NR533 All discussions - September 2018

Asked by sharpie
Dated: 6th Nov'18 12:46 PM
Bounty offered: $130.00

NR 533 Week 1: Introduction: Self and Project

Because you have been in the program for a while now, you have had many opportunities to get to know others in the group fairly well. For this introduction, we're going to shift gears a bit. During this course you will be relating many of your discussions and assignments to the project proposal you created in NR505. Please introduce yourself to the class and instructor and include the following information.

Describe the type of facility by which you are employed.

Your current position and for how long

Your prior experience in financial management

Share the PICO(T) you developed in NR505 and/or the one you will be using in your final project.

What led you to choose this issue/topic?

NR 533 Week 1: Touchpoint Reflection: Healthcare Systems’ Financial Environments

Guidelines for Touchpoint Reflections

A downloadable version of the guidelines, which includes further information, is available for access on the Course Resources page.

Reflection Information

Understanding how your organization is reimbursed for services depends on several components. Assess your organization and identify its care delivery system and payer mix make up. Include percentages represented by each payer group. Use the table to record your findings.

Your Name's Healthcare OrganizationHealthcare Delivery System (Type)

Payer Mix

Percentage

Medicare

Medicaid

Managed Care

HMO

PPO

IPA

Self-pay

Uninsured

REFLECTION

Based on this data, discuss the assumptions that could be made about the population demographics for your institution. What influence do these variables have on the types of services offered at your facility?

IMPLICATIONS FOR THE FUTURE

What might your analysis tell you about the long-term health of your community?

What future needs might be identified?




NR 533 Week 2: Volume-Based Versus Value-Based Reimbursement

Models of payment to healthcare organizations have begun to shift from paying for volume (fee for service) to paying for value (quality). Using a Venn Diagram, compare volume-based versus value-based reimbursement. Use the editable template for the Venn Diagram, which is available for download on the Course Resources page. This template (with your findings) will need to be posted as an attachment in your discussion post along with your written prompt.

Consider Jim, who is 69 years old and comes to your Emergency Department (ED) with severe abdominal pain. His evaluation, besides a physical exam, includes an abdominal ultrasound, a CT scan with and without contrast, multiple lab studies, all lead to his having an emergency appendectomy. Other than having Type II diabetes well controlled on diet and exercise, he is in otherwise good health. Jim is treated as an outpatient and is discharged home the next morning. Two weeks later he returns to the ED with fever, continued abdominal pain, and a surgical site infection. He is admitted and is treated for 5 days before being sent home.

Using your findings from your comparison of volume- versus value-based reimbursements, analyze the scenario. Determine how the hospital could charge and be reimbursed using the two methods. In this case, which would be better for the hospital? How do each of these payment models contribute to or detract from the goal of the Triple Aim? Considering payer mix, delivery systems, population demographic, and value-based purchasing of the institution. How do all of these elements influence the financing of the type and quality of care provided at your facility? What are the implications on access and availability of types of care provided by your institution?

Remember to support your thoughts with scholarly sources.

NR 533 Week 2 Touchpoint Reflection: Reimbursement Issues

Guidelines for Touchpoint Reflections

A downloadable version of the guidelines, which includes further information, is available for access on the Course Resources page.

Reflection Information

EXPERIENCE

Consider the data collected in Week 1 about your institution's payer mix, delivery system, population demographics, and this week's discussion on value- and volume-based reimbursements

REFLECTION

Describe how these factors coalesce to influence the financing of the type and quality of care provided at your institution. What are the implications on access and availability of types of care provided at your institution?

IMPLICATIONS FOR FUTURE

How is your proposed project affected by the information you've gathered about your facility?

What adjustments might you have to make in your proposal because of the information gathered?


NR 533 Week 3: Process of Budget Preparation

After exploration of the types of budgets and the processes for their development at your institution. How and from whom is input into the budgets acquired and used? Where does control of the budget lie? What influence do unit and midlevel managers have on the various kinds of budgets?

NR 533 Week 3 Touchpoint Reflection: Financial and Budgeting Principles

Guidelines for Touchpoint Reflections

A downloadable version of the guidelines, which includes further information, is available for access on the Course Resources page.

Reflection Information

EXPERIENCE

This week's readings contained a great deal of information on financial and budgeting principles. Some of you may have had some familiarity with the concepts and maybe even experience in working with them. However, there is always something new to learn.

REFLECTION

What pre-conceived notions related to healthcare financial and budgeting principles did you hold before this week that you understand better now or for which you have a different perspective? How have these new revelations influenced your thinking related to access, availability, and quality of healthcare?

IMPLICATIONS FOR THE FUTURE

How has your enhanced knowing affected the way you view your proposed project?

What areas of additional financial or budgeting data gathering have you identified as a need for your plan?


NR 533 Week 4: Staffing Ratios

Staffing is one of the largest expenditures for healthcare organizations. It stands to reason that for some organizations a mandatory staffing ratio could negatively impact their financial bottom line. Sometimes ratios can be different within an organization based on acuity of patients or type of unit. Explore your own organization staffing ratio policy. What is/are the ratio(s) and how they are determined? What variables affect the ratios? Have they been mandated by state legislation or organizational policy? How is your operational budget (unit or department) affected by the staffing ratio assigned to it?

NR 533 Week 5: Cost-Benefit Analysis

Consider your PICO(T) and the proposal for your final project. When you think of it as a type of new program development, what specific information will you need to obtain to create the cost-benefit analysis as part of your business plan for the project?

NR 533 Week 6: Business Plan Development: SWOT analysis

The SWOT analysis is a necessary component of planning a project and preparing the business plan. Based on your PICO(T) and project proposal, discuss what information you need for the SWOT in order to provide rationale and validity for your project.

NR 533 Week 7: Business Plan

In addition to being fiscally sound, cost neutral, or revenue producing, a new program/major change must fit with the organization’s philosophy, vision, mission, and strategic plan. Describe with specific examples how your project fits in with your institution’s philosophy, vision, mission, and strategic plan.

Drawing upon your knowledge of various change theories and in particular Rogers’ Diffusion of Innovations (theory for sustainable change), how will you go about engaging stakeholders to adopt your proposal for change?

NR 533 Week 8 Touchpoint Reflection: Finance, Budgets, and Business Plans-“Oh my!”

Guidelines for Touchpoint Reflections

A downloadable version of the guidelines, which includes further information, is available for access on the Course Resources page.

Reflection Information

This is the final week of discussion and there are two important areas of reflection included in this discussion. Please label each area with a heading to facilitate classmate and instructor response.

EXPERIENCE

Post your executive summary.

Compare your pre-and post-self-assessments.

REFLECTION

Discuss the strengths and weaknesses to the business plan for your final proposal.

Identify areas of strength and weakness related to financial and budgeting principles.

IMPLICATIONS FOR THE FUTURE

What adjustments are needed for you to create the most compelling plan?

What concepts from the course do you need to study further?

What is your plan for enhancing your knowledge of finance and budgets in the healthcare organization?

NR533 All discussions - September 2018
Answered by sharpie
Expert Rating: 385 Ratings
Dated: 6th Nov'18 12:46 PM
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