How the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurs

How the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurs

Topic 1 DQ 1

The shift to value-based healthcare has become a prominent part of effective care delivery and affects the roles and responsibilities of advanced practice registered nurses (APRNs). Value-based healthcare is a delivery model that focuses on healthcare provider’s enhancing quality patient outcomes as opposed to having many patients so that they can get reimbursement from the Centers for Medicare and Medicaid Services (CMS) (Lowe, 2018). The model replaces the common fee-for-service where a provider’s reimbursement is based on the amount of healthcare service they offer or deliver. A primary goal of value-based healthcare is to contain the cost of care through elimination of certain expenses and focusing on patient’s illness and injuries. The model also promotes fast and full recovery from diseases as ways of readmissions and chronic conditions that lead to increased costs (Comunale et al., 2021). These aspects have significant impact on the roles and responsibilities of APRNs, especially nurse practitioners who are primary care providers and play a huge role in prevention of hospital admission through diagnosis, treatment and management of acute and chronic diseases in outpatient settings. These changes imply that the nurse practitioners should focus on value care as opposed to quantity to enhance patient satisfaction, reduce overall costs, and improve outcomes. NPs in primary care facilities can reduce hospitalizations, medical tests and processes to enhance patient health and health care costs.

The trends that will continue to define care delivery include shift to value-based models and increased demand for nurse practitioners

How the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurs

How the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurs

as primary care providers. Patient satisfaction will also affect the reimbursement as they will remain the key customers for NPs (Comunale et al., 2021). The NPs will continue to impact patient satisfaction through effective reimbursement and improvements leading to a demand in their services across the healthcare continuum. NPs will shift to patient-centered care as their roles expand and become primary care providers. how the shift to value-based health care has impacted delivery of care

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References

Comunale, M. J., Lerch, W., & Reynolds, B. (2021). Integrating Advanced Practice Providers

into value based care strategies: One organization’s journey to achieve success through inter-professional collaboration. Journal of Inter-Professional Education & Practice, 22, 100384. https://doi.org/10.1016/j.xjep.2020.100384

Lowe, G. (2018). Value-Based Healthcare. The Journal of Nurse Practitioners, 14(3): 210. DOI:

https://doi.org/10.1016/j.nurpra.2018.02.012

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.