Executive Summary on a value-based purchasing (VBP) program
The hospital value-based purchasing (VBP) program encourages healthcare organizations to improve quality and safety through various processes. My healthcare organization is an active participant in CMS reimbursement and has emphasized value-based purchasing throughout much of the facility. Despite the adoption of this practice, much more improvement is required to meet the required standards for more reimbursements. Three domains within VBP have been chosen across the nursing, intensive care, and operating room departments to build upon the organization’s strong strategic plan.
The nursing department will be the first area of focus while improving VBP in the organization. The aspect of communication has been identified as the key to engaging the nurses in improving quality. Communication between nursing teams is a significant source of improved HCAHPS scores. The strategic plan for addressing this area will involve the implementation of SBAR communication to improve continuity of care.
The operating room remains one of the most crucial life-saving units in the organization. While practicing to help patients, infection prevention is identified as the key to reducing hospital-acquired infections that lead to poor patient outcomes. The proposed plan is to implement the WHO hand hygiene guidelines to ensure the control of hospital-acquired infections. Addressing this area will positively improve patient satisfaction scores and reduce HAI mortality rates in the organization.
The third department that will be involved in the strategic plan to improve VBP will be the intensive care unit. This unit provides care to critically ill patients with conditions such as heart disease that are a central focus in value-based care. To improve value-based purchasing in the unit, the central focus will be the reduction of mortality through the implementation of the CDC CLABSI prevention bundle. This approach will ensure interprofessional collaboration to address quality in the ICU department.
As we prepare to implement the strategic plan in the organization, it is crucial to involve leaders and other stakeholders. The first aspect of preparation will involve opening up for new ways to improve quality in the organization. The nursing department will prepare by accepting the proposed change, involvement of nurse leaders, and giving the new plan time to improve outcomes. A review of the HCAHPS scores on the areas of communication with the nurses will serve to open their minds to the need for change.
Education and training are essential elements of promoting the adoption of a new change in healthcare. The preparation of all three departments will involve a literature search for evidence-based practices to improve quality in the organization. The operating room staff will be prepared by bringing on board evidence supporting WHO hand hygiene guidelines in reducing HAIs. The intensive care unit staff will be introduced to the CLABSI prevention bundles as preparation for the new change. Engagement in online web activities, conduction of meetings, and collection of views from the three departments will form part of the preparation for the new change.
The implementation of a new change in healthcare requires employees to have knowledge, skills, and expertise on the subject area to promote the adoption of change. The nursing department will undergo education on the aspect of communication, the use of SBAR communication, and its relevance to the achievement of VBP. Additionally, the nurses will be trained on shift handoff at the bedside to promote the new change process. The OR staff will require education on the importance of infection prevention to patients and the organization. The clinical nurse educator and the unit champion will organize simulation and role-play sessions to demonstrate hand hygiene using the new WHO guidelines. Lastly, the ICU staff will require training on central line insertion using the CDC guidelines. Education sessions will serve to improve the staff knowledge on VBP and the effects of reduced CLABSI rates on hospital reimbursements.
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