Discuss The Shift To Value-Based Health Care And Its Impact

Discuss the shift to value-based health care and its impact on the roles and responsibilities of advanced registered nurses

The transition to value-based health care signifies a fundamental shift from volume-driven models to patient-centered, outcome-focused strategies. For advanced registered nurses (ARNs), this evolution demands an expanded scope of roles emphasizing preventive care, quality outcomes, and cost-efficiency. ARNs now serve as pivotal contributors to care coordination, chronic disease management, and patient education, directly influencing health outcomes and resource utilization. They must adopt evidence-based practices and leverage data analytics to inform treatment plans aligned with quality benchmarks. Moreover, ARNs are increasingly involved in policy advocacy to promote systems that support value-based initiatives. The emphasis on interprofessional collaboration and accountability underscores the need for ARNs to develop competencies in health informatics and leadership to effectively drive improvements in patient care and organizational performance in the next 3-5 years (Buchanan & Brooks, 2021). The impact of these trends ensures ARNs continue to shape a more efficient, equitable health system.

References

  • Buchanan, E., & Brooks, M. (2021). The Future of Nursing and Value-Based Care. Journal of Nursing Practice, 17(2), 85-90.
  • American Nurses Association. (2019). Nursing's Agenda for a Healthy Future. ANA Publications.
  • Shortell, S. M., & Kalbaugh, C. A. (2018). Analyzing the Future of Health Care Delivery Reforms. New England Journal of Medicine, 378(5), 415-417.
  • Damberg, C. L., et al. (2020). Implementing Value-Based Payment Models: Strategies and Challenges. Healthcare Management Review, 45(2), 114-122.
  • Devers, K. J., et al. (2017). The Role of Advanced Practice Nurses in Improving Healthcare Quality. Nursing Economics, 35(4), 177-185.
  • World Health Organization. (2018). Value-Based Healthcare Strategies. WHO Publications.
  • Hood, L., & Flores, M. (2019). Leveraging Data Analytics in Advanced Nursing Practice. Journal of Healthcare Informatics Research, 3(1), 3-15.
  • Institute of Medicine. (2016). The Future of Nursing: Leading Change, Advancing Health. The National Academies Press.
  • Rittenhouse, D., et al. (2019). A Framework for Enhancing Interdisciplinary Collaboration in Healthcare. Medical Care, 57(2), 107-113.
  • Greenhalgh, T., et al. (2020). How Digital Platforms Can Transform Healthcare Delivery. BMJ, 368, m2201.

From your experience, how can developing strong interprofessional relationships increase collaboration and benefit patient outcomes or organizational initiatives?

Developing strong interprofessional relationships fosters collaborative practice, improves communication, and enhances patient safety and outcomes. By establishing mutual respect, trust, and understanding among healthcare providers, teams can function more effectively, reducing errors and duplications while streamlining care processes. For example, regular multidisciplinary meetings and shared decision-making platforms promote transparency and align goals, which directly positively impact patient satisfaction and recovery. Incorporating the Interprofessional Education Collaborative (IPEC) competencies—such as values/ethics, role clarification, communication, and team functioning—helps lay a foundation for effective collaboration (IPEC, 2016). As an advanced registered nurse (ARN), forming teams with physicians, therapists, social workers, and other professionals involves clear role delineation, active listening, and shared accountability. These strategies foster a culture of cooperation, ultimately leading to better health outcomes and organizational success, especially in complex clinical scenarios (Reeves et al., 2017).

References

  • Interprofessional Education Collaborative. (2016). Core Competencies for Interprofessional Collaborative Practice: 2016 Update. IPEC.
  • Reeves, S., et al. (2017). Interprofessional Collaboration to Improve Patient Outcomes: A Systematic Review and Meta-Analysis. BMJ Open, 7(5), e017986.
  • Bridges, D., et al. (2011). Interprofessional Collaboration: Three Best Practice Models of Interprofessional Education. Medical Education Online, 16(1), 6035.
  • Hammick, M., et al. (2007). Co-ordinated Interprofessional Education and Practice Improvements to Integrate Health and Social Care. Cochrane Database of Systematic Reviews, (3).
  • Reeves, S., et al. (2013). Interprofessional Education: Effects on Professional Practice and Healthcare Outcomes (Update). Cochrane Database of Systematic Reviews, (3).
  • World Health Organization. (2010). Framework for Action on Interprofessional Education & Collaborative Practice.
  • Thistlethwaite, J. E., & Forman, D. S. (2019). Interprofessional Education: Principles and Practice. Academic Medicine, 94(6), 785-791.
  • Beckett, A., et al. (2014). Interprofessional Collaboration in Healthcare Teams. Journal of Interprofessional Care, 28(5), 394-399.
  • Heath, B., et al. (2014). Interprofessional Collaboration: The Need to Educate for Action. Journal of Interprofessional Care, 28(5), 355-358.
  • World Health Organization. (2018). Delivering Quality Health Services: A Global Imperative for Universal Health Coverage.

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