The Roles of Healthcare Professionals Research Paper

The Roles of Healthcare Professionals Research Paper

Assignment Description:

Roles of Healthcare Professionals

This assignment will be at least 1500 words or more. Reflect on the roles of nurses, and other healthcare professionals as the roles of physicians in the healthcare system moves from one of working in silos to a more progressive value-based system. Write a paper that discusses in detail why a value-based system may improve health care in the U. S. and address the following questions:

How has current policy transformed the current practice of nurses, physicians, and other healthcare professionals?

What distinction can you make between physicians/healthcare providers working in a fee-for-service system and a value-based care system?

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How do you view shared power between physicians and nurses in your healthcare system? How does it impact care?

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Start by reading and following these instructions:

Study the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

Consider the discussion and the any insights you gained from it.

Review the assignment rubric and the specifications below to ensure that your response aligns with all assignment expectations.

Create your assignment submission and be sure to cite your sources, use APA style as required, and check your spelling.

The following specifications are required for this assignment:

Length: 1500-2000 words, answers must thoroughly address the questions in a clear, concise manner

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment. Your essay must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

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Filename: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

The Roles of Healthcare Professionals Research Sample

The roles of nurses and other healthcare workers are changing due to the paradigm change from isolated healthcare practices to a progressive value-based system. According to Salmond and Echevarria (2017), nurses are positioned to play critical roles as leaders and contributors in this revolutionary era because of their training, experience, and respected standing in the healthcare hierarchy. The progression from episodic, provider-centric models to team-based, patient-centered care necessitates the establishment of a seamless, economically viable, and quality-oriented continuity of care (Van Engen et al., 2022). To optimize patient experiences and outcomes while reducing healthcare expenditures per capita, this transition necessitates that nurses assume the role of complete partners within interprofessional teams.

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Value-based care aims to increase patient value by coordinating the goals of many stakeholders, such as employers, government agencies, health insurance, providers, and patients. According to Teisberg et al. (2019), value in healthcare is closely related to quantifiable gains in patient outcomes rather than only being about cutting costs. Value-based care synchronizes healthcare with patients’ experiences of their health by emphasizing the effects that are most important to them: calmness, comfort, and capability (The Commonwealth Fund, 2023). This patient-centered strategy seeks to improve results, lower costs, and improve the healthcare experience. It is backed by flexibility and financial incentives. Healthcare workers, particularly nurses, are uniquely positioned to lead and contribute to the changing healthcare landscape by adopting a value-based approach (Van Engen et al., 2022). This shift emphasizes quantifiable improvements in health outcomes while realigning care with patients’ holistic needs and redefining their roles within interprofessional teams. The implementation of value-based care solves the drawbacks of fee-for-service models. It promotes a patient-centered, cost-effective, and sustainable healthcare environment as the American healthcare system strives to provide more excellent patient value.

Transformation of Healthcare Practices, the Policy Changes

            The current policies have brought about a significant shift in healthcare practices, impacting the roles and responsibilities of various healthcare professionals. As Salmond and Echevarria (2017) highlighted, these changes mainly affect nurses. The traditional approach to care has been replaced with a more collaborative and patient-centered model, emphasizing interprofessional teamwork. This transition requires nurses to assume a full partnership role, utilizing their expertise to achieve improved patient experience, better health outcomes, and reduced healthcare costs per capita. Due to improvements in legislation, nurses are now more widely acknowledged for their vital role in maintaining continuity and high standards of treatment throughout the patient’s whole healthcare journey.

Transitioning from a fee-for-service to an outcomes-oriented practice, doctors are going through a change in their work. Treatment for patients was fragmented and episodic in the past since the goal was to maximize revenue by giving as much care as possible. However, current policies prioritize a comprehensive approach considering patients’ well-being (Kruk et al., 2019). This shift entails moving from a provider-centered mindset to one that emphasizes collaboration and teamwork, aligning with the principles of value-based care. Physicians now face the challenge of balancing efficiency with patient-centeredness as policy changes underscore the importance of improving patient experiences.

            In addition to nurses and physicians, the healthcare professional landscape has experienced notable transformations. Allied health professionals such as pharmacists, physical therapists, and social workers play vital roles in interdisciplinary teams crucial for providing high-quality care (Fink-Samnick, 2019). Policy changes have prompted a reexamination of these professionals’ responsibilities, highlighting their impact on patient experience and outcomes. Adopting a team-based care approach driven by policy changes acknowledges the valuable expertise each professional brings to achieve goals in value-based healthcare systems.

