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Prof1990 | Jul 03, 2021, 20:41 PM

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I need 4 responses on the paper am sending. If I can get it soonest. Thanks Rab Discussion #3 Nurse practitioners play an essential role in the growing complexity of the healthcare system. Nurse practitioners have served as skilled clinicians, meeting the healthcare needs of patients as the availability of primary care physicians continued to decrease. Like physicians, NPs can order, conduct, and interpret diagnostic and laboratory test (Poghosyan et al., 2017). They are also able to evaluate and document patient/family outcomes and provides patient consultation to optimize the plan of care. The effective utilization of Np can help address the global shortage of physicians and increasing demand challenges in health care, especially with the implementation of the affordable care act (Lovnik et al., 2019).
User_34712 | Jul 09, 2021, 07:00 AM

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significantly increased the volume of patients seeking health care (Lovnik et al., 2019). The policy makers are calling for the expansion of the role and scope of practice of NPs to meet the growing demand of providers. Nurse Practitioners filling in for doctors can improve cost, quality, and access to health care (Poghosyan et al., 2017). Nurse practitioners working in a physician practice has decreased the cost of patient visits by 1/3, particularly when seeing patients in an independent, rather than a complementary manner. Preparation of an NP costs 20-25% less than that of physicians and are paid lower than a physician (American Academy Nurse Practitioner, 2018). In 2010 the median total compensation for an NP was $97,345 compared to $208,658 for physicians (American Academy Nurse Practitioner, 2018).
User_34712 | Jul 09, 2021, 07:01 AM

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An increase in non-physician providers can improve the quality of care as it reduces the heavy workload on physicians resulting lower in ratio or number of patients to be seen. This also creates more personalized attention in providing health services increasing patient outcomes. Many professional organizations have also created guidelines that everyone in the field must follow in attempt to improve quality, increase health promotion, and lower risks (American Academy Nurse Practitioner, 2018). These different elements are important in showing how Nurse Practitioners are useful in addressing the challenges that are affecting a variety of health care environments (American Academy Nurse Practitioner, 2018).
User_34712 | Jul 09, 2021, 07:02 AM

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requirements. Some of the changes in the SOP that can help alleviate the shortage of providers include limiting supervisory agreements, eliminating formal collaborative practice agreements and protocols, enabling advanced practice providers to prescribe medicine based on their training and cutting advanced practice provider to physician ratio requirements (Masterson, 2018). Changing the restrictions could improve efficiency, reduce shortage, and lower cost of health care. Nurse practitioners can “fill in the gap” connected to the provider shortage (Masterson, 2018).
User_34712 | Jul 09, 2021, 07:03 AM

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Primary care is the general source for routine treatment of illness and disease. Primary care is important because it improves coordination and continuity of care. It controls costs because the appropriate level of care is sought for the health concerns (Knickman & Elbel, 2018). Having access to an effective primary care also appears to result in higher life expectancy projection at birth, lower mortality, lower mortality from all causes, lower disease specific mortality and higher self-reported health status (Knickman & Elbel, 2018).
User_34712 | Jul 09, 2021, 07:03 AM

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Prof1990 | Jul 09, 2021, 07:04 AM

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Response #2 Janice_DB3 The Healthcare Workforce With the increase in number of non-physician providers, discuss how it may affect cost, quality and access to care in the U.S. healthcare system. Non-Physician Providers (NPPs) come from various disciplines, and therefore, they have a variety of job titles such as the following: physician assistants, advanced practice nurses such as nurse practitioners, advanced practice registered nurses, certified registered nurse anesthetists, and certified nurse midwives. Out of many NPPs, according to Stucky et al. (2021), more than 290,000 NPs in the United States provide cost‐effective, high-quality, and accessible patient‐centered care, and millions of U.S. patients choose nurse practitioners (NPs) as their healthcare provider, comprising over 1.06 billion patient visits in 2018.
User_34712 | Jul 09, 2021, 07:05 AM

