Date of Conferral

6-27-2024

Date of Award

6-27-2024

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Human Services

Advisor

Matt Frederiksen-England

Abstract

In outpatient mental health treatment settings, providers make up the bulk of billing revenue; however, at the inpatient and residential levels, treatment is rooted in 24-hour nursing care. The measurement of nursing’s contribution to patient care has yet to be established, and with the move towards value-based care payment models, private payors are requiring outcome measures for mental health treatment reimbursement related to nursing processes. The purpose of this review was to examine measurement systems that gauge productivity and the consequential quality outcomes associated with the functions of behavioral health nurses. The Donabedian theory was applied to this review because it relates to factors of nurse productivity and contributors as quality drivers. In this integrative literature review, conducted from August 2022–November 2023, published measures which gauge nursing productivity related to quality outcomes in behavioral health and how these measures help organizations meet private payor expectations of value-based care outcomes were explored. A quality appraisal and thematic analysis were conducted. The results of this review revealed a need for standardized nursing measures for productivity and quality outcomes to meet the criteria for value-based care. A solution offering a list of quality indicators exists internationally. Behavioral health care leaders can implement best practices in value-based delivery with the highest quality standards from which positive social change will emerge. Value-based care models emphasize outcomes over volume of service, allowing for the attention to the holistic needs of the patient, including the social determinants of health.

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