Recommended
More Related Content
Similar to Brown, Amy DNP835 Value-Based Healthcare PP.pptx
Similar to Brown, Amy DNP835 Value-Based Healthcare PP.pptx (20)
Recently uploaded
Recently uploaded (20)
Brown, Amy DNP835 Value-Based Healthcare PP.pptx
- 2. WHAT IS VALUE- BASED HEALTHCARE • Value-based health (VBC) is care that is met with lowering costs, improving quality, or improving patient satisfaction. • A patient’s health is calculated by how much their healthcare costs and how their health improves with the care.
- 3. FEE-FOR-SERVICE VALUE-BASED CARE • VBC started out as a way for Medicare and Medicaid to pay for care that would replace the fee-for-service (FFS) payment, model. It has since changed into a care model that puts the patient at the center.
- 4. RESEARCH IN VALUE-BASED HEALTHCARE • Professor Michael Porter proposed VBC as a structure for reorganizing health care systems around the world, with value for patients as the main goal. • A decade of research on organizations that have improved results while often lowering costs points to a strategic framework for implementing VBC.
- 5. HOW VALUE-BASED HEALTHCARE IS EXPECTED TO WORK • This framework begins by identifying and understanding a patient population whose treatment and health situations develop a critical set of needs. Then, a group of caregivers from different fields work together to come up with and implement complete solutions to meet those needs.
- 6. MAKING IMPROVEMENTS WHEN NEEDED • The team keeps track of each patient's health outcomes and how much their care costs and they use this information to keep making improvements. When care is given in this way, it matches how patients feel about their health and brings clinicians back to their role as healers.
- 7. NURSES • Nurses spend the majority of their day being pulled in different directions by different priorities. Value-based care (VBC) could change that. • Not everything is clear about how widespread implementation of value-based care will affect nursing, but nurses make up the largest part of the healthcare community and should pay special attention to trends in the implementation of value-based care for two main reasons.
- 8. TWO REASONS TO PAY ATTENTION • First, the overall acceptance of the VBC system is going to have a dominant effect on how nurses are trained, how they work, and how they lead. Nurses need to understand that the role of the change from FFS to VBC is most likely going to fall in their hands. • Second, nurse leaders have been shown to have a major effect on healthcare systems, especially when relational nursing leadership is linked to better care and better outcomes, which are two of the most important parts of VBC.
- 9. PRINCIPLE OF VALUE- BASED CARE • VBC has always had principles in nursing and has always been a part of the art of nursing, however now that more organizations are implementing this nurse leaders are going to be presented with issues that they must resolve.
- 10. HOW DOES VBC HELP • VBC • decreases the number of patients nurses need to see • allows nurses to have a clearer focus on the overall health of each individual patient • Nurses can educate patients and make sure they understand rather than rushing them out of the hospital to get to another patient • Decreases the number of hospital readmissions and post-surgical complications • Makes the work environment better for nurses, they are working less overtime and it decreases the chance of nurse burnout
- 11. NURSES FOSTERING VBC • Fostering the principles of VBC may be easier for nurse leaders to take on. • According to the American Association of Colleges of Nursing (AACN) asserts, “Nursing’s professional lens has always encompassed a cost-effective approach to healthcare without sacrificing quality (American Association of Colleges of Nursing, 2016).”
- 12. • Leaders in nursing make it possible to adopt the art of value-based care principles within their organization. Nurse leaders can help improve the health of the whole population by giving their staff the tools they need to help their patients live healthier lives and provide an adequate balance to the social determinants of health. • VBC creates better patient care and feedback, creates better patient outcomes, provides real- timed data that is available 24/7 and creates better collaboration between patients and providers.
- 13. ARE WE READY? • There are strategies for adding value-based nursing care, is a bit-by-bit or step- by-step procedure. Nurse leaders need to make sure their team is ready to implement value-based nursing care.
- 14. STEP 1 • Review the department teams – is the whole department aware of how the change is going to work? Include all of the ancillary staff: service lines, case management, staffing operations etc. Provide constructive criticism to improve the change.