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Moreover, Stucky et al. (2021) states that a large body of research supports that NPs provide equivalent or higher‐quality care than their physician colleagues, with improved patient satisfaction rates. The study analysis of over 30 million patient visits and determined NPs provided largely comparable care to patients compared with physicians in similar populations on quality, utilization, and referral patient measures (Stucky et al., 2021).
User_34712 | Jul 09, 2021, 07:06 AM

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In the study, patients seen by NPs were more likely to receive recommended health education/counseling services and smoking cessation counseling as compared with patients seen by their physician counterparts. Lastly, NPs have consistently provided cost‐effective care in multiple settings, with studies concluding NPs deliver care at a 29% reduced cost compared with primary care physicians.
User_34712 | Jul 09, 2021, 07:07 AM

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NPs offer a holistic and unique perspective to health as their care is deeply rooted in nursing’s foundational principles and emphasize both care and cure by focusing on health promotion, education, and disease prevention (Stucky et al., 2021). According to American Association of Nurse Practitioners (AANP), “full practice authority (FPA) is the authorization of NPs to evaluate patients, diagnose, order and interpret diagnostic tests and initiate and manage treatments – including prescribe medications – under the exclusive authority of the state board of nursing” (AANP, 2019).
User_34712 | Jul 09, 2021, 07:07 AM

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NP FPA benefits patients and health care systems by “increasing available health care provider work hours and decreasing health care costs, changes thought to be due to eliminating NP and physician time spent on supervision requirements” (Moore et al., 2020). Discuss on the possibility of changes to scope of practice regulations for Advanced Practice RNs and how it could help to abate health worker shortages. In 2020, the US healthcare system faced major challenges due to the pandemic of coronavirus 2019 (COVID-19). In response to the urgent need for all health care providers to provide health care services, state governmental leaderships focused on removing practice barriers for advanced practice registered nurse
User_34712 | Jul 09, 2021, 07:08 AM

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(APRN) roles by enacted new laws that improved access to high-quality, safe, and effective healthcare. In September 2020, Governor Gavin Newsom signed into law Assembly Bill 890, Chapter 265 of the California Statutes of 2020 pertaining to nurse practitioner (NP) scope of practice (Phillips, 2021). Effective January 1, 2021, “NPs who practice in licensed healthcare settings as defined in statute, and meet education, transition to practice experience, and certification requirements, are authorized to practice independently under a newly defined scope of practice without standardized procedures and physician supervision” (Philips, 2021).
User_34712 | Jul 09, 2021, 07:08 AM

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Additionally, “effective January 1, 2023, NPs are authorized to practice independently under the newly defined scope of practice outside of specified settings or organizations (NP corporations) if they meet additional specified education and experience requirements as defined” (Philips, 2021). According to Najmabadi et al. (2020), the Association of American Medical Colleges predicts a national shortage of 46 000–90 400 physicians by 2025, which then the physician workforce pipeline will be inadequate to meet the growing demand.
User_34712 | Jul 09, 2021, 07:09 AM

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In addition to the interplay between demographic change and the growing burden of disease, the Patient Protection and Affordable Care Act expansion of health insurance benefits to an estimated 20 million, mainly low-income Americans, increasing demand for care services without a corresponding increase in physician services (Najmabadi et al., 2020). Enabling and empowering NPs to fully pursue education by offering a full practice authority (FPA) is an approach that will help alleviate the anticipated primary care shortage and increase access to care, especially among non-rural and historically adequately maintained areas and populations (Moore et al., 2020).
User_34712 | Jul 09, 2021, 07:09 AM

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Why is primary care so important? According to Knickman and Elbel (2019), primary care is the first and most general source for routine treatment of illness and disease. Primary care is the patient’s first point of contact that provides comprehensive, coordinated, and continuous care, which is considered an essential component of well-functioning health care systems (Levine et al., 2019). Levine and his colleagues (2019) conducted a survey study to compare the health care outcome between patients with and without primary care.
User_34712 | Jul 09, 2021, 07:10 AM

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The study concluded that Americans with primary care received significantly more high-value care compared to those who did not. Moreover, the study reported significantly better health care access and experience with those who had primary care and that the states with more primary care providers had higher quality and lower costs. The primary care delivery plays a crucial role in the coordination of care to help control costs and ensure that the appropriate level of care is sought for the health concern such as referring patients to specialty providers.
User_34712 | Jul 09, 2021, 07:10 AM

