Assignent Solutionnurs

he Patient Protection and Affordable Care Act provides legislative means to control costs, improve health care quality and increase access to care, Title III of the act links payment to quality outcomes through the development of new care delivery models and payment structure. Despite this legislation, as noted in a previous version of your text, the following is discussed: Exerpt from previous editon of text: Fragmentation is a common denominator in the delivery of healthcare services in the United States, supported by the current fee for service system that rewards volume and intensity of services ahead of value and care coordination. Even when patients access health care services that meet high quality standards, discontinuities in care coordination among multiple providers and sites foster fragmentation and lack of accountability. The resulting ‘vacuum of accountability’ leads to less than optimal patient outcomes and inefficient use of scarce health care resources. Innovative reimbursement models designed to encourage providers to improve quality and value through care coordination are recognized as one mechanism with the potential to transform health care delivery (Goudreau & Smolenski, 2014, p. 273). After reading your assigned chapters or in light of the above excerpt please respond to one of the following: 1. Where does the APRN and/or registered nurse in various practice settings come into play regarding this vacuum…what do you see as your role? How can you increase patient outcomes and maintain high quality of care while properly using health care resources? Our current Gross Domestic Product (GDP) for healthcare costs is at 18% in 2020; which has remained consistent and is much higher than the majority of countries. The shocking issue it the expected rise to 25% by 2037! One way the authors, as well as many healthcare professionals, have looked to decrease this egregious percentage is to improve the use of APRN’s and decreasing the restrictive scopes of practice. 2. In your current role, what key elements of your practice would you like to see improved? What strategies would be useful to improve your role and decrease practice barriers and practice constraints?