- 15. STEP 2 •Review the system and how it will fit in with VBC – Does your team meet the requirements for reaching VBC goals? Look at how this new structure will affect the organization.
- 16. STEP 3 • Provide an education on VBC – Ensure that all healthcare providers are aware of needs that are to be met for VBC and make sure they know the benefits of the program.
- 17. STEP 4 • Develop obtainable wins - In order to meet the requirements of VBC, you must be able to show that each of your quality indicators are linked to better health outcomes. Think about checking the boxes and celebrate each success.
- 18. STEP 5 • Update electronic health records program – the VBC process involves systems communicating with one another, make sure the organization has an updated system to track data and that it has adequate fire walls to prevent hacking.
- 19. STEP 6 • Ensure staffing is adequate – to meet the needs of VBC there needs to be enough staff to go around. The staffing ratios are different with VBC than FFS.
- 20. STEP 7 • Always plan ahead – there is always room for improvement always be one step ahead. Make sure to meet the criteria for changes that is always occurring in healthcare.
- 21. BASICS There are several basic parts of VBC that have been acknowledged. These include accessibility, adaptability, cooperative and participatory leadership, governance, inclusiveness, person-focused, privacy, scientific integrity, transparency, and value in healthcare
- 22. PREVENTING ELIMINATES TREATING • A VBC plan that uses the basic parts previously mentioned will improve patient care, and patient outcomes and help eliminate chronic disease, additionally, this will help lower healthcare costs which in turn will be given back to the community.
- 23. REFERENCES • American Association of Colleges of Nursing. (2016). Advancing healthcare transformation: a new era for academic nursing. Washington, DC: Author. • Karhade, A. V., Bono, C. M., Makhni, M. C., Schwab, J. H., Sethi, R. K., Simpson, A. K., ... & Porter, M. E. (2021). Value- based health care in spine: where do we go from here?. The Spine Journal, 21(9), 1409-1413. • Li, J., Gupta, V., Smyth, S. S., Cowley, A., Du, G., Sirrine, M., ... & Williams, M. V. (2020). Value-based syncope evaluation and management: perspectives of health care professionals on readiness, barriers and enablers. The American journal of emergency medicine, 38(9), 1867-1874. • Listl, S. (2019). Value-based oral health care: moving forward with dental patient-reported outcomes. Journal of Evidence Based Dental Practice, 19(3), 255-259. • Menear, M., Blanchette, M. A., Demers-Payette, O., & Roy, D. (2019). A framework for value-creating learning health systems. Health research policy and systems, 17(1), 1-13. • Mjåset, C., Ikram, U., Nagra, N. S., & Feeley, T. W. (2020). Value-based health care in four different health care systems. NEJM Catalyst Innovations in Care Delivery, 1(6). • Sensmeier, J., Androwich, I., Baernholdt, M., Carroll, W., Fields, W., Fong, V., & Rajwany, N. (2019). The value of nursing care through use of a unique nurse identifier. Online Journal of Nursing Informatics (OJNI), 23(2). • Shrank, W. H., Rogstad, T. L., & Parekh, N. (2019). Waste in the US health care system: estimated costs and potential for savings. Jama, 322(15), 1501-1509.
Editor's Notes
- Some descriptions of value-based health care are lowering costs, improving quality, or improving patient satisfaction. These are all important goals, but they do not compare to the value, which is mostly about making patients healthier. Today the value in health is calculated by how much a person's health improves and how much it costs to make that improvement.
- VBC started out as a way for Medicare and Medicaid to pay for care that would replace the fee-for-service (FFS) payment, model. It has since changed into a care model that puts the patient at the center.
- Professor Michael Porter proposed Value-Based Health Care as a structure for reorganizing health care systems around the world, with value for patients as the main goal (Karhade et al., 2021). A decade of research on organizations that have improved results while often lowering costs points to a strategic framework for implementing value-based healthcare (Sensmeier et al., 2019).
