Value-Based Healthcare Essay – NUR-514 Topic 1 Discussion Question 1

Value-Based Healthcare Essay – NUR-514 Topic 1 Discussion Question 1

Explore the evolution of the U.S. healthcare system and its transition to value-based healthcare. Analyze the impact of this shift on care delivery and the roles and responsibilities of advanced registered nurses. Predict the key emerging trends in healthcare delivery and how advanced registered nurses will shape the future of healthcare.

Value-Based Healthcare Essay – NUR-514 Topic 1 Discussion Question 1 – Sample 1

The healthcare industry has undergone significant changes in recent years, with a notable shift from volume-based care to value-based care. In the past, healthcare providers were compensated based on the volume of services they delivered to patients, irrespective of the quality or outcomes of care. However, the emergence of value-based care has transformed this approach. Value-based care places a strong emphasis on improving the quality of healthcare services provided to patients while controlling costs.

According to a Nurse Leader article by Huffman (2021), value-based care is now a permanent fixture in the healthcare landscape, and nursing professionals must play a pivotal role in driving this change. Nurse leaders are poised to become the future leaders of the healthcare industry because they possess the necessary skills and knowledge related to CMS reimbursement. Unlike volume-based care, which prioritizes cost reduction and profit maximization, value-based care holds healthcare providers accountable for delivering high-quality care to their patients. This shift benefits patients by improving health outcomes while reducing costs, leading to higher patient satisfaction rates and increased care efficiency for providers. The entire society benefits from better overall health and reduced healthcare expenditures, as indicated in the NEJM Catalyst article titled “What is Value-Based Healthcare?” (2017).

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Value-based care has introduced positive changes in nurses’ work environments, resulting in fewer patients being assigned to nurses during each shift (Brooks, 2020). Moreover, advanced practice nurses have played a crucial role in enhancing patient education and understanding of diseases and preventive measures. They have contributed to better patient management, improved health outcomes, and reduced risky health behaviors (Bergh et al., 2015). In healthcare facilities, nurse educators and navigators offer patient education and guidance, leading to increased patient preparedness and knowledge regarding their procedures and health conditions. This proactive approach has led to reduced hospital stays and fewer readmissions, as patients are better equipped to care for themselves.

References:

Bergh, A., Friberg, F., Persson, E., & Dahlborg-Lyckhage, E. (2015). Registered nurses’ patient education in everyday primary care practice. Global Qualitative Nursing Research, 2, 2333393615599168. https://doi.org/10.1177/2333393615599168

Brooks, A. (2020, February 10). What impact does value-based care have on nurses? Rasmussen University. Retrieved April 1, 2023, from https://www.rasmussen.edu/degrees/nursing/blog/value-based-care-nursing/

Huffman, M. (2021). Value-based care. Nurse Leader, 19(1), 82-86. https://doi.org/10.1016/j.mnl.2020.07.014

NEJM Catalyst. (2017, January 1). What is value-based healthcare? NEJM Catalyst – Practical Innovations in Health Care Delivery. Retrieved April 1, 2023, from https://catalyst.nejm.org/doi/full/10.1056/CAT.17.0558

Value-Based Healthcare Essay – NUR-514 Topic 1 Discussion Question 1 – Sample 2

Value-based healthcare emerged as a concept in 1967 and was initially developed by the American Academy of Pediatrics (DeCoudres, 2022). Over time, the definition of value-based healthcare has evolved, and it is now described as the measurement of improvement in patient outcomes in relation to the cost of achieving those improvements (Teisberg et al., 2019). In essence, it focuses on delivering higher-quality care while optimizing costs.

Value-based healthcare is centered around patient-defined value, emphasizing patient populations’ needs and achieving patient-centered care. This transition represents a departure from viewing healthcare purely as a business (Putera, 2017). The shift from volume-based care, which primarily prioritized profit margins and cost-cutting, to value-based care signifies a significant change in the healthcare industry.

As we enter 2023, three years post-pandemic, several emerging healthcare trends are noteworthy. These trends include the increased use of telehealth for chronic disease management, rising healthcare costs, ongoing staffing shortages, and the anticipated end of the COVID-19 public health emergency in the summer (Mensik, 2023). These trends will undoubtedly impact nursing practice in various ways. Nurses will need to adapt to new technologies to facilitate telehealth medicine, find solutions to manage escalating costs, and engage in discussions with management to address staffing shortages that have become a nationwide concern.

Advanced registered nurses have a crucial role in influencing these changes. They can become leaders in the nursing community and within their organizations, conducting research to identify best practices and enhance the quality of care. Additionally, their involvement in public health initiatives can help shape the future of healthcare positively.

References:

DeCoudres, N. (2022, December 14). What is the history of value-based care? Arcadia. from https://arcadia.io/resources/what-is-the-history-of-value-based-care.

Mensik, H. (2023, February 8). Top healthcare trends of 2023. Healthcare Dive. https://www.healthcaredive.com/news/top-healthcare-trends-2023/642270/.

Putera, I. (2017). Redefining health: Implication for value-based healthcare reform. Cureus, 1–11. https://doi.org/10.7759/cureus.1067.

Teisberg, E., Wallace, S., & O’Hara, S. (2019). Defining and implementing value-based health care. Academic Medicine, 95(5), 682–685. https://doi.org/10.1097/acm.0000000000003122 Value-Based Healthcare Essay – NUR-514 Topic 1 Discussion Question 1.