NUR 514 Discuss How The Shift To Value-based Health Care Has Impacted Delivery Of Care

Consider the evolution of the U.S. health care system. Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse. Project what major evolving trends in the health care delivery system will affect nursing practice and how advanced registered nurses will influence the direction of health care.

NUR 514 Discuss how the shift to value-based health care has impacted delivery of care

Health care delivery is an evolving practice that must respond to the ever-evolving needs regarding patient experience, care quality, cost-effectiveness, and safety. Health statistics reveal that health care spending increased from 5% to 17.7% of the U.S Gross Domestic Product between 1960 and 2019 without a proportional increase in health care quality (Harrill & Melon, 2021). Such gaps have necessitated value-based health care to enhance patient experience and ensure patients receive health care services that match their needs.

Characteristically, value-based health care is a payment reform to improve the quality of care. Achieved primarily through the pay-for-performance (P4P) model, value-based health care entails incentivizing health care providers depending on the quality of services (Harrill & Melon, 2021; Teisberg et al., 2020). The model characterizes a shift from the fee-for-service model, where health care providers are reimbursed based on the quantity of services rendered to patients. The shift to value-based health care has impacted the role and responsibilities of the advanced registered nurse by increasing focus on care quality. Accordingly, the advanced registered nurse must be innovative and integrate approaches that reduce medical errors and optimize safety to achieve the desired care quality.

Besides value-based health care, other evolving trends will profoundly influence the nursing practice. For instance, Snoswell et al. (2020) projected increased use of telehealth and technology-driven practices to reduce health care spending, increase access to care, and enhance efficiency. These technologies will support remote patient monitoring and facilitate the absorption of self-help kiosks to reduce staffing. Amid these evolutions, advanced registered nurses will influence the direction of health care by promoting technology use in health care delivery and leading change. The implication is that advanced registered nurses will use their knowledge and skills to ensure health care organizations embrace evolution and invest in appropriate resources to accommodate practice changes.

References

Harrill, W. C., & Melon, D. E. (2021). A field guide to US healthcare reform: The evolution to value‐based healthcare. Laryngoscope Investigative Otolaryngology, 6(3), 590-599. https://doi.org/10.1002/lio2.575

Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research, 22(10), e17298. https://doi.org/10.2196/17298

Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and implementing value-based health care: a strategic framework. Academic Medicine: Journal of the Association of American Medical Colleges, 95(5), 682–685. https://doi.org/10.1097/ACM.0000000000003122