D026 – PHASE 2 – VALUE-BASED CARE READINESS ASSESSMENT

D026 – PHASE 2 – VALUE-BASED CARE READINESS ASSESSMENT

AXM1 — AXM1 TASK1: ACHIEVING EXCELLENCE IN PATIENT CARE THROUGH VALUE-BASED CARE STRATEGIES
QUALITY OUTCOMES IN A CULTURE OF VALUE-BASED NURSING CARE — D026

7068.1.1 : Promoting Systems-Level Culture Based on Quality and Value-Based Care Concepts

The graduate analyzes the culture of continuous quality improvement and the provision of value-based care to optimize patient outcomes using a systems-thinking analytic approach.

7068.1.2 : Finding Vulnerabilities and Managing Risk

The graduate develops a systematic process that incorporates quality measures and benchmarks to assess organizational strengths and vulnerabilities.

7068.1.3 : Increasing Quality through Performance and Process Improvement

The graduate integrates performance and process improvement methodologies to develop solutions for identified quality and safety gaps in the practice setting.

7068.1.4 : Evaluating the Effectiveness of Value-Based Care Initiatives

The graduate establishes measurable metrics and processes to evaluate the effectiveness of value-based care strategies and initiatives.

INTRODUCTION
Organizational leaders in healthcare focus on and develop innovative initiatives to achieve value-based care. Interdisciplinary teams assess organizational readiness and develop strategies for organizations to implement value-based care. In this task, you will demonstrate how an organizational leader might present these initiatives and strategies to key stakeholders.

SCENARIO
You are an executive nurse leader in your organization tasked with developing a strategic action plan to implement value-based care.



You recently completed a clinical practice experience (CPE) that required you to fill out a “Value-Based Nursing Care Readiness Assessment” evaluating your organization’s current efforts to establish value-based care. As part of that CPE, you also identified strategies to implement value-based care.



Relying on your experiences and the knowledge you gained during your CPE, you will develop a multimedia presentation to inform key stakeholders of an action plan to achieve excellence through value-based patient care and to optimize reimbursement.

REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no mor

e than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.



You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource

A.  Create a multimedia presentation, including presenter notes for each slide, to inform key stakeholders about value-based care and present elements of an action plan.


Note:  Presenter notes must be included for each slide to fully cover the level of explanation, analysis, and discussion necessary.


1.  Provide an introduction (suggested length of 3–4 slides) to value-based care by doing the following:

a.  Describe the elements of a value-based healthcare framework.

b.  Explain the benefits of value-based care for patients and populations.

c.  Describe the rationale for implementing value-based care in a healthcare organization.

2.  Identify (suggested length 1–2 slides) a nursing role, using the “WGU Nursing Programs Conceptual Model” web link as a guide.

a.  Describe how the advanced professional nurse could facilitate the implementation of value-based care within the role identified.

3.  Summarize (suggested length of 5–6 slides) evidence relevant to the topic of value-based healthcare from five peer-reviewed scholarly sources published within the past five years.

4.  Describe (suggested length of 2–3 slides) two strategies to implement value-based healthcare, or if the organization has already implemented it, describe two strategies that were used.

a.  Identify key stakeholders for each strategy.

b.  Describe the role of each stakeholder for each strategy.

c.  Identify specific methods to measure the effectiveness of each strategy.

5.  Using the “Value-Based Nursing Care Readiness Assessment” completed in your CPE (see the attached document), discuss (suggested length of 4–7 slides) the organization’s readiness for change by doing the following:

a.  Summarize each assessment area in the readiness assessment:

•   defined need

•   readiness for change

•   leadership and management support

•   time, resources, and personnel

•   sustainment of the change

b.  Discuss two organizational strengths.

c.  Discuss two organizational opportunities for improvement.

d.  Analyze your organization’s level of readiness to implement value-based care based on its readiness score.

e.  Provide the completed “Value-Based Nursing Care Readiness Assessment” from your CPE.


Note:  This should be an exact copy of your previously submitted readiness assessment. This is for evaluator reference.


