Value-Based Care (VBC) in Nursing: Implementation Strategies and Readiness Assessment, Exercises of Nursing

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What is

Value-Based

Care (VBC)?

A delivery model where

providers arepaid based

on the VALUE of care

they provider not the

number of patients they

see

Benefits Include:

improved patient

outcomes, reduced

number of re-

hospitalizations and

patients living

healthier lives in an

evidence-based way

Value-Based Healthcare Framework

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MEASURE

HEALTH

OUTCOMES

AND COSTS

EXPAND

PARTNERSHIPS

REPEAT

(Teisburg et al., 2020)

(NEJM Catalyst, 2017) (Institute for Healthcare Improvement, 2016)

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

WGU NURSING PROGRAMS CONCEPTUAL MODEL

(Western Governors University, 2016)

(Western Governors University, 2016)

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 theother 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 familiesdecisions 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 #

Promoting Nursing Leadership in the Transition to Value-Based Care

This article describes the nurses’ role as agents of change andtheir

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)

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 conditionlevel

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

(Duckett, 2019)