primary care. Using a patient-centered, culturally appropriate, and team-based approach, the PCMH model coordinates patient care across the health system. The positive aspects of this model are that the case managers have an overall awareness of what the assigned community members need. The practice can be tailored to meet the needs of a population with a high prevalence of diabetes and hypertension. The community health nurse and the community private practice would be prepared to screen with blood pressure and glucose screening. Hypertension and diabetes education would be critical for such a community. The PCMH model is vested in educating the health care team and believes in shared responsibilities and each discipline expected to lead in their area of expertise. Primary care has a point-of-care lab station that reduces the overhead cost applied when sending the patients to private labs and the emergency room. The PCMH practice patient studies show  the patient has significant decreases in unscheduled ER visits and hospital readmissions.(John, 2020). There are some downsides that some private primary care physicians avoid. The main negative outcome for an apprentice would be to lose their private practice to a forced by out by large hospital or healthcare system. The private practice would be forced to adopt the PCMH model.

Reference

John, J. R., Jani, H., Peters, K., Agho, K., & Tannous, W. K. (2020). The effectiveness of patient-centred medical home-based models of care versus standard primary care in chronic disease management: A systematic review and meta-analysis of randomised and non-randomised controlled trials. International journal of environmental research and public health, 17(18), 6886.

Grading Rubric

Performance Category	100% or highest level of performance 100% 16 points	Very good or high level of performance 88% 14 points	Acceptable level of performance 81% 13 points	Inadequate demonstration of expectations 68% 11 points	Deficient level of performance 56% 9 points	Failing level of performance 55% or less 0 points
Total Points Possible= 50	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic topics.	Presentation of information was exceptional and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was good, but was superficial in places and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was minimally demonstrated in all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in one of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in two of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in three or more of the following elements Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
Application of Course Knowledge Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations	Presentation of information was exceptional and included all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was good, but was superficial in places and included all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was minimally demonstrated in the all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in one of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from and scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in two of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in three of the following elements Applies principles, knowledge and information and scholarly resources to the required topic. Applies facts, principles or concepts learned scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.
	10 Points	9 Points			6 Points	0 Points
Interactive Dialogue Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic.	Demonstrated all of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 3 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.			Demonstrated 2 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 1 or less of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.
	8 Points	7 Points	6 Points	5 Points	4 Points	0 Points
Grammar, Syntax, APA Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error.	The following was present: 0-3 errors in APA format AND Responses have 0-3 grammatical, spelling or punctuation errors AND Writing style is generally clear, focused on topic,and facilitates communication.	The following was present: 4-6 errors in APA format. AND/OR Responses have 4-5 grammatical, spelling or punctuation errors AND/OR Writing style is somewhat focused on topic.	The following was present: 7-9 errors in APA format. AND/OR Responses have 6-7 grammatical, spelling or punctuation errors AND/OR Writing style is slightly focused on topic making discussion difficult to understand.	The following was present: 10- 12 errors in APA format AND/OR Responses have 8-9 grammatical, spelling and punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand.	The following was present: 13 – 15 errors in APA format AND/OR Responses have 8-10 grammatical, spelling or punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand. AND/OR The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.	The following was present: 16 to greater errors in APA format. AND/OR Responses have more than 10 grammatical, spelling or punctuation errors. AND/OR Writing style does not facilitate communication
	0 Points Deducted					5 Points Lost
Participation Requirements	Demonstrated the following: Initial, peer, and faculty postings were made on 3 separate days					Failed to demonstrate the following: Initial, peer, and faculty postings were made on 3 separate days
	0 Points Lost					5 Points Lost
Due Date Requirements	Demonstrated all of the following: The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.					Demonstrates one or less of the following. The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.