BSN 4012 Assessment 4 Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes

BSN 4012 Assessment 4 Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes

Write a 3–4 page evidence-based resourcing plan for one
component of the Heart Failure Clinic.

It is important for the nurse leader to have not only a
basic understanding of the budget process, but to understand how to work with
variances in staffing, patient loads, and supply costs in order to meet the
needs of the patients, without compromising the funding process of the clinic.

By successfully completing this assessment, you will
demonstrate your proficiency in the following course competencies and
assessment criteria:

Competency 3: Apply management strategies and best practices
for health care finance, human resources, and materials allocation decisions to
improve health care delivery and patient outcomes.

Apply evidence-based management strategies and best
practices for resourcing health care services.

Describe management and accountability tools and procedures
used to manage health delivery services and patient outcomes.

Competency 4: Apply professional standards of moral,
ethical, and legal conduct in professional practice.

Apply legal and professional standards for resourcing
outpatient services.

Competency 5: Communicate in manner that is consistent with
the expectations of a nursing professional.

Write content clearly and logically, with correct use of
grammar, punctuation, mechanics, and current APA style.

Reference

Kelly, P., & Tazbir, J. (2014). Essentials of nursing
leadership and management (3rd ed.). Clifton Park, NY: Delmar.

Competency Map

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Use this online tool to track your performance and progress
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Context

Health care delivery is a complex process and system that
includes multiple delivery sites such as hospitals, ambulatory-care centers,
private-provider offices, community-health facilities, home-care agencies, and
extended-care facilities. Managed care is a method used to reimburse or pay for
health care service. It includes more than just payment; it also controls the
delivery services. Health care reform has been undertaken for a variety of
reasons, not the least of which are access and health disparities issues.
Nursing within an organization is a critical component of health care delivery
and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014).

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Questions to Consider

To deepen your understanding, you are encouraged to consider
the questions below and discuss them with a fellow learner, a work associate,
an interested friend, or a member of your professional community.

For the following questions, you may wish to review the
Brown, Bornstein, and Wilcox article “Partnership and Empowerment Program:
A Model for Patient-Centered, Comprehensive, and Cost-Effective Care,”
listed in the Unit Resources.

Who makes you accountable for the delegation that you use in
your organization, as well as on a state and national level?

Are there ways you could initiate greater collaboration with
the health care team by using delegation?

What is the purpose of the National Council of State Boards
of Nursing delegation decision-making tree?

What is the long-term implication related to health care
cost if the patient or patient population continues to have poor outcomes
related to cost containment?

How can you address cost within your organization, as a
nursing leader, and how is this related to patient outcomes?

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Resources

Suggested Resources

The following optional resources are provided to support you
in completing each assessment. They provide helpful information about the
topics in this unit. For additional resources, refer to the Research Resources
and Supplemental Resources in the left navigation menu of your courseroom.

Library Resources

The following resources are provided for you in the Capella
University Library and are linked directly in this course. These articles
contain content relevant to the topics and assessments that are the focus of
this unit.

Brown, C., Bornstein, E., & Wilcox, C. (2012).
Partnership and empowerment program: A model for patient-centered,
comprehensive, and cost-effective care. Clinical Journal of Oncology Nursing,
16(1), 15–17.

Rundio, A. (2012). The nurse manager’s guide to budgeting
& finance. Indianapolis, IN: Sigma Theta Tau International.

Cranmer, P., & Nhemachena, J. (2013). Ethics for nurses:
Theory and practice. Maidenhead, Berkshire, UK: Open University Press.

Pynes, J. E., Lombardi, D. N. (2011). Human resources
management for health care organizations: A strategic approach. San Francisco:
Jossey-Bass.

Read Also:

When a patient, their family, or the entire community reacts negatively to current or future health problems, a nursing practice problem arises. A nursing practice challenge provides registered nurses with a framework for selecting appropriate nursing actions that will result in a specific outcome (Grove & Gray, 2018). Acute pain, nausea, constipation, a diminished ability to care for oneself, and an increased risk of harm are some of the symptoms. When issues such as decreased verbal communication, disrupted family processes, the danger of falling, and loss of authority are considered, the impact of an illness on a patient or family can be viewed more broadly and holistically (Grove & Gray, 2018). Nurses can better plan their interventions if they use these as a guide.
An illness or condition is involved in a medical practice issue. A medical model is concerned with illness. The doctor approaches the patient’s flaw or dysfunction as a problem-solving exercise. Nursing has practice models and theories that emphasize the holistic approach to disease (Rutberg & Bouikidis, 2018). A nursing model investigates how people react to health issues and life processes. It investigates how a patient, family, or community responds to current or anticipated health issues. A medical diagnosis of stroke, for example, provides information about the patient’s pathology (Rutberg & Bouikidis, 2018).

