In Healthcare Sector Knowledge & Competency Among Providers Are Necessary Discussion

please answer to each DQ respond with 150-200 words each

DQ1 response: 150-200 words respond

Seenamol Samuel

The healthcare delivery outcomes determine multiple factors of Value-Based Care (VBC): quality, effectiveness, patient and provider satisfaction, safety, and cost control(Ncanep, 2019). For high-quality care, healthcare providers’ knowledge and competencies are essential. Healthcare professionals should practice their full extent of knowledge and skill for more benefits toward the patient. Some state healthcare professionals have certain restrictions, so they cannot provide the full scope of practice, preventing them from achieving their maximum goal. VBC emphasizes wellness, healthy lifestyles and provides propper interventions for patients’ basic needs. According to The Future of Nursing by the Robert Wood Johnson Foundation, APRNs should practice their full extent of knowledge and training to reduce the current primary care system load and reduce waiting for healthcare providers to see the public (Promoting nursing leadership in the transition to value-based Care). The health care system is growing, which produces more needs for healthcare professionals. So APRNs are highly influencing the direction of care to meet the healthcare field gap. APRNs can reduce the patient’s accessible healthcare problems and cost, assist in early intervention, and provide treatment to promote quality of life. With higher knowledge, APRNs in different settings can modify outdated policies and protocols to perform evidence-based practices on patients, which yields better outcomes. The major trend in healthcare delivery is the technological progression that contributed to shifting in patient-centered healthcare delivery (How the healthcare industry will change ).

Nacnep, H. B. (2019). Promoting nursing leadership in the transition to value-based Care [PDF]. https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/nursing/reports/2019-fifteenthreport.pdf

How the healthcare industry will change | george washington university. (2019, March 6). George Washington University. https://healthcaremba.gwu.edu/blog/how-we-can-expect-the-healthcare-industry-to-change-in-the-future/

Nurses take on new and expanded roles in health care. (2015, January 20). RWJF. Retrieved December 31, 2020, from https://www.rwjf.org/en/library/articles-and-news/2015/01/nurses-l

DQ1 response with 150-200 words

Mirinda Stokes

Value based health care programs are programs that incentivize providers with payments for giving Medicare patients great care. Some benefits of this program are decreased costs and improved care for patients. The goal of this program is to increase quality versus quantity of health care services. Some of the programs include Hospital Readmission Reduction Program (HRRP), and Hospital Acquired Conditions (HAC) Reduction Program (Centers for Medicare & Medicaid Services, 2020). Outcomes are decided with the payer and not the provider. Providers must assure their skills and services are up to par to receive an incentive and can assure this occurs by using evidence-based practices in their routine care that can be measured (Swigert & Wright, 2020). This model will impact the advanced registered nurse because in some states advanced nurses are not under the direction of a physician, therefore if there is a history of poor care, they will have a decline in patients and finances. This program forces advanced nurses to step their game up to act in their full capacity. In the next 3-5 years the expansion of advanced nurses acting as their own “boss” I think will expand, and advanced nurses will be able to stand on their own two feet and act as their own entity. More patients may opt to see advanced nurses and not physicians. Advanced nurses will need to stay on top of the latest health care trends and research. This will highly influence advanced nurses in health care to lead the way for undergraduate level nurses to expand their horizons and continue to climb their clinical ladder. Physicians may realize they now have to compete in a world of other physicians, but also advanced nurses who are used to giving that 1:1 care to patients.

Centers for Medicare & Medicaid Services. (2020). What are the Value-Based Programs? CMS’ Value-Based Programs | CMS

Swigert, N.B., & Wright, A. (2020). Value-Based Health Care: Adjusting Speech-Language Pathology Practice to Fit the Model. Perspectives of the ASHA Special Interest Groups, 5(6), 1598-1602. https://doi-org.lopes.idm.oclc.org/10.1044/2020_PE…

DQ 1 response with 150-200 words

Loretta Castanon

The National Advisory Council on Nurse Education and Practice (NACNEP) has made recommendations to increase nurses’ capability to lead the transformation of the health care system to value-based care (NACNEP, 2019). These recommendations include:

Recommendation 1: The Secretary will promote value-based care through funding of demonstration projects that study cost, access, and quality outcomes of nurse-led interdisciplinary teams.

Recommendation 2: The Secretary will promote value-based care through partnerships between community health centers and academia where APRNs have and do not have full practice authority, with the intent of collecting data showing the identified benefits and outcomes (patient, cost, access, quality).

Recommendation 3: Congress should fund academic and practice initiatives that advance the development of undergraduate & graduate nurse competencies associated with improved population health outcomes (e.g., case management, care coordination, utilization management, team-based care, and understanding of health care finance) and how they impact value-based care.

Recommendation 4: HHS should advance value-based care through funding of educational and training initiatives in the areas of population health, data analytics, informatics, and connected care (e.g., telehealth) to address the needs of rural and underserved communities.

In this report, the discussion of allowing advanced registered nurses to practice to the fullest extent within their scope of practice was discussed. I agree that allowing advanced registered nurses to practice nursing to their fullest extent does lower health care costs and removes the barriers of having limited access to a provider, especially in rural areas. I believe since the current COVID-19 pandemic, the use of telehealth was more commonly utilized. The telehealth trend can provide both positive and negative effects on nursing practice. A positive effect will be the safety of interviewing, assessing, determining and possibly treating patients via a phone or video call while reducing the risk of infection. But those that do not have access to a computer, or internet or are not tech savvy are negatively impacted. Since these individuals do not have access to a telehealth appointment, what kind of health care options do they have? Will they be able to see a healthcare provider only when ill? I think about primary, secondary and even tertiary interventions. Stay safe.

National Advisory Council on Nurse Education and Practice (NACNEP). 2019. Fifteenth report to the secretary of Health and Human Services and the U. S. Congress. Retrieved from https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/nursing/reports/2019-fifteenthreport.pdf