...In 2008, the Robert Woods Johnson Foundation (RWJF) partnered with the Institute of Medicine (IOM) to launch a two-year initiative to “assess and transform the nursing profession”. A report titled “The Future of Nursing: Leading Change, Advancing Health” was produced that is to serve as a “blue-print” for nursing’s future. Through this committee, four key messages were developed to structure the recommendations of the report. Three of these messages will be discussed here. (The future, 2011). The first key message in the report states “nurses should practice to the full extent of their education and training”. In order for this to happen, a number of barriers must be overcome. The licensing and scope of practice regulations of many states need to be addressed. Due to licensing and practicing regulations in many states, nurses are entering the workforce qualified to provide more care than they are legally allowed to provide. In the majority of states, for example, the nurse practitioner (NP) is required to be supervised by a physician in order to see and prescribe medications for patients. This poses a problem due to the decreasing number of medical students entering primary care and the increasing number of NPs who are entering primary care (IOM, 2011). Another recommendation is the need for nurse residency programs that would ease the transition from school to work. This would allow new graduates to further develop the skills and experience...
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...Accountable Care Organizations: Key to Transforming Healthcare? The Talia Goldsmith, MHA Candidate 2011 Suffolk University Sawyer Business School HLTH 890AE: Healthcare Strategic Management Professor Richard H. Gregg, M.A., M.B.A. April 28, 2011 Table of Contents Objective .....................................................................................................................................3 Introduction ..............................................................................................................................3 Overview of ACOs as a Mandate and an Opportunity for Healthcare Organizations............................................................................................................................4 Examples of Missions, Visions, Values and Goals for ACOs........................................6 Mission ................................................................................................................................................. 6 Vision ....................
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...1970, The National Academy of Sciences established the Institute of Medicine (IOM), a non-governmental, non-profit organization, developed to provide advice on the national level that addresses issues of medical care, education, and research. Through research, collected data, and nurse-led solutions, the IOM created an informative report in 2010 called The Future of Nursing: Leading Change, Advancing Health, which provides specific recommendations on the improvement of the nursing workforce and the healthcare delivery system. The report is directed towards various entities; individual policy makers, national state and government leaders, licensing bodies, educational institutions and consumer advocates, are just to name a few. Three particular recommendations, transforming education, transforming practice and transforming leadership, will be further discussed to display how each transformation will impact changes in the nursing profession and the health care delivery system. Transforming Education The first recommendation to be discussed that will impact change in the nursing profession and the health care delivery system is the transformation of education. The IOM report states that “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2010, p. 163). Several educational pathways have become available for nurses to smoothly transition from the Associate Degree in Nursing (ADN) to the...
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...THE IOM REPORT’S EFFECTS ON NURSING BY TA 11/24/13 The Institute of Medicine (IOM) report focuses on “Transforming Practice, Transforming Education, and Transforming Leadership” in which the goal of a transformed health care system is to provide higher-quality health care centered on the patient and their unique needs, to reduce errors, and increase safety (IOM, 2010, 87). The IOM report states “Nurses have the opportunity to play a central role in transforming the healthcare system to create a more accessible, high-quality, and value-driven environment for patients” (IOM, 2010, 85). In order to work towards this goal, the IOM places a major emphasis on education, the importance of collaboration with physicians and other health professions, and the importance of leadership in nursing practice to make the changes to allow for improvements. This paper will address the IOM’s impact on nursing education, the impact on nursing practice, and the impact on the nurse’s role as leaders to in order to transform the healthcare system. Nursing is a dynamic profession requiring lifelong learning to meet the needs of America’s complex health care system. To ensure safety and quality care, the IOM report places emphasis that the nurse is responsible to stay current on knowledge and practice in order to meet the ever-changing needs of patients. The report states that there is a dramatic shift in demographics, as we face an older and diverse American population with respects to race...
