The success of patient-centered delivery models is dependent on registered nurses’ contributions in the change process. The Patient Protection and Accountable Care Act (PPACA) provide that more resources and incentives be allocated towards quality patient-centered care which is also the aim of nursing practice. Nursing practice involves provision of patient education, holistic patient-centered care, care continuity, care coordination, information management, chronic disease management, and prevention and wellness care (Haney, 2010). In addition, advanced practice registered nurse (APRN) is a primary care provider whose potential in leading care reform is recognized by the ACA. This is why the Act incorporated the APRN given the value the nurse plays in the development, leadership, and management of the reforms on patient-centered care.
There are two key nursing provisions provided for in the PPACA that this paper discusses. These include Section 3022: Medicare shared savings program – Accountable Care Organizations (ACOs) and Section 5208: Nurse-managed health clinics (NMHCs) (Wound, Ostomy and Continence Nurses Society, 2010). Through the nurse-managed health clinics, the Act recognizes the role of nursing in providing all-inclusive primary care and wellness to the populations affected (Haney, 2010). These clinics are supposed to be led by advance practice nurses, hence the need for enhancing nurses educational levels and training to meet these demands. This provision provides opportunities for nurses to practice to the full extent of their education and training so as to achieve value driven outcomes and quality improvements. Therefore, reforms in regard to this provision under ACA require the removal of any barriers to the expansion and reallocation of nurses to satisfy this demand.
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On the other hand, accountable care organizations (ACOs) as provided for under ACA, calls for collaboration of all health professionals with a view to promote affordability and quality of patient care (Haney, 2010). Since ACOs is collaboration among a group of service providers and suppliers, it facilitates coordination of care and accountability in delivery of care to patients. The nursing profession finds an opportunity through ACOs to provide effective organizational leadership. By providing patient-centered care models in ACOs, nursing would facilitate the understanding of populations through providing data collection and analytics necessary in driving better outcomes. Nurses are essential in gathering data, tracking clinical and financial data which is later analyzed to provide understanding of issues that affect patients. This information is critical in enhancing functionality of inter-professional collaboration which in turn informs rapid improvement cycles at points of care (Salmond & Echevarria, 2017).
References
Haney, C. (2010). New health care delivery models in health system reform: Opportunities for nurses and their patients. American Nurses Association , 1-7. Retrieved from https://www.nursingworld.org/~4af0e8/globalassets/docs/ana/ethics/new-delivery-models---final---haney---6-9-10-1532.pdf
National Academy of Sciences. (2018, January 16). The future of nursing: Focus on education. Retrieved from http://www.nationalacademies.org/hmd/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health/Report-Brief-Education.aspx
Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopaedic Nursing , 36 (1), 12-25. doi:10.1097/nor.0000000000000308
Wound, Ostomy and Continence Nurses Society. (2010). Nursing and health reform. Retrieved from https://www.wocn.org/page/archived_pub?&hhsearchterms=%22nursing+and+health+reform%22&#rescol_1623208
