Facilities Design, logistics, and Value-Based Purchasing-6700

Facilities Design, logistics, and Value-Based Purchasing-6700

The new facility designs and logistics are striving towards providing high-quality care while the expenditures are kept as minimal as possible. Value-based purchasing is one of the new models and logistics that the healthcare sector is advocating for to be adopted into the care facilities by the care providers. In this design, payments are based on performance in that there is a bonus for improved performance and deduction of payments for poor performance(Centers for Medicare & Medicaid Services, 2015). Started by the Department of Health and Human Services in partnership with Centers for Medicare and Medicaid Services, it has ensured high quality of healthcare services. The following article addresses the impact of the new designs and logistics and how it has improved the general quality outcome in care facilities.

The design and logistics have ensured caregivers are accountable for their practices (Chen & Ackerly, 2014). This has taken the performance of caregivers in the healthcare to a higher level while expenditures are kept low. The advantages that come about from the new designs overweigh the disadvantages. To the patients, they are able to receive quality care and achieve best outcomes from the care. The adverse events, related to medical errors and contraction of hospital-based infections, have reduced. Cases of readmission and mortality rates have reduced (Gilman et al., 2015) likewise. This design has also ensured the care provided is in line with the patient values and prevalence hence increasing the patient satisfaction with the care they receive.

In the organization I work, the facility is designed towards reducing the duration of stay of patients in the facility. Care providers work in collaboration to ensure all the procedures are based on evidence from literature or experts. Use of catheters is one of the practices that are  closely monitored in the facility because it was realized that catheter usage, especially urinary tract catheters, was rampant and lead to patients contracting catheter-associated urinary tract infection. In case of inappropriate use of catheters and caring for the indicated patients, the caregivers are held accountable for the treatments thereafter. This has ensured the quality care and improved patient outcome within the facility

To healthcare organizations, value-based purchasing has reduced expenditures by reducing the number of days patients spend in the facility. In those facilities, care is patient-centered and evidence-based hence attracting more patients to seek medical services form the facilities. Therefore revenue generation is high. However, the caregivers experience tension in the course of delivering their care. They fear of being held accountable of even mistakes that happen unawares. Hencesuch healthcare facilities are at risk of losing its caregivers who feel will not operate up to the standards of the logistics.


Centers for Medicare & Medicaid Services. (2015). Hospital value-based

purchasing. Department of Health.

Chen, C., & Ackerly, D. C. (2014). Beyond ACOs and bundled payments: Medicare’s shift

toward accountability in fee-for-service. Jama311(7), 673-674.

Gilman, M., Hockenberry, J. M., Adams, E. K., Milstein, A. S., Wilson, I. B., & Becker, E. R.

(2015). The financial effect of value-based purchasing and the hospital readmissions

reduction program on safety-net hospitals in 2014: a cohort study. Annals of

            internal medicine163(6), 427-436.