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. Also, coming from experience, I am thankful that I have a primary care provider that I can reach out to anytime via phone or through Telehealth. I find it efficient as I am able to communicate with my doctor whenever I am concerned of my health or have questions. I truly believe that the relationship a patient builds with his or her primary care provider can make a huge impact in patient’s health and well-being by making good healthy choices, which is why I believe primary care is important in our country. References American Association of Nurse Practitioners. (2019). Issues at a glance: Full practice authority. https://www.aanp.org/advocacy/advocacy-resource/policy-briefs/issues-full-practice-brief
User_34712 | Jul 09, 2021, 07:10 AM

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Response #3 Chik The health workforce is the center of the health care system, and changes in its deployment and utilization will have certain effects on health care quality in terms of cost, quality, and access to healthcare. The implementation of the ACA has increased the number of people insured leading to a surge and need for adequate workforce. These shortages occur when the demand is greater than supply. The economic response model of increase in wages leading to greater supply might not apply to healthcare workers. Wages may not change as fee-for-service (FFS) reimbursement system favors specialized, complex, and procedurally oriented services. Standard office visits receive lower payment leading to lower total compensation for primary care providers. Significant changes in payment methods will be needed to fix this gap.
User_34712 | Jul 09, 2021, 07:15 AM

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Furthermore, healthcare labor trends are affected by licensure and educational requirements. The time needed to complete school, training, and become a healthcare professional takes years. For a physician, education takes 4 years of medical school education followed by three or more years of residency. Drop in physicians as primary care providers, have led to more advanced practice nurses. A typical Registered Nurse takes a minimum of 2 years to be educated before taking a licensing examination. Many other health professions, including physical therapists, medical technologists, and respiratory therapists, face similar licensing and education requirements.
User_34712 | Jul 09, 2021, 07:15 AM

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There are also challenges in producing an adequate number of allied health educational professionals. Many allied health professions education programs are taught in community college settings, where financial resources may be more limited than in universities and private colleges (Knickman & Kovner, 2015). These will further constrain the supply of health professionals. With the aging of the healthcare workforce, there are concerns as reported by the hospitals that even a few vacancies of very specialized allied health workers affect patient care services (California Hospital Association, 2014). There is also a problem with the geographic distribution of healthcare workers. In the United States, it has historically been difficult to recruit professionals into rural and poorer urban areas, particularly when jobs are plentiful elsewhere (Bourgueil, Mouseques, & Tajahmadi, 2006; Buchan & Calman, 2004).
User_34712 | Jul 09, 2021, 07:16 AM

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Despite direct government interventions in the form of academic stipends and loan forgiveness programs, access to primary care remains a problem in many states and in specific regions of some states (Knickman & Kovner, 2015). The maldistribution of professionals is a critical problem across professions. Training and retaining allied health workers in rural areas is also a challenge (California Hospital Association, 2009). Population growth, the aging of the U.S. population, and increased rates of chronic illness are expected to increase the workloads of primary care providers over the next 15 years. With the proportion of the U.S population over age 65 rising, healthcare cost for older Americans costs more than for other age groups. Older adults also use more service from healthcare workers, with those over age 65 account for about 26% of all physician visits, 35% of all hospital stays, 34% of prescriptions, and 90% of nursing home use (IOM, 2008).
User_34712 | Jul 09, 2021, 07:16 AM

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With the increase in shortages of physicians, it is being argued that nonphysician providers can and should play a bigger role in the delivery of primary care. Studies have shown that 65% of Nurse practitioners provide primary care services, with their quality of care equal to that of a physicians’. Studies have also rated NP’s communication skills better and stronger than that of a physicians. However, NPs face scope-of- practice laws that require them to work under physician supervision and limit their ability to prescribe medications (Knickman & Kovner, 2015).
User_34712 | Jul 09, 2021, 07:17 AM

