#1: The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the topic material “Nursing and Health Reform.” Discuss how these two provisions have impacted, or will impact, your current practice of nursing. #2: Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. How is this advantageous to patient outcomes?

1. The Patient Protection and Affordable Care Act (PPACA), also known as the Affordable Care Act (ACA) or Obamacare, has had a significant impact on nursing practice since its passage in 2010. Two key nursing provisions outlined in the topic material “Nursing and Health Reform” are the expansion of Medicaid coverage and the emphasis on preventive care.

The expansion of Medicaid coverage under the ACA has had a direct impact on nursing practice, particularly in states that chose to expand their Medicaid programs. This provision has provided access to healthcare for millions of previously uninsured individuals and has increased the demand for nursing services. As a result, nurses have been instrumental in providing primary care services to newly insured individuals, helping to bridge the gap in healthcare access.

Nurses have also played a crucial role in the provision of preventive care under the ACA. The emphasis on preventive services, such as screenings, immunizations, and wellness visits, has led to a shift in focus from curative care to a more proactive approach. Nurses are at the forefront of this shift, as they are responsible for educating patients about preventive measures, conducting screenings, and administering immunizations. This provision has not only improved patient outcomes but also allowed nurses to practice to the full extent of their training and expertise.

In my current practice of nursing, these provisions have had a significant impact. Due to the expansion of Medicaid coverage, I have seen an increase in the number of patients seeking primary care services. This has required me to adapt my practice to accommodate the growing demand and provide comprehensive care to a larger patient population. Additionally, the emphasis on preventive care has changed the way I approach patient education and prioritize wellness visits. I now place a greater emphasis on educating patients about preventive measures and promoting healthy lifestyles to prevent the onset of chronic diseases.

Looking ahead, these provisions will continue to impact nursing practice. As more individuals gain access to healthcare through expanded Medicaid coverage, the demand for nursing services will likely increase. This will require nurses to continue to adapt their practice to provide quality care to a larger population. Additionally, the focus on preventive care is likely to become even more prominent as healthcare systems strive to reduce healthcare costs and improve population health. Nurses will continue to play a vital role in promoting wellness and preventing disease, contributing to better patient outcomes.

2. An innovative healthcare delivery model that incorporates an interdisciplinary care delivery team is the Patient-Centered Medical Home (PCMH). The PCMH is a model of care that emphasizes comprehensive, coordinated, and patient-centered care through a team-based approach. This team typically comprises primary care physicians, nurses, care coordinators, pharmacists, social workers, and other healthcare professionals, working collaboratively to meet the diverse needs of patients.

The PCMH model is advantageous to patient outcomes for several reasons. Firstly, the interdisciplinary care team allows for a more holistic approach to patient care. Each team member brings their unique expertise and perspective, enabling a comprehensive assessment and tailored treatment plan for each patient. This team-based approach helps to identify and address the complex bio-psychosocial needs of individuals, resulting in more effective and patient-centered care.

Secondly, the PCMH model promotes care coordination and continuity, ensuring that patients receive timely and appropriate care. The interdisciplinary team collaborates closely to manage the patient’s healthcare needs, including ongoing follow-up, medication management, and coordination with specialty care providers. This results in improved communication among healthcare professionals and avoids fragmented care, reducing the risk of medical errors and improving patient safety.

Lastly, the PCMH model prioritizes patient engagement and empowerment. Patients are encouraged to actively participate in their care decisions and are provided with education, resources, and support to better manage their health. The interdisciplinary team works together to promote patient self-management skills, shared decision-making, and the development of personalized care plans. This approach leads to increased patient satisfaction, improved adherence to treatment, and better health outcomes.

In conclusion, the Patient Protection and Affordable Care Act has significantly impacted nursing practice through provisions such as Medicaid expansion and emphasis on preventive care. These provisions have influenced the way nurses deliver care and have resulted in improved access to healthcare and a shift towards more proactive and preventive approaches. The PCMH model, as an innovative healthcare delivery model, enhances patient outcomes by promoting interdisciplinary collaboration, care coordination, and patient empowerment. This model demonstrates the value of a team-based approach in providing comprehensive, patient-centered care.