Transforming the Workforce to Provide Better Chronic Care: The Role of Nurses
Promising ambulatory delivery system models, including both patient-centered medical homes (PCMH) and accountable care organizations (ACO), recognize that it takes a team of skilled professionals to deliver quality, comprehensive and coordinated chronic care. Beginning in late-2013, the National Academy for State Health Policy and the AARP Public Policy Institute have collaborated on work that has focused specifically on how registered nurses are being deployed in six delivery system initiatives in five states—Maryland, Minnesota, North Carolina, Oregon, Rhode Island–to take on new roles in areas such as care coordination, care management, and in program operation. The purpose of this roundtable is to share replicable opportunities and lessons for other states and/or payers that are developing or considering patient-centered models of primary care delivery and discuss other workforce roles to consider for future reports.
Expert Resources: Lynda Flowers, Senior Strategic Policy Advisor, AARP Public Policy Institute; Rachel Yalowich, Policy Analyst, NASHP

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































