lOMoARcPSD| 63525276
1
AXM2: Achieving Quality Outcomes through Value-Based Care AXM2 Template
Achieving Quality Outcomes through Value-Based Nursing Care
Alecia C. Thompson
Leavitt School of Health, Western Governors University
D026: Quality Outcomes in a Culture of Value-Based Nursing Care
Victoria Johnson
31 July 2026
A. Value-Based Care
Three Components of Value-Based Care
Value-based care is a healthcare model that links financial rewards to patient health
outcomes rather than to the number of services provided. In this model, healthcare providers are
compensated for improving patient health, successfully managing chronic diseases, and
preventing complications. The model is supported by several key frameworks, including the
Institute for Healthcare Improvement’s (IHI) Triple Aim, the six domains of healthcare quality,
and the broader value-based care framework. Improving the U.S. healthcare system requires the
Last Updated 5/10/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility, Production &
Operations [HC - Based on review completed 4/22/24.]
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, lOMoARcPSD| 63525276
2
AXM2: Achieving Quality Outcomes through Value-Based Care AXM2 Template
simultaneous pursuit of three components: improving the experience of care, improving
population health, and reducing per capita healthcare costs (Berwick et al., 2008).
The effectiveness of one of the primary frameworks supporting value-based care, the
IHI’s Triple Aim model, is illustrated by a 12-month managed care program implemented by a
Midwestern institution’s community healthcare division for underserved individuals diagnosed
with heart failure and/or diabetes. The program demonstrated significant improvements in
population health, as participants achieved better control of chronic disease indicators and
became more engaged in managing their own care. In addition, the program enhanced the patient
care experience through education and social support initiatives that fostered trust, reduced
missed appointments, and helped mitigate challenges associated with rural healthcare workforce
shortages. Finally, the intervention contributed to lower per capita healthcare costs by generating
a positive return on investment through reductions in emergency department visits and inpatient
utilization (Fawcett Jr. et al., 2018).
B. Culture of Continuous Quality Improvement
Two Benefits of Continuous Quality Improvement
Continuous Quality Improvement (CQI) is an ongoing, systematic process used to
evaluate and enhance patient care, safety, and operational efficiency. The goal of CQI is to
reduce error rates, minimize complications, and strengthen safety protocols. The growing
adoption of CQI initiatives in healthcare has generated increased research interest, leading to a
deeper understanding of their effectiveness and impact. The primary purposes of CQI are to
improve the structure of healthcare systems, enhance healthcare delivery processes and outputs,
and improve patient treatment outcomes (Endalamaw et al., 2024). Furthermore, effective
Last Updated 5/10/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility, Production &
Operations [HC - Based on review completed 4/22/24.]
Downloaded by morren nyutu ()
1
AXM2: Achieving Quality Outcomes through Value-Based Care AXM2 Template
Achieving Quality Outcomes through Value-Based Nursing Care
Alecia C. Thompson
Leavitt School of Health, Western Governors University
D026: Quality Outcomes in a Culture of Value-Based Nursing Care
Victoria Johnson
31 July 2026
A. Value-Based Care
Three Components of Value-Based Care
Value-based care is a healthcare model that links financial rewards to patient health
outcomes rather than to the number of services provided. In this model, healthcare providers are
compensated for improving patient health, successfully managing chronic diseases, and
preventing complications. The model is supported by several key frameworks, including the
Institute for Healthcare Improvement’s (IHI) Triple Aim, the six domains of healthcare quality,
and the broader value-based care framework. Improving the U.S. healthcare system requires the
Last Updated 5/10/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility, Production &
Operations [HC - Based on review completed 4/22/24.]
Downloaded by morren nyutu
()
, lOMoARcPSD| 63525276
2
AXM2: Achieving Quality Outcomes through Value-Based Care AXM2 Template
simultaneous pursuit of three components: improving the experience of care, improving
population health, and reducing per capita healthcare costs (Berwick et al., 2008).
The effectiveness of one of the primary frameworks supporting value-based care, the
IHI’s Triple Aim model, is illustrated by a 12-month managed care program implemented by a
Midwestern institution’s community healthcare division for underserved individuals diagnosed
with heart failure and/or diabetes. The program demonstrated significant improvements in
population health, as participants achieved better control of chronic disease indicators and
became more engaged in managing their own care. In addition, the program enhanced the patient
care experience through education and social support initiatives that fostered trust, reduced
missed appointments, and helped mitigate challenges associated with rural healthcare workforce
shortages. Finally, the intervention contributed to lower per capita healthcare costs by generating
a positive return on investment through reductions in emergency department visits and inpatient
utilization (Fawcett Jr. et al., 2018).
B. Culture of Continuous Quality Improvement
Two Benefits of Continuous Quality Improvement
Continuous Quality Improvement (CQI) is an ongoing, systematic process used to
evaluate and enhance patient care, safety, and operational efficiency. The goal of CQI is to
reduce error rates, minimize complications, and strengthen safety protocols. The growing
adoption of CQI initiatives in healthcare has generated increased research interest, leading to a
deeper understanding of their effectiveness and impact. The primary purposes of CQI are to
improve the structure of healthcare systems, enhance healthcare delivery processes and outputs,
and improve patient treatment outcomes (Endalamaw et al., 2024). Furthermore, effective
Last Updated 5/10/24
Accessibility Review Completed and Approved for Distribution and Use. Accessibility, Production &
Operations [HC - Based on review completed 4/22/24.]
Downloaded by morren nyutu ()
