Accountable Care Organizations (ACOs) are a promising new model for payment reform in the complex and fragmented health care system in the United States. Nursing vision and leadership are essential for the success of an organization participating in an ACO. By understanding the political, financial, and cultural facilitators and barriers to change, as well as models for helping organizations transition toward change (e.g., Kotter Model of Change Management), nurses have the potential to be leaders in health care change.

中文翻译：

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ACO支付改革中的护理领导力。

问责医疗组织（ACO）是美国复杂而分散的医疗体系中一种有希望的付款改革新模式。护理的远见和领导对于组织参与ACO的成功至关重要。通过了解政治，财务和文化的推动者和变革障碍，以及帮助组织朝着变革过渡的模型（例如，Kotter变革管理模型），护士有可能成为医疗保健变革的领导者。