ENHANCING HEALTHCARE OUTCOMES THROUGH NURSING AND EMERGENCY ADMINISTRATION: THE ROLE OF VALUE-BASED CARE MODELS

Khaled Minawir Almotairi*

ABSTRACT

Background: Value-based care (VBC) models represent a transformative shift in healthcare delivery, prioritizing improved patient outcomes and cost-efficiency. By focusing on quality over quantity, VBC addresses critical challenges such as the growing burden of chronic diseases, rising healthcare costs, and disparities in access to care. These models leverage frameworks like Patient-Centered Medical Homes (PCMHs), bundled payment initiatives, and Accountable Care Organizations (ACOs). Despite their promise, implementing VBC faces challenges, including workforce readiness, interoperability of data systems, and ensuring equity across diverse populations. Aim: This paper explores the theoretical foundations, implementation strategies, and outcomes of VBC models, with a specific focus on the interconnected roles of nursing and emergency administration. It examines how these professionals contribute to the design, execution, and evaluation of VBC models in healthcare settings. Methods: A comprehensive review of case studies, policy documents, and peer-reviewed literature was conducted. The analysis emphasizes the operationalization of VBC, technological integration, and the contributions of interdisciplinary teams, particularly nursing and emergency administrators, to improve care quality and reduce costs. Results: The findings indicate that VBC models significantly enhance patient satisfaction, chronic disease management, and reduce hospital readmissions. Nursing interventions, including patient education and transitional care coordination, play a pivotal role in achieving these outcomes. Emergency administrators contribute by optimizing workforce training, resource distribution, and aligning policies to support VBC implementation. However, barriers such as data management inefficiencies, resistance to change, and equity challenges persist. Conclusion: Value-based care models offer a promising avenue for revolutionizing healthcare delivery by aligning incentives with outcomes. Maximizing their potential requires coordinated efforts across nursing, emergency administration, and technological innovation to address existing challenges and ensure equitable care for all populations.

Keywords: Patient-centered care, Accountable care organizations, Nursing, Emergency administration, Value-based care, Healthcare transformation, Equity in healthcare