Summary: The Healthcare Hierarchy
As referenced above, the healthcare hierarchy must change to be effective in an ACO. As stated by Korda and Eldridge (2011), the structure of healthcare will need to change to a “‘flatter’ management structure that can lead to shared decision making and co-management of patient care.” The co-management of patient care is certainly a change in the current healthcare delivery system and nurses will be required to become leaders and advocates for both nurses and patients. Under ACOs, nurses will become more responsible for outcomes achieved or not achieved at the bedside, which will lead to nurses being responsible for the financial aspects of a healthcare organization (Korda & Eldridge, 2011). Nurses responsible for the financial success and …show more content…
It is possibly the nurses with the experience may have the opportunity to have new ventures as “nurse-led care coordination firms,” allowing for further autonomy (American Nurses Association, 2010). Other new potential roles include patient collaborator, quality measurement specialist, performance improvement specialist, and a “voice” for the management of chronic illness and disability (Korda & Eldridge, 2011). Caution should be taken by nurses stepping into more advanced roles in care coordination that compensation is appropriate, as this is a concern under the new model (McMenamin, n.d.). Nurse managers will need to be advocates for nurses taking on increased responsibility and integration of healthcare …show more content…
One concern of the adoption of the ACO is that nurses may spend increased time documenting outcomes and data to meet incentives and less time providing direct patient care (McMenamin, n.d.). Also, nurses are not directly referenced in legislation for ACOs and are considered “other healthcare professionals,” leaving the verbiage of the nurse role up for interpretation (American Nurses Association, 2010). In addition, certified nurse midwives and certified registered nurse anesthetists are “not considered in the final rule” but nurse practitioners are defined (American Nurses Association, 2010). Further clarification will be required for advanced nurses to practice
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Essay Comparing The Transformational Model And Accountable Care Organizations
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355 Words | 2 PagesNurse practitioners will be present at all outpatient locations functioning as primary care providers in family practice and other practice settings (pediatrics, geriatrics, acute care, and other specialties). CNMs will be providing midwifery care along with primary health care of women. Nurse-midwives in United States have demonstrated excellent results in their field of practice throughout the years, especially attending to underserved, uninsured, low-income women (Lindeke, Fagerlund, Avery, & Zwygart-Stauffacher, 2010). CNSs will serve the role of case managers and care coordinators mainly at the hospital leading discharge planning of those patients with complex health problems. CRNAs will provide their services at the hospital for the patients in the intensive care unit.
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466 Words | 2 PagesNurses are uniquely positioned to be present at virtually every level of our health care system, nurses work at the community centers, clinics, hospitals and nurses are also present not only as bedside clinicians but also at the level of management, in the form of nurse managers, supervisors all the way up to the Director of nurses. We have a unique vantage point of the real state of affairs of our health care system, with the push for higher education and training, nurses will start to occupy more influential
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Clinical Nurse Leader
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Process Improvement In Health Care
978 Words | 4 PagesThere are three important requirements common to healthcare establishments that develop process improvement initiatives that successfully sustain improvements according to Studer (2014). To sustain improvements from a process initiative, healthcare establishments should explain to staff why a process improvement initiative is needed, encourage leaders within the organization to champion the process improvement, and ensure that both leaders and employees have the skills to help sustain the sought-after process improvements. Explaining to staff why a process improvement initiative is needed is Studer’s (2014) example of connected the “why” that employees have. Operational teams are described by reliance, admiration, and cooperation. Setting
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1139 Words | 5 PagesThey are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or
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