2025 Quite often nurse leaders are faced with ethical dilemmas such as those associated with choices between competing needs and

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Organizational Policies and Practices to Support Healthcare Issues 2025

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations. For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care? In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue. To Prepare: · Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1. · Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined. DISCUSSION POST: Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples. Required Readings American Nurses Association. (2015). Code of ethics for nurses with interpretive statements . Silver Spring, MD: Author. Retrieved from https://www.nursingworld.org/coe-view-only Note: Review all, with special attention to “Provision 6” (pp. 23–26). Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23 (1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23 (1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html

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2025 The dissemination of EBP results serves multiple important roles Sharing results makes the

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Evidence-Based Capstone Project, Part 6: Disseminating Results 2025

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP. To Prepare: Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course. Consider the best method of disseminating the results of your presentation to an audience. To Complete: Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project. Be sure to incorporate any feedback or changes from your presentation submission in Module 5. Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

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2025 In this assignment you will consider case studies that describe abnormal findings in patients seen in

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Soap Note 2025

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. GENITALIA ASSESSMENT Subjective: · CC: “I have bumps on my bottom that I want to have checked out.” · HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed. · PMH: Asthma · Medications: Symbicort 160/4.5mcg · Allergies: NKDA · FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD · Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Objective: · VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs · Heart: RRR, no murmurs · Lungs: CTA, chest wall symmetrical · Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia · Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney · Diagnostics: HSV specimen obtained Assessment: · Chancre · PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. To prepare: With regard to the SOAP note case study provided: · Review this week’s Learning Resources, and consider the insights they provide about the case study. · Consider what history would be necessary to collect from the patient in the case study. · Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? · Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. To complete: Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study. Using evidence based resources, answer the following questions and support your answers using current evidence from the literature. · Analyze the subjective portion of the note. List additional information that should be included in the documentation. · Analyze the objective portion of the note. List additional information that should be included in the documentation. · Is the assessment supported by the subjective and objective information? Why or Why not? · Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis? · Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature. In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. GENITALIA ASSESSMENT Subjective: · CC: “I have bumps on my bottom that I want to have checked out.” · HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed. · PMH: Asthma · Medications: Symbicort 160/4.5mcg · Allergies: NKDA · FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD · Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Objective: · VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs · Heart: RRR, no murmurs · Lungs: CTA, chest wall symmetrical · Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia · Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney · Diagnostics: HSV specimen obtained Assessment: · Chancre · PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. To prepare: With regard to the SOAP note case study provided: · Review this week’s Learning Resources, and consider the insights they provide about the case study. · Consider what history would be necessary to collect from the patient in the case study. · Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? · Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. To complete: Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study. Using evidence based resources, answer the following questions and support your answers using current evidence from the literature. · Analyze the subjective portion of the note. List additional information that should be included in the documentation. · Analyze the objective portion of the note. List additional information that should be included in the documentation. · Is the assessment supported by the subjective and objective information? Why or Why not? · Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis? · Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

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2025 Among the Resources in this module is the Rutherford 2008 article Standardized Nursing Language What Does It Mean for Nursing

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The Impact of Standardized Nursing Terminology 2025

Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system. During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1). How would you respond to a comment such as this one? To Prepare: Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice ? Reflect on the role of a nurse leader as a knowledge worker. Consider how knowledge may be informed by data that is collected/accessed. The Assignment: In a 2- to 3-page paper, address the following: Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies. Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples. Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the your school. Resources: Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13 (1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05. McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535) Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551) https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf Rubric: In a 2- to 3-page paper, address the following: ·  Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies. ·  Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples. ·  Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.– Levels of Achievement: Excellent 77 (77%) – 85 (85%) Good 68 (68%) – 76 (76%) Fair 60 (60%) – 67 (67%) Poor 0 (0%) – 59 (59%) Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.– Levels of Achievement: Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%) Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation– Levels of Achievement: Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%) Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.– Levels of Achievement: Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%)

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2025 In the realm of marketing a successful branding strategy is one of

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strategies for academic portfolios 2025

In the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products. Similarly, nurse-scholars can build a personal brand to add visibility and credibility to their work. You can begin building your brand by developing and maintaining an academic portfolio. Such an activity can help share the results of your efforts and contribute to your success. This Module’s Discussion asks you to consider and share strategies for building your portfolio. To Prepare: Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements. Review one or more samples from your own research of resources focused on portfolio development. Post an explanation of at least two strategies for including academic activities and accomplishments into your professional portfolio. 3 to 4 references

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2025 Benchmark Capstone Change Project Objectives Fall prevention strategies in hospitals Review your problem or

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Benchmark – Capstone Change Project Objectives 2025

Benchmark – Capstone Change Project Objectives ( Fall prevention strategies in hospitals. ) Review your problem or issue and the cultural assessment. Consider how the findings connect to your topic and intervention for your capstone change project. Write a list of three to five objectives for your proposed intervention. Below each objective, provide a one or two sentence rationale. After writing your objectives, provide a rationale for how your proposed project and objectives advocate for autonomy and social justice for individuals and diverse populations. 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 not required to submit this assignment to LopesWrite. Benchmark Information This benchmark assignment assesses the following programmatic competencies: RN to BSN 1.5 : Advocate for autonomy and social justice for individuals and diverse populations .

