VALUE-BASED CARE STRATEGIES, Study notes of Nursing

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VALUE-BASED

CARE

STRATEGIES

[Full Name]

Western Governors University

D026: Quality Outcomes in a Culture of Value-Based

Nursing Care

INTRODUCTION ◈ What is value-based care? ◆ Care that helps patients and promotes health outcomes. ◈ Elements ◈ (^) Benefits ◈ Implementation

BENEFITS OF VALUE-BASED CARE FOR PATIENTS AND POPULATIONS ◈ Increase in Patient Satisfaction ◈ Cost Reduction ◈ Quality Improvement ◈ Promotes Healthy Habits

RATIONALE FOR IMPLEMENTING VALUE- BASED CARE IN A HEALTHCARE ORGANIZATION ◈ The reconnection of patients and clinicians  (^) Many patients do not feel they can speak to clinicians and be heard or express their feelings.  (^) By implementing value-based care within the healthcare organization promotes the relationship between physicians and patients significantly.  (^) It can improve the plan of care for patients because of the constant communication and patient involvement. (Teisberg et al., 2020)

ADVANCED PROFESSIONAL NURSE’S ROLE ◈Application of evidence- based practice/knowledge ◈ Patient advocate for quality/safety ◈Effective communication and teamwork (Western Governors University, 2020)

FIVE SUMMARIES OF EVIDENCE RELEVANT TO THE TOPIC OF VALUE- BASED HEALTHCARE

2. EVIDENCE: ADVANCES IN VALUE- BASED HEALTHCARE BY TDABC

(TDABC) Time-Driven Activity-Based Costing ◈ (^) Promotes cost accuracy for value-based healthcare systems and increases cost savings. ◈ (^) Helps with redesigns of services within healthcare to be the most efficient. ◈ (^) Easy access for patients due to efficient redesigns for patient care. (Etges et al., 2020)

3. EVIDENCE: REDEFINING HEALTH FOR VALUE-BASED CARE ◈ (^) Value-based care based on three aspects of health

◈ Physical

◆ An individuals changing conditions

◈ Mental

◆ Adapt and overcome to manage well-being

◈ Social Health

◆ Interactions with others and surrounding environment

(Putera, 2017)

5. EVIDENCE: DESIGNING VALUE- BASED HEALTHCARE ◈ (^) Determining what the stakeholders want along with what the patients want. ◈ (^) Establishing a framework that optimizes workflow

Gathering data to measure program success and patient outcomes.

(Lewanczuk et al., 2020)

TWO STRATEGIES TO IMPLEMENT VALUE-BASED

HEALTHCARE

1. Patient engagement and involvement in the processes based on their care ◈ (^) Key stakeholders: Patients (recipient) and Physicians (benefactor) ◈ (^) Methods of measurement: Patient surveys given shiftily by nursing staff to determine if the patients feel involved in their care and how often the physician came by

(Teisberg et al., 2020)

SUMMARY OF VALUE-BASED NURSING CARE READINESS

ASSESSMENT

◈Defined need

◆ The organization has established a necessity to incorporate value-based care within the system. The defined need is lack of staffing, not having a measurement method and lack of awareness of human/financial resources. Staffing within the organization is inadequate and the leading factor to all of the issues with patient care.

◈Readiness for change

◆ The organization seeks to change by accepting the need to change for the greater good of patients' health. ◆ Employees have many recommendations for change by suggesting nursing staff having safety to care for patients with the communication of physicians and patients on the same page.

◈Leadership and management support

◆ Leadership and management support is there and continues to grow every day within the organization. They reward nursing staff in recognition for involvement in committees that promote patient safety and quality care. The nurses feel that their voices are being heard, and having open communication with physicians and directors improve everyday patient care.

SUMMARY OF VALUE-BASED NURSING CARE READINESS ASSESSMENT ◈ (^) Time, resources, and personnel ◆ Time and resources are stretched thin at this time due to COVID-19, but in time many value-based care strategies can be implemented. ◆ Staffing is very low and not practical at this time. ◈ (^) Sustainment of the change ◆ My healthcare organization does not have a way to measure value- based care at this time currently. However, teamwork is rewarded with recognition and performance incentives. ◆ Over time these practices can occur because we have a common goal to incorporate more value-based care in our everyday workflow.

TWO ORGANIZATIONAL OPPORTUNITIES FOR IMPROVEMENT

1. Staffing needs in all service lines ◈ (^) Lack of recruitment from Human Resources ◈ (^) Competitive health organization within five miles with higher pay
2. The need for a nurse residency program ◈ (^) New grads do no receive an adequate orientation ◈ (^) Increased turnover to competitive hospitals

ANALYSIS OF ORGANIZATION’S LEVEL OF READINESS SCORE ◈ Value-Based Care (VBC) Readiness Score: 12  My organization has many of the tools to succeed in implementing value-based programs and strategies. Staffing and having a method of measurement is lacking. Overall, my organization is capable based on the score.