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Removing these barriers will allow NPs practice to their full potentials and meet the needs of the increasing healthcare. When scope of practice regulations is restricted for NPs, there is lower utilization of primary care services and higher costs in retail health care clinics. If several systematic reviews have concluded that primary care services provided by NPs are of similar quality as physician care, then there is a need to fully leverage the capacity of the health workforce and align care processes to emerging financial incentives by changing the scope-of-practice regulations. Primary care is the first and most general source for routine treatment of illness and disease. In the managed care environment, primary care delivery plays an important role in the coordination of care to help control costs and ensure that the appropriate level of care is sought for as a health concern (Knickman & Kovner, 2015).
User_34712 | Jul 09, 2021, 07:17 AM

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Please how long should each response be
Prof1990 | Jul 09, 2021, 07:18 AM

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Response 4 duncan_ Healthcare Workforce As the population in the United States continues to grow, the country faces a shortage of physicians. The growing number of aging Americans in addition to the retirement of current doctors are additional factors for this shortage. The country will face a shortage of doctors between 40,800-104,990 by the year 2030 (Mann 2017). Additionally, the supply of surgeons is expected to decrease in growth by 2030; however, the projected demand is set to increase, which will result in a shortage of up to 29,000 physicians (Mann, 2017). Along these lines, the Affordable Care Act (ACA) is expected to increase the need for medical care. According to Weldon (2015), the increased insurance coverage is expected to necessitate about 17,000 more physicians. On the other side, the number of non-physicians in the United States is rapidly increasing.
User_34712 | Jul 09, 2021, 07:19 AM

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Minogiannis (2019) stated that there is a “hybrid profession” on the rise in the country. This includes advanced practice registered nurses who have been trained to assess patients' needs, order, interpret diagnostic and laboratory tests, diagnose diseases, and treat certain illnesses. According to Minogiannis (2019), this new type of profession is regarded as a likely solution to the physician shortage. It can also directly influence healthcare costs since the educational costs for training these hybrid physicians can be accomplished in a shorter period. Aside from this, non-physicians (nurse practitioners) charge less than doctors, which will lower healthcare costs in general. It was also stipulated that providing care will be much easier and more efficient since non-physicians can spend more time with patients (Minogiannis, 2019).
User_34712 | Jul 09, 2021, 07:19 AM

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Furthermore, physician demand in rural areas remains low compared to urban areas. It should be noted that only 11% of the country’s physicians work in the rural setting although nearly 20% of Americans reside in rural areas (National Conference of State Legislatures, n.d.). Due to this vastly unmet demand, many state legislatures are considering increasing the roles, standards of practice, and scope of practice for nurses, who are non-physician healthcare providers. Additionally, state legislature greatly affects how the state’s licensing board defines the scope of a provider (Knickman, Kovner & Jonas, 2015). The growth in non-physician practitioners is expected to improve the quality of care, reduce healthcare costs, and enhance healthcare delivery (National Conference of State Legislatures, n.d.).
User_34712 | Jul 09, 2021, 07:19 AM

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The National Academies Press (2016) stated that, although APRNs are well-trained, they are often limited from practicing their full knowledge due to several barriers, including federal policies, state laws, and outdated models for insurance reimbursement. Expanding the scope of practice of APRNs will increase access to healthcare, especially in rural areas (Bosse et al., 2017). Hence, increasing the scope of practice of APRNs can have valuable effects on the healthcare system in the country. Bosse et al. (2017) found that increasing the scope of practice of APRNs will result in suggestively decreased emergency department visits for cases that are non-emergencies. In addition, APRNs provide care to patients at a lower cost, which also includes preventive care (Knickman et al., 2015).
User_34712 | Jul 09, 2021, 07:20 AM

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It is also expected that there will be fewer prescription drugs given, leading to decreased frequencies of overdose (Bosse et al., 2017). The National Academies Press (2016) also found that increasing the scope of practice of APRNs can benefit almost the entire population and can enhance the delivery of preventive healthcare, leading to the decreased cost associated with chronic illnesses, which is why primary care is so important. Primary care is the first line of defense against illness, chronic conditions, and injury, which is provided by physicians, internists, and non-physicians. Primary care is the routine health care and treatment of general illnesses that promotes a patient’s wellbeing. It ensures that people are on the right track to having healthy, high-quality lives.
User_34712 | Jul 09, 2021, 07:20 AM

