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action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/intelligentwr/nursingassignmentcrackers/wp-includes/functions.php on line 6114Many reimbursement models have been introduced into the healthcare system in the recent past to improve the quality, cost, and accessibility to care. However, nurse leaders have been facing challenges with the new healthcare bundled payment that was introduced to allow for coordination of care while improving the quality of care and reducing the costs (<\/span>Brooks & Williams, 2015<\/span>). The alternative payment method also requires nurse leaders and other healthcare providers to gather data of care cost and quality from across the care gamut to develop appropriate pathways of care for different episodes. Some of the top challenges encountered by nurse leaders as a result of this new payment model include achieving scale, managing uncontrollable costs and leveraging resources for post-acute care.<\/span>\u00a0<\/span><\/p>\n The healthcare bundled payment model tends to expand the healthcare providers financial accountability in creating an episode, which is far much opposed to a single procedure. Additionally, healthcare providers can only generate high profits upon providing services to a large number of patients, which will make them struggle to attain an appropriate scale of procedures for delivering quality care or condition treatment. Lastly, in the event of cultivating for post-acute care partnership in controlling care costs outside the healthcare facility walls, providers and nurse leaders have to deal with unexpected expenditure within their own patient groups or organizations (<\/span>Lichkus <\/span>et al.<\/span><\/i>, 2018<\/span>). Medical complications and adherence are central factors which might lead to expensive and adverse healthcare events. Hence healthcare providers, even under the supervision of their leaders cannot predict if the patient will adhere to the proposed care plan or encounter adverse side effect from the drugs prescribed.\u00a0<\/span>\u00a0<\/span><\/p>\n However, a clear understanding of the challenges faced by nurse leaders in implementing the healthcare bundled payment model should create an opportunity for developing appropriate strategies to overcome such challenges for substantial benefits to the providers and the patient. For instance, the issues on achieving scale can be resolved by nurse leaders making a proposition for the healthcare organization to join a health system, clinically integrated network or medical foundation so as to boost patient\u2019s volume and medical facilities at the same time. To manage uncontrolled costs (outlier costs) nurse leaders can establish care protocols such that medically complex patients can be treated while maintaining cost efficiency (<\/span>Baxter <\/span>et al.<\/span><\/i>, 2015<\/span>). Lastly, nurse leaders can overcome the challenges that result from leveraging post-acute care partnership in controlling costs by using other sources of data in identifying high-value post-acute care partners.<\/span>\u00a0<\/span><\/p>\n An excellent example of an instance that I encountered during my routine clinical rotations was the time when our leading nurse was trying to manage the healthcare cost for a patient who had breast cancer. The patient had been transferred from another hospital and came in complaining of painful lamps on her left breast. She was however afraid of the costs that might be incurred for her proper treatment, that might result in surgical removal of the painful lamp. To avoid unexpected financial risks, the nurse leader took the initiative of defining the patients bundled payment as the control of the cost of medication was not within her power. She also made it clear to the patient that sometimes, they must avoid contracting with payers especially when dealing with co-morbidities and complex surgical procedures.\u00a0<\/span>\u00a0<\/span><\/p>\n The new bundled reimbursement model had been adopted by several health care facilities. However, the model has certain challenges that nurse leaders grapple with during payments. The alternative payment method similarly demonstrates some challenges. As a consequence, nurse leaders are compelled to become innovative in order to overcome them.\u00a0<\/span>\u00a0<\/span><\/p>\n Baxter, P. E., Cleghorn, L., Elston, D., Hewko, S. J., Cummings, G. G., Pfaff, K. A., & Cunningham, B. J. (2015, August, 01). Leaders’ experiences and perceptions implementing activity-based funding and pay-for-performance hospital funding models: A systematic review. <\/span>Health Policy, 119(<\/span><\/i>8), 1096-1110.<\/span>\u00a0<\/span><\/p>\n Brooks, S., & Williams, L. (2015, January, 01). The Kindred Healthcare Model of Post-acute Care. Louisville, KY: The Kindred Healthcare.\u00a0<\/span>\u00a0<\/span><\/p>\n Lichkus, J., Wolf, C., Hynds, R., Moorer, K., Bourgoine, D., Garabedian, N., & Eamranond, P. (2018, May, 29). Effect of Implementing a Bundled-Payment Program for Heart Failure at a Safety-Net Community Hospital. <\/span>Population Health Management. <\/span><\/i>doi: 10.1089\/pop.2018.0001<\/span>\u00a0<\/span><\/p>\n Topic 4 DQ 2<\/strong><\/p>\n As an advanced practice nurse, propose strategies you can implement to increase your participation in the health care policymaking in order to support patient advocacy.<\/p>\nChallenges of Current Reimbursement Models<\/span><\/b>\u00a0<\/span><\/h2>\n
Strategies to Overcome Challenges<\/span><\/b>\u00a0<\/span><\/h2>\n
Example of an Instance<\/span><\/b>\u00a0<\/span><\/h2>\n
Conclusion<\/span><\/b>\u00a0<\/span><\/h2>\n
\u00a0<\/span>References<\/span>\u00a0<\/span><\/h2>\n
<\/h2>\n
As an advanced practice nurse, propose strategies you can implement to increase your participation in the health care policymaking in order to support patient advocacy NUR 514<\/strong><\/h2>\n