Value-Based Healthcare: Patient-Centered Care

Task 1: Research the topic ‘Value-based Healthcare’: An Evaluation

Task 2: Essay:

“Impact of value-based healthcare on service users”:

Value-based healthcare is the well-functioned healthcare system in which the healthcare providers including healthcare staffs and physicians are paid based on the patient health outcomes (Liu et al. 2017). Under the value-based healthcare system, healthcare professionals and staffs are rewarded for providing the patient centred treatment process that is highly effective for meeting the patient's needs. Value-based healthcare is completely different from the fee-for-service or the capitated approach, in which the healthcare professional and health staffs are paid based on the number of healthcare services they offer or deliver to the patients. based on the findings of table 1, the impact of value-based healthcare can be discussed in a comprehensive manner. According to Baumhauer et al. (2016), in a well-functionating healthcare system, evaluating the value is inevitable for during the treatment process, which assists the service users to get appropriate and compassionate care. From the above-mentioned findings in Table 1, it can be stated that value-based healthcare offers an innovative and new treatment process for the patient with a critical health condition (Baumhauer et al. 2016). Moreover, the analysis at the end of episodes-of-care is based on Patient-Reported Outcomes Measurement Information System (PROMIS), which assist the health service providers to evaluate whether the health needs of the patient are met. Based on this process the effectiveness of the treatment process is measured which determine the rewards for health service providers. As stated by Liu et al. (2017), Patient Reported Outcomes (PRO) allow the service providers to understand the weather patient are able to adapt to the treatment process. this papers also suggest that the value of the treatment process is dependent on the results but not on the amount of input of treatment that is delivered. Therefore, shifting focus on the value from the volume is an important as well as innovative changes in the healthcare system which not only reduce the healthcare cost to patent but also assist them to get the appropriate care that they actually need.

Moreover, findings from Table 1 also suggests that value-based healthcare offers better health with spending less money. As stated by Liu et al. (2017), managing the chronic disease, cancer, COPD, high BP and obesity, might be costly to the patient and their families in case of the traditional fee-based healthcare system. On the other hand, value-based healthcare changes the focus of health care from the fee-based to value based in which patient are provided with limited doctors’ visits, test and procedures that are appropriate for their health condition. In this aspect, Silenzi and Boccia (2017) mentioned that in case of value-based healthcare system the Patent Reported Outcomes (PRO) are measured before as well as after the treatment process in order to allow the health professions to assess the overall improvement of patient health in a systematic manner. with making the standardised measure of the PRO, healthcare professional provides the appropriate and cost-effective health care service to the patient that is helpful for people belonging the different socio-economic layers in society. However, there is some criticism regarding the process such as in case of the patient with the critical health condition, value-based healthcare is also costly due to the increasing number of psychometric tests, physical examinations, doctors' visits and regular health assessment. In this aspect, both the fee-based and value -base healthcare process are costly and unaffordable for the service users with very low-income level. The above-mentioned findings in Table 1 are unable to focus on this issue. Moreover, in order to determine the rewards for service providers based on the Patient-reported Outcomes (PRO), sometimes service providers charge huge amount of remuneration which is difficult for the publicly funded hospitals and healthcare centres (Silenzi and Boccia, 2017). Therefore, publicly funded hospitals need proper assistance from eth national and local government in order to provide proper financial support to them so that they can implement the value-based healthcare process in the ongoing care system. Moreover, value-based healthcare model allows the healthcare providers to achieve greater patients' satisfaction and the efficiencies. In the above-mentioned findings, () stated that value-based healthcare model focuses on the person-centred care and prevention-based patients services, which improved the outcomes of the treatment process. Through maintaining a strong connection with patients, value-based treatment methods assist the service providers to assess the actual healthcare needs of the service users. The Patient-Reported Outcomes (PRO) assist the service providers and doctors to evaluate the effectiveness of the treatment process, based on which they would be rewarded. If the measurement of the value of treatment process is not matched with the expected value, then new techniques and innovative processes are used, in order to offer the greater satisfaction to the patient and their family. As mentioned by (), value-based health care process prioritises the patient’s safety and cure at the heart of the care process which increases the patient satisfaction and efficiency of the treatment process. on the contrary, there are some criticisms, regarding this aspect such as in case of patients with more limitations and critical symptoms, the value-based healthcare process may be time-consuming the costly (Ring and Bozic, 2016). Moreover, it is also possible that in sit of using the innovative techniques and new health care tools, Patient can be cured properly due to extensive inflammation and limitations. The above-mentioned findings are unable to shed light on this aspect. As mentioned by Silenzi and Boccia (2017), although the value-based treatment process is based on appropriate care process that can meet the patient’s needs, it may not be applicable to the patients who suffer from the lethal disease. Therefore, it is important for the healthcare authority to improve the overall techniques and tools that are used in the value-based healthcare to assure that all types of patients with their diverse ned can be benefited through this care model.

