Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse NUR 514

Sample Answer for Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse NUR 514 Included After Question

The United States health system has undergone different changes influenced by evolution. This is a form of remodeling from a tertiary to primary care system, and an example relates to the shift to a value-based health system. This shift has impacted the delivery, roles, and responsibilities of advanced registered nurses. This is based on some of the roles and responsibilities that the leaders conduct. Value-based Healthcare system model has eradicated fees for services within the health service that require payment for services provided to the patients and meeting of outcomes (Francavilla, 2019). Advanced registered nurses have been regularly influenced to provide sufficient care through working on responsibility and offering quality care while associating with the value-based health system. The impact has been evident due to the increased need for education and appropriate health management to support promotion.

Different trends in the healthcare delivery system will affect nursing practice and how advanced the registered nurses take part in addressing and influencing the direction of health. Examples of trends are the development of policies that impact the nursing practice and influence measures that advanced registered nurses influence the direction of health. It can be related to introducing policies supporting activities such as advocacy and providing quality care. The policies influence how registered nurses may support by providing direction in practice to meet the needs and make effective decisions. Direction on health care may be influenced when addressing specific patient issues. In this case, it is vital to introduce new changes related to healthcare delivery. Contributions within the practice can be achieved by handling the issues of patients directly, while the registered nurses have to understand the direction followed through the provision of services (Stalter & Mota, 2018). Another major trend in current healthcare delivery is information technology, which emphasizes benefiting members through providing care.

References

Francavilla, C. (2019). Understanding the Impact of Care Delivery Models in Value-Based Payment. MEDSURG Nursing, 28(5), 331-338.

Stalter, A., and Mota, A., (2018). Using systems thinking to envision quality and safety in healthcare. Nursing Management. 49(2), p 32-39. doi: 10.1097/01.NUMA.0000529925. 66375.d0

Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse NUR 514

Topic 1 DQ 1

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.

A Sample Answer For the Assignment: Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse NUR 514

Title: Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse NUR 514

REPLY TO DISCUSSION

Contemporary Health Care Structure

Discuss the relationship among structure, profession, practice, and the individual in ways that reflect contemporary health care structure.

How does this look different for nurses, educated at the level of an advanced practice registered nurse (APRN) – (Certified Nurse Midwife, Clinical Nurse Specialist, Certified Registered Nurse Anesthetist, or Nurse Practitioner) compared to nurses, educated at the level of an advanced registered nurse (APN)

Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse NUR 514

– (Educator, Public Health, Informatics, Leadership, or Administration)?

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The contemporary healthcare structure focuses on patient-centeredness. It also focuses on career fulfillment and advancement for all practitioners. According to Bradley et al. (2018), contemporary healthcare further recognizes that disease and wellness co-exist. Thus, health is considered a dynamic quality state where the mind, body, and spirit are fully functional. The profession and all participants aim at enhancing patients’ versatile roles. Souliotis (2016) highlights that the current healthcare definition recognizes patients’ efforts and contributions toward their wellness. By engaging in decision-making, patients exercise their autonomous right by demanding high-quality and satisfactory services. Advanced practice registered nurses provide patient-centered direct services to enhance patient wellness. They offer direct and specialized healthcare services. Upholding patient-centeredness for patients means that APRNs offer culturally-competent care.

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Practice for educators, public health professionals, informatics leaders, and administrators focus on offering support for patients and other nurses. Educators ensure that all stakeholders have crucial knowledge for treatment procedures. Dumit (2017) states that with the current technological advances and policy reforms, continuing education is crucial for practitioners. Informaticists ensure competence with the technology used to support patient care. On the other hand, leaders and administrators set and implement policies that guide nurse practitioners in offering the best care and having fulfilling careers.

However, irrespective of the differences in practice structures of the two categories, the patient is at the center of practice in all cases. The central theme is life fullness and wellness. The health issue is observational and focuses on the individual (Bradley et al., 2018). Even with chronic illnesses, individuals can still be healthy, and nurses are satisfied with their role and contributions to societal wellness. With the contemporary system, all healthcare stakeholders are open to learning and having new experiences.

References

Bradley, K. L., Goetz, T., & Viswanathan, S. (2018). Toward a contemporary definition of health. Military medicine, 183(suppl_3), -207.

Dumit, N. (2017). Role of the nurse as educator: Patient teaching. Revue de Rescherche Scientifique de L’UniversitéAntonine, 6, 61-69.

