The Restructuring of the U.S. Health Care Delivery - Research Paper

Introduction

For all American patients to access efficient health care services, a unique contribution of nurses ought to be maximized in addition to updating state and federal actions. Also, there is a need for standardizing the scope-of-practice rules to benefit from the APRNs' potential and education. States together with insurance companies ought to adhere to specific policies, as well as financial changes, which enable patients to have freedom of choice in terms of choosing their preferred provider, incorporating APRNs. Patient choice can only be promoted by removing financial and policies barriers. Likewise, patient-centered care ought to be a foundation upon which the health care system is being reformed (Center for Nursing - Foundation of NY State Nurses, 2016).

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In the United Kingdom, the health sector has a facelift because patients have been getting the most effective service delivery. With this in mind, it is important for nurses and nursing activities to expand and change. most nursing related policies should change as soon as the recommendations given by the Institute of Medicines are executed.

Continuity or continuum concept is essential as far as growth and modification of professional nursing practices are concerned (Jenkins et al., 2015). This concept pays much attention to periodic care with the aim of enhancing ways of medications to service users. So, nurses ought to be taught about these services. The main objectives of this concept include providing integrating high-quality treatment with health care services, efficient care and low cost to all service users with severe health problems. In addition, some kinds of Continuity or Continuum are there. They are:

Management Continuity is defined as the cohesive and spontaneous approach that provides improved services to the patient. It incorporates shared management based planning, care protocol and critical approaches that can be used to enhance the quality of health care services.

Informational Continuity is an effective transaction. According to Jenkins et al (2015), this transaction uses accumulated knowledge and important information with the aim of effectively connecting different care events to emphasize different ways of medications. On the other hand, Relational or Interpersonal Continuity is the existing therapeutic relationship that is found in the simultaneous healthcare setting. It is meant for bridging the gap between the service users and healthcare services providers with the aim of gathering important information, which is related to the current and future healthcare setting.

With the increased state and federal funding, there is a positive Nurse-Managed Health Clinics' implication on patients across America. It incorporates treatment of patients in addition to assessing their environment, where they live, rather than just paying much attention to the medication or disease. According to Jenkins et al (2015), it is patient-based care. Nurse-Managed Health Clinics is known for uninsured patients' caring majority. Nevertheless, this service is ever at risk because of insufficient funding.

Currently, Accountable Care Organizations (ACOs) are of great significance to the American Nurses Association. ACOs is made up of different service providers, such as nurses, doctors, as well as other professionals. Nevertheless, certified nurse-midwives are not included in the ACO list. Now, nurses ought to learn how such people can collaborate in a way that high-quality care will be delivered to "Medicare beneficiaries." As soon as the "Patient Protection and Affordable Care Act of 2010" was implemented, health care providers shifted their focus to value-based health care and accountable care (Redman et al., 2015). In addition, medical homes have become more popular since they have been delivering patient-care. The aim of the medical homes has been providing care in addition to respecting decisions and dignity of the patient. Also, medical homes are known for offering coordinated and comprehensive care, for instance, home health care, community services, and specialty care. Medical homes have been assisting patients in terms of enabling services in minimum waiting time in addition to 24-hours telephone access.

According to the feedback from the colleagues, they support my presentation and they believe that there is a need for appropriate government legislation to be established for the United Kingdom's current healthcare situations to be established. Action Coalitions have improvised the concept that will be used by nurses in days to come in addition to diversifying the groups, which relate to the nursing stakeholders. Such diverse groups are in a position of affecting the health sectors-sustainable development concept. Action Coalition incorporate coming up with clear goals that can improve the health care sector through professional nurses' potentiality. In fact, stakeholders ought to be involved when it comes to representing the different areas in order for the right blueprint action to be built. At the moment, almost 36 Action Coalitions have been established in two different phases in different nations, for instance, Texas, Ohio, Hawaii, Georgia, and Virginia among other nations. In other words, the Action Coalition is after ensuring nurses are practicing what they were taught in school; achieving higher educational level through the improved education system, which has been promoting seamless academic progression and ensuring that nurses are full partners with other health professionals in relation to health care system in America.

