health care

Many different types of voluntary, religious, and government facilities provide health care services. Identify and define the various healthcare settings and services and the role of the registered nurse in each. Use chapter 11 to support your research.

Key Concepts, Chapter 11, The Health Care Delivery System

· Health care planners have always worried about access, quality, and cost of care. Who should get what quality of care at what cost? In 2001, describing a “new health system for the 21st century,” the Institute of Medicine (IOM) called for six outcomes, envisioning a system that is safe, effective, efficient, patient-centered, timely, and equitable.

Don't use plagiarized sources. Get Your Custom Essay on
health care
Just from $13/Page
Order Essay

· Nearly 48 million nonelderly Americans were uninsured in 2011. Decreasing the number of uninsured is a key goal of the 2010 Patient Protection and Affordable Care Act (PPACA), which provides Medicaid or subsidized coverage to qualifying people with incomes up to 400% of poverty, beginning in 2014. As of the end of 2015, the number of uninsured nonelderly Americans stood at 28.5 million, a significant reduction. Even under the ACA, many uninsured people site the high cost of insurance as the main reason they lack coverage.

· In 2001, the IOM defined
quality as the degree to which health services for people and populations increase the likelihood of desired health outcomes and are consistent with professional knowledge.

· In 2011, Medicare finalized a plan to alter reimbursements based on the quality of care hospitals provided and patients’ satisfaction during their stays.

· Health care financing involves two streams of money: the collection of money for health care (money going in), and reimbursement of health care providers for health care (money going out). The United States is a multipayer system: its “payers” are both private insurance companies and the government. Distinctive to the United States is the dominance of the private element over the public.

· An IOM Report,
Best Care at Lower Cost, concluded that a substantial proportion of US health care expenditures is wasted, leading to little improvement in health or in the quality of care. The IOM workshop summary,
The Health Care Imperative: Lowering Costs and Improving Outcomes,
estimates excess costs in six domains: unnecessary services, services inefficiently delivered, prices that are too high, excess administrative costs, missed prevention opportunities, and medical fraud.


Compared with the health care systems of six other nations—Australia, Canada, Germany, the Netherlands, New Zealand, and the United Kingdom—the US health care system ranks last or next to last in five dimensions of a high-performance health system: quality, access, efficiency, equity, and healthy lives.

· On March 23, 2010, President Obama signed comprehensive health reform, the Patient Protection and Affordable Care Act (PPACA), into law. The intent of the law was to expand coverage, control health care costs, and improve the health care delivery system.

· For a long time, health care delivery in the United States has been characterized by fragmentation at the national, state, community, and practice levels. Patients and families navigate unassisted across different providers and care settings, fostering frustrating and dangerous patient experiences.

· Health care delivery systems include health care providers and hospitals, multispecialty practice groups, community health centers, prepaid group practice, accountable care organizations, medical homes, and medical neighborhoods.

· One of the more innovative models of care delivery emerging from the PPACA is the accountable care organization (ACO). This new organizational structure is a departure from the traditional fee-for-service model of reimbursement. In the fee-for-service model, providers are incentivized to do more and more, but not necessarily in a coordinated manner. ACOs turn this model around by offering incentives to provide integrated, well-coordinated care to patients.

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Confidentiality Guarantee

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more

24/7 Support

Our specialists are always online to help you! We are available 24/7 via live chat, WhatsApp, and phone to answer questions, correct mistakes, or just address your academic fears.

See our T&Cs
Live Chat+1(978) 822-0999EmailWhatsApp

Order your essay today and save 30% with the discount code ESSAYHELP