Role of Value-based Care in Improving Patient Outcomes

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Roleof Value-based Care in Improving Patient Outcomes

Mercy, a 30-year-old patient, was admitted to the hospital afterbeing diagnosed with type 2 diabetes. Despite the ability to treatthe condition with ease, her situation was worse since she had wasdiagnosed after a lengthened duration of time. The doctors suggesteddrastic measures to help address the problem including an amputation.Her condition was worsening negating the need to get her immediatetreatment. The resolution to perform the amputation was traumatizingto Mercy but appeared to be the best option. She was released to gohome and think about the issue before proceeding with the surgery.The nurse in charge took the initiative to regularly keep in touchwith Mercy and assure her that all will be well. Mercy agreed toundergo the procedure and came to the hospital for the same. Theamputation was successful, and she was later discharged one-weeklater. The designated nurse kept on looking out for Mercy toascertain how she was doing.

The personal story reflects explains the concept of volume vs.value-based nursing care. The shift from volume-based to value-basedcare can be achieved by assessing the long-term impact of a treatmenton the patient outcomes (Naylor et al., 2013). As a nurse, one shouldfocus on realizing the best patient outcomes and not just conductinga procedure for the sake of doing so. It is critical for a nurse toadopt the approach of high-impact leadership to improve the conditionof the patient outcomes through provision of guidance based on theprevailing circumstances (Swensen, Pugh, McMullan, &amp Kabcenell,2013). The case present illustrates the initiative taken by the nurseto prepare the patient for a procedure and enable her to regain aquick recovery. Hospitals must shift focus on earning revenue fromprocedures to improvement of outcomes of patients (Emmanuel et al.,2012). The approach is representative of value-based care unlikevolume-based care that focuses on having the patient proceed with thesurgery as a solution (Kavanagh, Cimiotti, Abusalem, &amp Coty,2012). The shift can be achieved by considering both the medicalcondition and the level of patient preparedness in undergoing a givenprocedure.


Emanuel, E., Tanden, N., Altman, S., Armstrong, S., Berwick, D., deBrantes, F., … &amp Daschle, T. (2012). A systemic approach tocontaining health care spending. New England Journal of Medicine,367(10), 949-954.

Kavanagh, K. T., Cimiotti, J. P., Abusalem, S., &amp Coty, M. B.(2012). Moving Healthcare Quality Forward With Nursing-SensitiveValue-Based Purchasing. Journal of Nursing Scholarship.

Naylor, M. D., Bowles, K. H., McCauley, K. M., Maccoy, M. C.,Maislin, G., Pauly, M. V., &amp Krakauer, R. (2013). High‐valuetransitional care: translation of research into practice. Journalof Evaluation in Clinical Practice, 19(5), 727-733.

Swensen, S., Pugh, M., McMullan, C., &amp Kabcenell, A. (2013).High-impact leadership: improve care, improve the health ofpopulations, and reduce costs. IHI White Paper. Cambridge,Massachusetts: Institute for Healthcare Improvement.

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