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...Partners Healthcare System (PHS): Transforming Health Care Services Delivery Through Information Management Harvard Case Solution & Analysis PARTNERS HEALTHCARE SYSTEM (PHS): TRANSFORMING HEALTH CARE SERVICES DELIVERY THROUGH INFORMATION MANAGEMENT Question 01 The Partners Healthcare System (PHS) faced a lot of obstacles in implementing the ERP system whose sole responsibility was to make the current processes as efficient as possible. In addition to this, once this information system is along with Computerized Patient Order Entry (CPOE) system then it would help the health care professionals in accessing patient complete profile from the scratch that is the patients’ first visit to the health practitioner. However, there was a lot of resistance regarding the system from the doctors. It is reported that two-third of the doctors had prior links to the hospitals and were hesitant to adopt the latest technology. In addition to this, the same number of doctors who had affiliations with the PHS hospital also met their patients at some other venues. The already established workforce lacked in its ability to use the advanced technology and was reluctant to this type of system. As they were trained to write prescriptions manually, hence they were not accepting this new mode of data reposition. In addition to a lack in ability to apt the latest technology, they also lacked the basic infrastructure or resources to finance this implementation. Moreover, if the technology gets implemented...
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...A majority of medical practices are lagging behind in face of the recent reforms in the United States healthcare sector. In fact, many people, both the medical professionals as well as their patients, can attest to feeling overwhelmed by these reforms and the inefficiencies they have brought about. Primary care is one of the biggest transformations currently taking place in healthcare. Helping to direct this transformation is a team of researchers lead by Dr. Edward H. Wagner, who have proposed a model for transforming primary care as well as improving efficiency and effectiveness in the health care system. This model, referred to as the Patient-Centered Medical Home (PCMH), embraces practice principles taken from the Chronic Care Model and the Pediatric Model (Wagner, 2012). PCMH model contains what is referred to as eight key “change concepts” that are essential for transforming a medical practice into a medical home. These change concepts are first introduced in the article “Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes” written by Edward H. Wagner, Katie Coleman, Robert J. Reid, Kathryn Phillips, and Jonathan R. Sugarman. Accordingly, I will be providing a critique of this article, as well as providing an assessment of the change concepts underlying PCMH. The article’s review of literature highlights the need for a robust primary care sector that can reduce health care costs and significantly improve care. In light of the Affordable...
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...Institute of Medicine (IOM) report: "The Future of Nursing: Leading Change, Advancing Health,": Transforming Practice, Transforming Education, and Transforming Leadership. Debra New Grand Cannon University September 6, 2015 The Future of Nursing: Leading Change, Advancing Health to understand how the 2010 Institute of Medicine (IOM) report impacts nursing we must first understand what it is. The IOM report is the result of a two-year project that was launched by the Robert Wood Johnson Foundation (RWJF) along with the Institute of Medicine. The report presents recommendations for an action plan for the future of nursing (Institute of Medicine, 2010 p.119). The report titled the “Future of Nursing” contained research that supported a formation for the envision on the way nursing will become. The central idea was to make sure the public would receive quality, affordable care where they would feel protected. The report was designed for nurses, policy makers, government officials, insurance companies and the public, all of which have a vested interested to ensure quality, safe, cost effective health care (Holzemer, 2010 p.119). The recommended changes in these areas of nursing serve as a fundamental part of attaining the goals set forth by the Affordable Care Act(2010)...
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...facts, research literature, learn practices across the United States, and understand the reason change needed to happen to nursing in the complex changing healthcare. RWJF’s belief is that nursing is one of the largest portions of healthcare workforce and in partnership, able to actively achieve “accessible, high-quality healthcare.” They believed that transforming practice, transforming education, and transforming leadership in nursing will allow this to happen and reach this goal. This change was to increase a healthier population in the United States and expand the new improved healthcare system. One of the key impacts on the IOM report on nursing education stated that nurses achieve higher levels of education and training through an improved education system that promotes accessible academic progression. Nursing education needs to focus not only on delivering safe quality patient care but also focusing on care management, quality needs for the patient in the future, management, and constant changing of health care system. This is to be done not only by the nurse but in conjunction with physicians and other health care professionals enabling them to manage and coordinate patient care as a team. Knowledge has been the platform for nursing for years, but with the fast growing complex and technical changes happening in healthcare system, the availability for lifelong learning is...