In contrast, each Action Coalition facilitates with desired objectives, which are always part of the general consequences, according to Redman et al. (2015), which are based on the healthcare campaigns, with the intention of influencing the professional nurses. What is more, according to the nurse colleagues' feedback, nurses have innovative approaches and potential to mitigate different serious health problems in addition to improving the healthcare system's current situations. Nevertheless, they can face different difficulties. These difficulties incorporate demographic challenges, related healthcare settings being fragmented, aging and other significant barriers that hinder the nurses' potentiality. According to nurses, there is a need of resolving low nurse to patient ratio problem in addition to issuing of the long shift hours.

Accountable Care Organizations prioritize the problem being faced by healthcare service providers. Generally, Accountable Care Organizations are systems of payment and care that are used to bring together quality healthcare and payment reimbursement level for the providers. For instance, a good number of providers can create a partnership together with the aim of serving a specific patient population. Also, life and death related decisions in healthcare professions are the greatest challenges from practical and ethical perspectives. In America, nursing advocates are in a position of overcoming the barriers through expansion of highly important opportunities for nurses. This assists them to enhance their practical skills and knowledge in order for the patients to get better services.

Lack of professional nurses' potential is among the current barriers facing the Action Coalitions' advancement. A good number of healthcare organizations are known for having insufficient professionals to provide enhanced services. In addition, barriers are being been created in America since there is no partnership between different healthcare organizations. Nevertheless, according to the professional nurses' feedback, the Continuity or Continuum concept has been assisting professional nurses as they face challenges that are in relation to the service user, increased demand for the healthcare services and healthcare settings' existing complexity to be improved. According to the discussion of proficient nurses, some integrated mechanisms are applied, in health settings, to assist in improving the changes and growth of general nursing practices. These mechanisms are discussed in the following paragraphs:

When it comes to community-based services, in relation to the Continuity or Continuum concept, service users can be assisted by professional nurses in a way that continuum can be expanded through visiting the service users' residence and assessing the service users' health with the aim of providing effective healthcare services.

For health information system, integrated systems being used to fetch client's information ought to be used by professional nurses since they can provide high-quality healthcare services at low cost. This incorporates collecting integrated information of the patient according to their lifestyle aspects, for instance, behavioral, cultural, environmental and financial barriers (Woods et al., 2013). In other words, nurses should ensure that they have patient information in the healthcare system. Moreover, nurses and other health professionals ought to be in a position of reviewing what they know about the informational continuity's nature for them to offer effective healthcare services to their patients. Furthermore, nurses who can easily access patient information can be of great significance when it comes to improving care's information continuity.

Conclusion

When it comes to Disease Management Program Event, according to the feedback from a good number of professional nursing colleagues, these events are ever recommended when it comes to measuring the seriousness of the health issues, for instance, diabetes issues, cardiovascular diseases, and even some other serious health problem being faced by service users. So, nursing personnel practice can find it easier to mitigate health problems.

References

Center for Nursing - Foundation of NY State Nurses. (2016). Future of Nursing. Retrieved from

https://foundationnysnurses.org/foundation/future-of-nursing.

Jenkins, M. G., Ford, J. B., Todd, A. L., Forsyth, R., Morris, J. M., & Roberts, C. L. (2015). Women's Views about Maternity Care: How do Women Conceptualise the Process of Continuity?. Midwifery, 31(1), 25-30. https://doi.org/10.1016/j.midw.2014.05.007

Redman, R. W., Pressler, S. J., Furspan, P., & Potempa, K. (2015). Nurses in the United States with a Practice Doctorate: Implications for Leading in the Current Context of Health Care. Nursing outlook, 63(2), 124-129. https://doi.org/10.1016/j.outlook.2014.08.003

Woods, L. N., Lanza, A. S., Dyson, W., & Gordon, D. M. (2013). The role of prevention in Promoting Continuity of Health Care in Prisoner Reentry Initiatives. American Journal of Public Health, 103(5), 830-838. https://doi/abs/10.2105/AJPH.2012.300961