The Role of Nurses in BPCI Advanced Program Success

Within BPCI Advanced, The Centers for Medicare & Medicaid services (CMS) often identifies physicians as the champions or quarterback of the program. While physicians are important, nurses play a pivotal role in influencing patient outcomes within the program and have a large part in a provider’s success. In celebration of Nurses Week (May 6-12), we took a moment to explore the impact nurses have on BPCI Advanced and how they help their organizations reach their full potential in the program.  

Nurses are the ambassadors of the program

Once a patient is identified for BPCI Advanced, nurses can help to explain the program and educate the patient onhow they fit into it. When the program was in its infancy, nurses had to teach themselves about the levers to pull, metrics that mattered, and care redesign necessary to succeed in the program. Now, nurses serve as key educators for communicating the importance of their own participation to improving health outcomes. Nurses also empower patients to take an active role in self-managing their care. Nurses’ roles in explaining the program and patient expectations, help to increase quality and patient satisfaction, setting both the patient and the interdisciplinary teams driving the program up for success. 

Nurses are the first to sound the alarm

In any bundled payment program, particularly in BPCI Advanced, identifying and flagging potential roadblocks to patient recovery is an important step to ensuring that patients stay healthy throughout the entire 90-day episode of care. Nurses are often the first to identify patient barriers and know when to alert physicians to changes in health status. Physicians rely on nurses’ judgement to keep them in touch with each patients’ health status. An open line of communication between patients and physicians, maintained by nurses, can help to prevent patient complications and rehospitalizations. 

Nurses are trusted liaisons throughout the episode 

Because of their close contact with patients, nurses can develop deep trust with patients. This trust is critical for successful patient engagement including helping patients learn how to care for themselves, communicating what to expect after discharge, as well as empowering them to ask for help or alert their providers to changes in their recovery. Not only do nurses provide reassurance at the bedside, but they also prepare patients for discharge. Nurses may also collaborate with interdisciplinary team members, such as social workers, to develop patient discharge planning. Nurses can use their experience and insights to help develop a patient’s transitions of care plan when leaving the hospital and can help to catch issues before they develop into more serious problems. 

At Archway, we’re lucky work with so many nurses, both in our provider offices and hospitals, and throughout the care continuum, who provide real insights and input on how we can improve our work every day. Thank you!