Value Based Purchasing and Shared Risk Models Report
Order ID |
53563633773 |
Type |
Essay |
Writer Level |
Masters |
Style |
APA |
Sources/References |
4 |
Perfect Number of Pages to Order |
5-10 Pages |
Description/Paper Instructions
Value Based Purchasing and Shared Risk Models Report
Description
Write a 2-3-page report about the implications of value-based purchasing and shared risk models for your selected organization. Include an analysis of evidence-based strategies to develop an effective organizational culture where these models help to position the organization for the future.
Introduction
As a health care leader, you will need to continually analyze the role the organization plays in futuristic models of value-based purchasing and shared risks. These models are constantly changing, so an astute health care leader develops an organizational culture that is agile, innovative, and responsive to be best positioned for the future. The key is to ensure the alignment of the organization’s structure with strategic initiatives driving customer-focused results.
Scenario
Health care organizations are increasingly expected to link provider payments to improved performance. This model aims to hold providers accountable for the quality of care they provide in a cost-effective environment.
For the organization you have been analyzing throughout this course, identify critical components of a value-based purchasing model. Analyze budgetary and financial implications of value-based purchasing on health care management practices and decisions.
Then, identify examples of shared risk models, such as population health. Analyze budgetary and financial implications of shared risk models on health care management practices and decisions.
Begin analyzing evidenced-based strategies to develop an effective organizational culture, using relevant data and measures such as benchmarks, research, and best practices. Such evidenced-based strategies should help position the organization for the future, particularly given an environment of value-based purchasing and shared risk models.
Your Role
You are a senior leader of a health care organization, and you are in the midst of your complete analysis of the organization. At this point you have reviewed the strategic initiatives, the organizational structure, and barriers to access, quality services, and cost effectiveness. The next step of the analysis is to consider the organization’s role in value-based purchasing and shared risk models.
From your readings and research, you are learning that hospital value-based purchasing is an incentive program first introduced by CMS but now adopted by many managed care organizations. Value-based purchasing ties various quality care clinical best practices to hospital financial incentives. In addition, value-based purchasing ties in a patient’s reported subjective experience during their hospital stay. Hospitals are no longer being paid based on the quantity of services provided; rather there is now an emphasis on the quality of those services. These quality determinants are somewhat based on benchmarks set by hospitals in general, as well as year-over-year improvements within the same hospital setting. So there is a great deal at stake for hospitals to collect and use data to ensure optimal quality care and experiences are achieved. Now more than ever, such data plays a vital role in all decision making.
As a natural progression in the vision to improve access to care, provide quality care, and decrease cost, shared risk models are being field tested. Models, such as population health, focus on the role health care organizations play to ensure the overall wellness of communities. Such models require providers at all levels of health care, not just physicians and hospitals, to be accountable for wellness and prevention services; timely and accurate diagnostics; and cost effective, quality, and available treatment regimes. This model will require the creation of strategic partnerships among the various types of health care organizations to improve overall community health through innovative means. It ties significant financial incentives to encourage such strategic partnerships through a shared risk. Pharmaceutical companies, medical device firms, diagnostic services, managed care organizations, hospitals, physician practices, supply chain networks, et cetera all have a role in making community wellness possible. Sometimes this reaches outside the more traditional health care sector to include the likes of housing providers, weight loss clinics, and workout facilities. All such services are necessary in order to enhance the wellness of the community.
Though most of the literature applies value-based purchasing or incentives and shared risk to hospital settings, the truth is all health care organizations need to support these endeavors in order to remain competitive in this new world of health care delivery. As a senior leader of any health care organization, it is vitally important that you understand your role in this process to best position your organization as a strategic partner. This will allow you to maximize your organization’s success in this new era of health care.
RUBRIC
QUALITY OF RESPONSE |
NO RESPONSE |
POOR / UNSATISFACTORY |
SATISFACTORY |
GOOD |
EXCELLENT |
Content (worth a maximum of 50% of the total points) |
Zero points: Student failed to submit the final paper. |
20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. |
30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. |
40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. |
50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. |
Use of Sources (worth a maximum of 20% of the total points). |
Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. |
5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. |
10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. |
15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. |
20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. |
Grammar (worth maximum of 20% of total points) |
Zero points: Student failed to submit the final paper. |
5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors |
10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors |
15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. |
20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. |
Structure of the Paper (worth 10% of total points) |
Zero points: Student failed to submit the final paper. |
3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. |
5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper |
7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. |
10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. |
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