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Propose one innovative, value-based healthcare change that will affect patient outcomes.

A. Create a proposal by doing the following:

  1. Propose one innovative, value-based healthcare change that will affect patient outcomes.

a. Select an organizational sponsor in a leadership role and meet with them to authorize your proposed change and complete the attached “Professional Verification Form.”

Note: See the “Professional Verification Form” for details on how to complete the document, and include all required sections. An organizational sponsor is an individual who fulfills a leadership role, such as a supervisor, manager, director, or clinical specialist.

b. Summarize the discussion you had with your organizational sponsor, including feedback received from the sponsor.

c. Explain any changes you had to make to your proposal based on the sponsor’s feedback, or explain why no changes were needed based on your sponsor’s feedback.

  1. Provide organizational, local, or national data that support the need for the proposed change.
  2. Describe two barriers that may hinder making the proposed change.
  3. Discuss a potential negative outcome if your proposed change is not implemented.

a. Discuss a potential action that you can take if there is a lack of support for your proposed change.

  1. Discuss two ways this proposed change could enhance value-based care.
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Sample Answer

 

 

 

Absolutely. Let’s construct a proposal for an innovative, value-based healthcare change.

Proposed Change: Implementation of a Remote Patient Monitoring (RPM) Program for Chronic Heart Failure Patients in Rural Areas

1. Proposal Development and Organizational Sponsor:

  • a. Organizational Sponsor:
    • I would approach the Chief Nursing Officer (CNO) of a regional healthcare system that serves a significant rural population.
    • I would meet with the CNO to present my proposal and secure their authorization.
    • The “Professional Verification Form” would be completed, documenting the CNO’s support and authorization.
  • b. Discussion with Sponsor:
    • The discussion would focus on the potential of RPM to:
      • Reduce hospital readmissions for heart failure patients.
      • Improve patient adherence to medication and lifestyle changes.
      • Enhance access to care for patients in remote areas.
      • Reduce the burden on clinic visits.
    • The CNO would likely provide feedback on:
      • The feasibility of implementation, considering existing resources and infrastructure.
      • The need for a clear plan for data management and patient privacy.
      • The importance of demonstrating a return on investment.
      • The CNO would want to see how this program would integrate with the current electronic health record system.

Full Answer Section

 

 

 

  • Changes Based on Feedback:
    • Based on the CNO’s feedback, I would:
      • Develop a detailed implementation plan that includes a pilot program with a select group of patients.
      • Create a data management and privacy protocol that complies with HIPAA regulations.
      • Conduct a cost-benefit analysis to demonstrate the potential for cost savings.
      • Create a integration plan with the current EHR system.

2. Supporting Data:

  • National Data:
    • Heart failure is a leading cause of hospital readmissions, with significant costs to the healthcare system.
    • Studies have shown that RPM can reduce hospital readmissions for heart failure patients by up to 20-30%.
    • Rural areas have higher rates of heart failure and limited access to specialized care.
  • Local Data:
    • The regional healthcare system’s data would be analyzed to identify:
      • The number of heart failure patients in rural areas.
      • The readmission rates for these patients.
      • The costs associated with heart failure care.
      • The current usage of telehealth within the patient population.
    • This data would demonstrate the need for RPM and the potential for cost savings.

3. Barriers to Implementation:

  • Technological Infrastructure:
    • Rural areas may lack reliable internet access, which is essential for RPM.
    • Patients may have limited digital literacy or access to devices.
  • Provider Adoption:
    • Healthcare providers may be resistant to adopting new technologies or workflows.
    • Training and support would be needed to ensure successful implementation.

4. Potential Negative Outcome and Action:

  • Negative Outcome:
    • If RPM is not implemented, heart failure patients in rural areas will continue to experience:
      • High rates of hospital readmissions.
      • Limited access to timely care.
      • Reduced quality of life.
      • Increased healthcare cost.
  • Action for Lack of Support:
    • If there is a lack of support, I would:
      • Present the data and evidence to other stakeholders, such as physicians and patient advocacy groups.
      • Seek grant funding to support a pilot program.
      • Partner with community organizations to raise awareness of the benefits of RPM.
      • Create a presentation that shows how this program will benefit each department within the healthcare system.

5. Enhancement of Value-Based Care:

  • Improved Patient Outcomes:
    • RPM enables proactive monitoring and early intervention, reducing the risk of exacerbations and hospitalizations.
    • This leads to improved quality of life and better management of chronic conditions.
  • Cost Reduction:
    • By reducing hospital readmissions and emergency department visits, RPM can significantly lower healthcare costs.
    • This aligns with the goals of value-based care, which emphasizes delivering high-quality care at a lower cost.
    • By keeping patients out of the hospital, those beds can be used for other patients.

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