D026 NURS 5203 Achieving Quality Outcomes Through Value Based Nursing Care Paper Example

D026 NURS 5203 Achieving Quality Outcomes Through Value Based Nursing Care Paper Example

D026 NURS 5203 Achieving Quality Outcomes Through Value-Based Nursing Care Assignment

D026 NURS 5203 Achieving Quality Outcomes Through Value Based Nursing Care Assignment Brief

1. Assignment Instructions Overview

This assignment focuses on the role of advanced professional nurses in fostering a culture of continuous quality improvement within value-based care settings. Students will analyze various frameworks and strategies that enhance patient outcomes through system-wide healthcare improvements. The submission must align with academic integrity standards, use credible sources, and demonstrate professional communication.

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2. Understanding Assignment Objectives

The primary objective is to explore how continuous quality improvement and value-based care contribute to optimizing patient outcomes. Students will evaluate key frameworks such as the IHI Triple Aim and systematic improvement models (e.g., PDSA, Lean, Six Sigma). Additionally, the assignment will assess organizational strengths and vulnerabilities while developing solutions to improve healthcare quality and safety.

3. The Student’s Role

Students will take on the perspective of an advanced professional nurse responsible for implementing and assessing value-based care strategies. This involves:

• Identifying key components of value-based care.
• Evaluating the impact of a culture of continuous quality improvement.
• Assessing organizational vulnerabilities in patient safety and quality.
• Recommending evidence-based strategies for improving healthcare outcomes.
• Collaborating with interprofessional colleagues for successful implementation.

4. Competencies Measured

This assignment evaluates four key competencies:

• Culture of Improvement Analysis: Understanding continuous quality improvement principles and their role in enhancing patient outcomes.
• Organizational Quality Assessment: Developing systematic processes to measure and benchmark healthcare quality.
• Performance and Process Improvement Integration: Applying evidence-based methodologies to address gaps in patient safety and healthcare quality.
• Establishment of Value-Based Metrics: Identifying measurable indicators to evaluate the effectiveness of value-based care initiatives.

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D026 NURS 5203 Achieving Quality Outcomes Through Value Based Nursing Care Paper Example

Value-Based Care

Value-based care is a healthcare delivery model that prioritizes patient outcomes and cost efficiency over the volume of services provided. Unlike the traditional fee-for-service system, which compensates providers based on the quantity of care delivered, value-based care emphasizes quality and effectiveness. The three key components of value-based care include patient-centered care, integrated and coordinated care, and outcome-based reimbursement.

Patient-Centered Care

Patient-centered care is a fundamental aspect of value-based care that focuses on aligning healthcare services with patients’ preferences, needs, and values. The Institute of Medicine defines patient-centered care as care that respects and responds to individual patient needs, ensuring that patient values guide clinical decisions (Institute of Medicine, 2001). This approach involves active patient engagement, transparent communication, and shared decision-making between healthcare providers and patients. Prioritizing the patient’s perspective improves satisfaction, enhances adherence to treatment plans, and leads to better health outcomes.

Integrated and Coordinated Care

Integrated and coordinated care ensures seamless healthcare delivery across multiple providers and settings. According to the Agency for Healthcare Research and Quality (AHRQ), effective care coordination ensures that patients’ needs and preferences are communicated in a timely manner to the appropriate healthcare professionals (AHRQ, 2021). This approach helps reduce redundant tests and procedures, prevents medical errors, and ensures timely access to necessary treatments. Health information technology (HIT) plays a crucial role in facilitating communication among providers, leading to more informed decision-making and holistic patient care.

Outcome-Based Reimbursement

Outcome-based reimbursement, also known as value-based payment, aligns financial incentives with healthcare quality and efficiency. This model encourages healthcare providers to focus on delivering high-quality care by linking payment to patient health outcomes. Continuous quality improvement (CQI) initiatives within outcome-based reimbursement frameworks drive efforts to reduce medical errors, enhance treatment protocols, and adopt best practices. For instance, CQI efforts have been associated with lower hospital readmission rates, improved chronic disease management, and decreased infection rates, all of which contribute to enhanced patient care.

