Evolving Practice of Nursing Delivery Models

The associated programs pertinent to health care reform are inclusive of accountable care organizations (ACOs), nurse-managed health clinics, and primary care medical homes. Through expansion of the overall reach of insurance coverage, there is increased placement of greater demands on the prevailing primary care system present. Furthermore, through investment in the overall expansion of HIT – interoperable health information technology platforms – that critical implementation of system reforms can be effectively achieved (The NAP, 2011).
This is not only vital in localized settings, but more so in terms of the spurred growth of community-wide exchange of information, as projected by the IOM and RWJF (2012). This has great potential of changing in profound ways, the scope, skill-mix (expertise) and distribution of nursing practice. Accordingly, the reformation within the health care delivery system foretells a number of crucial inputs by the nursing profession. These include: changes in the demand for RNs service provision, and the effective positioning of the nursing profession towards effectively responding to the reforms made. Furthermore, is the crucial role-play the profession has in regard to effecting a positive post-reform healthcare environment.
The pertinent health reform legislation, augmented by other relevant policy initiatives, reveals a range of provisions and programs. These call upon the need for re-organization of not only the workforce responsible (in terms of delivery).