For this task, you will examine the payment model of a healthcare organization and compare it with the principles of value-based care.

Nursing has a pivotal role in shaping policies and implementing practices to improve patient outcomes. Increasingly, healthcare is being reimbursed based on outcomes, including patient satisfaction and quality of care. Healthcare professionals are being held accountable for the care provided and the patient outcomes achieved. In this changing environment, nurses should have an awareness of financial implications, share in the decision-making process, and leverage data through participation in continuous improvement processes.

For this task, you will examine the payment model of a healthcare organization and compare it with the principles of value-based care.

You will consider the organizational ethics that are reflected in the financial structure of the organization and discuss data that informs this financial structure. You will compare this organization to another organization and consider which organization is most aligned with value-based care principles. You will discuss the role of nursing in the fiscal responsibility of the value-based care model.

Your goal for this task is to clearly and concisely present a recommendation that analyzes the alignment of the financial structure within a healthcare organization to value-based healthcare, and analyzes the role of nursing in value-based healthcare, using convincing evidence to promote the necessity for change.

REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

A. Examine a hospital that has significance to you and complete the following:
1. Identify the hospital you selected from the Care Compare website (found below in “Web Links”), including the name and location (city, state).
2. Explain why you chose the hospital in part A1 and what significance it has to you, including a specific example.
3. Using the Care Compare website, identify the “type of facility” of the hospital you chose in part A1.
a. List the medical services provided at the facility.
4. Summarize the three main types of control/ownership for healthcare structures:
• for profit
• non-profit
• governmental
5. Discuss the overall star rating from the Care Compare website for the hospital you chose in part A1, including the following:
• selected hospital’s overall star rating (If the hospital does not have an overall star rating, explain why.)
• how the rating impacts the hospital (e.g., financials, provided services, employee retention)
6. Discuss two organizational ethical principles practiced by the hospital you chose in part A1, including a specific example for each ethical practice.
7. Discuss the nurse’s role in fiscal responsibility related to value-based care, including two specific examples.
8. Describe one healthcare organizational change that could improve the delivery of value-based healthcare for the hospital you chose in part A1.

B. In this section, students will discuss financial models, delivery of care, and data sources:
1. Compare two healthcare payment/reimbursement models.
2. Discuss how the organization you chose in part A1 is aligned with value-based care. Include supporting evidence from one scholarly article published within the last five years.
3. Discuss how the organization you chose in part A1 is aligned with equitable patient-centered care. Include supporting evidence from one scholarly article published within the last five years.
4. Discuss one financial data source and one quality data source that could support organizational transformation in any healthcare organization.

C. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

D. Demonstrate professional communication in the content and presentation of your submission.
File Restrictions
File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, csv, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z
RUBRIC
A1:HEALTHCARE ORGANIZATION IDENTIFICATION
NOT EVIDENT
The submission does not identify a hospital.

APPROACHING COMPETENCE
The submission is missing the hospital’s name or location (city, state), or the organization is not selected from the Care Compare website.

COMPETENT
The submission identifies the hospital by the organization’s name and location (city, state), and the organization is selected from the Care Compare website.

A2:SIGNIFICANCE OF FACILITY
NOT EVIDENT
An explanation of why the hospital in part A1 was chosen is not provided.

APPROACHING COMPETENCE
The explanation of why the hospital from part A1 is chosen is provided but does not include the personal significance or a specific example.

COMPETENT
The explanation of why the hospital from part A1 is chosen includes the personal significance and a specific example.

A3:TYPE OF FACILITY
NOT EVIDENT
An identification of the “type of facility” of the hospital chosen in part A1 is not provided.

APPROACHING COMPETENCE
The identification of the “type of facility” of the hospital chosen in part A1 is provided, but the “type of facility” is inaccurate.

COMPETENT
The identification of the “type of facility” of the hospital chosen in part A1 is accurate.

A3A:MEDICAL SERVICES
NOT EVIDENT
A list of medical services provided at the facility is not provided.

APPROACHING COMPETENCE
The list of medical services provided at the facility is not complete.

COMPETENT
The list of medical services provided at the facility is complete.

A4:TYPES OF CONTROL/OWNERSHIP
NOT EVIDENT
A summary of the main types of control/ownership for healthcare structures is not provided.

APPROACHING COMPETENCE
The summary of the main types of control/ownership for healthcare is provided, but 1 or more from the given list is missing. Or the summary is inaccurate or does not include specific detail.

COMPETENT
The summary of each of the 3 main types of control/ownership for healthcare is accurate and includes specific detail.

A5:OVERALL STAR RATING
NOT EVIDENT
A discussion of the overall star rating is not provided.

APPROACHING COMPETENCE
The discussion of the overall star rating includes the rating but does not include how the rating impacts the hospital. Or the chosen hospital differs from the hospital in part A1.

Or, if the hospital does not have an overall star rating, the discussion does not include why.