Culture of Continuous Quality Improvement (CQI)

A culture of CQI in healthcare organizations fosters ongoing assessment and refinement of care processes. Engaging staff in CQI initiatives improves their motivation, commitment, and job satisfaction, leading to a more efficient and collaborative work environment. According to the American Hospital Association (AHA), involving employees in quality improvement efforts enhances workforce engagement and strengthens overall organizational performance (AHA, 2020).

Plan-Do-Study-Act (PDSA) and Improving Patient Outcomes

The Plan-Do-Study-Act (PDSA) cycle is a structured framework used to implement continuous quality improvement in healthcare. It provides a methodical approach to identifying problems, testing solutions, analyzing results, and refining processes. The four phases include:

• Plan: Identify an issue and develop a strategic intervention.
• Do: Implement the intervention on a small scale and collect data.
• Study: Analyze the effectiveness of the intervention based on collected data.
• Act: Adjust, expand, or discontinue the intervention based on findings.

For example, a hospital seeking to reduce hospital-acquired infections (HAIs) could implement a hand hygiene protocol using the PDSA cycle. By continually refining the intervention based on outcome data, the hospital can enhance infection control practices and improve patient safety (Institute for Healthcare Improvement, 2021).

Value-Based Strategy Recommendation: Pediatric Asthma Protocol

To improve emergency care for pediatric asthma exacerbations, a structured asthma protocol is recommended. This protocol ensures rapid triage, nurse-driven orders based on respiratory scoring, and prompt administration of nebulized albuterol. Research supports the immediate use of albuterol in emergency settings, as it provides rapid symptom relief, reduces hospital admissions, and enhances overall patient outcomes (Travers et al., 2001).

Interprofessional Collaboration for Implementation

Successful implementation of the asthma exacerbation protocol requires collaboration among key healthcare professionals, including:

• Quality and Safety Manager: Develops and updates protocols based on evidence-based guidelines from authoritative organizations such as the Global Initiative for Asthma (GINA, 2023).
• Chief Medical Officer: Ensures protocol adherence among medical staff and supports integration within the hospital’s workflow.
• Nurse Educator: Trains emergency department staff on the new protocol, reinforcing best practices through education and competency assessments.

Evaluation of the Value-Based Care Strategy

Assessing the effectiveness of the pediatric asthma protocol involves monitoring clinical outcomes, patient satisfaction, and cost efficiency. Key evaluation metrics include:

• Clinical Outcomes: Reduction in hospital admissions, improvement in respiratory function, and decreased time to symptom relief.
• Patient and Family Satisfaction: Surveys assessing perceptions of care quality and timeliness of treatment.
• Cost-Effectiveness: Analysis of resource utilization, hospital length of stay, and overall healthcare expenditure.

A comprehensive evaluation ensures that the protocol meets its intended goals, enhances patient care, and supports the principles of value-based care.

References

Agency for Healthcare Research and Quality (AHRQ). (2021). Care coordination. Retrieved from [ahrq/ncepcr/care/coordination.html]

American Hospital Association (AHA). (2020). The importance of engaging staff in quality improvement. Retrieved from [aha/importance-engaging-staff-quality-improvement]

Global Initiative for Asthma (GINA). (2023). Global strategy for asthma management and prevention. Retrieved from [ginasthma/gina-reports/]

Institute for Healthcare Improvement (IHI). (2021). Plan-Do-Study-Act (PDSA) cycle. Retrieved from [doi/10.17226/]

Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. The National Academies Press.

Travers, A. H., Rowe, B. H., & Barker, S. J. (2001). The effectiveness of IV versus inhaled beta-agonist therapy in severe acute asthma: A randomized controlled trial. Chest, 120(4), 1040-1047.

