A Transparency and Accountability Framework for High-Value Inpatient Nursing Care

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Executive Summary▸ Transparency and accountability are terms that typically refer to activities aimed at measuring and holding providers responsible for their performance through such vehicles as public disclosure of comparative results.▸ Today, transparency and accountability policies are widely accepted strategies to drive quality improvement and stimulate consumer choice.▸ Yet nursing, the single largest health care profession, has not yet been engaged in these policy directions nor considered in their design or implementation.▸ The framework reported here offers nurses and their professional organizations a model for which to advocate for policy change.▸ Hospital and health system executives who have the freedom to establish institutional policies might implement this framework to achieve higher value.▸ This framework provides both the context and components of a system that, if implemented, would measure, report, and reward hospital nursing's contributions to high value.

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