The Affordable Care Act ( Aca )

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The Affordable Care Act (ACA) promises to deliver safer, more efficient, and less costly health care in the United States. New care models must move from conventional siloed care delivery systems to one, which supports collaborative and coordinated patient-centered care. While, the Affordable Care Act (ACA) promises to provide vulnerable populations with health care coverage, the nation’s health care cost continue to rise. “Many of the ACA’s provisions address individuals with chronic illness, and are focused on improvement in how services are delivered, including payment reimbursement, public health expansion, and care coordination” (Volland, Schraeder, Shelton, & Hess, 2012, p. 13). Delivery of patient-centered care through interdisciplinary primary care teams with an emphasis on evidence-based practice, healthcare quality, and patient safety will improve health outcomes while decreasing health care cost. The Department of Veterans Affairs (VA) health care has implemented the Patient-Centered Medical Home (PCMH) model in all Community Based Outpatient Clinics (CBOC). These primary care clinics provide patients with evidence-based care and care coordination at the point of care as well as across health care settings. Patient Population The Veteran’s Administration (VA) Healthcare system satisfies the ACA requirement for insurance coverage. “Although the VA operates an integrated national health care system that offers free or low-cost services to eligible veterans, many veterans are not enrolled in VA health care” ( Tsai & Rosenheck, 2014, p. 57). VA eligibility is determined by a complex criterion. VA healthcare for veterans is based on military service with honorable or general discharge, period of service, income, and serv... ... middle of paper ... ...ne treatment delivered within the context of a stepped-care model” for older adults with chronic pain (p. 1809). This evidence provides the foundation to implement a self-management for chronic pain management and sleep hygiene program in the primary care setting. Conclusion The VA healthcare system has implemented the PCMH model of care to provide veterans a patient-centered approach to care. The West Linn CBOC provides veterans increased access to care specific to the special needs of the veteran population, unlike many of its competitors. Studies have shown that implementing evidence-based self-management programs within the primary care setting can improve management of symptoms and health outcomes. Implementing a new nurse-lead group program to address chronic pain and sleep hygiene will be the next step in delivering holistic patient-centered care.

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