- This framework begins by identifying and understanding a patient population whose treatment and health situations develop a critical set of needs. Then, a group of caregivers from different fields work together to come up with and implement complete solutions to meet those needs.
- The team keeps track of each patient's health outcomes and how much their care costs and they use this information to keep making improvements. When care is given in this way, it matches how patients feel about their health and brings clinicians back to their role as healers.
- Nurses spend the majority of their day being pulled in different directions by different priorities. Not everything is clear about how widespread implementation of value-based care will affect nursing, but nurses make up the largest part of the healthcare community and should pay special attention to trends in the implementation of value-based care for two main reasons.
- First, the overall acceptance of the VBC system is going to have a dominant effect on how nurses are trained, how they work, and how they lead. Nurses need to understand that the change from FFS to VBC is most likely going to fall in their hands. Second, nurse leaders have been shown to have a major effect on healthcare systems, especially when relational nursing leadership is linked to better care and better outcomes, which are two of the most important parts of VBC (Mjåset et al., 2020).
- The principles of VBC have always been a part of nursing, however, now that more organizations are implementing this nurse leaders are going to be presented with issues that they must resolve.
- Value-based care (VBC) is good for nurses because it lets them focus on the overall health of patients instead of trying to see as many patients as possible. Nurses can teach patients more about health and spend more time explaining how to take care of themselves at home. This may help in decreasing hospital readmissions and post-surgical complications. Value-based care can also make nurses' work environments better, and this is something that can be measured. Patients do better when nurses can focus on fewer people per shift, work less overtime, and concentrate on improving patient outcomes (Listl, 2019).VBC also lowers the chance that a nurse will get burned out.
- Fostering the principles of VBC may be easier for nurse leaders to take on. According to American Association of Colleges of Nursing (AACN) asserts, “Nursing’s professional lens has always encompassed a cost-effective approach to healthcare without sacrificing quality (American Association of Colleges of Nursing, 2016).”
- Leaders in nursing make it possible to adopt the art of value-based care principles within their organization. Nurse leaders can help improve the health of the whole population by giving their staff the tools they need to help their patients live healthier lives and provide an adequate balance to the social determinants of health. VBC creates better patient care and feedback, creates better patient outcomes, provides real-timed data that is available 24/7 and creates better collaboration between patients and providers.
- There are strategies for adding value-based nursing care, is a bit-by-bit or step-by-step procedure. Nurse leaders need to make sure their team is ready to implement value-based nursing care.
- Review the department teams – is the whole department aware of how the change is going to work? Include all of the ancillary staff: service lines, case management, staffing operations etc. Provide constructive criticism to improve the change (Li et al., 2020).
- Review the system and how it will fit in with VBC – Does your team meet the requirements for reaching VBC goals? Look at how this new structure will affect the organization (Li et al., 2020).
- Provide an education on VBC – Ensure that all healthcare providers are aware of needs that are to be met for VBC and make sure they know the benefits of the program (Li et al., 2020).
- Develop obtainable wins - In order to meet the requirements of VBC, you must be able to show that each of your quality indicators are linked to better health outcomes. Think about checking the boxes and celebrate each success (Li et al., 2020).
- Update electronic health records program – the VBC process involves systems communicating with one another, make sure the organization has an updated system to track data and that it has adequate fire walls to prevent hacking (Li et al., 2020).
- Ensure staffing is adequate – to meet the needs of VBC there needs to be enough staff to go around. The staffing ratios are different with VBC than FFS (Li et al., 2020).
- Always plan ahead – there is always room for improvement always be one step ahead. Make sure to meet the criteria for changes that is always occurring in healthcare (Li et al., 2020).
- There are several basic parts of VBC that have been acknowledged. These include accessibility, adaptability, cooperative and participatory leadership, governance, inclusiveness, person-focused, privacy, scientific integrity, transparency, and value in healthcare (Menear et al., 2019).
- A VBC plan that uses the basic parts previously mentioned will improve patient care, and patient outcomes and help eliminate chronic disease, additionally, this will help lower healthcare costs which in turn will be given back to the community.