Increasing health care value has become a central objective of payment policies, insurance design and purchasing, and patient and provider decision-making. The word "value" appeared in the title of seven sections of the Affordable Care Act (ACA), and earlier this year CMS set a goal of having 50 percent of reimbursement based on value. Nurses are the key contact for patients in all health care settings, and account for a large portion of the labor costs in many of those settings. Therefore, they have a direct link to value through both outcomes and cost. This brief reviews nurses' contribution to value, highlighting evidence published by researchers in the Interdisciplinary Nursing Quality Research Initiative (INQRI), an 8-year program funded by the Robert Wood Johnson Foundation. It also looks at interventions designed to address outcomes targeted by ACA- or Medicare-related payment policies.
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