T1D1&2 value-based health care

Discuss the shift to value-based health care and its impact on the roles and responsibilities of advanced registered nurses. What major evolving trends in the health care delivery system will affect your practice in the next 3-5 years, and how do you think advanced registered nurses will continue to influence the direction of health care?

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The advanced practice registered nurse’s (APRN’s) roles and responsibilities will continue to evolve and emerge as a result of the shift to value-based healthcare becomes more prominent. Value-based healthcare is a delivery model that bases healthcare provider’s (i.e. hospitals and physicians) reimbursement on patient health outcomes and quality of care (NEJM Catalyst,2017). This delivery model replaces the standard fee-for-service, in which a provider’s reimbursement is calculated by the amount of healthcare services they deliver. One of the main goals of value-based healthcare includes promoting cost containment and eliminating unnecessary costs in the healthcare system by focusing on treating patient’s illnesses and injuries and promoting a fast and full recovery to avoid chronic diseases and hospital admissions (NEJM Catalyst, 2017). This significantly impacts APRN’s roles and responsibilities, more specifically nurse practitioners (NPs) practicing in primary care, as they play a large role in preventing hospital admissions when they diagnose, treat, and manage acute and chronic illnesses/ diseases within outpatient settings. This requires that the APRN be focused on the value of care instead of

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