Unit 2 DB: Health Care Information Regulatory Environment

 

Primary Task Response: Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Meaningful use was a major regulatory driver of healthcare information technologies. Complete the following:

  • Select 1 of the following to research and select 1 healthcare objective.
    • Meaningful Use regulations
    • Merit-Based Incentive Payment System (MIPS) 
    • Medicare Access and CHIP Reauthorization Act (MACRA)
    • Physician Quality Reporting System (PQRS) 
    • Value-Based Payment Modifier (VBM)
  • For the identified healthcare objective, suggest 1 information system implementation that could be used to achieve the identified objective.

Note: Use APA style 7th editions to cite at least 2 scholarly sources from the last 4 years.  

Opportunities for Improvement: APA standards require a URL for webpages or a DOIs when possible (usually found in scholarly journals/libraries). Essentially, if you do not possess a physical copy of the source, a URL or DOI is required. 

NUR 501 3

NUR 600 3

Week 5assig

Assignment Overview 

As a healthcare provider, it is essential to understand the relationship between economics, resources, budgeting, and staffing, and how these issues affect the ability to provide safe, quality care to patients. Two basic types of health care budgets affect nursing: capital and operating budgets. Capital budgets are used to plan investments and upgrades to physical assets that lose or gain value over time.  Operating budgets include personnel costs and annual facility operating costs. In this assignment, you will select a healthcare budget to analyze and present your findings to stakeholders. 

Assignment Instructions:  

Analyze a healthcare organization’s capital or operating budget and create a slide presentation of your findings and recommendations for stakeholders. The presentation should include the following content: 

Budget Analysis (2-3 slides) 

Obtain a current or previous capital or operating budget or annual report that exists within your healthcare organization from your supervisor or research a healthcare organization budget that is publicly available. Include background information and some context about the healthcare organization. Include a copy of the budget as one of the slides in the presentation. 

  • Identify the components of the budget and describe which categories within the budget are impacted by patient outcomes (e.g.,  patient satisfaction, HCAHAP scores length of stay, readmissions) and which categories may impact patient care. 

Organizational Budget Procedures/Processes (4-5 slides) 

Interview a leader in your organization or research online to find details on your chosen organization budget procedures and processes. 

  • Describe the role of the budget within the specific healthcare organization or unit and how it impacts patient outcomes.  
  • Identify titles/roles of people in the organization who help create and manage budgets for this organization. 
  • Outline the process for reviewing and revising budgets and/or submitting budget requests within this unit, department, or organization.  
  • Discuss the process for communication of budgetary decisions within the organization.  

Recommendations for Improvement (5-7 slides) 

  • Review the budget and identify expected or unexpected items or outliers. Describe whether that issue, opportunity, or concern is capital vs. unit and what implications this has on patient care and healthcare practice. 
  • Make general recommendations to the (unit, department, or organizational) appropriate leader about areas that should be cut, reappropriated, or realigned to improve the issue, opportunity, or concern identified.   
  • Reflecting on this budget and your current practice, develop specific recommendations for the (unit, department, or organization) appropriate leader about one area of focus within the budget for the upcoming fiscal year.   

Application of Analysis (1 slide)

  • Consider the following scenario:
    • The organization you obtained the sample budget from has directed all managers to either cut 5%, increase revenue, or reprioritize spending to meet the budget for the next fiscal year. Based on the budget, justify your choice to cut spending, increase revenue or reprioritize spending.  
      • Describe which areas you would make cuts or adjustments or how you would increase revenue or reprioritize spending. 
      • Which lines in the budget are priorities to keep?  
      • If you make cuts, explain how the remaining budget items are reasonable for the organization and department given the size of the organization and the population served.

BM week5

  The learning resources in the unit provided an overview of the impact of nurses’ practice environment on patient outcomes, as well as, professional autonomy and role satisfaction.

https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-024-01772-9

The resource articles provide illustrations of how a practice environment analysis has been applied in tertiary and ambulatory care settings.

Using the 7 domains of analysis noted in Figure 2 of the Pursio et al. (2024) article and the TOP10 items (Extracted of PES-NWI) from the right-hand side of Table 5 of the Martinez-Riera et al. (2020) article develop a professional presentation that aligns with the requirements noted below.

