Value Driven Health Care Essay

Decent Essays
Module 2.1
Impact of Value Driven Health Care

Unlike the traditional fee-for-service model which paid providers for the volume and complexity of care provided or the lump-sum model which paid based on a disease process and the given set of services expected, value driven health care follows a pay-for-performance system. Pay-for-performance covers a group of policies designed to promote improvement in quality, effectiveness and the overall value of healthcare. This is done through provision of incentives or bonuses, if you will, for meeting or exceeding mandated quality and performance measures (James, 2012). As the largest providers of health care in the United States, nurses are the drivers of that quality. For example, in my own role as director of a home health agency, I know there is huge drive to decrease the number of hospital readmissions in our patient population. This is due in part to the focus measures and data collection required and reported by CMS to include 30 and 60 days re-hospitalization rates (Centers for Medicare and Medicaid, 2017). Education programs have been implemented which focus on patients with diagnoses of heart failure, COPD, pneumonia, myocardial infarction and HTN. The education programs strive to instruct patients and caregivers on the
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This links back to value based healthcare through publicly reported HHCAHPS, essentially patient satisfaction scores and quality based STARS reporting focusing on quality measures for home health as deemed by CMS. As stated by Rosanne Raso in “Patient Experience and Healthy Practice Environments”, quality outcomes for patients directly links to employee satisfaction and engagement (2016, p.
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