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...The Impact of The IOM Report on Nursing Mariama Jalloh Grand Canyon University Professional Dynamics NRS-430V-0500 Teresa Gaither June 21, 2015 The Impact of The IOM Report on Nursing The Institute of Medicine (IOM) is an independent, nonprofit organization, which was established in 1970. Their aim is to provide advice to all level of healthcare sectors to ensure that effective healthcare policies are being implemented. In the late 2010, IOM released a special report “The Future of Nursing: Leading change, Advancing health”. The report contains three messages related to nursing, which focus on the following sections: transforming practice, transforming education and transforming leadership. This paper focuses on the IOM report and how it impacts nursing education. This paper will also discuss the role of a nurse as a leader and their practice, particularly in primary care. Lastly, this paper will disclose how I would change my practice to meet the goals of the IOM report. Firstly, the IOM report also stated that it is crucial that a nurse must have training from an accredited institution system to so they can be ready contribute at their work (IOM, 2010). Educational standard has influence perceptions about nurses. Academics and professionals have hotly debated the minimum education needed by nurses for several decades. The IOM report also discuss and offer the reason why nurses having a higher level of education is a must; Nursing practice have expand greatly, they...
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...Mary’s has joined Stratus Healthcare, the largest alliance of healthcare providers in the southeastern United States. St. Mary’s Health Care System and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. As a mission-driven, innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. We will be the most trusted health partner for life (St. Mary's Health Care System, 2015). The agreement includes St. Mary’s Hospital in Athens and St. Mary’s Good Samaritan Hospital in Greensboro. “By affiliating with Stratus Healthcare, St. Mary’s will be able to work closely with other member hospitals and physicians in central and South Georgia to improve the health of the communities we serve and efficiencies and quality improvements this alliance will create. St. Mary’s, like all Stratus partners, shares a common goal of providing patients with the right access to the right care, at the right cost. The collaborative partnership sets the stage for innovation while providing an alternative to mergers and acquisitions in a changing healthcare climate. Stratus Healthcare serves as a vehicle to keep healthcare local with the goal to improve outcomes, enhance the patient experience and increase efficiency as required by healthcare reform (St. Mary's Joins Stratus Health, 2015). Since its inception, Stratus Healthcare workgroups have developed...
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...improvements in health care have resulted in exceptional complexity. To be able to provide the best possible care to meet those standards, it becomes a necessity to review and revise guidelines to meet these goals. In 2010, the Institute of Medicine (IOM) prepared and published its ambitious report to support the development of a new health care system for the 21st-century. It calls for nurses to take leadership to transition to a high quality care for an increasing number of patients ("IOM," 2010). To meet this goal, a transformation in education, nursing practice and leadership is demanded. It is imperative for nurses to be knowledgeable and to play an active part in this interesting but challenging time of change. To be prepared for the healthcare modification, the key element towards success is education to build a strong workforce. To ensure safe care and foster critical thinking skills for more complex patient needs, irremissible competencies are required. Beside the basic educational nursing standards, new competencies are emerging. The focus for competencies as improving quality, understanding research and evidence- based practice, making decisions, thinking systematically and leading a team must become part for every nurse in any level of education. A higher level of training becomes necessary to achieve and excel in these goals ("IOM," 2010). Efforts to have eighty percent of nurses with a baccalaureate degree by the year 2020 are on its way ("IOM," 2010). Despite strong...
