title: Transitioning From Volume to Value: A Strategic Approach to Design and Implementation.
abstract: As the health care delivery system migrates toward a model based on value rather than volume, nursing leaders play a key role in assisting in the design and implementation of new models of care to support this transition. This article provides an overview of one organization's approach to evolve in the direction of value while gaining the experience needed to scope and scale cross-continuum assets to meet this growing demand. This article outlines the development and deployment of an organizational structure, information technology integration, clinical implementation strategies, and tools and metrics utilized to evaluate the outcomes of value-based programs. Experience in Bundled Payments for Care Improvement program is highlighted. The outcomes and lessons learned are incorporated for those interested in advancing value-based endeavors in their own organizations.
authors.affiliation: Northwell Health Network, Great Neck, New York.
authors.forename: Geralyn
authors.initials: G
authors.lastname: Randazzo
authors.forename: Zenobia
authors.initials: Z
authors.lastname: Brown
mesh_terms: D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care / Q000458:organization & administration*; D006801:Humans; D016347:Medical Records Systems, Computerized; D017146:Models, Organizational; D009718:Nurse Administrators / Q000458:organization & administration*; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D016730:Program Development / Q000379:methods*