It is critical to base the PICOT question on a nursing practice problem so that the patient, rather than the illness or condition, is the focus. Nursing practice difficulties center on the patient’s reaction to illness, injury, and treatment, whereas medical practice difficulties center on diagnosis and prescription (Considine et al., 2017).
A nursing practice problem differs significantly from a medical practice problem. Nursing practice issues are concerns about patient care. As nurses, we are primarily concerned with understanding how patients respond to various treatment approaches. Furthermore, they develop the most effective approaches that are most effective for various patients. Nursing practice problems are chosen based on social, scientific, and personal considerations. A nursing practice problem might be when a nurse wants to investigate the effectiveness of CPR on elderly patients. Medical practice issues, on the other hand, are those that influence a patient’s diagnosis. Physicians are primarily concerned with the diseases that their patients suffer from. They perform tests and examine the patient’s physical condition in order to properly diagnose them. When a doctor performs an X-ray on an accident victim to determine which internal organs were injured, this is an example of a medical practice problem (Kitson, Marshall, Bassett & Zeitz, 2013).

Transforming nursing practice in primary care settings is recognized as a promising strategy for improving primary care quality and efficiency while also addressing unmet healthcare needs of individuals, families, and communities. Scholars all over the world emphasize the important role nurses can play in shifting to new models of care to improve primary healthcare services. A substantial body of evidence emphasizes the critical role of nurses in improving access to primary care services, care quality, and patient and professional satisfaction. Two recent systematic reviews show that, when compared to primary care physicians, trained nurses (e.g., nurse practitioners [NPs], registered nurses [RNs]) provide equal or better quality care, achieve comparable health outcomes, and have higher levels of patient satisfaction for urgent physical problems and chronic conditions. Contandriopoulos and Brousselle show how incorporating NPs into primary care teams helps to disrupt the status quo and reform primary care delivery models.

Bookstore Resources

The resources listed below are relevant to the topics and
assessments in this course. These resources are available from the Capella
University Bookstore. When searching the bookstore, be sure to look for the
Course ID with the specific –FP (FlexPath) course designation.

Kelly, P., & Tazbir, J. (2014). Essentials of nursing
leadership and management (3rd ed.). Clifton Park, NY: Delmar.

Chapters 8–10

Chapters 14–15.

Assessment Instructions

Preparation

Refer to the Capella library and the Internet for
supplemental resources to help you complete this assessment.

Instructions

Deliverable: Develop one component of an evidence-based
resourcing plan.

Scenario:

The hospital leadership team has already allocated the major
capital expenditures for the heart failure clinic, such as the facility, legal
services, IT, and security services. However, as a member of the nurse team,
you have been asked to develop one component of a resourcing plan for the next
leadership meeting.

You may use any combination of documents (for example, a
spreadsheet or a table) in addition to explanatory information to convey information
clearly and succinctly.

Choose one of the following:

Budget:

Apply evidence-based management strategies and best
practices for resourcing health care services.

Identify the business plan budget categories and
subcategories (not necessarily the actual cost) to establish a new clinic.

Start-up expenses.

Examine fixed and variable costs.

Capital budget items.

Examples: salary and benefits, staffing mix, specialized
equipment or materials, et cetera.

Contingency fund and parameters.

Apply legal and professional standards for resourcing
outpatient services.

Explain the alignment to best practices and professional
standards for cost effective outpatient services.

How will uninsured or underinsured patients be managed?

Describe management and accountability tools and procedures
used to manage health delivery services and patient outcomes.

What data resources and tools analyze costs, health
insurance, and hospitalization services?

How will billing be handled?

How will you determine if outpatient management is
cost-effective?

How does transparency impact the consumer?

Staffing Plan:

Apply evidence-based management strategies and best
practices for resourcing health care services.

Identify the disciplines and skill mix needed for
appropriate staffing.

Estimate staffing requirements by discipline and staffing
ratios (evidence-based).

Develop a sample staffing schedule.

How will you staff to meet corporate diversity goals or the
needs of diverse patients?

Explain how delegation, collaboration, negotiation will
affect staffing plan.

How does a union contract affect the staffing plan or
schedule?

Examine the Nurse Practice Act for your state.

How does the Nurse Practice Act affect your staffing plan?

Apply legal and professional standards for resourcing
outpatient services.

Align your staffing plan to best practices, the Nurse
Practice Act for your state, scope of practice, and the Joint Commission
standards for outpatients.

Describe management and accountability tools and procedures
used to manage health delivery services and patient outcomes.

How will you know if staffing is cost-effective?

How will you know if staffing mix or schedule impacts
patient outcomes?

Additional Requirements

Written communication: Written communication should be free
of errors that detract from the overall message.

APA formatting: Resources and in-text citations should be
formatted according to current APA style and formatting.

Length: The plan should be 3–4 pages in content length,
double-spaced.

Font and font size: Times New Roman, 12 point.

Number of resources: Support your plan with a minimum of
three peer-reviewed resources, in addition to professional standards.