Government Impact, Innovation, and Accountability

How do hospitals ensure they are meeting the needs of vulnerable populations within the communities that they serve?  What factors should be considered to ensure that nurses working in acute care settings meet the six Institute of Medicine’s (IOM) Aims for Improving Healthcare Quality?
DQ1 UMBO – 2, 3
DQ1 PLG – 4, 5
DQ1 CLO – 1
Overview
This module examines newer healthcare delivery models that support quality-based payment and reimbursement, and the role of hospitals in the delivery of healthcare. External pressures and modifications to potential delivery because of evolving concerns will be discussed. Accountable care and the Accountable Care Organizations (ACO) will be examined. Challenges and facilitating factors will be presented.
 
Goals Alignment

University Mission-Based Outcomes – 2, 3
Program Learning Goals – 4, 5
Course Learning Objectives – 1

 
Professional Standards

Essential V: Healthcare Policy, Finance, and Regulatory Environments – Healthcare policies, including financial and regulatory, directly and indirectly, influence the nature and functioning of the healthcare system and thereby are important considerations in professional nursing practice.

 
 Learning Materials

Nickitas, D. M., Middaugh, D. J., & Feeg, M. D. (2019). Policy and politics for nurses and other health professionals: Advocacy and action. (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers. Read Chapters 13 & 14. 

Additional Resources:

Lin, Y.-L., Du, Y., Gomez, C., & Ortiz, J. (2018). Does patient-centered medical home Recognition Relate to Accountable Care Organization Participation? Population Health Management, 21(3), 188–195. 
Ryan, A. M., Shortell, S. M., Ramsay, P. P., & Casalino, L. P. (2015). Salary and quality compensation for physician practices participating in accountable care organizations. Annals of Family Medicine, 13(4), 321–324.  
Weeks, W. B., Gregg, J., Fisher, E. S., & Weinstein, J. N. (2015). Accelerating uptake of new Medicare payment models. Hfm (Healthcare Financial Management), 69(4), 104–105.