D026 Quality Outcomes in a Culture of Value-Based Nursing Care

ORDER NOW

Similarly, a lack of a Health Information System-HIS with the capacity to collect, analyze and report value metrics and key performance indicators that link nursing care services to patient outcomes is  a serious shortcoming as far as the implementation of VBC is concerned.

The reason is that the facility cannot evaluate the performance of its employees or patient outcomes without an effective HIS system that collects, tracks, and analyze performance. An effective HIS system link nursing care services to patient outcomes without which, a facility cannot obtain useful information relating to gauge its performance in terms of patient outcomes.

(B).Recommendations For Five Action Items That Must Occur Prior To Implementing VBC

1.Organizational Structure

A healthcare facility must first put in place an effective organizational culture before implementing a Value Based Care system. The structure chosen will see a shift away from the ‘free-for-service’ structure and adopt a business model characterized by affordable costs and better results/outcomes. The leadership of healthcare facilities must show commitment to establishing relevant structures that support and align with the adopted VBC to the organization’s core values, vision, and strategy.

2. Employee Engagement

Before adopting a VBC, a healthcare facility must prepare the employees for the impending changes. To begin with, the preparation of employees must go beyond alerting or informing them about the impending change (Parent & Lovelace, 2018). An organization must train or retrain its employees so that they have knowledge and skills that prepares them for the intended organizational changes (Al-Ali et al., 2017).

For example, employees must be made aware of the company expectations and the metrics that they have to achieve in the new system. This way, the employees have the time to embrace impending changes while fully prepared for it.

3.Effective Leadership and leadership support

The implementation of a VBC program requires strong leadership to sail through. Firstly, the leaders of a healthcare facility must embrace the changes and commit to seeing them through. Commitment on the part of the leaders is essential because it provides direction to the rest of the organization on the seriousness of the organization in implementing change (Schell, 2019). If the organization’s leaders are not committed to implementing the VBC, it will not succeed.

4.Resources and Time

An impact analysis must be done before the implementation of the VBC program to assess, among other things, the readiness of the organization and its employees to adopt the new changes. An impact analysis will also reveal the probability of success or failure. Using an impact assessment plan, the business can evaluate if the implementation of the changes is likely to succeed or not (Pomare et al, 2019).

At the same time, the organization must commit adequate resources in terms of personnel, time, and finances in undertaking the change. Without these resources, the likelihood of failure in the implementation of the VBI is high.

5.Sustainment

The commitment of the organization to support the VBC program even after its implementation is critical. The organization must continue to use the improvement process in tracking, evaluating, and measuring progresses (Napier, Amborski & Pesek, 2017). Similarly, an organization must continue to review its policies, culture, and values to improve its performance and patient outcomes, not just for the short term, but for the long term.

Task

Timeline/days

Due Date