Examine the changes made to reform or restructure the health-care delivery system in the United States. Discuss reform and restructuring actions, as well as the role of the nurse in this changing environment, in a 1,000-1,250 word paper.

Include the following items:

Outline a current or emerging health care law or federal regulation that has been introduced to reform or restructure a component of the health care delivery system. Describe the impact on nursing practice as well as the nurse’s role and responsibilities.

Discuss the impact of quality measures and pay for performance on patient outcomes. Explain how these affect nursing practice and describe the nursing role’s expectations and responsibilities in these situations.

Discuss emerging professional nursing leadership and management roles and how they are important in responding to emerging needs.