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2025 Analysis of a Pertinent Healthcare Issue Develop a 3 to 4 page paper written to your

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Analysis of a Pertinent Healthcare Issue 2025

Analysis of a Pertinent Healthcare Issue Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing ( WORKFORCE INJURIES ARE MORE FREQUENT IN HEALTHCARE ) and how it is impacting your work setting( EMERGENCY DEPARTMENT OR PSYCHIATRIC NURSING) Be sure to address the following: Describe the national healthcare issue/stressor ( WORKFORCE INJURY IN HEALTHCARE ) and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations. Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples. APA FORMAT WITH 4 REFERENCES AND IN TEXT CITATIONS. CURRENT DATA ONLY

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2025 Discussion Dissemination of Scholarship Related to the Practicum Project According to Freemantle and Watt 1994 effective dissemination encompasses

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NURS 6600 – Discussion 9 (Urgently Required) 2025

Discussion: Dissemination of Scholarship Related to the Practicum Project According to Freemantle and Watt (1994), “effective dissemination encompasses more than just the distribution and diffusion of information. It involves the processes by which target groups become aware of, receive, accept and utilize information.” (p. 133). Think about your Practicum Project. Which groups would find your project findings, conclusions, and recommendations most valuable? Why? How might your focus differ if you were delivering a presentation at a professional conference versus at your practicum site? What would you emphasize if you were publishing an article in a peer-reviewed journal related to your specialization as opposed to in an online forum with a wider healthcare readership? In this Discussion, you analyze your Practicum Project in terms of conventional means of scholarly dissemination: presentations, posters, and publication. To prepare: Reflect on your Practicum Project. Speak with various individuals, especially those in your practicum setting, about presentations or poster sessions they have given and/or publications they have authored. Ask which organizations or journals they would recommend you consider for dissemination based on your Practicum Project topic. Consider the following questions related to dissemination: Who is your target audience? Who would be most interested in your project findings, conclusions, and recommendations? Consider how the needs or dispositions of the intended audience may inform your choice of dissemination method. Which method of dissemination would you choose to convey the findings, conclusions, or recommendations from your Practicum Project? What are the relative benefits and challenges of giving a presentation, sharing your findings through a poster session, and/or publication? Consider various nursing, health care, informatics, and leadership and management organizations and journals. What is one organization or journal you would select for your presentation or publication? What are some potential challenges? Evaluate what you could do to promote the possibility that your presentation, poster, or manuscript would be accepted. Conduct a search of the literature using the Walden Library and other reliable sources. Locate two or more articles published in peer-reviewed journals within the last five years that relate to your Practicum Project. These articles should demonstrate the significance of the topic for nursing leadership and management or nursing informatics. Note: These articles may also help you determine if your project findings are related to an area that will contribute to a more comprehensive literature base. Post a brief description of your Practicum Project, including the anticipated outcomes and implications for nursing practice in your specialty area. Explain why your results warrant dissemination. Describe your target audience, and explain which method of dissemination you would use as well as the organization or journal you would choose for sharing findings related to your Practicum Project. Support your response with at least two citations from the literature. Read a selection of your colleagues’ responses. Respond to at least two of your colleagues on two different days, using one or more of the following approaches: Ask a probing question, substantiated with additional background information, evidence, or research. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Validate an idea with your own experience and additional research. Required Readings Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Alspach, G. (2010). Converting presentations into journal articles: A guide for nurses. Critical Care Nurse, 30(2), 8–15. Note: Retrieved from the Walden Library databases. The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters. Forsyth, D. E., Wright, T. L., Scherb, C. A., & Gaspar, P. M. (2010). Disseminating evidence-based practice projects: Poster design and evaluation. Clinical Scholars Review, 3(1), 14–21. The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters. Jeffress, L., & Lyle, S. D. (2012). Maximizing accessibility of academic publications: Applications of electronic publishing technology. Contemporary Issues in Education Research, 5(4), 257–264. Note: Retrieved from the Walden Library databases. This article addresses the use of electronic publishing technology for broader dissemination of research. Price, B. (2010). Disseminating best practice at conferences. Nursing Standard, 24(25), 35–41. Note: Retrieved from the Walden Library databases. In this article, the author provides suggestions for creating and delivering engaging conference presentations. Roberts, D. (2011). ‘Pay it forward’ through publication. MEDSURG Nursing, 20(3), 112, 122. Note: Retrieved from the Walden Library databases. The author proposes creating a chain of lifelong learning through the publication of scholarly works. Among other matters, the article suggests the value of identifying a publication mentor. Russell, C. L., & Ponferrada, L. (2012). How to develop an outstanding conference research abstract. Nephrology Nursing Journal, 39(4), 307–342. Note: Retrieved from the Walden Library databases. The authors propose recommendations for writing and submitting an abstract for a presentation at a conference. Sawatzky, J. V. (2011). My abstract was accepted—now what? A guide to effective conference presentations. Canadian Journal of Cardiovascular Nursing, 21(2), 37–41. Note: Retrieved from the Walden Library databases. The article addresses fear of public speaking and provides recommendations for delivering successful presentations at conferences. Walden University. (n.d.). Research Dissemination. Retrieved October 18, 2017, from http://academicguides.waldenu.edu/researchcenter/orsp/dissemination This Walden University resource examines how research is disseminated through presentations and publications. Review the types of articles the following journals produce as well as submission requirements for publication: BMJ Publishing Group. (2013). Evidence-Based Nursing. Retrieved from http://ebn.bmj.com/ Elsevier. (2013). Nurse Leader. Retrieved from http://www.nurseleader.com/ John Wiley & Sons. (2013). Journal of Nursing Scholarship. Retrieved from http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291547-5069/homepage/ForAuthors.html Lippincott Williams & Wilkins. (2013). CIN: Computers, Informatics, Nursing. Retrieved from http://journals.lww.com/cinjournal/pages/default.aspx Lippincott Williams & Wilkins. (2013). The Journal of Nursing Administration. Retrieved from http://journals.lww.com/jonajournal/pages/default.aspx National League for Nursing. (2011). Publications. Retrieved from http://www.nln.org/nlnjournal/writingjournal.htm Online Journal of Nursing Informatics. (2013). Retrieved from http://www.ojni.org/ Rural Nurse Organization. (2013). Online Journal of Rural Nursing and Health Care. Retrieved from http://rnojournal.binghamton.edu/index.php/RNO Wiley-Blackwell. (n.d.) Nurse Author & Editor. Retrieved May 20, 2013, from http://www.naepub.com/ Document: Practicum Project Presentation Overview (PDF) Review this document in preparation for creating your PowerPoint presentation, which you will post in the Week 11 Discussion by Day 1 of next week. Document: Scholarship of Practice Poster Session (PDF) Review this document in preparation for creating an abstract based upon your Practicum Project, which will be due by Day 7 of this week. Optional Resources Rogobete, C., Peters, G., & Seruga, J. (2012). Cross media and e-publishing. International Journal of U- & E-Service, Science & Technology, 5(2), 17–29. Note: Retrieved from the Walden Library databases.

