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The HackensackUMC Value-Based Care Model: Building Essentials for Value-Based Purchasing
Claudia Douglas1, Dianne Aroh, Joan Colella
1Hackensack University Medical Center, Institute for Evidence-Based Practice and Nursing Research (Dr Douglas), Patient Care Services (HackensackUMC), Hackensack, New Jersey (Ms Aroh and Drs Colella and Quadri).
Nursing Administration Quarterly
|December 5, 2015
Summary
The HackensackUMC Value-Based Care Model was developed to improve healthcare quality and reduce costs. This model successfully lowered expenses for the patient sitter program, aligning with value-based purchasing goals.
Area of Science:
- Healthcare Management
- Health Economics
- Quality Improvement
Background:
- The Affordable Care Act (ACA) of 2010 mandated a shift from fee-for-service to value-based reimbursement.
- Healthcare organizations face pressure to enhance quality, reduce costs, and improve patient satisfaction.
Purpose of the Study:
- To introduce the HackensackUMC Value-Based Care Model.
- To demonstrate the model's application in reducing patient sitter program costs.
Main Methods:
- Development of a novel value-based care framework.
- Implementation of the model within a healthcare organization.
- Analysis of cost data for the patient sitter program.
Main Results:
- The HackensackUMC Value-Based Care Model was successfully established.
- Significant cost reductions were achieved in the patient sitter program.
Conclusions:
- The developed value-based care model effectively supports the triple aims of healthcare reform.
- The model offers a scalable approach for improving healthcare efficiency and patient outcomes.