Professional Practice/Care Delivery
Models/Emerging Practice Models- chapter
11,12,13,14
Accountable Care Organization (ACO) - answer✔a collaboration of hospitals, doctors, and other
providers who work accept joint responsibility for the quality and cost of care provided to patients.
Care delivery system - answer✔a system for the delivery of care that delineates the nurses authority and
accountability for clinical decision making and outcomes; it is integrated with the professional practice
model and promotes continuous, consistent, efficient, and accountable nursing care.
medical home - answer✔a mechanism to provide patients with a central primary care practice or
provider who cooridnates the patients' care across settings and providers
professional practice model - answer✔a schematic description of a theory, phenomenon, or system that
depicts how nurses practice, collaborate, communicate, and develop professionally to provide the
highest level of care that meets the 3 aims of effectiveness, efficiency, and patient experience.
what is at the center of the professional practice model? - answer✔the patient and family
What guides the professional practice model? - answer✔The practice model is guided by the nursing
vision, mission, and values of the organization.
The professional practice model also:
-Describes the environment in which the professional nurse practices
-Determines the expectations for the nurse within a care environment
-Provides nurses with opportunities for autonomy, accountability, and control over the care that they
provide
what is integrated into the professional practice model? - answer✔The care deliverym system.
Information considered in the development of a delivery care model should include the following: -
answer✔-Population served
-Age, ethnic, cultural and spiritual patient characteristics
-Scope and complexity of patients
-Admission characteristics
-Assessment/reassessment practices and standards
-Staffing ratios and staff mix
-Standards for assignment of patients
-Required competencies of staff
-Nursing philosophy, mission, vision, and values
-Interprofessionals who support care delivery
-Standards to ensure continuity of care
-Professional nursing standards
-Use of evidence to drive innovation
-Performance improvement indicators
Three emerging models include? - answer✔-Accountable care organization
-Medical or health home
-Nurse-managed health center
Can be adjusted to meet needs of organization.
Nurses play crucial role in patient-centered care and coordination.
Ten Essential Elements-Traditional Care Models - answer✔1. Transitional care nurse (TCN) as primary
coordinator of care
2. In-hospital assessment and collaboration with team members to create evidence-based care plan
3. Regular home visits and telephone support by TCN
4. Continuity of care between institutions facilitated by TCN
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