Value-based healthcare process assist the service users to reduce their health risk by offering them innovative and approved treatment in limited time and cost (Tortorella et al. 2017). Although there are some limitations regarding this treatment process, the value-based healthcare model assists the service providers to choose the appropriate treatment and health assessment process that will meet all the health needs of service users. In this process, the value of treatment is analysed through evaluating the Patient-Reported Outcomes (PRO). By analysing the PRO value, the health professional is able to understand that whether the care process is effective as well as relevant for the patients’ health needs. As stated by Bunkers et al. (2016), value-based treatment assists service users on sharing their issues, preference and health needs with the doctors during the care process. Moreover, the value-based model also implements the high-quality psychometric test and physiotherapies that is important to understand the actual psychology of the patients. Based on the outcomes of the treatment process the service providers are rewarded in this value-based healthcare process, which determines the efficiency of service providers order to choose the appropriate treatment for particular patients. during the value-based treatment process, the health service providers always chose the best techniques and treatment process that can lead to expected outcomes, which not only accelerate the cure of patient’s health but also eliminate the chances of different health risks of service users. Moreover, value-based healthcare makes effective changes in the conventional healthcare system, in order to implement modern technologies and tools into the practice. Value Streaming Mapping (VSM), is one of eth important technique that is used by the service providers in order to deliver the value-based treatment process to service users (Tortorell et al. 2017). This VSM process assists the health professional to determine the effectiveness or quality of the ongoing treatment process by using healthcare mapping in order to assure the sooner recovery of patients. however, it is also true that in public health centres the VSM proves is not available due to its higher cost, which makes potential hindrances t the service users with a critical health condition to get better value-based treatment process. on order to solve this issue, it is important that the government supports these publicly funded hospitals and healthcare centres to assist the service providers admitted in this hospital getting better value-based treatment process.

From the overall discussion, it can be concluded that the value-based treatment process is one of the important parts of today's healthcare system. In this process, the quality or value of the ongoing treatment process is analysed based on which the service provided are rewarded. Patient Reported Outcomes (PRO) is an important aspect in Value-based healthcare in which service providers analyse the outcomes of the overall treatment process in order to determine the effectiveness of the treatment process. Value-based healthcare not only reduce the hospital cist fir service users but offer them highly effective and affordable treatment that achieves greater patient satisfaction.

Task 3: Personal Development Plan (PDP):

Introduction:

The personal development plan is referred to as the process of making an appropriate actional plan based on their own skills, value, awareness, planning and setting in order to promote the personal development of the individual. This task will discuss personal vision, future job role, SMART objectives and the actional plan that are associated with personal development. Moreover, this task will also discuss the risk that can affect the overall actional plan of an individual.

Personal vision:

“To improve my personal skill in order to gain extensive knowledge and expertise that can be applied to achieve the highest employability”

Ideal future job role:

For me, the ideal future job role is nursing, which is relevant to my personal skill, preference and knowledge. During this module, I have gained extensive knowledge about my strength and weakness. I have strong verbal communication skill, independent learning, decision-making ability and problem-solving skill, that are important for nurses to deal with their regular duties. On the other hand, this module also informs me that I have to develop proper critical thinking skill, non-verbal and written communication skill and technical skill.

SWOT Analysis:

SMART Objectives:

Action plan to achieve objectives:

Based on the SMART goals and SWOT analysis, I can make an appropriate actional plan, in order to develop my skill and personalities. I would focus on improving my vocabulary and grammar in order to written communication. I would practice regular writing to make the small sentence so that in the future workplace I can easily make patient and colleagues understand my viewpoints. Moreover, I would enhance my analysing skill by evaluating different reason behind any aspects. I would use my own presence of mind and knowledge to solve different issues which will assist me to improve the judgemental skill, which I can use in the future work to take effective decision for ensuring patient health and safety. During the module, I have worked with a different group which assist me to improve my team management skill and adjusting ability. I need to improve my time management skill by delivering work according to the required time. Through this process would be able to manage process time for completing each task in my future workplace.

Resources required for the action plan:

Resources that I need for the action plan is support from my teammates, study material from the teachers and lecturers, regular classes during the module and verbal discussion with the lecturers. Moreover, I can also take assistance from online articles, writings and blogs in order to develop my written and non-verbal communication skill, time management skill and research skill.

Discussion on the risk that may affect the action plan

There is some risk that can affect the expected outcomes of the action plan, such as lack of internet access, poor communication with lecturers and poor connection with teammates. During the module, some lecturers are unsupportive who do not provide any assistance or help to me in order to develop my communication and research skill. moreover, some of the group members are not sharing their opinion and viewpoint with me which sometimes make huge conflict in the group that affect my team working skill. in most of the cases, the material provided by lecturers in during the module is full of critical phrases and long sentence that make me unable to use proper judgemental approach for understanding the underlying meaning.

Conclusion:

From the discussion, it can be concluded that the personal development plan is important for every individual to develop own skill that would assist the person in the professional field. Through the module, I am able to determine my strength and weakness that assists me to focus on the areas of development. The module informs me that I have strong communication skill (verbal), quick decision-making skill, strong problem-solving ability and good technical skill. In addition to this, the module also determines my weakness such as poor research skill, weak judgmental kill, lack of non-verbal and written communication skill. therefore, it can be stated that I have to focus on developing these skills in order to improve my employability and proficiency to deal with future workplace

Reference list:

Arora, V., Moriates, C. and Shah, N., 2015. Understanding value-based healthcare. McGraw Hill Professional.

Baumhauer, J.F. and Bozic, K.J., 2016. Value-based healthcare: patient-reported outcomes in clinical decision making. Clinical Orthopaedics and Related Research®, 474(6), pp.1375-1378.

Bunkers, B., Koch, M., Lubinsky, J., Weisz, J.A. and Whited, B., 2016. Value-based physician compensation: a link to performance improvement. Healthcare financial management: journal of the Healthcare Financial Management Association, 70(3), pp.52-58.

Liu, T.C., Bozic, K.J. and Teisberg, E.O., 2017. Value-based healthcare: person-centered measurement: focusing on the three C’s. Clinical Orthopaedics and Related Research®, 475(2), pp.315-317.

Tortorella, G.L., Fogliatto, F.S., Anzanello, M., Marodin, G.A., Garcia, M. and Reis Esteves, R., 2017. Making the value flow: application of value stream mapping in a Brazilian public healthcare organisation. Total Quality Management & Business Excellence, 28(13-14), pp.1544-1558.