            With the implementation of new policies, healthcare professionals are now more accountable for delivering high-quality care. The emphasis on value-based care requires measurable outcomes that go beyond established standards (Dempsey et al., 2022; Salmond & Echevarria, 2017). Consequently, the integration of technology, evidence-based practices, and ongoing quality improvement have emerged as pivotal factors in the oversight and enhancement of care provision. It is necessary to reevaluate the education and expertise of healthcare professionals as policies evolve. In order to equip nurses, physicians, and other professionals for an environment that prioritizes collaboration, patient-centered care, and outcome-driven practices, educational curricula are undergoing modifications. Continuous learning and adaptability have become crucial aspects of professional development.

            The implementation of current legislation has initiated a paradigm shift in healthcare practices, fundamentally altering the responsibilities of nurses, physicians, and other healthcare workers. The shift towards value-based care prioritizes cooperation, patient-centricity, and quantifiable results. This complex change bears effect on different professionals, incorporates quality measurements, and adapts to the changing landscape of training and competencies. The policies serve as more than merely instructions, but rather as agents that stimulate a fundamental change toward a healthcare system that is more productive, streamlined, and centered on the needs of patients.

Fee-for-Service vs. Value-Based Care

            Physicians’ duties, practices, and motivations are impacted by the stark differences in the frameworks of the value-based care (VBC) and fee-for-service (FFS) systems. Comprehending these distinctions is essential to comprehend the changing nature of modern healthcare. In the traditional fee-for-service model, healthcare providers are reimbursed based on the volume and complexity of services rendered (Rutherford et al., 2022). The larger the cash remuneration, the more tests, treatments, or consultations that are carried out. Since each service is billed separately, this model has historically encouraged a quantity-over-quality approach, which may encourage fragmented care. In order to maximize revenue, physicians in this system may feel pressured to order more tests and see more patients, frequently at the price of providing thorough, patient-centered treatment. Physicians operating within FFS systems may find themselves working in silos where collaboration is not inherently rewarded. The financial system naturally encourages a transactional relationship with patients, which prioritizes treating urgent issues over comprehensive, preventive treatment. The focus of FFS is on service delivery rather than results, which may lead to a mismatch between financial incentives and patient welfare.

            Conversely, the value-based care system signifies a substantial paradigm shift by placing patients and their outcomes at the forefront. According to this concept, healthcare professionals are motivated to manage costs and deliver high-quality care that enhances patient experiences (Teisberg et al., 2019). The emphasis now is on providing high-quality treatment that improves patients’ overall well-being rather than just the number of services rendered. Collaborative and team-based approaches are encouraged in value-based care, breaking down barriers between different healthcare professionals (Van Engen et al., 2022). Physicians collaborate with pharmacists, nurses, and other professionals to ensure that patients receive coordinated and comprehensive care.

As an additional objective to enhance population health, a greater focus has been placed on preventive measures, patient education regarding health concerns, and proactive management of chronic conditions. The value-based care model incorporates performance metrics and quality indicators to evaluate the effectiveness of healthcare (Teisberg et al., 2019). Physicians are held responsible for their patients’ outcomes, and financial incentives are linked to meeting predetermined benchmarks. In order to keep patients healthy, this encourages doctors to take a patient-centered strategy that emphasizes prevention and reducing needless treatments.            Physicians and other healthcare providers that work in fee-for-service and value-based healthcare systems vary primarily in that the former follows a volume-driven, transactional mindset. The latter is patient-centered and outcome-focused at the same time. The transition is characterized by the shift from isolated practices to interdisciplinary teamwork and the alignment of financial incentives with patient outcomes (Rutherford et al., 2022). Value-based care systems steer doctors through a terrain that stresses quality, impact, and quantity of medical treatments in addition to quantity, creating a more comprehensive and efficient healthcare environment.

Shared Power Dynamics between Physicians and Nurses in Healthcare

In the healthcare system, there has been a significant evolution in the power dynamics between physicians and nurses, which directly impacts patient care. This shift signifies a departure from hierarchical models towards collaborative approaches that acknowledge and utilize each profession’s distinct expertise. According to Larson (2023), shared power is demonstrated through various initiatives such as interdisciplinary rounds and care planning sessions where physicians and nurses both contribute their knowledge and skills. This fosters collaborative decision-making, where input from both professions is not only welcomed but necessary for developing comprehensive care plans.

