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HCAHPS Series: Value-Based Purchasing

by Instructor: Deborah Zastocki, DNP, EdM, MA, RN, NEA-BC, FACHE(r)

$38.00

i 2.50 Hours

Course Overview

With the passage of the Affordable Care Act of 2010, the healthcare system underwent a transformation from the pay-for-service to pay-for-performance model. The ACA established the hospital value-based purchasing program, or simply VBP. The VBP is an initiative from the Centers for Medicare & Medicaid Services to reward acute-care hospitals with incentive payments to create better clinical outcomes and lower cost for the care they provide to Medicare beneficiaries. This module discusses the VBP program and provides historical context of healthcare reform initiatives.

About the Course Author

Deborah K. Zastocki, DNP, Ed.M. MA, RN, retired NEA-BC, FACHE(r) is currently founder and president of Legacy Healthcare Management Consulting in North Carolina. She received her BSN from the University of Rhode Island, both master's degrees from Teachers College Columbia University, and her DNP from the University of Medicine and Dentistry of NJ. Dr. Zastocki has over 30 years of experience, with a professional career that included a journey from staff nurse to nurse executive roles, authorship, adjunct faculty, and healthcare executive leadership. Dr. Zastocki is the former president and CEO of Chilton Medical Center and became a health system executive with Atlantic Health System in New Jersey, after system integration. Deborah Zastocki, DNP, EdM, MA, RN, NEA-BC, FACHE(r) has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

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Accreditation Information

Certificates provided by accrediting body (12 Match)

  • American Nurses Credentialing Center

    2.50HOURS

    In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


  • American Occupational Therapy Association

    2.50HOURS

    Relias LLC is an approved provider of continuing education courses by the American Occupational Therapy Association. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

    Category: Category 3.

    This activity is approved for 2.5 contact hours.

  • Florida Board of Occupational Therapy

    2.50HOURS

    This course has been approved by the Florida Board of Occupational Therapy for 2.5 contact hours, approval number 20-718780.

  • Florida Council of Dietetics and Nutrition

    2.50HOURS

    Florida Council of Dietetics and Nutrition accepts medical errors courses approved by any Board within the Division of Medical Quality Assurance of the Florida Department of Health. Relias Learning, LLC is an approved provider of continuing education in nursing by the Florida Department of Health, Board of Nursing, provider # 50-290. This course is approved for 2.5 contact hours.

  • Alabama State Board of Occupational Therapy

    2.50HOURS

    Alabama State Board Of Occupational Therapy (CEBroker Provider #50-290).

    Occupational Therapists will receive 2.5 contact hours for participating in this course.

  • Accreditation Council for Continuing Medical Education

    2.50HOURS

    In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


    Relias LLC designates this enduring activity for a maximum of 2.5 AMA PRA category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

  • Arizona Board of Occupational Therapy Examiners

    2.50HOURS

    Arizona Board Of Occupational Therapy Examiners (CEBroker Provider #50-290).

    Occupational Therapists will receive 2.5 contact hours for participating in this course.

  • Georgia State Board of Occupational Therapy

    2.50HOURS

    Georgia State Board of Occupational Therapy (CEBroker Provider #50-290)
    Occupational Therapists will receive 2.5 contact hours for participating in this course.

  • South Carolina Board of Occupational Therapy

    2.50HOURS

    South Carolina Board Of Occupational Therapy (CEBroker Provider #50-290)
    Occupational Therapists will receive 2.5 contact hours for participating in this course.

  • Louisiana State Board Medical Examiners- Occupational Therapy

    2.50HOURS

    Louisiana State Board of Medical Examiners - Occupational Therapy (CEBroker Provider #50-290)
    Occupational Therapists will receive 2.5 contact hours for participating in this course.

  • Mississippi State Department of Health- Occupational Therapy

    2.50HOURS

    Mississippi State Department of Health- Occupational Therapy (CEBroker Provider #50-290)
    Occupational Therapists will receive 2.5 contact hours for participating in this course.

  • Tennessee Board of Occupational Therapy

    2.50HOURS

    Tennessee Board of Occupational Therapy (CEBroker Provider #50-290)
    Occupational Therapists will receive 2.5 contact hours for participating in this course.


Course Details

  • Course Code:

    REL-ACU-0-60262

  • Hours:

    2.50

  • Type:

    Online Course

  • Release Date:

    2019-11-01

  • Expiration Date:

    2021-10-31

  • Learning Objectives:

    Analyze how the Hospital Consumer Assessment of Healthcare Providers and Systems Survey is used to measure hospital performance against value-based purchasing goals to create better clinical outcomes and lower healthcare costs; Describe how hospitals and healthcare professionals providing care to Medicare beneficiaries can collectively benefit from a value-based purchasing program; Discuss the commitments that share in promoting the goals of a value-based purchasing program; Discuss the criteria hospitals must meet to qualify for reimbursement and rewards from the Centers for Medicare & Medicaid Services; Examine a situation in your clinical setting and apply a quality improvement tool to create better performance and clinical outcomes; Explain how a value-based purchasing program is designed to improve the patient experience; Illustrate the differences between pay-for-service and pay-for-performance models for healthcare funding by providing an example; Summarize the review of literature regarding the accomplishments and problems related to the Affordable Care Act

  • Outline:

    1.       Historical Overview of Healthcare Reform

    2.       Timetable of the ACA’s Key Provision

    3.       Knowledge Check 1

    4.       Knowledge Check Answers

    5.       The American Health Care Act Proposal

    6.       Value-Based Purchasing

    7.       Three Types of VBP Models Reviewed

    8.       How VBP Pay-for-Performance Works

    9.       Fiscal Year 2018 Measures: Hospital Value-Based Purchasing

    10.   Clinical Care Domain 2018

    11.   Safety Domain

    12.   Fiscal Year 2019 Measures: Hospital Value-Based Purchasing

    13.   Clinical Care Domain

    14.   Person and Community Engagement Domain Measure Descriptions

    15.   Safety Domain

    16.   Efficiency and Cost Reduction Domain

    17.   FY 2018 Baseline and Performance Periods

    18.   FY 2019 Baseline and Performance Periods

    19.   Knowledge Check 2

    20.   Knowledge Check Answers

    21.   Nursing’s Leadership Role in Healthcare Reform and Value-Based Purchasing

    22.   Knowledge Check 3

    23.   Knowledge Check Answers

  • Target Audience:

    The target audience for this course is: Advanced level Occupational Therapists; Level II level Dietitians; Nurses; Pharmacists; Pharmacy Technicians; Physicians; in the following settings: Acute Care Facility.

  • Course Delivery Method and Format:

    Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
    Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
    If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
    All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
    Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
    All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
    To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.

  • Accommodations:

    If you require special accommodations to complete this module, please contact Relias Customer Support here.

  • Disclosures:

    Expert Reviewers, Instructors, and Staff Writers disclosures will be listed above after the individuals' biographical paragraph. All other members involved within the planning of this educational activity have declared no conflict of interest exists when planning and developing this course.