Heart Failure Clinic Resourcing Plan

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?

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.
•Simons, T., Leroy, H., Savage, G. T. (2013). Leading in health care organizations: Improving safety, satisfaction, and financial performance. Bingley, UK: Emerald Group.
•Zelman, W. N., McCue, M. J., Glick, N. D., Thomas, M. S. (2014). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (4th ed.). San Francisco: Jossey-Bass.
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Course Library Guide

A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the BSN-FP4012 – Nursing Leadership and Management Library Guide to help direct your research.

Internet Resources
•Mensik, N. (2013). What nurses need to know about nurse staffing today | Transcript. Retrieved from https://www.youtube.com/watch?v=mo5OFmGQQH0
•American Nurses Association (ANA). (2015). Code of ethics for nurses. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses.aspx
•National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved from https://www.ncsbn.org/index.htm
•Joint Commission. (2015, January 12). Hospital outpatient department. Retrieved from http://www.jointcommission.org/hospital_outpatient_department
•American Nurses Association (ANA). (n.d.). Scope of practice. Retrieved from www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2

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. â—¦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. â—¦How does a union contract affect the staffing plan or schedule? â—¦Examine the Nurse Practice Act for your state. â—¦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.

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Heart Failure Clinic Resourcing Plan Scoring Guide
Apply evidence-based management strategies and best practices for resourcing health care services.

Does not apply evidence-based management strategies and best practices for resourcing health care services. Develops a plan for resourcing health care services, but does not connect it to evidence-based management strategies and best practices for resourcing health care services. Applies evidence-based management strategies and best practices for resourcing health care services. Applies evidence-based management strategies and best practices for resourcing health care services; identifies risks and opportunities.

Apply legal and professional standards for resourcing outpatient services.

Does not apply legal and professional standards for resourcing outpatient services. Cites a legal framework for resourcing outpatient services, but does not connect it to professional standards. Applies legal and professional standards for resourcing outpatient services. Applies legal and professional standards for resourcing outpatient services; identifies risks and opportunities under the Health Care Reform Act.

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

Does not describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. Describes management and accountability tools and procedures used to manage health delivery services, but does not address patient outcomes. Describes management and accountability tools and procedures used to manage health delivery services and patient outcomes. Describes management and accountability tools and procedures used to manage health delivery services and patient outcomes; explains the relationship of staffing to improved outcomes.

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

Does not write content clearly or logically, with correct use of grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, or mechanics. Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics; uses relevant evidence to support a central idea.

Correctly format citations and references using current APA style.

Does not correctly format citations and references using current APA style. Uses current APA to format citations and references but with numerous errors. Correctly formats citations and references using current APA style with few errors. Correctly formats citations and references using current APA style with no errors.

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