Health Care Delivery Models and Nursing Practice 

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

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Conduct additional research on trends happening in managed care today. The following websites are a great place to start:

• Centers for Medicare & Medicaid Services
• Kaiser Family Foundation (Search for the series on health care marketplace trends.)

You can also visit the following videos related to managed care trends:

Managed Care contracting and Payer Scorecards

Monitoring Performance: A Dashboard of Medi-Cal Managed Care

After conducting your research, construct a 3-page report in APA format of your findings. At a minimum, your report should

1. Identify at least two trends that you feel have a great impact on managed health care today.
2. Discuss the effect these trends have on managed care.
3. Explain how these trends will continue to influence managed care in the future.
4. Evaluate the potential impact on government and state sponsored, Medicare and Medicaid programs.
5. Analyze and provide at least two reasons why implementing Medicaid managed care is so complex.

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Purpose

This week’s graded discussion topic relates to the following Course Outcomes (COs).

• CO6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6)
• CO7: Examine the use of information systems to document interventions related to achieving nurse-sensitive outcomes. (PO 7)

Discussion

This is the week to really see where technology and healthcare are connecting. Select ONE of the following trends and discuss your understanding of this trend in healthcare and its potential impact on your practice as a nurse. What are the legal, privacy, and ethical considerations of this trend? (Everyone attempt to choose a different topic so that we will learn about the many advancements in technology).

• Nanotechnology
• Consumer health informatics (CHI)
• Social media healthcare applications
• Health-focused wearable technology
• eHealth
• Artificial Intelligence
• Simulation
• Computerized provider order entry (CPOE)
• Bar Code Medication Administration (BCMA)
• Creative measures in healthcare for use with 3D printers
• Smart Pumps
• Smart Rooms
• Robotics in healthcare
• Mobile technology in outpatient care
• Web-based tools and software technology
• Risk Management tools
• Chatbots or Bots in healthcare
• Telenursing
• Telemedicine
• Telepharmacy
• Telerehabilitation
• Teleconsultation
• Telehospice
• Technology advancement from your clinical practice

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Tympanic Membrane and Thyroid Gland

Using the South University Online Library or the Internet, research the tympanic membrane and the thyroid gland. Based on your findings, create a 5- to 6-page Microsoft Word document that includes:

• Information about a minimum of two health assessment histories.
• The possible findings for the tympanic membrane.
• Information on how to examine the thyroid gland using both the anterior and posterior methods.
• A concise note in the subjective, objective, assessment, and plan (SOAP) format with each patient’s encountered findings.
  • For a review of SOAP notes:
  • SOAP Documentaion
  • Information about laboratory tests that may be used for screening clients and the expected normal levels for each test.

Support your responses with examples.

On a separate references page, cite all sources using APA format.

• Use this APA Citation Helper as a convenient reference for properly citing resources.
• This handout will provide you the details of formatting your essay using APA style.
• You may create your essay in this APA-formatted template.

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Search on website www.cdc.gov  and review the information about icd 10 cm 

Search on website www.cms.gov and review information about icd 10 pcs

Prepare a two-page summary of:

· Purpose of icd 10 cm / icd 10 ps

· Resources found on the website that pertain to icd 10 cm / icd 10 pcs

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