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The growing number of non-physician practitioners is projected to be advantageous for the country because they deliver care at a lesser cost and are more skilled at preventive medicine. Furthermore, this hybrid profession can cover the impending physician shortage that the country is facing. There are many approaches for increasing the number of healthcare workers and addressing shortages so that they do not cripple the healthcare industry.
User_34712 | Jul 09, 2021, 07:21 AM

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Hello friend I sent four discussions to you please need 4 response one on each. Reference must be current with in text citation. Thanks
User_34712 | Jul 09, 2021, 07:24 AM

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Received how many pages per response
Prof1990 | Jul 09, 2021, 07:29 AM

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Prof1990 | Jul 09, 2021, 07:33 AM

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Each response is 1/2 a page like before. Will do. I have another project debate on The Pros & Cons of Universal HealthCare in the United States --- Am represent Pros Aflac. Need write up on Aflac, Introduction, (4) advantages argument why it's a good insurance and their importance and (4) disadvantages and rebuttal the disadvantages with positive. This is a big one comes with!!! bonus !!!!!. Good information please with reference please $70.00
User_34712 | Jul 09, 2021, 07:52 AM

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Prof1990 | Jul 09, 2021, 07:55 AM

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for this project how many pages
Prof1990 | Jul 09, 2021, 07:56 AM

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A Class Debate: The Pros & Cons of Universal HealthCare in the United States Project Description Research on Pros "Aflac" Pros & Cons of Universal HealthCare in the United States. Insurance am representing is PROs "AFlac" Based on your research, prepare an argument using a PowerPoint presentation supporting pro for “for” the Universal HealthCare in the United States. At least four major points in support of your position. !!!!!!!!!!!!!!!!!!it should be in a ppt. format!!!!! but also written research paper to turn in.
User_34712 | Jul 09, 2021, 08:19 AM

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Prof1990 | Jul 09, 2021, 08:27 AM

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Hello friend kindly confirm the responses i have uploaded. i will upload the other one tonight
Prof1990 | Jul 09, 2021, 17:32 PM

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Hello friend please confirm the assignment I have uploaded both PowerPoint and word document
Prof1990 | Jul 10, 2021, 11:05 AM

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User_34712 | Jul 11, 2021, 17:00 PM

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User_34712 | Jul 17, 2021, 20:50 PM

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Prof1990 | Jul 17, 2021, 20:51 PM

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Prof1990 | Jul 17, 2021, 21:46 PM

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Am posting need 4 response this is the 1st two. Please response to the a paper. Need two references for each one please it important, 2 reference and within the last 5 year.
User_34712 | Jul 21, 2021, 07:25 AM

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Dona Discussion 4 The Future of Health Care Delivery and Health Policy The Affordable Care Act (ACA) was intended to expand accessibility to health insurance coverage targeting primarily low- and middle- income because these are the population that constitute the vast majority of uninsured. The primary goal of the ACA was to expand the number of insured people and that has been met with an estimated expansion in health insurance of 20 million individual. It expanded access to Medicaid based solely on income and created eligibility for subsidies in the form of advance payment tax credits to purchase qualified health plans in state health insurance exchanges (McIntyre & Song, 2019).
User_34712 | Jul 21, 2021, 07:25 AM

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Upon its enactment in 2010, the ACA has left a mark in the healthcare system through its expansion of insurance coverage and efforts to improve the healthcare system. There has been a substantial decline in the number of uninsured individuals and has advanced into affecting the cost and quality of care (McIntyre & Song, 2019). A central feature of the ACA was the creation of accountable care organizations (ACO), with the goal of reducing fragmentation and inefficiency by encouraging innovative redesign of primary health care, measuring health outcomes, and relying on physician-led expert systems and treatment pathways (Skinner & Chandra, 2016).
User_34712 | Jul 21, 2021, 07:26 AM

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Prof1990 | Jul 21, 2021, 07:27 AM

