Write a 3 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.

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?

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 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.

Minimum of 250 words with peer review reference

 Identify three major policy issues that affect the current state of health care delivery and population health equity in the United States. What impact do these population health policies and initiatives have on advanced nursing practice?         

· Describe the selected problem from two of the three systems levels (micro-, meso-, and macro).

The selected problem I would like to discuss currently affects the microsystem and the mesosystem level. I work in a pediatric gastroenterology clinic that has 9 attending physicians, 3 fellows, 1 NP, and 4 nurses. Currently we have clinic Monday-Friday with many satellite clinics, about 85 percent of patients get blood work done outside our facility. Our lab slip currently states to fax results to providers once finalized, we were having a hard time receiving results for a long time. We often received junk faxes, or faxes that were not intended for our providers which turned into so much wasted paper. We came up with an idea to start using an efax system that could decrease the amount of lost faxes and also decrease the amount of wasted paper.  With an effective efax machine means we can receive faxes directly to our emails and this can mean a faster turnaround for patient treatment.

· Explain how the outcomes of one system level effect the other level?

Delays in test results can lead to patients not receiving appropriate care in a timely fashion and often times require an admission and or readmission. Both admission and readmission can be very costly. With delayed results patients and physicians will likely complain and these complaints will be directed at the mesosystem level. With decreased patient satisfaction comes poor survey scores; which is never a good thing.

· How is a systems approach beneficial in improving healthcare quality and safety?

This system approach is helpful in improving patient care by ensuring patient results are received in a timely fashion. This will also help patients be treated sooner for infections and GI disorders. This system approach will also decrease the amount of wasted paper on junk faxes. Efaxing allows for a quicker turnaround time for physicians to view results.

References:

Pandhi, N., Kraft, S., Berkson, S., Davis, S., Kamnetz, S., Koslov, S., Trowbridge, E., Caplan, W. (2018). Developing primary care teams prepared to improve quality: A mixed-methods evaluation and lessons learned from implementing a microsystems approach. BMC Health Services Research 18(1), 847. https://doi.org/10.1186/s12913-018-3650-4.

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project? (Fall prevention strategies in hospitals.)