Western Governors University. (WGU)(n.d.). Nursing programs conceptual model. Retrieved from [wgu/online-nursing-health-degrees/nursing-programs-conceptual-model]

Detailed Assessment Instructions for the D026 NURS 5203 Achieving Quality Outcomes Through Value Based Nursing Care Assignment

Heat maps

AXM2 — AXM2 TASK 1: ACHIEVING QUALITY OUTCOMES THROUGH VALUE-BASED NURSING CARE

QUALITY OUTCOMES IN A CULTURE OF VALUE-BASED NURSING CARE — D026 PRFA — AXM2

Task Overview   Submissions        Evaluation Report

COMPETENCIES

7068.1.1 : Analyze Culture of Improvement

The learner analyzes the culture of continuous quality improvement and the provision of value-based care to optimize patient outcomes using a systems-thinking analytic approach.

7068.1.2 : Develop Organizational Quality Assessment

The learner develops a systematic process that incorporates quality measures and benchmarks to assess organizational strengths and vulnerabilities.

7068.1.3 : Integrate Performance and Process Improvements

The learner integrates performance and process improvement methodologies to develop solutions for identified quality and safety gaps in the practice setting.

7068.1.4 : Establish Metrics on Value-Based Care

The learner establishes measurable metrics and processes to evaluate the effectiveness of value-based care strategies and initiatives.

INTRODUCTION

Organizational leaders in healthcare focus on and develop innovative initiatives to achieve value-based care and engage in a culture of continuous quality improvement. Interprofessional teams assess organizational readiness and develop strategies for organizations to implement value-based care.

As an advanced professional nurse in an organization, you will need to be knowledgeable about these initiatives and strategies. Relying on your experiences and knowledge gained during your CPE, you will write a paper outlining the culture of continuous quality improvement, implementation of value-based care, how to assess the effectiveness of value-based care, and how this optimizes patient outcomes. You can use the attached “AXM2 Template” to write your paper.

For this task, you will be required to utilize credible sources. It is recommended that you use the WGU Library to search for these sources.

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt)

• Describe three components of value-based care. Support your description with a credible source.

Note: Components can be any three concepts presented in the IHI Triple Aim, the six domains of healthcare quality, and value-based care frameworks.

• Discuss the culture of continuous quality improvement by doing the following:

1. 1. Describe two benefits that a culture of continuous quality improvement brings to a healthcare organization. Support your description with a credible source.
   2. Discuss how the advanced professional nurse can use two model elements from the “WGU Nursing

Programs Conceptual Model” to enhance continuous quality improvement.

Note: See the “WGU Nursing Programs Conceptual Model” in the Web Links section.

• Describe how one systematic process of quality improvement (e.g., PDSA, Lean, Six Sigma) improves patient outcomes in a healthcare organization.
• Discuss value-based care in your healthcare organization by doing the following:

Note: Do not include the name of the healthcare organization.

• Describe one quality or safety vulnerability in your healthcare organization.
• Describe one value-based care strategy the advanced professional nurse can recommend to reduce the vulnerability described in part C1. Support your description with a credible source.
• Identify three interprofessional colleagues who would contribute to the successful implementation of the value-based care strategy described in part C2.

Note: Identify the team members by their job titles. Do not include their actual names.

2. Describe how each of the three colleagues identified in part C3 will help implement the value- based care strategy described in part C2.
3. Describe an evaluation process that includes one measurable metric that an advanced professional nurse can use to assess the effectiveness of the value-based care strategy identified in part C2.

• Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
• Demonstrate professional communication in the content and presentation of your submission.

File Restrictions

 File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( ) File size limit: 200 MB

File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, csv, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z

RUBRIC

A:VALUE-BASED CARE

 B1:BENEFITS OF CONTINUOUS QUALITY IMPROVEMENT

 B2:WGU NURSING PROGRAMS CONCEPTUAL MODEL

B3:SYSTEMATIC PROCESS OF QUALITY IMPROVEMENT

 C1:QUALITY OR SAFETY VULNERABILITY

 C2:VALUE-BASED CARE STRATEGY

 

C3:INTERPROFESSIONAL  COLLEAGUES

C3A:COLLEAGUE CONTRIBUTION

 C4:EVALUATION PROCESSES

 D:SOURCES

E:PROFESSIONAL  COMMUNICATION

 WEB LINKS

WGU Nursing Programs Conceptual Model

SUPPORTING DOCUMENTS

AXM2 Template.docx

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