Evolving Practice of Nursing and Patient Care Delivery Models

Medical Home/Health Home

They are same to ACO and are health models generated to focus on giving primary care that is synchronized, managed, patient-centered, ample, and accessible and believe in safety and quality. It is not created for profit purposes but they are meant to attain primary care distinction. With the aid of primary care providers including nurse, doctors and certified nurse-midwives, the model solves health care problem (Jones, 2012). The front-line healthcare being nurses play major role in model since the actively participate in disease prevention, health promotion, interpret and order lab tests while they can refer patient for specialized care.

Nurse-Managed Health Centers (NMHCs)

It was developed by ACA to control of chronic conditions, foster disease prevention, promote the primary care in rural and medically underserved people around United States. The nurse midwives, public health nurses clinical nurse specialists, clinical nurse specialists and nurse practitioners all manage NMHCs. the needy communities benefit from diagnosis, pre- and post- natal care, and prescription to illness and referral to specialists (Clancy, 2012). The model aim is providing medically underserved and vulnerable populations with enhanced easy access to primary care and boost up the nursing leadership and practice for students by serving training sites and keep workforce and patient information.

In a nutshell, these models are largely cost effective, patient-centered, accessible and competent. The founding of these types of health care delivery replica has altered the nursing role and set new limit for the nurses (Shortell & Gillies, 2010). Consequently, the chances for the nurses are growing and the demand of the skilled, educated and professional nurses is fundamental throughout this shifting time of health care system. The nurses are the most important part of health care scheme and their role has altered and progressed with the accomplishment of the health care policies and health care delivery scheme. These types of changes and forms have changed the whole health care scheme of the United States to community from acute care settings and have aided many underserved populace (Clancy, 2012). On the other hand, acquaintance and knowledge of the health change should be given to everybody.

Summary of the Feedback

I exposed my explanation of the possible alterations in patient and nursing care delivery replicas with nurse classmates ‘Nurse A’ and ‘Nurse B’. There was a mixed examination about the feasibility of the models to renovate the health care services delivery around U.S. One of the nurses welcomes the new health care delivery models and the role of nursing in these care models while the second nurse supports but questions some areas of concern and how rectification should be done.

‘Nurse A’ she was thrilled by the healthcare change as it checks on nurse potential in transforming US health care scheme. She was more focused on the significance of new reforms concerning health due to costs, chronic disease increase and preventive over curative care. The NMHCS, medical homes and ACOs are all new healthcare delivery models that enhance preventive services care that leads to easy management of community chronic diseases.

Therefore, it helps in minimizing the related costs and general problem high cost of health service provisions through raising awareness and promoting disease prevention. She states that preventive care requires large number of educated employees with good leadership’s skills for improvement of community’s health care. Furthermore, she adds up nurses have building capacity to strong association and coordination with patients and providers leading in developing and diverse heath care models. According to her, nurses are significant to all patient-centered care delivery models and the new health care delivery model concept gives the facilities to deserving underserved individuals which is worthy.

Nurse B’ has different point of view on healthcare models and healthcare reforms. She articulated worry concerning the service quality provided by healthcare models and hospitals when the large number of visit the hospital for treatment making it to flood. She elaborates that (ACA) Affordable Care Act will help many people casing crowding in hospital and will absolutely impact the services quality in hospital setting and health systems in taking care of patient influx. Influx will cause increase in costs of administration, more paper work, over-seeing, care and disease management and time in dealing with Medicare of many newly insured patients. She further added that, influx of patients means that there is need for more healthcare providers and nurses. Hence, she says there is need for and enough advances to be taken to accomplish health care providers and nurse needs because it will directly affect care quality. Notably, the motivation and status of existing work force will be negatively impacted. Therefore, she extremely gazed ahead for the high-quality of health services given to the patient that is she thought in quality relatively to quantity.


1. Clancy, C. (2012). Innovative careers in nursing and health care reform: What nurse leaders need to know. Voice of Nursing Leadership, 10(6), pp4-6

2. Jones, R. (2012). Education for nurses in community-based care settings. Voice of Nursing Leadership, 10(6), pp12-14

3. Shortell, S.M, Gillies, R., and Wu, F. (2010). United States innovations in health care delivery. Public Health Reviews, 32: pp190-212

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