B.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.


C.  Demonstrate professional communication in the content and presentation of your submission.



NOTE: The Performance Assessment should be uploaded as a separate attachment(s) and should not be included in the E-portfolio or submitted as a link.

File Restrictions
File name may contain only letters, numbers, spaces, and these symbols: ! - _ . * ' ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z
RUBRIC
A:MULTIMEDIA PRESENTATION
NOT EVIDENT

A multimedia presentation is not provided.

APPROACHING COMPETENCE

The multimedia presentation does not include presenter notes.

COMPETENT

The multimedia presentation includes presenter notes.

A1A:ELEMENTS OF VALUE-BASED HEALTHCARE FRAMEWORKS
NOT EVIDENT

A description of the elements of a value-based healthcare framework is not provided.

APPROACHING COMPETENCE

The description provides limited or inaccurate details about the elements of a value-based healthcare framework, or 1 or more key elements are missing. No supporting examples are provided, or the examples are irrelevant to the topic of value-based healthcare frameworks.

COMPETENT

The description provides specific, accurate details about the elements of a value-based healthcare framework. Relevant examples are provided that support the description of the elements of a value-based healthcare framework.

A1B:BENEFITS OF VALUE-BASED CARE
NOT EVIDENT

An explanation is not provided.

APPROACHING COMPETENCE

The explanation provides limited details or does not include specific examples of how value-based care benefits patients and populations. Or the explanation of benefits is limited in scope, relying too heavily on one area related to benefits while ignoring other relevant applications.

COMPETENT

The explanation provides sufficient details and specific examples of how value-based care benefits patients and populations. The explanation covers multiple relevant benefit areas.

A1C:RATIONALE FOR IMPLEMENTING VALUE-BASED CARE
NOT EVIDENT

A rationale for implementing value-based care in a healthcare organization is not described.

APPROACHING COMPETENCE

The rationale contains limited details or does not include specific examples that influence the decision of whether to implement value-based care in a healthcare organization. Or the described rationale is not plausible.

COMPETENT

The rationale contains substantial details and specific examples that influence the decision of whether to implement value-based care in a healthcare organization. The rationale is plausible.

A2:NURSING ROLE
NOT EVIDENT

A nursing role is not identified.

APPROACHING COMPETENCE

The nursing role identified is irrelevant to the “WGU Nursing Programs Conceptual Model.”

COMPETENT

The nursing role identified is relevant to the “WGU Nursing Programs Conceptual Model.”

A2A:THE ADVANCED PROFESSIONAL NURSE
NOT EVIDENT

A description of how the advanced professional nurse facilitates the implementation of value-based care is not provided.

APPROACHING COMPETENCE

The description does not address the identified nursing role from part A2, does not include specific and relevant examples of how the advanced professional nurse facilitates implementation of value-based care, or is inaccurate.

COMPETENT

The description addresses the identified nursing role from part A2, includes specific and relevant examples of how the advanced professional nurse facilitates implementation of value-based care, and is accurate.

A3:SUMMARY OF CURRENT EVIDENCE
NOT EVIDENT

A summary of evidence is not provided or does not include 5 sources.

APPROACHING COMPETENCE

The summary of evidence is not relevant to the topic of value-based healthcare. Or 1 or more of the 5 sources are not scholarly, not peer-reviewed, or not published within the last 5 years.

COMPETENT

The summary of evidence is relevant to the topic of value-based healthcare and is from 5 scholarly, peer-reviewed sources published within the last 5 years.

A4:IMPLEMENTATION STRATEGIES
NOT EVIDENT

A description of 2 strategies to implement (or that were used to implement) value-based healthcare in the organization is not provided.

APPROACHING COMPETENCE

The description of 2 strategies to implement (or that were used to implement) value-based healthcare in the organization is not aligned to the “Value-Based Nursing Care Readiness Assessment” or is missing specific examples, or 1 or more of the described strategies are irrelevant or implausible.

