Pay For Performance Payment Model In Nursing

7578 Words 31 Pages
Register to read the introduction… In this role, nurses must advocate for our patients, which includes ensuring that proper care is received throughout their experiences within the health care system. One of the setbacks of pay-for-performance payment models, in this writer’s opinion, as previously stated, is the potential failure to address or provide care for patients with multiple health conditions. The primary focus in this type of policy is the treatment of medical conditions that have a prognosis for a desirable outcome. In the patient population in which multiple health conditions exist or co-morbidities are present, the outcomes of treatment cannot be adequately measured due to the severity of the health issues and care surrounding these individuals. Looking at this particular payment model and its focus on treatment outcomes, it is probable the focus will be shifted to maintaining a patient population where treatment outcomes are better able to be controlled, which may result in the possibility of physicians having an opportunity of opting to treat individuals with a single medical condition that has a prognosis for a desirable outcome and ultimately avoiding the higher risk patients entirely, thereby ensuring the benefits of the incentives offered. It is common that upon introduction of health policy …show more content…
This brings me to emphasize the fact that nurses must become involved in the political arena, voicing our opinions to elected officials in the hopes of making a difference in the healthcare delivery system. In this regard, with nurses being actively involved in health care policy development, we will be able to promote policy which has a positive impact on both, nursing and overall patient care. The role of nurses in making systems of care “work” for patients is clear and scientific evidence can support investments in nursing services, enhance nursing practice and reframe discussions to ensure that pay for performance achieves its intended purposes. (Clarke, et al. …show more content…
Berrick indicates that the use of this payment model actually places hospital organizations in a position where they are deprived of vital information and that management learns less about areas within the infrastructure that may require improvement. For example, with high incentives available to employees, these individuals may hesitate to seek help from their supervisors regarding the inability to meet the needs of patients. Dr. Berrick indicates that this payment model was unfair, costs a great deal to administer and results in a slow change process. An unprecedented level of innovation is required if we are to produce better outcomes at substantially lower costs and for this to happen breakthroughs in performance will require substantial changes in the manner in which we do our work. Innovation does not come without risk. (Berwick, D.M.,

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