QUESTION: With attention to Figure 7-1, “Basic Components of a Healthcare Delivery Service,” in Advanced Practice Nursing: Essential Knowledge for the Profession, consider the following discussion question. There are four basic functional components of a health care delivery system. Discuss two components which will impact the implementation of your project site.
Misty Walton
The figure 7.1, “Basic Components of a Healthcare Delivery Service,” outlines the four base functional components of the healthcare delivery system within the United States, including, financing, insurance, delivery, and payment (DeNisco, 2021). This system is often referred to as the quad and is misleading in the terminology of being called a system versus a service (DeNisco, 2021). My project site is within an acute care facility on a forty eight bed medical surgical unit in an urban area.
The two components that will impact the implementation of listening to music to reduce post operative pain at this site will be financing and delivery. Under the financing component falls employers, government including Medicare and Medicaid along with individual self-funding (DeNisco, 2021). It is important to have buy-in from the stakeholders and the ability to supply the tools needed to complete the DPI project. The other component of delivery includes the providers and the hospital (DeNisco, 2021). It will be necessary to have full support and buy in from the orthopedic physicians and the healthcare team on the unit site. The hospital bills based on services provided. The acute care setting will have to supply the headphones, education time and music listening tools if the patient is unable to provide their own. These items may be re-used between patients if infection prevention approved cleaning is appropriate between the patients, which will in return minimize the costs. The Magnet designated facility supports and encourages evidence-based practice and the environment to help drive buy-in from the stakeholders implementing a non-pharmacological method to reduce post operative pain. Magnet designated facilities outperform patient experience and quality measures which are directly tied to financial reimbursement (McCaughey et al., 2020). Since the Affordable Care Act passed, nursing care is more directly linked to healthcare delivery outcomes of quality and safety (Stimpel et al., 2019). The ability to apply evidence-based practices such as listening to music will improve patient pain scores and their experience and outcomes with a reduction in adverse outcomes from opiates. As I continue to develop my DPI project at the chosen site is critical to consider all four components of healthcare delivery systems in the United States.
