Course Code: REL-PAY-0-VPAYPP
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2024
Learning Objectives:
Conceptualize the value of your network’s care.
Discuss how the current fee-for-service (FFS) system is failing to promote quality of care.
Explain how payment models are tied to differing levels of accountability and risk.
List the concepts and key elements of a value-based payment model.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: The Current Healthcare Landscape
Jacob’s Story
Health Outcomes
Social Determinants of Health
Integrating to Improve Member Health
Can Cost, Quality, and Experience Co-Exist?
Review
Summary
Section 3: Introduction to Value-Based Payments
What are Value-Based Payments (VBP)?
How Do You Define Quality?
Measuring Quality
Conceptualizing Value in a VBP Model
Value is Relative
Achieving High Value in a VBP Model
Review Exercise: Where Does My Network Stand?
Summary
Section 4: Value-Based Models In-Depth
Integration, Accountability, and Risk in a VBP Model
Sharing of Accountability and Risk
Example in Action: Capitation
Making the Most of a VBP Model: Organization-Level Factors
Making the Most of a VBP Model: Data
Care Management in a VBP Model
Challenges and Barriers in a VBP Model
Review
Summary
Section 5: Conclusion
Course Summary
Course Contributors
References
Instructor: Kathleen Marie Matson, DHA, MSN, RN, NE-BC
Kathleen Matson is the Nurse Administrator for Nursing Resources at Mayo Clinic in Arizona. Kathleen has 39 years of hospital experience, with at least 25 of those years spent in different nursing administration roles. She has published on leadership and has been a featured speaker on the topic of managing staffing resources at national conferences. Kathleen is an Assistant Professor for Nursing with the Mayo College of Medicine and Adjunct Faculty at Grand Canyon University Colleges of Nursing and Health Sciences. Kathleen has her MHA and MSN degrees, is a Board Certified Nurse Executive. She is currently a candidate for a Doctoral Degree in Health Administration from the University of Phoenix.
Writer: Nicole Strickland, BA, BSN, RN, CPAN
Nicole Strickland, BA, BSN, RN, CPAN has cared for patients at every acuity level over more than a decade as a nurse. She has devoted much of her nursing career to training nurses and nursing students as a Certified Post Anesthesia Nurse (CPAN). She holds a BA in English Language and Literature from Temple University and worked as a medical editor for the National Board of Medical Examiners before returning to school to obtain a BSN from Duke University. She is now pursuing a M.Ed. in Learning Design and Technology from The University of North Carolina at Charlotte while continuing her passion for the creation of evidence-based and engaging education as an acute care SME writer at Relias.
Target Audience:
The target audience for this course is: Case Managers; Intermediate level Social Workers; Nurses; in the following settings: All Healthcare Settings.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.