COMPETENT

The description of 2 strategies to implement (or that were used to implement) value-based healthcare in the organization is aligned to the “Value-Based Nursing Care Readiness Assessment” and contains specific examples. The strategies described are relevant and plausible.

A4A:KEY STAKEHOLDERS
NOT EVIDENT

Key stakeholders are not identified.

APPROACHING COMPETENCE

1 or more key stakeholders are missing, or relevant stakeholders are not identified for each strategy described in part A4.

COMPETENT

Key stakeholders relevant to each strategy described in part A4 are identified.

A4B:STAKEHOLDER ROLES
NOT EVIDENT

The submission does not describe any stakeholder’s role.

APPROACHING COMPETENCE

The submission does not accurately describe each stakeholder’s role in relation to the implementation of value-based healthcare, or the submission does not describe each role for each strategy described in part A4.

COMPETENT

The submission accurately describes each stakeholder’s role in relation to each strategy for the implementation of value-based healthcare described in part A4.

A4C:MEASURING EFFECTIVENESS
NOT EVIDENT

The submission does not identify specific methods to measure the effectiveness of strategies.

APPROACHING COMPETENCE

The submission describes specific methods to measure the effectiveness of the strategies described in part A4, but 1 or more methods do not logically align with the corresponding strategy. Or the description of each method is not supported by specific examples.

COMPETENT

The submission describes specific methods to measure the effectiveness of the strategies identified in part A4, each method is aligned with its strategy, and the description of each method is supported by specific examples.

A5A:READINESS ASSESSMENT SUMMARY
NOT EVIDENT

A summary is not provided.

APPROACHING COMPETENCE

The summary does not logically address 1 or more of the given points or is not supported by specific examples of each assessment area.

COMPETENT

The summary logically addresses each of the given points and is supported by examples of each assessment area.

A5B:ORGANIZATIONAL STRENGTHS
NOT EVIDENT

A discussion of 2 organizational strengths is not provided.

APPROACHING COMPETENCE

The discussion of 2 organizational strengths is provided, but 1 or more of the strengths are irrelevant to the completed “Value-Based Nursing Care Readiness Assessment” or are not supported by specific examples.

COMPETENT

The discussion of 2 organizational strengths is relevant to the completed “Value-Based Care Readiness Assessment” and is supported by specific examples.

A5C:ORGANIZATIONAL OPPORTUNITIES FOR IMPROVEMENT
NOT EVIDENT

A discussion of 2 organizational opportunities for improvement is not provided.

APPROACHING COMPETENCE

The discussion of 2 organizational opportunities for improvement is provided, but 1 or more of the opportunities for improvement are irrelevant to the “Value-Based Nursing Care Readiness Assessment” or are not supported by specific examples.

COMPETENT

The discussion of 2 organizational opportunities for improvement is relevant to the “Value-Based Nursing Care Readiness Assessment” and is supported by specific examples.

A5D:LEVEL OF READINESS
NOT EVIDENT

An analysis of the organization’s level of readiness to implement value-based care based on the readiness score is not provided.

APPROACHING COMPETENCE

The analysis of the organization’s level of readiness to implement value-based care based on its readiness score is missing specific examples, or the analysis does not align with the “Value-Based Nursing Care Readiness Assessment.”

COMPETENT

The analysis of the organization’s level of readiness to implement value-based care based on its readiness score includes specific examples and aligns with the “Value-Based Nursing Care Readiness Assessment.”

A5E:READINESS ASSESSMENT COPY
NOT EVIDENT

A copy of the completed “Value-Based Nursing Care Readiness Assessment” from the CPE is not provided.

APPROACHING COMPETENCE

Not applicable.

COMPETENT

A copy of the completed “Value-Based Nursing Care Readiness Assessment” from the CPE is provided.

B:APA SOURCES
NOT EVIDENT

The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized.

APPROACHING COMPETENCE

The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style.

COMPETENT

The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style.

C:PROFESSIONAL COMMUNICATION
NOT EVIDENT

Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.

APPROACHING COMPETENCE

Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.

COMPETENT

Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.

WEB LINKS
WGU Nursing Programs Conceptual Model