Souliotis, K. (2016). Patient participation in contemporary health care: promoting a versatile patient role. Health Expectations: an International Journal of Public Participation in Health Care and Health Policy, 19(2), 175.

Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse NUR 514

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The healthcare delivery structure is influenced by political climate, economic development, technology, social and cultural values, environment, demographics, and global influences. The US healthcare delivery system has shifted it’s focus from illness to wellness, acute to primary care, individual to community well-being, fragmented to managed care, independent to integrated systems, and from duplication to a continuum of services. These trends were driven by the goal of promoting health while reducing the cost of healthcare. Thus midlevel health professionals and health coaches complement medical professionals to improve the effectiveness and efficiency of care. Physicians, advanced practice nurses, therapist, and other healthcare professionals may understand their own clinical role but not the forces outside their profession which may significantly affect current and future clinical practice, thus the promotion of interprofessional education and collaboration. (DeNisco, 2021)

Advanced practice registered nurses such as nurse practitioner, clinical nurse specialist, nurse midwife, and nurse anesthetist are seeking to expand their scope of practice to be independent practitioners, with regulatory requirements and without direct supervision. Advanced nurse practitioners such as clinical nurse leaders and educators seek to better evaluate the implications of healthcare policies, and understand relevant issues and how they link to healthcare delivery services.

References:

DeNisco, S. (Ed). (2021). Advanced practice nursing: Essential knowledge for the profession (4th Ed.). Jones and Bartlett Learning

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Welcome to 514!

Please ensure you are reading ALL the announcements posted throughout the week. They will provide vital classroom policies, grading policies, and GCU policies.

All assignments in this course will need to be handed in as only 1 (one) file. The system will pull the last assignment posted to the drop box for grading. If you have multiple files, only the last one uploaded will be graded. It is the student’s responsibility to ensure the assignment is a “final submit.” There are no “re-dos” of assignments.

Please ensure you are reading the announcements posted throughout the week. They will provide vital classroom policies, grading policies, and GCU policies.

Please use the Forum: Class Questions for questions in which the entire course could benefit from. Or use the Messages (top of Halo webpage in purple banner) for one on one communication with any personal communication needed.

The announcement section has all of the essential information for the first week and course as well as references for the American Psychological Association (APA) Publication Manual (2020). Please use the current APA (2020) formatting for references.

Again, Welcome!

~ Dr. Hartje

Marie Cherise

Nov 13, 2022, 6:28 PM

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In just the past two years the United states healthcare system along with many healthcare systems all over the world have shifted and evolved overnight as a direct result of the COVID-19 pandemic. as a nation we came through to the realization that our healthcare system it’s still very vulnerable despite all of the strides made in technology medical technology and advancements in patient care, disease prevention and treatment. The pandemic also highlighted many of the public health issues that many Americans face. Our healthcare system was revealed to have poor patient care outcomes in addition to the revelation of just how sick many Americans are. Our health care system is in desperate need of revamping in regards to how we treat patients and their illnesses and improving their health outcomes. Many Americans are suffering with chronic health issues that are fueling hospital costs and in some cases draining our healthcare resources and creating longer wait times in emergency rooms. The COVID-19 pandemic showed just how vulnerable our healthcare system is and expose many of its weaknesses as well. There has been a shift to improving patient health outcomes by focusing on more holistic approaches and the patient as a whole. In addition to that there has been a push since the Affordable Care Act to implement more value based healthcare initiatives. “Value-based healthcare is a healthcare delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes” (NEJM Catalyst, 2017). The value based healthcare model is now pushing for better outcomes an efficient and effective care for patients. The value based healthcare model is striving to have patients spend less money to achieve better health provide efficiency and greater patient satisfaction put the control of cost back into the pairs slash patients hands reduce recidivism rates for suppliers to align their prices with patients outcomes and overall improving the societies health (NEJM, 2017). advanced nurses will be on the front lines in working with communities and patients to improve upon their health outcomes by also reinforcing health education, guiding people to health care resources, going into communities that are vulnerable and lack healthcare resources, helping people find resources for disease prevention and treatment as well as developing strong reports and visibility within communities especially those that are experiencing poverty and hospital and clinic desserts.

Reference:

NEJM Catalyst. (2017). What Is Value-Based Healthcare?. https://catalyst.nejm.org/doi/full/10.1056/CAT.17.0558

Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. *(5 points possible per graded thread)*	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements *per discussion thread*	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement *per discussion thread*	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.