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2025 WK2 Assgn 1NRNP 6675 Insurance coding and billing is complex but it boils down to how

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DSM-5/ ICD coding Assignment 2025

WK2 Assgn 1NRNP 6675 Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand what codes to use and what documentation is necessary to support coding. For this Assignment, you will review evaluation and management (E/M) documentation for a patient and perform a crosswalk of codes from DSM-5 to ICD-10. The Assignment Assign DSM-5 and ICD-10 codes to services based upon the patient case scenario. Then, in 1–2 pages address the following . You may add your narrative answers to these questions to the bottom of the case scenario document and submit them all together as one document. Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding. Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options. Finally, explain how to improve documentation to support coding and billing for maximum reimbursement. *******NOTE The case scenario is inside the sample evaluation template. The answer goes into the attached sample evaluation template. (The parts printed in red).

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2025 2 DQ 2 The Patient Protection and Affordable Care Act of 2010 PPACA contains many provisions that seek to intertwine

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Health Care Delivery Models and Nursing Practice 2025

2 DQ 2 The Patient Protection and Affordable Care Act of 2010 (PPACA) contains many provisions that seek to intertwine the quality of care with the cost of care. Nurses’ education, skills and professional scope make them indispensable contributors to the successful implementation of evolving patient–centred care delivery models. One of the innovative healthcare delivery models is Accountable Care Organizations (ACOs). It is a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility for the quality and cost of care provided to its patients (HPI, n.d.). It is a group of providers that promotes accountability patient population and coordinates items and services under Medicare and encourages investment in infrastructure and redesigned care processes for high quality and efficient service delivery. The largest benefit that accountable care could bring for the healthcare industry is to garner cost savings or reduce spending. Another major benefit of ACOs is their ability to improve population health management and patient outcomes. A brief from the Center for Health Care Strategies and the Urban Health Research and Practice at Northeastern University shows that new healthcare delivery models like ACOs offer innovative methods for payers and providers to achieve better population health outcomes. Medicaid ACOs, for instance, have shown a greater focus on preventing disease and promoting wellness, which leads to stronger population health improvements. This reduces the likelihood that a disease would progress and lead to more costly hospital stays. The community gains a wide number of advantages including, improved patient outcomes, the better quality of care, greater engagement with providers, and an overall reduction in out-of-pocket costs. Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. Explain how this model is advantageous to patient outcomes. Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

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