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Published on: June 21, 2010
The current state of nursing performance measurement, public reporting, and value-based purchasing
Ellen T Kurtzman1, Ellen M Dawson, Jean E Johnson
1Department of Nursing Education, The George Washington University, NW, Washington, DC 20037, USA. hspetk@gwumc.edu
Nurses are crucial for healthcare quality but are underrepresented in policy-making. This analysis examines nursing performance measurement and value-based purchasing trends to inform future healthcare policy.
Area of Science:
- Healthcare Policy
- Nursing Quality Improvement
- Health Services Research
Background:
- Significant investment in healthcare accountability through performance measurement, public reporting, and value-based purchasing.
- Nurses are the largest healthcare workforce segment, vital for patient safety and outcomes.
- Nurses have been largely excluded from policy-setting roles in healthcare quality initiatives.
Purpose of the Study:
- Analyze current nursing performance measurement and public reporting initiatives.
- Summarize emerging trends in value-based purchasing for nursing.
- Identify key issues for future nursing quality policy development.
Main Methods:
- Review of national policies on healthcare performance measurement and public reporting.
- Analysis of value-based purchasing trends with a focus on the United States.
- Synthesis of relevant issues for advancing nursing quality.
Main Results:
- Current nursing performance measurement and public reporting initiatives are analyzed.
- Emerging trends in value-based purchasing impacting nursing are summarized.
- Key policy issues for enhancing nursing quality are identified.
Conclusions:
- Nursing's significant role in healthcare quality necessitates greater involvement in policy setting.
- Addressing performance measurement, public reporting, and value-based purchasing is crucial for nursing.
- Future policy should prioritize nursing leadership in quality improvement initiatives.
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