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A central feature of the ACA was the creation of accountable care organizations (ACO), with the goal of reducing fragmentation and inefficiency by encouraging innovative redesign of primary health care, measuring health outcomes, and relying on physician-led expert systems and treatment pathways (Skinner & Chandra, 2016). This has proven to be successful in the improvement of health process measures, timely access to physicians, and overall patient satisfaction. The ACA also introduced a much greater degree of standardization of benefits and cost-sharing levels for qualified health plans (QHP). QHPs provides essential health benefits in ten categories of health services and designed to four metal tiers based on cost-sharing levels (Kominski, Nonzee & Sorensen, 2017).
User_34712 | Jul 21, 2021, 07:27 AM

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A central feature of the ACA was the creation of accountable care organizations (ACO), with the goal of reducing fragmentation and inefficiency by encouraging innovative redesign of primary health care, measuring health outcomes, and relying on physician-led expert systems and treatment pathways (Skinner & Chandra, 2016). This has proven to be successful in the improvement of health process measures, timely access to physicians, and overall patient satisfaction. The ACA also introduced a much greater degree of standardization of benefits and cost-sharing levels for qualified health plans (QHP). QHPs provides essential health benefits in ten categories of health services and designed to four metal tiers based on cost-sharing levels (Kominski, Nonzee & Sorensen, 2017).
User_34712 | Jul 21, 2021, 07:28 AM

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According to Knickman & Elbel (2019), it is important to keep four dynamics in mind when forecasting the future of healthcare: moving from volume-oriented to an outcomes-oriented system, affordability should always be the top concern, make simple improvements through public policy, and equal access to healthcare in all states. The next decade will definitely see major changes and shifts in the design of healthcare systems that will be propelled by digital health, growing consumerism, and mounting financial constraints (Zimlichman, Nicklin, Aggarwal & Bates, 2021).
User_34712 | Jul 21, 2021, 07:28 AM

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The key driver to change is emerging technology and medical know-how such as sequencing of the human genome, universal vaccine for certain illness, and advancement in stem-cell research; emergence of new technologies to change how medical providers manages patient care. These technologies could save medical care costs. Payment approaches will be another driver for change. The US needs a payment reform that changes financial incentives for providers which will focus on paying fixed price for the expected outcome in taking care of a bundle needs for patients. Another driver of change and perhaps the biggest in healthcare, is the consolidation of healthcare as a strategy to improve efficiency of resource use and outcomes of care. Knickman & Elbel (2019)
User_34712 | Jul 21, 2021, 07:28 AM

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pointed out that integration of networks have worked for some system such Kaiser HMO and Intermountain Healthcare in Utah, however, the question is will integration weaken competition across providers leading to price increases even if these networks are more efficient and effective. Another driver of change that will continue to expand is telehealth. This approach will link patients and physicians in different physical locations and accessibility of care will improve especially for the rural areas. The best solution for our healthcare system is to enforce government regulations with the current free market system. We can reduce administrative costs and wastage by creating a standardized price system that can be renegotiated annually, wherein billing, claims and negotiations goes through the federal government. A similar system that Taiwan has adopted which brought down their administrative cost to 5%. A fundamental reform like Medicare for All (M4A) would make the
User_34712 | Jul 21, 2021, 07:29 AM

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A fundamental reform like Medicare for All (M4A) would make the U.S. health coverage universal (Bivens, 2020). Our current Medicare system does not omit anybody based on age, income or health. We can expand this system to the whole population and will balance out the burden of providing care for all citizens.
User_34712 | Jul 21, 2021, 07:30 AM

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Andrea; This is the second one !!!!!!!!!!!! Discuss how the U.S. health care system is evolving and the short- and long-term effects of forecasted changes. The COVID-19 pandemic abruptly and suddenly restructured how not only U.S. society view healthcare, but impacted the global perspective on how healthcare is provided. The COVID-19 pandemic has not only serious short term effects on how the U.S. healthcare system will evolve, but also on long term changes to how our society consumes healthcare services and distributes healthcare. Prior to the COVID-19 pandemic, the U.S. healthcare system was in the process of shifting to a paradigm of patient centered care and patient centered medical homes (PCMHs).
User_34712 | Jul 21, 2021, 07:35 AM

