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

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. |
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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 |
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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) |
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Summarizes what was learned from the lesson, readings, and other student posts for the week. |
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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 |
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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. |