Value-Based Care: Role of Nurses & Implementation Strategies, Exercises of Nursing

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IMPLEMENTING VALUE-BASED CARE [Document subtitle]

[DATE]

[Company name] [Company address]

Value-Based Healthcare Framework

UNDERSTANDINGUNDERSTANDING

SHAREDSHARED^ HEALTHHEALTH

NEEDS NEEDS OFOF PATIENTSPATIENTS

DESIGNDESIGN

SOLUTIONSOLUTION TOTO

IMPROVE IMPROVE

HEALTHHEALTH

OUTCOMES OUTCOMES

INTEGRATEINTEGRATE

LEARNINGLEARNING

TEAMSTEAMS

• MEASURE

HEALTH

OUTCOMES

AND COSTS

• EXPAND

PARTNERSHIPS

• REPEAT

(Teisburg et al., 2020)

RATIONALE FOR IMPLEMENTING VBC ❑ Patient Advocacy By providing more efficient and

improved care for our patients is the greatest avocation for our patients. ❑

Patient Safety

Patient’s safety is one of the main purposes of VBC by providing routine safe care for our population. ❑

Reduction in Healthcare

Costs By making care more efficient is is also more affordable for both patients and providers

What is an Advanced Practice Nurse Role in Implementing VBC? “Nurse’s must act as Scientist, Detective and a Manager of The Healing Environment” ❖ (^) As provider with the most patient contact, we are best apt to determine what the patient’s most valued care is. ❖ (^) APRN’s collaborate to coordinate care and make is efficient. ❖ (^) Educate both patients, caregivers and peers on patient’s goals, protocols and policies. ❖ (^) Role to manage care and addressing all aspects of care

EVIDENCE REVIEW # Value-Based Care and Patient-Centered Care: Divergent or Complementary? ● This article discusses the two care models value-based care (VBC) and patient-centered care (PCC) and if they can effectively be used together or if one is more efficient that the other in reference to cancer care settings. ● VBC is defined in this article as value of healthcare that is determined by health outcomes modified by cost. While the quality of PCC is solely determined by patients’ and families decisions and opinions of quality. ● The only way both can co-exist well is if the patients’ preferences and opinions are worked into the VBC metrics. (Tseng & Hicks, 2016)

EVIDENCE REVIEW #

Four Steps Within Your Stride: Surprising Insights from Implementing Value-based Care Delivery

● This article discusses the possibility of organizations to implement VBC protocols and the process for them to achieve it. Organizations with vary in how long implementation takes but it is agreed upon that there is a desperate need to focus on the patient, improve quality and reduce costs. The authors determined there are four steps for organizations to start moving towards VBC. ◆ Step 1: Measure Results ◆ Step 2: Document Care Paths ◆ Step 3: Create Teams ◆ Step 4: Engage in Human Centered Design

EVIDENCE REVIEW # Promoting Nursing Leadership in the Transition to Value-Based Care ● This article describes the nurses’ role as agents of change and their responsibilities in all aspects of healthcare to achieve a preferred outcome. The subjects discussed included: ◆ Definitions of Value-Based care ◆ Without Nurses’ involvement VBC can not be successful ◆ Team Based Care is based with collaborations ◆ Changing the culture of stakeholders with education

(National Advisory Council on Nurse Education and Practice (NACNEP), 2019)

(Teisburg et al., 2020)

EVIDENCE REVIEW # Value-Based Healthcare: Fad or Fabulous? ● This article discusses how the United States can implement the VBC system that has been implemented in many other countries such as Canada and Australia. The guidelines for this is based off of research done by the authors of Value-Based Care, Porter and Teisburg in 2016:

1. Focus of the value to patients, not just lowering costs

2. Competition should be based on results

3. Competition should focus on medical conditions over the full cycle of care

4. High-quality care should be less expensive

5. Value must be driven by provider experience, scale and learning at the medical condition level

6. Competition should be regional and national, not just local

7. Results information related to competition must be widely available

8. Innovations that increase value must be strongly rewarded