Question

Consider the impact of the Massachusetts state profile on quality care and value-based purchasing within nursing practice.

Answer 1

The strength of evidence on the effectiveness of pay for performance VBP (value based practice) VBP Programs improving health quality of care in health industry and improve the patient outcome , nursing staffing has consistently been shown to influence out comes. The growing body of evidence related, Massachusetts state has good number of quality nurse, why because their pay keep on raising compare to previous years, most of the nurses they are holding BSN and MSN education VBP is the best and its improving the both side patient quality of and as well nursing improving skill set by leaning day by day,

Massachusetts VBP nursing caret based 6 steps

• Organize into integrated practice units
• Measure out comes and costs for every patient
• Move to bundled payment for care cycles
• Integrate care of the delivery across the separate facilities
• Expand excellent services across geography
• Build an enabling information technology platform

The Massachusetts payment Model spectrum

• Fee for service
• Pay for performance
• Bundled payment/ Episode based
• Shared savings/partial risk
• Full risk/Capitation
• Provider sponsor plans

While value based purchasing nurses can refer wide variety of payment strategies while its paying nurses Massachusetts state is following Pay for performance additional bonus 10% based on their performance, its encouragement for nurses also they have interest and if they give good care they will get more this platform will help to grow more in nursing profession not economical as skill set wise it expanding in very rapid growth in Massachusetts.