National Academy of Engineering (US) and Institute of Medicine (US) Committee on Engineering and the Health Care System; Building a Better Delivery System: A New Engineering/Health Care Partnership

Responses to classmates must consist of at least 350 words (not including the greeting and the references), do NOT repeat the same thing your classmate is saying, try to add something of value like a resource, educational information to give to patients, possible bad outcomes associated with the medicines discussed in the case, try to include a sample case you’ve seen at work and discuss how you feel about how that case was handled. Try to use supportive information such as current Tx guidelines, current research related to the treatment, anything that will enhance learning in the online classroom. According to Porter-O’Grady & Malloch (2015), value is determined by the three elements of cost, quality, and service. If the services provided by a healthcare system do not make a difference in the health outcome of the patient they need to be eliminated. Providers of care like nurses need to be able to show that the services they provide are value-based. Boykin et al. (2014) developed a model called the Dance of the Caring Persons based on the Theory of Nursing as Caring. The premise is that caring is part of being human and we are all caring at any moment in time. The embodiment of the dance is the dynamic, fluid, multidimensional, and multidirectional nature of human relationships and human systems (Boykin et al. 2014). Nursing can be an integral player in enhancing value-based services by utilizing evidence-based research to direct care and collect outcomes that demonstrate value. An example of how to create value-based care, Dr. Porter-O’Grady spoke at a conference as the keynote speaker in 2014 to perioperative nurses (Wood 2014). Dr. Porter went on to say that as an organization you need to demonstrate that you have comparable or better service metrics than the competitors. You have to define quality and what the indicators are and if you delivered on the promise made. You need to ask does the cost of care makes you a desirable healthcare provider. Due to the fluidity of healthcare in the 21st century, the entire continuum of care has to be evaluated. With nursing making up the bulk of providers in healthcare, they can have a significant influence on how healthcare can be delivered in our current healthcare environment. Systems Management in Healthcare Delivery Nursing leadership plays an important role in using systems management in the delivery of value-based healthcare. “The system approach is a methodology that seeks to ensure that changes in any part of the system will result in significant improvements in total system performance (Reid et al. 2006).” This is the core of the Dance of the Caring Persons where everyone is in a state of caring and interacting with multiple people involved with the patient. When nursing uses evidence-based research to provide the care they demonstrate value and quality. Nursing leadership offers education and training in the identification of quality and beneficial nursing interventions and embraces the positive outcomes while eliminating procedures and routines that do not provide value. Boykin, A., Schoenhofer, S. & Valentine, K. (2014). Health Care System Transformation for Nursing and Health Care leaders Implementing a Culture of Caring. Springer Publishing Company. Porter-O’Grady, T. & Malloch, K. (2015). Quantum Leadership Building Better Partnerships for Sustainable Health. Jones and Bartlett Learning. Reid PP, Compton WD, Grossman JH, et al., editors(2005). National Academy of Engineering (US) and Institute of Medicine (US) Committee on Engineering and the Health Care System; Building a Better Delivery System: A New Engineering/Health Care Partnership. A Framework for a Systems Approach to Health Care Delivery. National Academies Press. doi:https://www.ncbi.nlm.nih.gov/books/NBK22878/ Wood, E. (2014). Keynoter Tim Porter-O’Grady sees new roles for perioperative nurses. OR Manager 30(4), 4-5.