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VALUE BASED CARE IMPLEMENTATION PLAN
April 2021
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Value Based Care Implementation Plan: Aligning Goals for Improved Healthcare Outcomes, Exams of Nursing
An in-depth analysis of value based care (vbc), a patient-centered healthcare model that focuses on reduced costs and improved outcomes. It discusses the elements, benefits, rationale, and strategies for implementing vbc, as well as the role of nurses in facilitating its adoption. The document also explores challenges and opportunities, the impact of covid-19 on vbc, and methods to measure its effectiveness.
Typology: Exams
2023/2024
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VALUE BASED CARE IMPLEMENTATION PLAN
April 2021
Proactive Proactive vsvs (^) reactivereactive Elements of Value Based Care Focuses Focuses onon wellnesswellness andand preventionprevention Quality Quality vsvs quantityquantity Standardized Standardized healthcarehealthcare processesprocesses thatthat supportsupport (^) bestbest (^) practicespractices Decreases Decreases thethe costcost ofof providingproviding carecare
IntegratedIntegrated systemsystem ofof healthcarehealthcare^ teamteam^ membersmembers thatthat^ areare^ connectedconnected Safe Safe andand effectiveeffective (better(better healthhealth forfor thethe population)population) (Cleveland Clinic, 2020)
Financial gain Physici an and health care professional well-being (Teisberg et al., 2020)
Rationale for Implementing Value Based Care Aligns goals of patients, providers, health plans, employers, and government organizations Creates a better experience for patients Connects clinicians to their purpose Improved population health
Identifying the Nursing Role
Knowing, Doing, Being
Advanced Professional Nurses as Implementatio n Facilitators
Summary of Evidence
Evidence Relevant to Value Based Care
Article 1 Value Based Care: An Executive Briefing (^) A value-based structure that incentivizes quality care at a reduced cost must be adopted as the escalation in healthcare costs is not sustainable (^) Nursing plays in an integral role in the shifting from volume to value (^) Nurses across the spectrum must drive the change (^) Nurses will need to take interest in the patients care beyond acute episodes (^) Nurses will need to obtain new skills such as understanding the principals of population health, developing financial acumen, and acquiring data analytic skills
Article 2
A Social Shift:
COVID-
disparities
prompt Medicare
to call for
stronger
emphasis on value-based
care
(^) When implemented effectively, VBC encourages the provider to care for the whole person (^) In normal circumstances 80% of someone’s health is impacted by non- medical factors (^) Addressing social risk factors are critical for our beneficiaries’ quality of life (^) COVID19 has exacerbated the disparities in populations of those that are limited by social determinants of health (^) Now more than ever, evidence based medicine needs to be altered to the realities of individuals (^) The pandemic has revealed that the fee- for-service system is not sufficient for the most vulnerable populations (Berlin, 2020)
(^) Workforce supply and development (^) Information Technology (IT) analytics and support (^) Quality measures (benchmarkin g and research) (Randazzo, 2018)
Article 4