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...The Future of Nursing: Transforming Education, Practice, and Role Nurses form the front line of the nation’s healthcare workforce. Nurses make up the largest percentage of the patient concern group in the nation. A report filed by the Institute of Medicine, entitled “The Future of Nursing” recommends several suggestions to figure out the future of nursing. “The healthcare system is rapidly changing in all aspects; however nursing is hindered in its evolution by several obstacles that restrict nurses’ ability to adapt to these changes” (National Research Council, 2011). The report emphasis changing the scope of nursing practice to encourage successfully utilize the full curriculum, practice, and instruction of the nurse, in addition to enhance the schooling of nurses, and molding nurses to get supervisory positions . Transforming Practice According to the report many aspects of the healthcare system, primarily the based nursing itself. If nurses aren’t able to carry out with the full exploitation of understanding their usefulness and resources in the healthcare system are deeply rooted. According to the IOM 1978 new definition it includes 3 major areas of primary care that are family and the patient, community and incorporated delivery system. IOM 1978 report explain the first viewpoint, and the description in the 1984 addressed the second perception. Llatest definition thus focus the importance of the patient-clinician relationship (a) as understood in the context of the patient's...
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...Dynamics NRS430V May 18, 2013 Professional Development of Nursing Professionals With the passage of the Affordable Care Act (ACA) by Congress in 2010, our nation's healthcare system is undergoing significant change. Implementation of the ACA gives America the opportunity to change our current health care system into one that is safer of higher- quality and provides more affordable, and accessible care to millions more Americans. Our current healthcare system will begin to change to a prevention rather than a cure model focusing more on community care rather than acute care. As the nursing profession represents the largest segment of the healthcare work force, nurses have the opportunity and responsibility to play a vital role in executing this historic transformation.(Institute of Medicine [IOM], 2011, preface xi) In 2008, the Robert Wood Johnson Foundation(RWJF) joined with the Institute of Medicine(IOM) to assess and develop a plan to transform the nursing profession enabling nurses to be able to meet these challenges. In October of 2010 the IOM and RWJF released their findings in a report entitled "The Future of Nursing: Leading Change, Advancing Nursing". This in depth report developed key messages that outline recommendations for this transformation. Critical areas addressed include transforming nursing practice, nursing education and nursing leadership.(IOM, 2011, Chapter 1) The first key message states "Nurses should practice to the full extent of their education...
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...development of risk management and quality improvement. Historical Development (Name, Year) Founder of Event Nature of Development Importance to Development of Risk Management and Quality Improvement 1. The National Health care Quality Report, 2011 Agency for Healthcare Research and Quality The nature of the development is to monitor and control nationally the quality of care in the United States. These reports measure trends in effectiveness of care, patient safety, timeliness of care, patient centeredness, and efficiency of care. In the 20th century new chapters on care coordination, health system infrastructures are put into place. The reports present, in chart form, the latest available findings on quality of and access to health care. According to Priority areas for national action: Transforming health care quality (2003), the committee decided a framework would be useful in helping to identify potential candidates for the priority areas.The framework encompasses four domains of care, they are the following; Staying healthy (preventive care). Getting better (acute care). Living with illness/disability (chronic care). Coping with end of life (palliative care) (Priority areas for national action: Transforming health care quality, 2003). 2. Health People 2010, 2010 Department...
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...Changing Landscape of Health Care By: Victoria Mihalich One shift that is taking over healthcare is financial risks. This can be anything from payers to groups of individuals, who now have to pay a greater share of healthcare costs. This shift can encourage the individuals to more willingly navigate the healthcare systems and get the greatest value out of their spending. However, there are some consumers that have an unaccustomed policy and the ill-equipped to manage the risk will not be liked, due to the change. I believe the healthcare organizations should re-evaluate themselves around other greater transparency and communicate the values of their products and their services in that manner that defines their comparison of costs and the quality information. A second shift that is taking over healthcare is the costs. There are individuals with a very increasing number of choices they can make. So as a result, the consumers are wanting to expect more from their healthcare providers. A traditional healthcare system needs to gain a deeper understanding of consumers’ behaviors and attitudes. Meaning they want what they pay for. If they are paying top dollar for good healthcare that’s exactly what they should get, not half assed care. For example my grandma is in a nursing home, it costs eight thousand dollars a month to stay there, for that kind of money being paid I expect her to be bathed 4 times a week, hair washed, fed 3 times a day, changed, clothes washed, etc. Another...
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