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Value-Based Resource Management: A Model for Best Value Nursing Care

Caspers, Barbara A. MS, BSN, RN; Pickard, Beth BSN

Nursing Administration Quarterly: April/June 2013 - Volume 37 - Issue 2 - p 95–104
doi: 10.1097/NAQ.0b013e3182869e17
Original Articles

With the health care environment shifting to a value-based payment system, Catholic Health Initiatives nursing leadership spearheaded an initiative with 14 hospitals to establish best nursing care at a lower cost. The implementation of technology-enabled business processes at point of care led to a new model for best value nursing care: Value-Based Resource Management. The new model integrates clinical patient data from the electronic medical record and embeds the new information in care team workflows for actionable real-time decision support and predictive forecasting. The participating hospitals reported increased patient satisfaction and cost savings in the reduction of overtime and improvement in length of stay management. New data generated by the initiative on nursing hours and cost by patient and by population (Medicare severity diagnosis-related groups), and patient health status outcomes across the acute care continuum expanded business intelligence for a value-based population health system.

Nursing Operations and Acute Care Practice, Catholic Health Initiatives, Denver, Colorado (Ms Caspers); and Clairvia, Cerner Corporation, Kansas City, Kansas (Ms Pickard).

Correspondence: Barbara A. Caspers, MS, BSN, RN, Catholic Health Initiatives, 198 Inverness Dr West, Englewood, CO 80112 (

The authors thank Drs John M. Welton and Kathleen Sanford for providing the cornerstone for their work and passion to operationalize the economic value of nursing.

The authors declare no conflict of interest.

© 2013 Lippincott Williams & Wilkins, Inc.