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Patient-Centered Medical Home Currently primary care leans more towards treatment of acute and periodic illnesses with management Of chronic conditions, rather than preventative are for the patient and their families (Belles, et al. , 2014). One model that has been introduced with the changing needs of healthcare is the Patient- centered medical home (PEACH). In 2010 LIST studies found that the APPC model improved quality of care and patient experiences as well as reducing hospital and emergency department visits (Belles, et al. 2014). The main concept of the PEACH models is that patient populations are followed through a continuum of healthcare needs focusing on prevention and wellness in the communities, as well as chronic disease management. Health concerns of the community and environment are addressed among the populations in the hopes to decrease the incidences of disease and prevent unnecessary hospitalizing by involving community businesses, schools and social services.
This model will require a large amount of team work and collaboration among various multidisciplinary team members to ensure that all aspects of patients’ care and treatments are addressed in a timely and efficient manner. Nurses will need to be well versed on community health care, immunization, prevention programs and collaboration techniques to assist patients and their families to effectively assume self-care practices and how to navigate through the new complex evolving healthcare system.
Accountable Care Organization Studies have shown that 50-60% of health behaviors are responsible for increasing health care costs in the US and in order to change health behaviors it will be necessary to engage in activities that reach beyond the clinical setting and into the community and public health arena (Hacker & Walker, 2013). With population health being a top goal in the changing healthcare system, Accountable Care Organizations (CO) will need to be more directly inked to the public health system.
While PEACH models will focus on transforming primary care with improved delivery systems that will address the whole patient, including their health and social needs, Co’s will be held responsible for improving the quality of care and reducing costs across the health continuum (AM J Health-Cyst Pram, 2013). Promoting continuity of patient care will require communication among health care professionals to ensure patients are treated in the most cost-effective locations to avoid unnecessary hospitalizing and readmission by focusing on chronic and reverential care (AM J Health-Cyst Pram, 2013).
The new paradigm with Co’s will require a change in health-system leadership from personnel having narrowly defined responsibilities to team members being well equipped to assume additional responsibilities (AM J Health-Cyst Pram, 201 3) and It will be imperative that nurses and Apron’s are utilized to their full extent of skills and education to assist in primary care and prevention services to meet the demands of increased patient loads within the Nurse Managed Clinics communities. Another new aspect with the enactment of the CA will be nurse managed linens.
Nurse managed clinics were originally initiated in the sass’s in response to meeting the increased health needs of the US (Paterson, Defect- Legers, & Crudeness, 2009). There are still several of these clinics today within North America that are, in most cases, operated by universities (Paterson, Defect-Legers, & Crudeness, 2009). Nursing-managed centers focus on wellness, patients, families and community based services and are known to have a strong trust among the community members (Burke & Schwartz, 2012).
By focusing on the whole family and not the individual patients, revisers can encompass the care provided and address environmental health risks that lead to prevention of chronic disease for the entire community. Evidence based research shows that Pan’s are able to provide safe, affordable and accessible health care by utilizing interdisciplinary teams that work together towards the common goal to promote family-centered, comprehensive care that is culturally focused upon populations (Burke & Schwartz, 2012).
Conclusion There is no doubt that the post CA era will bring about several new changes and challenges to the nursing profession. The increased possibilities ND new diverse roles that many Urn’s will obtain will bring a new outlook to not only seasoned nurses, but also the potential new professionals that will soon join the field.