Value-Based Care Strategies in Healthcare: Achieving Excellence in Patient Care, Exams of Nursing

Download Value-Based Care Strategies in Healthcare: Achieving Excellence in Patient Care and more Exams Nursing in PDF only on Docsity! 1 Achieving Excellence in Patient Care through Value-Based Care Strategies • Emily Michelle Vickers Clary • College of Health Professions, Western Governors University • D026: Quality Outcomes in a Culture of Value- Based Nursing Care • Katherine Urquhart • 4/17/23 1 Rationale for Implementing Value-Based Care in a Healthcare Organization •Experiencing a positive outcome in a positive, supportive environment provides VALUE. • Improving population health by providing a team approach for shared healthcare needs of patients provides VALUE. •Providing individualized, patient-focused care and decreasing the need for further continuing care provides VALUE. •Providing the best possible healthcare outcome by the most cost- effective means provides VALUE. 1 Benefits of Value-Based Care for Patients and Populations •Decreased health care costs •Greater patient satisfaction • Interdisciplinary team of health professionals • Increased patient satisfaction (Teisberg et al., 2020) 1 Nursing Role/Advanced Professional Nurse Nurse as a Scientist •Using research and science to implement evidence- based practices in a quick and efficient manner •Using a multidisciplinary team approach including physicians and nurses to implement best practice •Share outcomes and research to keep the improvement process moving toward improving community health 1 (Western Governors University, 2021) 1 Article #1: Value-Based Healthcare Initiatives in Practice: A Systematic Review •There is still a gap between measuring outcomes that matter to patients and measuring financial outcomes through rigorous methodological methods. •Advances in available technology is a barrier to value-based care • A need for change in management culture is and added barrier to value-based care. (Zanotto et al., 2020) 1 Article #2: Defining and implementing value-based health care: A strategic framework. •Value-based care uses best practice supported by evidence •Value-based care is patient-centered care •Value-based care is providing patient-centered evidence- based practice in a cost-effective manner 1 (Teisberg et al., 2020) 1 Article #5 How to Succeed in Value-Based Care •Many different models of value-based care exist •Value increases when costs go down while quality and patient experience improve •Aspects of value-based care include Empanelment, Risk Stratification, Panel Management, and Team Based Care •Payers are moving away from fee-for-service payments and toward value-based care (VBC) as a way to curb ever-rising health care costs. • Identifying the patients for whom you’re responsible, sorting them by risk, and then managing their chronic conditions as a team are keys to succeeding in VBC. •There are several pitfalls to avoid in VBC arrangements. If your diagnosis codes are not precise, for example, payers may not adequately credit you for high-risk patients. (Dera, 2021) 1 Implementation of Strategies Partnering with Providers 1 Coordinating care with other providers helps to provide continuous quality care and helps accomplish many of the value-based care goals. 1 Readiness Assessment Summary Defined Need • The organization determined a need for value-based care implementation Readiness for change 1 • The organization was ready for the needed change. Staff has not been informed of the new direction toward value-based care. Training will be provided for existing staff members and new hires. • The organization does have an electronic health records system in place to track patient outcomes. 1 Readiness Assessment Summary Leadership and Management Support Organization and staff has complete upper management support Time, Resources, and Personnel 1 Organizational Strengths • Leadership Commitment and Professionalism • Employee empowerment and satisfaction 1 Organizational Opportunities for Improvement Two Organizational Opportunities for Improvement • Attrition rate • Completing an Impact Analysis 1 Level of Readiness Level of Readiness Score is 11/15. • The organization has implemented value-based care. 1 References • Cleveland, K.A., Motler, T., & Smith, Y. (2019). Affordable care: Harnessing the power of nurses. OJIN: The Online Journal of Issues in Nursing, 24(2). ht t p s : / / d o i . o r g / 1 0 . 3 91 2 / O J I N . V o l 2 4 N o 0 2 M a n 0 2 • Dom Dera, J. (2021). How to Succeed in Value-Based Care. Family Practice Management, 28(6), 25–31. 1 • Spurrell, M., Potts, L., & Shaw, A. (2023). Framing Value Based Healthcare in Practice: Introducing the Complex Case and Recovery Management Framework (The CCaRM). International Journal of Integrated Care (IJIC), 23(1), 1–10. https://doi.org/10.5334/ijic.5975 1 References •Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and implementing value-based health care: A strategic framework. Academic Medicine, 95(5), 682-685. https://doi:10.1097/ACM.0000000000003122 •Voehler, D., Neumann, P. J., & Ollendorf, D. A. (2022). Patient and Caregiver Views on Measures of the Value of Health Interventions. Patient Preference & Adherence, 16, 3383–3392. h t t p s : // d o i . o r g / 1 0 .2 147/ P P A . S 39 0 227