Moving healthcare quality forward with nursing-sensitive value-based purchasing.
Moving healthcare quality forward with nursing-sensitive value-based purchasing.
复制标题
DOI：
10.1111/j.1547-5069.2012.01469.x
复制
发表时间：
2012-12
期刊：
影响因子：
--
通讯作者：
Coty MB
中科院分区：
文献类型：
--
作者：
Kavanagh KT;Cimiotti JP;Abusalem S;Coty MB
目的：强调卫生系统改革的必要性，并强调护理措施是我国医疗报销制度的关键组成部分。设计和方法：护理敏感的价值为基础的采购（NSVBP）已被提出作为一项倡议，这将有助于促进最佳的人员配置和实践环境，通过财务奖励和结构，流程和患者的结果措施的透明度。本文回顾了医疗，政府，机构和奠定文献的必要性，实施方法和潜在的影响NSVBP。研究结果：研究表明，不良事件和死亡率高度依赖于护士的人员配备水平和技能组合。国家护理质量指标数据库（NDNQI），沿着其他完善的指标，可以作为护理敏感的测量值为基础的采购举措。护理敏感措施是基于价值的采购的重要组成部分。结论：基于价值的采购还处于起步阶段。设计一个有效的系统，承认和纳入护理措施将促进这一举措的成功。NSVBP需要设计和激励，以减少不良事件，住院时间和再入院率，从而降低社会医疗成本。临床相关性：NSVBP有可能提高护理质量的财政激励医院有一个最佳的护士执业环境，能够产生最佳的病人的结果，通过调整医院的成本效益，病人和社会。
Purpose: To underscore the need for health system reform and emphasize nursing measures as a key component in our healthcare reimbursement system. Design and Methods: Nursing-sensitive value-based purchasing (NSVBP) has been proposed as an initiative that would help to promote optimal staffing and practice environment through financial rewards and transparency of structure, process, and patient outcome measures. This article reviews the medical, governmental, institutional, and lay literature regarding the necessity for, method of implementation of, and potential impact of NSVBP. Findings: Research has shown that adverse events and mortality are highly dependent on nurse staffing levels and skill mix. The National Database of Nursing Quality Indicators (NDNQI), along with other well-developed indicators, can be used as nursing-sensitive measurements for value-based purchasing initiatives. Nursing-sensitive measures are an important component of value-based purchasing. Conclusions: Value-based purchasing is in its infancy. Devising an effective system that recognizes and incorporates nursing measures will facilitate the success of this initiative. NSVBP needs to be designed and incentivized to decrease adverse events, hospital stays, and readmission rates, thereby decreasing societal healthcare costs. Clinical Relevance: NSVBP has the potential for improving the quality of nursing care by financially motivating hospitals to have an optimal nurse practice environment capable of producing optimal patient outcomes by aligning cost effectiveness for hospitals to that of the patient and society.
登录
查看更多内容
影响因子：
4.9
作者：
Cimiotti JP;Aiken LH;Sloane DM;Wu ES
通讯作者：
Wu ES
影响因子：
3
作者：
Dall, Timothy M.;Chen, Yaozhu J.;Hogan, Paul F.
通讯作者：
Hogan, Paul F.
影响因子：
120.7
作者：
Aiken, LH;Clarke, SP;Silber, JH
通讯作者：
Silber, JH
影响因子：
4.3
作者：
Dunton, N;Gajewski, B;Moore, J
通讯作者：
Moore, J
DOI：
10.2307/3348969
发表时间：
1966-01-01
期刊：
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY
影响因子：
--
作者：
DONABEDIAN, A
通讯作者：
DONABEDIAN, A