Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse. NUR 514 Topic 1 DQ 1

Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse. NUR 514 Topic 1 DQ 1

Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse.

NUR 514 Topic 1 DQ 1

Consider the evolution of the U.S. healthcare system. Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse. Project what major evolving trends in the health care delivery system will affect nursing practice and how advanced registered nurses will influence the direction of health care.

The U.S. healthcare system has evolved and continues to make the shift from disease-oriented approach to a more proactive primary care and patient-centered model where providers focus on quality and not quantity of care delivered. The system has evolved from the belief in Germ Theory of disease which advanced that diseases arose from natural phenomena like ailments and faulty environment. The main goal during this era was the reduction of the number of deaths and treat the symptoms to restore health (Constable et al., 2022). The second era entailed an increased focus on treatment of chronic conditions whose prevalence has surged today making them consume significant levels of healthcare resources. The main goal of this stage has been prolonging a disability or life of the affected individual. The phase of chronic conditions and identification of multiple risk factors is now being replaced by an era of value-based care where providers get compensated based on the level of quality care they offer to patients in diverse settings and clinical practices (Salmond & Echevarria, 2018). The value-based model entails a shift where providers focus on implementation of primary care interventions to improve the quality of care offered.

The shift to value-based care has impacted care delivery and the role and responsibilities of advanced practice registered nurses (APRNs) (Dolce et al., 2020). This means that the APRNs have increased responsibilities to offer patient education and provide specialized care based on their different areas of specialization. The shift also means that nurses become patient care coordinators ensuring the collaboration between physicians and other professionals in inter-professional teams to deliver patient-centered care. They also integrate primary, specialty and acute care in multidisciplinary teams and offer patient education to enhance primary care.

Major evolving trends in the healthcare delivery that will impact nursing practice include increased integration of technology, and rising need for cultural diversity as patients seek care across the care and age continuum due to their conditions (Jivraj et al., 2021). The emphasis on primary care interventions will also impact the nursing practice while APRNs will impact care direction through their specialties and increased focus on value-based care.

References

Constable, M., Mulkey, M., & Aucoin, J. (2022). Hospital value–based purchasing: How acute

care advanced practice nurses demonstrate value. Journal of the American Association of Nurse Practitioners, 34(1), 12-17. DOI: 10.1097/JXX.0000000000000606.