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Large and small hospitals were shifting towards an integrated collaborative model of healthcare where care is provided by an interdisciplinary team of healthcare experts ranging from social workers, physicians, nurses, physical therapists, and mental health practitioners. The changing population demographic is a force behind these changes with over 76 million people born between 1946 and 1964, the baby boomer population, reaching retirement age which will increase federal spending on Medicare and Medicaid by an average of 5.9 percent in 2018 and 2019 The COVID-19 pandemic appeared during a time when major medical entities and organizations such as the American Nursing Association and the American Medical Association recognized the importance of addressing geriatric population health with a new interest in telehealth, technology, and informatics to deliver efficient medical care to diverse populations
User_34712 | Jul 21, 2021, 07:35 AM

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The U.S. healthcare system has already began implementing technological advancements such as telehealth, technology based biometrics to minimize in person visits to reduce the risk of COVID-19 exposures, particularly to geriatric populations. Long term changes to the U.S. healthcare system will undoubtedly include technological advancements in monitoring such as those for cardiac patients, people with respiratory issues, and COVID-19 “long haulers”. Furthermore, a focus on the patient as a comprehensive whole incorporating a focus on mental health awareness, wellbeing, and promotion will drive changes in how healthcare is delivered ( Salmond & Echevarria, 2018).
User_34712 | Jul 21, 2021, 07:36 AM

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Describe the principal drivers of change that will take place in the health system over the next 10 years The principal drivers of change that are taking place in the U.S. healthcare system and will continue to evolve include using technology in a post-COVID-19 society, addressing future disease outbreaks, addressing an rapidly increasing aging population, and addressing health disparities. According to the NIH, the U.S. population is rapidly aging with 46 million older adults age 65 and older living in the U.S currently growing to 90 million by the year 2050 (CDC, 2021). By the year 2030, 1 in 5 Americans is projected to be 65 years old and over. Paired with a U.S. physician shortage this could
User_34712 | Jul 21, 2021, 07:36 AM

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develop into a huge reduction in the quality and delivery of healthcare. Technology that is already being developed and implemented such as telehealth and electronic biometric monitoring will continue to be used to reduce costly in-person visits (Goswami and Gandarillas, 2017). Also, non-physician providers such as advanced practice registered nurses and physician assistants can fill the medical provider gap particularly in primary care to address the rapidly growing aging population ( Salmond & Echevarria, 2018). Addressing racial and gender health disparities will also take precedence as the issue of the social determinants of health is gaining traction in society with more people calling for healthcare to address greater societal issues such as income inequality, discrimination, and racism which have been shown to contribute to health inequalities (Knickman, 2018).
User_34712 | Jul 21, 2021, 07:36 AM

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What are some of your best ideas to improve quality and contain costs going forward? Future strategies to improve quality and contain costs in the future must revolve around evidenced patient care for diverse populations and the implementation of advanced technologies in patient assessment, appointments, and monitoring. Implementing evidence based medical and nursing interventions such as those currently in use to reduce catheter associated urinary tract infections (CAUTI), improve safety which must be a priority in healthcare. Implementing more effective and user friendly technological medical interfaces, biometrics, and monitoring tools will increase the efficiency of our healthcare system and reduce patient wait times and alleviate physician shortages and burn out (Salmond & Echevarria, 2018).
User_34712 | Jul 21, 2021, 07:37 AM

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). I also believe that patient centered care must continue to be explored and improve upon allowing the patient greater autonomy to choose a team of providers who work collaboratively on their patient health needs. Research has shown that patient centered medical homes offer cost-effective and higher quality care particularly to those with multiple chronic health and mental health needs. Patient centered medical care improves case management and coordination particular when patients are discharged from the hospital or need to be readmitted and allows interdisciplinary communication, teamwork, and planning. Citations American Association of Nurse Practitioners (AANP). (2021, July 08). Full Practice Authority Issues. https://www.aanp.org/advocacy/advocacy-resource/policy-briefs/issues-full-practice-brief
User_34712 | Jul 21, 2021, 07:37 AM

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Sent to 2 that need response. Thank
User_34712 | Jul 21, 2021, 07:38 AM

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Received thank you
Prof1990 | Jul 21, 2021, 07:42 AM

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