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An Example of Translating Value-Based Purchasing Into Value-Based Care.

Dianne Aroh, Joan Colella, Claudia Douglas

    Urologic Nursing
    |July 23, 2015
    PubMed
    Summary
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    The Affordable Care Act

    Area of Science:

    • Health Policy
    • Healthcare Management
    • Nursing Leadership

    Background:

    • The Affordable Care Act (ACA) established Medicare Value-Based Purchasing (VBP) to ensure accountability for high-quality, cost-effective care.
    • The Centers for Medicare and Medicaid Services (CMS) defined quality measures aligned with national strategic objectives.
    • Initial VBP quality measures focused on Clinical Process and Patient Experience of Care.

    Purpose of the Study:

    • To explore the role of nursing in VBP initiatives.
    • To examine the potential for innovative care delivery models within VBP.
    • To highlight the shift towards preventative and population-focused care.

    Main Methods:

    • Analysis of the ACA's VBP framework.
    • Review of CMS quality measure specifications.

    Related Experiment Videos

  • Synthesis of literature on nursing's role in VBP and healthcare transformation.

    • Main Results:

    • VBP provides a platform for healthcare buyers to hold providers accountable.
    • Quality measures are expanding to include care models and community-based health promotion.
    • Nursing is positioned to lead the development of innovative, cost-effective care models.

    Conclusions:

    • Value-based purchasing empowers nursing to drive quality improvement and cost reduction.
    • Nursing can lead the transition from sick care to population-focused, preventative health.
    • Innovative care models are essential for achieving VBP goals and promoting wellness.