HCA 807 Assignment Health Care Model
Sample Answer for HCA 807 Assignment Health Care Model Included After Question
With all of the conversation and controversy surrounding health care structures and governance, it is critical for health care leaders to articulate a thoughtful position regarding an optimal model of health care that is based in sound research, best practices, and one’s personal philosophy of health care. The model must optimize quality of care while also balancing financial requirements and organizational sustainability. In this assignment, you will articulate such a model.
General Requirements:
Use the following information to ensure successful completion of the assignment:
• Instructors will be using a grading rubric to grade the assignments. It is recommended that learners review the rubric prior to beginning the assignment in order to become familiar with the assignment criteria and expectations for successful completion of the assignment.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.
Directions:
In a paper of 1,500-1,750 words, articulate a research-based model of health care structure and governance that optimizes quality of care while also balancing financial requirements and the sustainability of the organization. Include the following in your model:
1. A brief research-based statement of your personal philosophy of health care.
2. An articulation of a research-based, optimal model of health care structure and governance.
3. A brief, research-based rationale for the health care model articulated above. The rationale should describe how the model optimizes quality of care and balances that with financial requirements and organizational sustainability.
4. A proposal of how the health care model articulated above can be operationalized in a real-world setting.
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A Sample Answer For the Assignment: HCA 807 Assignment Health Care Model
Title: HCA 807 Assignment Health Care Model
The U.S. healthcare system continues to evolve through the implementation of healthcare delivery models based on emerging legislation and policies at the state and federal levels. These changes or reforms in healthcare focus on improving access to affordable and quality care to meet the rising demands. Factors like an aging population, availability of health information, and improved healthcare coverage through health insurance are increasing the demand for innovative models like value-based care as advanced by the Centers for Medicare and Medicaid Services (CMS) (Brooks-LaSure et al., 2021). The purpose of this paper is to discuss actions and reforms through current and emerging healthcare laws or federal regulations in the last five years to reform and restructure the system and nurses’ role within the changing landscape.
Health Care Law or Federal Regulation: Build Back Better Act (H.R. 5376)
The Build Back Better Act, H.R. 5376 is one of the most significant recent laws that encompasses key provisions affecting the healthcare sector and access to services for patients, families, and the health population. According to the Congressional Budget Office (CBO), three of its health provisions focus on reducing the number of uninsured Americans by 3.4 million. Fox et al. (2021) outline 11 major health coverage and financing provisions that the act focuses on to reform and restructure the healthcare sector. For instance, the American Hospital Association (AHA) (2021) observes that this legislation expands eligibility for and value of health insurance marketplace subsidies for more coverage. The legislation extends the eligibility using the American Rescue Plan Act (ARPA) to 2025. The legislation also affects the Medicare Part D program by reducing the cost of prescription drugs and spending and redesigning the benefits for those eligible (Human Rights Watch, 2021). The legislation also addresses the Medicaid coverage gap, especially for the states that have not adopted the Affordable Care Act (ACA) provisions to expand their Medicaid to adults who meet the eligibility criteria. As such, this emerging federal policy has far-reaching implications for the development of innovative care models among organizations to increase accessibility, improve quality, and reduce costs for millions to get care services.
The expansion of Medicaid and other aspects of care as envisioned in this law will affect nursing practice and nurse’s roles and responsibilities in various ways. Firstly, it implies that nursing practice will expand to accommodate the increased demand for care among different health populations and individuals. Secondly, the nursing practice should also focus on improving quality care by enhancing training and continuous learning for nurses to understand these trends and develop effective evidence-based approaches to care delivery. Advanced education and training allow nurses to respond to diverse patient needs and improve services by understanding their concerns. These changes also mean that nurses’ roles and responsibilities will expand to meet diverse needs (Nadash, 2022). For instance, nurses are increasingly specializing in various areas to cater to patients with chronic diseases, special needs, and different populations, from pediatrics to geriatrics and mental health care. Nurses in their practice should meet professional standards and comply with the regulations in light of the changing healthcare delivery system.
Quality Measures and Pay for Performance
Innovative care delivery models focus on the quality of care as opposed to the quantity delivered to patients. The shift encourages innovation through financial reimbursements and incentives, treatment in ambulatory settings, and more focus on preventive measures based on the social determinants of health. Quality measures improve patient safety through better interventions, especially those based on evidence (Brooks-LaSure et al., 2021). Quality measures use metrics to evaluate the quality of care patients get from providers. These measures may entail readmission rates, satisfaction levels among patients, mortality rates, nurse-to-patient ratios, and the rate of healthcare-acquired infections (HAIs). Through this approach, nurses and other healthcare providers can reduce costs, improve healthcare outcomes, and enhance patient engagement. They can also adequately allocate scarce resources for better healthcare delivery.
Performance pay is a value-based approach to care where providers get rewarded for satisfying set quality and efficient goals and benchmarks. Through pay-for-performance measures, nurses focus on patient-centered care and implement evidence-based practice interventions the expectation from these models is that nurses will participate in innovative approaches to enhance quality and use data to inform their practice decisions (Melles et al., 2021). Nurses should also collaborate with other professionals to enhance optimal care outcomes for patients by reducing harm through the prevention of medication errors, falls, infections, and other adverse events that impact patient safety.
Quality measures and pay for performance impact nursing practice, meaning that nurses will have expanded roles and responsibilities to meet patient needs. Nurses should be at the forefront of implementing recommended clinical practice guidelines and novel ways to offer patient care. They must also promote patient care and act as advocates for better care delivery (Sarkar et al., 2020). They should also improve satisfaction levels among patients and adhere to medical care standards and nursing ethics. These models implore nurses to ensure data integrity to enhance quality performance and better care provision for patients.
