Moving from volume- to value-based payment methodologies can be challenging due to the cost of implementing them and to the variety of payment structures. The type of value-based program that works for one health care organization may not be the right fit for another. How do you as a health care executive determine the right structure for your organization? What do you need to take into consideration as you look at shifting from traditional payment methodologies to value-based care?For this Discussion, review the resources for this week and reflect on the challenges health care executives might face when transitioning the payment methodology in a health care organization to a value-based model. Consider how the move to a value-based model might impact health care delivery for the health care organization.Post an explanation of how you, as a current or future health care executive, would choose a value-based methodology for the health care organization that you currently work in or one with which you are familiar. Describe the organization's current payment methodology, and explain your rationale for choosing to move to your chosen model. Be specific and provide examples.

Learning Goal: I'm working on a writing discussion question and need an explanation and answer to help me learn.Initial PostDescribe in detail a clinical scenario you experienced, including all relevant information within these iterative stages of the Clinical Judgment ModelRecognize and Analyze CuesExternal cuesInternal cuesCluster relevant cues with a description of cue analysis for importance and immediate concernRelevant cues must be linked to the client’s clinical presentation and ordered in the significance of priority needsCreate and Prioritize HypothesesGenerate a minimum of three hypotheses based on the analysis of cues.Evaluate and prioritize the top two hypothesesProvide rationales and evidence to support choices for each priority hypothesisGenerate SolutionsIdentify an expected outcome for each priority hypothesisDescribe a set of priority interventions for each expected outcomeTake ActionDescribe an implementation plan for priority interventions. Provide rationales and evidence to support choices for each priority interventionEvaluate OutcomesDescribe an evaluation plan for outcomes related to expected results.Identify effective actionsDescribe an evaluation plan for outcomes related to unexpected results.Identify the actions related to declining or unchanged statusSummary of the ongoing iterative process of Clinical JudgmentProvide a summary of what you believe went well, including at least one area of new knowledge gained with a description of how the new knowledge will affect your nursing practiceDescribe at least one part of the clinical judgment process you would do differently if faced with a similar clinical situation in the future. Explain why you would approach this situation in another wayResponses to classmatesIdentify two responses which contain new knowledge you had not considered previouslyDescribe how this new knowledge could impact your nursing practice.

NUR1055 section BNP 1 Introduction to Nursing- Residential and online-2021 DIRECTIONS: Reflective writing will assist with improving your critical thinking and provide an opportunity to synthesize classroom knowledge. Reflection also assists with developing self-awareness, promoting professional growth and behaviors. REFLECTION DISCUSSION QUESTION Reflect on the content learned during the course. Include how this course helped you begin to form your professional identity as a nurse. Include how you will continue to form your professional identity.