COMPETENT
The discussion of the overall star rating of the hospital chosen in part A1 includes the rating and how the rating impacts the hospital.

If the hospital does not have an overall star rating, the discussion includes why.

A6:ORGANIZATIONAL ETHICS
NOT EVIDENT
A discussion of ethical principles practiced by the hospital is not provided.

APPROACHING COMPETENCE
The discussion of organizational ethical principles practiced by the hospital only includes 1 ethical practice. Or it does not include a specific example for each ethical practice.

COMPETENT
The discussion of 2 organizational ethical principles practiced by the hospital chosen in part A1 includes a specific example for each ethical practice.

A7:NURSING ROLE IN VALUE-BASED CARE
NOT EVIDENT
The submission does not discuss the nurse’s role in fiscal responsibility.

APPROACHING COMPETENCE
The submission presents a discussion of the nurse’s role in fiscal responsibility, but the nursing role discussed is not related to value-based care. Or the discussion does not include 2 specific examples.

COMPETENT
The submission presents a discussion of the nurse’s role in fiscal responsibility as related to value-based care and includes 2 specific examples.

A8:ORGANIZATIONAL CHANGE FOR VALUE-BASED HEALTHCARE
NOT EVIDENT
A description of 1 healthcare organizational change that could improve the delivery of value-based healthcare is not provided.

APPROACHING COMPETENCE
The description of 1 healthcare organizational change that could improve the delivery of value-based healthcare is irrelevant or implausible for the healthcare organization from part A1.

COMPETENT
The description of 1 healthcare organizational change that could improve the delivery of value-based healthcare for the healthcare organization from part A1 is relevant and plausible.

B1:COMPARE FINANCIAL STRUCTURES
NOT EVIDENT
A comparison of 2 healthcare payment/reimbursement models is not provided.

APPROACHING COMPETENCE
The comparison of 2 healthcare payment/reimbursement models is inaccurate or illogical. Or it does not include a similarity or dissimilarity of the 2 healthcare payment/reimbursement models.

COMPETENT
The comparison of 2 healthcare payment/reimbursement models is accurate and logical.

B2:ALIGNMENT WITH VALUE-BASED HEALTHCARE
NOT EVIDENT
A discussion of how the organization from part A1 is aligned with value-based healthcare is not provided.

APPROACHING COMPETENCE
The discussion of how the organization from part A1 is aligned with value-based healthcare is provided but is not supported with evidence from 1 scholarly article that was published within the last 5 years. Or the discussion is not related to value-based care.

COMPETENT
The discussion of how the organization from part A1 is aligned with value-based healthcare is provided and is supported with evidence from 1 scholarly article that was published within the last 5 years.

B3:EQUITABLE PATIENT-CENTERED CARE
NOT EVIDENT
A discussion of how the organization from part A1 is aligned with equitable patient-centered care is not provided.

APPROACHING COMPETENCE
The discussion of how the organization from part A1 is aligned with equitable patient-centered care is provided but is not supported with evidence from 1 scholarly article that was published within the last 5 years. Or the discussion is not related to equitable patient-centered care.

COMPETENT
The discussion of how the organization from part A1 is aligned with equitable patient-centered care is provided and is supported with evidence from 1 scholarly article that was published within the last 5 years.

B4:SOURCES TO INFORM ORGANIZATIONAL TRANSFORMATION
NOT EVIDENT
A discussion of a data source that could support organizational transformation is not provided.

APPROACHING COMPETENCE
The discussion does not discuss both 1 financial data source and 1 quality data source. Or 1 or more of the data sources that could support organizational transformation in any healthcare organization is irrelevant or not credible.

COMPETENT
The discussion of 1 credible financial data source and 1 credible quality data source that could support organizational transformation in any healthcare organization is relevant.

C:SOURCES
NOT EVIDENT
The submission does not include both in-text citations and a reference list for sources that are quoted, paraphrased, or summarized.

APPROACHING COMPETENCE
The submission includes in-text citations for sources that are quoted, paraphrased, or summarized and a reference list; however, the citations or reference list is incomplete or inaccurate.

COMPETENT
The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the author, date, title, and source location as available.

D:PROFESSIONAL COMMUNICATION
NOT EVIDENT
This submission includes pervasive errors in professional communication related to grammar, sentence fluency, contextual spelling, or punctuation, negatively impacting the professional quality and clarity of the writing. Specific errors have been identified by Grammarly for Education under the Correctness category.  

APPROACHING COMPETENCE
This submission includes substantial errors in professional communication related to grammar, sentence fluency, contextual spelling, or punctuation. Specific errors have been identified by Grammarly for Education under the Correctness category.  

COMPETENT
This submission includes satisfactory use of grammar, sentence fluency, contextual spelling, and punctuation, which promote accurate interpretation and understanding. 

WEB LINKS
Care Compare

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