HLT54115 Nursing

Campbell Hero’s Journey is intended to inspire you to think about what is important in your life and how you express these values to others. The journey challenges you to think about what most influences you, and what matters to you. Being able to tell your story and what motivates you is important not only in your personal life but professional as well. Being able to ask for something by telling a story is an effective and useful tool. What is your signature story? What are your professional or personal goals? If you are having a hard time coming up with one refer back to How to Create Your Life Story for Professional and Personal Development by Michael Weddington. Using the How to Create Your Life Story template, share your story with others. Business Communication can be as simple as telling a story.

Based on your readings this week provide examples of value based health care you have experienced in your current practice.
My current practice is a small mental health clinic, we see all patients; private insurance, self pay, and indigent patients who are covered through county mental health system. This clinic is run by nurse practitioners.

Value-Based Health Care Delivery is referred to the framework developed for bringing a reform and restructuring in the health care systems in communities with the predominant objective of value for patients and improve their care experiences (Curtis et al., 2016). In this paper, I would like to draw the attention on my journey till date as a nurse practitioner working in a small mental health clinic. The clinic delivers mental health care to patients coming from diverse backgrounds and who fall under different forms of the health care payment system; self-payment, private insurance and county mental health system. The implications of value-based services in my setting would be the key focus of this reflection.

During my tenure of practice at the mental health setting, the shift to value-based reimbursement has changed the conventional model of healthcare delivery. In contrast to the need of making payments for the number of visits and successive tests being done, patients now are required to make their payments on the value of care that is being delivered to them. I feel much of this drastic change has been overdue, and driving improvements are being made in the recent past that has been long craved. Ever since the value-based insurance system has been introduced in my setting, the aim that we professionals have is to increase the quality of care delivered while the costs of the same remain reduced. Financial incentives are now being used for the promotion of cost-effective services. Consumer choices are now being more focused onto. While I deliver care to the patient, the concern for the expenses takes a backseat as the focus is strictly on patient recovery. Patients visiting my setting suffer from mental disorders whose treatment runs long and the expenses of which are high. As the insurance cover preventive care, visits to the clinic and medications, the care plans outlined for the patients save money through reduction of expensive procedures likely to be needed in future. For deciding on to what treatment options are most cost-effective, evidence-based data is being now used for designing the plans.

The patient-centred approach at present has replaced the one-off, episodic care. In this regard, I would like to mention that the relationship between the patient and a care professional has undergone a drastic change. The challenges facing proper mental healthcare are not to be underestimated. Though value-based services have been incorporated, the treatment of patients remain a concern. In spite of the reduced costs, the treatment provided has not been adequate. The ways in which mental health care performance has been measured have restricted the process of change. The measure includes public and personal safety, establishement of community supports, retention in care, control of core symptoms of illnesses (Mostashari et al. 2016).

At present, my setting includes most of the systematic approaches in the care plan for patients that are required. Further, the clinic addresses the care needs of the patients adequately. Onsite mental health professionals are hired who are pillars of strength for the services provided. I personally recognise the significance of addressing behavioural issues of patients and aim to care for each patient in an individual manner. The setting focuses on treatment resources and case-finding efforts so that patients with diverse needs are cared for. Treatment is done in a completely integrated manner and is therefore effective.

The team in which I work puts efforts to ensure that a mutually agreed-upon approach is upheld. The managers assist us in providing care with incorporating new capabilities like the use of advanced technology and data. We have the momentum, zest and presence to positively encompass the self-funded customers in the visioned success. A variety of value-based incentive programs are running at present at the setting that enables consumers to gain benefits in bottom-line savings. The different types of payments depend solely on the type of arrangement done for funding. We offer both clinical integration payments, and other processes. We also receive a bonus based on a share of savings if the target is exceeded.

As healthcare providers, we deliver team-based methods, patient-centred care, personal care management, population health management, care coordination, and dependable quality care. Those who receive treatment at this setting are to except to develop personal, one-on-one relationships with their care providers. The trusted relationship has been build based on respect and reverence towards the patient as we determine the needs of the patient based on medical and environmental factors. However, value-based care is a novice concept in the industry as most healthcare providers are still attempting to contrivance the appropriate systems into the workflow.

References:

Curtis, J., Bernhard, L., Carlstrom, K. D., Gerds, A., Hudson, V., McLellan, L., … & Majhail, N. S. (2016). A Process for Identifying and Implementing BMT Value-Based Care Initiatives: Cleveland Clinic Experience. Biology of Blood and Marrow Transplantation, 22(3), S430.

Mostashari, F. (2016). The paradox of size: how small, independent practices can thrive in value-based care. The Annals of Family Medicine, 14(1), 5-7.