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Journal of Community & Public Health Nursing | ISSN: 2471-9846 | Volume 4

December 05-06, 2018 | Chicago, USA

Registered Nurse and Nurse Practitioner Meeting

World Congress on

Nursing Education and Management

An electronic workflow document to insure staff participation and accountability in the transition to value

based care

Margaret S White

Clinical Lead Invision Health, USA

Statement of the Problem:

Healthcare is mandating a fundamental change from Volume Based to Value-Based Care. This transition

requires the evaluation of a vast number of evidence-based care measures that have been identified as defining Value in the primary

care setting. The number and complexity of measures warrant a team-based approach for this change. This shift is essential for

all providers to ensure evidenced-based, patient-centered care. It will present a challenge for those practices accustomed to the

traditional provider is driven, models. A successful strategy will require clear staff roles and defined value measures. An electronic

process was created to serve as a checklist for evaluating the status of required care measures and assigned to staff commensurate

with licensure. Clear workflow processes were established. The electronic document served as the data collection tool for the primary

measure of staff accountability

Methodology:

A comparative ratio was used to define staff accountability in the review of measures assigned and evaluated front

office, nursing, and providers. It reviewed the numbers of measures evaluated as compared to those that required evaluation. Pre and

post-study of Value-Based Care measures were obtained at a six-month interval.

Findings:

Results revealed front office staff to be 92% accountable, nursing 91% and providers 76% accountable. Secondary measures

demonstrated 30 of 45 measures were improved. The benefit of staff accountability and clearly defined staff roles was illuminated

in attaining quality patient care. Implications for practice: The evolution of medicine to Value-Based Care models will require the

ongoing development of strategies to meet Triple Aim objectives. Measures of staff accountability, clearly defined roles, and a checklist

format can assist in the attainment of high quality, patient-centered care.

J Comm Pub Health Nursing 2018, Volume 4

DOI: 10.4172/2471-9846-C4-012