To quantify the nursing role and apply value proposition in patient safety, there must be a substantial focus on nurse assignment and patient safety to avoid negative outcomes such as nosocomial infections, falls, pressure ulcers, and overall negative outcomes. The value-based payment method must incorporate the efficiency and effectiveness of nursing care linked to each patient similar to performance metrics for physicians (McGlynn et al., 2014). Nursing leaders need to recognize that a substantial contribution of nursing to positive patient outcomes, and must therefore establish metrics linking nursing to costs and quality, move focus from staffing to assignment and start billing for nursing services (Welton, 2010). Nurses must be