Professional Nursing Leadership and Management Roles
The reforms and restructuring of the health sector imply emerging roles in nursing leadership and management to meet the trends. These managerial and specialist roles prepare nurse leaders and managers to influence and chart the way for their subordinates to integrate better interventions to improve patient safety and quality care (Wittman et al., 2021). For instance, the nurse executive role means that nurses assume the responsibility to guide care provision and be part of interdisciplinary teams in patient care. The nurse informaticist role also emerges as nurses specialize in integrating nursing science and computer science to interpret and analyze big data to provide patient solutions. As leaders, nurses should advocate better service delivery models for patients, improve welfare for colleagues, and influence policies aimed at expanding access to healthcare resources (Nadash, 2022). They should also be competent in their practice and specialties to increase patient confidence in their working and handling of patients.
These roles are essential for nurses to respond to the developing trends and promotion of patient safety. For instance, nurses learn innovative care models, leverage health technologies, and work in collaborative settings to deliver quality and safe patient care (Sarkar et al., 2020). They also practice independently based on their training and expertise to expand healthcare coverage to different patient populations, especially those with limited access to health services.
Emerging Trends and Transformation of Nursing Practice and Roles
Two current and critical trends to transform nursing practice and the role of nursing include increased integration of health technologies to expand access to care, and emerging and reemergence of infectious diseases that will impact nursing practice and roles. For instance, health technologies like artificial intelligence, telemedicine, precision medicine, and value-based interventions will enhance the role of nurses by imploring them to learn how to apply them to improve patient care and reduce workload. Robotics will carry out some of the nursing roles due to increasing care demand as more people become susceptible to chronic conditions due to aging (Tortorella, et al., 2020). These technologies will help nurses to offer quality and effective care by leveraging their capabilities. However, emerging and reemerging diseases will require nurses to take on additional roles and pursue specialty studies to enhance care delivery and implementation of evidence-based practice models (Gill et al., 2022). They also have to work as patient advocates, acquire disease surveillance skills, and focus more on primary health measures to prevent the spread of such conditions.
Conclusion
The significant transformation of the U.S. health system means that nurses will have expanded roles and responsibilities as they implement these provisions. The Build Back Better Act is a fundamental legislation that affects healthcare delivery through expanding access to quality and affordable care for millions of Americans. Nurses and the nursing practice must be prepared to leverage these provisions to enhance quality care delivery and patient safety.
References
American Hospital Association (AHA) (2021). House Passes Build Back Better Act with
Significant Health Care Provisions. https://www.aha.org/special-bulletin/2021-11-18-house-passes-build-back-better-act-significant-health-care-provisions
Brooks-LaSure, C., Fowler, E., Seshamani, M., & Tsai, D. (2021). Innovation at the Centers for
Medicare and Medicaid Services: a vision for the next 10 years. Health Affairs Forefront. https://www.cms.gov/blog/innovation-centers-medicare-and-medicaid-services-vision-next-10-years
Fox, C., Rudowitz, R., Cubanski, J., Pollitz, K., Musumeci, M. B., Ranji, U., Long, M., Freed,
M., & Neuman, T. (2021 November 23). Potential Costs and Impact of Health Provisions in the Build Back Better Act. https://www.kff.org/health-costs/issue-brief/potential-costs-and-impact-of-health-provisions-in-the-build-back-better-act/
Gill, S. S., Xu, M., Ottaviani, C., Patros, P., Bahsoon, R., Shaghaghi, A., … & Uhlig, S. (2022).
AI for next-generation computing: Emerging trends and future directions. Internet of Things, 19, 100514. https://doi.org/10.1016/j.iot.2022.100514
Human Rights Watch (2021 December 20). US: Failure to Pass Build Back Better Act Imperils
Rights. https://www.hrw.org/news/2021/12/20/us-failure-pass-build-back-better-act-imperils-rights
Melles, M., Albayrak, A., & Goossens, R. (2021). Innovating health care: key characteristics of
human-centered design. International Journal for Quality in Health Care, 33(Supplement_1), 37-44. doi: 10.1093/intqhc/mzaa127.
Nadash, P. (2022). The Implications of the Build Back Better Bill for Aging Health Policy.
Innovation in Aging, 6(Suppl 1), 36. DOI: 10.1093/geroni/igac059.137
Wittman, S. R., Hoberman, A., Mehrotra, A., Sabik, L. M., Yabes, J. G., & Ray, K. N. (2024).
Antibiotic Receipt for Pediatric Telemedicine Visits With Primary Care vs Direct-to-Consumer Vendors. JAMA Network Open, 7(3), e242359-e242359. doi:10.1001/jamanetworkopen.2024.2359
Sarkar, R. R., Courtney, P. T., Bachand, K., Sheridan, P. E., Riviere, P. J., Guss, Z. D., … &
Murphy, J. D. (2020). Quality of care at safety‐net hospitals and the impact on pay‐for‐performance reimbursement. Cancer, 126(20), 4584-4592. DOI: 10.1002/cncr.33137.
Gettel, C. J., Han, C. R., Granovsky, M. A., Berdahl, C. T., Kocher, K. E., Mehrotra, A., … &
Venkatesh, A. K. (2022). Emergency clinician participation and performance in the Centers for Medicare & Medicaid services merit‐based incentive payment system. Academic Emergency Medicine, 29(1), 64-72. DOI: 10.1111/acem.14373.
Tortorella, G. L., Fogliatto, F. S., Mac Cawley Vergara, A., Vassolo, R., & Sawhney, R. (2020).
Healthcare 4.0: trends, challenges, and research directions. Production Planning & Control, 31(15), 1245-1260. https://doi.org/10.1080/09537287.2019.1702226
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Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Important information for writing discussion questions and participation
Welcome to class
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
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
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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