Collaborative power dynamics in healthcare have revolutionized care coordination. Instead of working independently, physicians and nurses now work together to optimize care processes. As Fink-Samnick (2019) notes, this has led to improved patient transitions between various healthcare settings, minimizing the possibility of gaps in care and enhancing service continuity. Under the shared power method, patients’ needs and preferences are given priority, and both doctors and nurses actively participate in creating individualized treatment plans. Patient satisfaction is increased because of this cooperative approach, which guarantees that the care given is not only medically effective but also considers the patients’ general well-being.

The collaboration between physicians and nurses in healthcare settings has created opportunities for professional growth for nurses. Nurses now have a more active role in decision-making processes, care plans, and patient management (Teisberg et al., 2019). This empowerment of nurses not only elevates the importance of nursing within the healthcare team but also leads to increased job satisfaction and engagement among nurses. The shared power dynamic between physicians and nurses is characterized by collaboration, improved communication, coordinated care, a focus on patients’ needs, and enhanced professional development opportunities for nurses (Van Engen et al., 2022). This collaborative model goes beyond theory and has tangible positive effects on patient care delivery by fostering teamwork and mutual respect.

Conclusion

The healthcare landscape is undergoing a profound transformation, fueled by policy changes that are directing professionals away from fee-for-service and toward value-based care. Nurses are the transformation leaders, leveraging their expertise to improve patient experiences and outcomes within collaborative, interprofessional teams. Value-based care prioritizes holistic dimensions such as calmness, comfort, and capability while emphasizing quantifiable improvements in patient outcomes. Physicians are altering their responsibilities as they transition to patient-centered care models, and allied health professionals are redefining theirs. This legislatively induced paradigm shift represents a shift toward a more streamlined, patient-centered, and efficient healthcare system. Patient care benefits from improved coordination and a focus on individualized needs as shared power dynamics between physicians and nurses evolve. This transformative journey positions healthcare professionals as architects of a future in which patient value reigns supreme in a seamlessly integrated, quality-focused healthcare landscape.

References

Dempsey, K., Ferguson, C., Walczak, A., Middleton, S., Levi, C., Morton, R. L., Morton, R., Boydell, K., Campbell, M., Cass, A., Duff, J., Elliott, C., Geelhoed, G., Jones, A., Keech, W., Leone, V., Liew, D., Linedale, E., Mackinolty, C., & McFayden, L. (2022). Which strategies support the effective use of clinical practice guidelines and clinical quality registry data to inform health service delivery? A systematic review. Systematic Reviews, 11(1). https://doi.org/10.1186/s13643-022-02104-1

Fink-Samnick, E. (2019). Leveraging interprofessional team-based care toward case management excellence. Professional Case Management, 24(3), 130–141. https://doi.org/10.1097/ncm.0000000000000360

Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., & Malata, A. (2019). High-quality health systems in the sustainable development goals era: Time for a revolution. The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/S2214-109X(18)30386-3

Larson, H. M. (2023). Team-Based care: A foundation for success in value-based payment models. Springer EBooks, 225–236. https://doi.org/10.1007/978-3-031-26510-5_11

Rutherford, B., Brockman, M., Hunt, S., Schmidt, R. N., & Helton, J. (2022). Transitions from A fee-for-service (FFS) payment model: Evolutionary triple to quadruple aim transformation, value-based care and decreased provider burnout. Journal of Business & Educational Leadership, 1. http://asbbs.org/files/2021-22/JBEL_Vol_12.1_Summer_2022.pdf#page=97

Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopaedic Nursing, 36(1), 12–25. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427

Teisberg, E., Wallace, S., & O’Hara, S. (2019). Defining and Implementing Value-based Health Care. Academic Medicine, 95(5), 682–685. https://doi.org/10.1097/acm.0000000000003122

The Commonwealth Fund. (2023, February 7). Value-Based care: What it is, and why it’s needed. Www.commonwealthfund.org. https://www.commonwealthfund.org/publications/explainer/2023/feb/value-based-care-what-it-is-why-its-needed#:~:text=Through%20financial%20incentives%20and%20other

Van Engen, V., Bonfrer, I., Ahaus, K., & Buljac-Samardzic, M. (2022). Value-Based healthcare from the perspective of the healthcare professional: A systematic literature review. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.800702