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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

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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

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

Name:  Discussion Rubric

  Excellent

90–100

Good

80–89

Fair

70–79

Poor

0–69

Main Posting:

Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

40 (40%) – 44 (44%)

Thoroughly responds to the Discussion question(s).

Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

No less than 75% of post has exceptional depth and breadth.

Supported by at least three current credible sources.

35 (35%) – 39 (39%)

Responds to most of the Discussion question(s).

Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

50% of the post has exceptional depth and breadth.

Supported by at least three credible references.

31 (31%) – 34 (34%)

Responds to some of the Discussion question(s).

One to two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Cited with fewer than two credible references.

0 (0%) – 30 (30%)

Does not respond to the Discussion question(s).

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible references.

Main Posting:

Writing

6 (6%) – 6 (6%)

Written clearly and concisely.

Contains no grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

5 (5%) – 5 (5%)

Written concisely.

May contain one to two grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

4 (4%) – 4 (4%)

Written somewhat concisely.

May contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

0 (0%) – 3 (3%)

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Posting:

Timely and full participation

9 (9%) – 10 (10%)

Meets requirements for timely, full, and active participation.

Posts main Discussion by due date.

8 (8%) – 8 (8%)

Meets requirements for full participation.

Posts main Discussion by due date.

7 (7%) – 7 (7%)

Posts main Discussion by due date.

0 (0%) – 6 (6%)

Does not meet requirements for full participation.

Does not post main Discussion by due date.

First Response:

Post to colleague’s main post that is reflective and justified with credible sources.

9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8 (8%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting.

7 (7%) – 7 (7%)

Response is on topic and may have some depth.

0 (0%) – 6 (6%)

Response may not be on topic and lacks depth.

First Response:

Writing

6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

First Response:

Timely and full participation

5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

3 (3%) – 3 (3%)

Posts by due date.

0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.
9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8 (8%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting.

7 (7%) – 7 (7%)

Response is on topic and may have some depth.

0 (0%) – 6 (6%)

Response may not be on topic and lacks depth.

Second Response:
Writing
6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

Second Response:
Timely and full participation
5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

3 (3%) – 3 (3%)

Posts by due date.

0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Total Points: 100

Name:  Discussion Rubric

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