Key features

• •Integration of the ACA throughout the text, including a supplementary e-chapter devoted to this major health care policy innovation
• •The implementation of Obamacare
• •Combines acute and chronic care into organizations of medical care
• •Nursing workforce challenges
• •Health disparities, vulnerable populations, and immigrant health
• •Strategies to achieve the Triple Aim (better health and better care at lower cost)
• •New models of care including accountable care organizations (ACOs), patient homes, health exchanges, and integrated health systems
• •Emerging societal efforts toward creating healthy environments and illness prevention
• •Increasing incentives for efficiency and better quality of care
• •Expanded discussion of information technology
• •A new 5-year trend forecast