Include the following in your presentation:

  1. A title slide
  2. A minimum of four slides for each of the 7 domains of analysis from the Pursio et al. (2024) article (total of 28 slides for this element of the presentation)
    • first slide for each domain of analysis – Title of the Domain (from the Pursio et al. article)
    • second slide – correlate that domain with what you perceive to be the appropriate PES-NWI item(s) noted in the right-hand side of Table 5 of the Martinez-Riera et al. (2020) article
    • third slide for each domain of analysis – provide a discussion of your observations and thoughts about the strengths and opportunities in your current practice environment with the PES-NWI items you have correlated with this domain; this discussion may require more than a single slide
    • fourth slide for each domain of analysis – identify one nursing leadership strategy you would deploy to either bolster the strength OR address the opportunity you identified on the preceding slide; be sure to include a resource/reference to support your selected strategy
  3. Summary slide – discuss how the practice environment analysis framework aligns with contemporary leadership theories in nursing
  4. References slidehttps://bmcnurs.biomedcentral.com/articles/10.1186/s12912-024-01772-9
  5. https://www.mdpi.com/1660-4601/17/20/7520

Week 5

Nursing practice and health outcomes are typically influenced by fiscal management practices within a healthcare system. Decisions related to cost of supplies, rate of pay, and staffing are often considered based on location, organizational size, and healthcare policy and legislation.

Consider a scenario where due to staffing shortages, a hospital unit is exploring either bringing in contract travel staff or reorganizing staffing teams to help support the staffing demands of a unit.

  • In your discussion response, describe the benefits of using travel nurses to increase staffing and improve nurse to patient ratios. Also, describe the disadvantages of using travel nurses to fulfill staffing needs.
  • Besides a direct impact to salary budget, what other financial impacts can travel nurses have on unit and healthcare organization budgets?
  • What are some alternative ways to improve staffing and retention of full-time nurses within an organization? Describe how these solutions can improve budgetary considerations.

Nursing TIFF assignment

Now that you are moving deeper into the literature surrounding your proposed project, it is imperative for you to stay engaged with review, appraisal, and synthesis activities.

In this unit you have the Scholarship of Application – Part 2 assignment to create a presentation about the range of strategies/interventions you located in the literature to address the identified problem, the overview of the strategy/intervention you selected to implement and the rationale why this strategy/intervention is the best one to implement in your practice setting.

Using the Synthesis Matrix Table, you submitted in week 4, update the table with a minimum of an additional 5 resources of evidence.

For this unit table assignment, the next 5 entries in your table will demonstrate support for the intervention you have selected to address the identified problem.

After completing the table entries for this week, your updated table will now minimally include 10 resources.

Direct access to the article is essential for grading. Either upload all evidence along with your table or be sure an activated link is provided to ensure it leads directly to the article you are presenting.

Synthesis Matrix Table part 1 and Scholarship application part 2 attached 

NUR 512 Module 6 Discussion

Discussion 6 

 

APN Business Planning

Based on your textbook reading, discuss the process of Advanced Practice Nurse (APN) business planning from a system approach.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Week 5 tifff part 2

Week 5 part 2 tiff

Now that you have identified the practice problem and formulated an Aim Statement, the time has come to search the literature to see the range of potential solutions that can be applied to address the problem.

Once you have a good understanding of the potential solutions you will need to consider which might be the best choice for implementation in your practice setting.

For this assignment you will be providing an overview of the strategy, or intervention if you will, that you plan to implement to address the identified problem.

The assignment will be structured in a presentation format with in-text and reference citations formatted consistent with 7th edition APA guidelines.

The presentation needs to include the following:

Slide 1 – Title slide

Slide 2 – The Problem Statement and the Aim Statement from your unit 3 paper assignment.

Slide 3 – An overview of the range of strategies/interventions that you located in the literature that may be reasonable to implement for addressing the problem (supported with references); OR a discussion about a dearth of literature for potential strategies/interventions (supported with references).

Slide 4 – An overview of the strategy/intervention you selected as the best fit for implementation in your practice setting.

NOTE: advanced graduate level scholarship requires a well-articulated and in-depth overview of the strategy/intervention; consider utilizing the ‘Notes’ section of the slide if needed to provide additional details

NOTE: Be sure to support your selected strategy/intervention with scholarly resources.

Slide 5 – Provide a brief rationale as to why you believe your selected strategy/intervention was the best fit for addressing the problem in your practice setting.

Slides 6 – provide an overview of who would be involved in operationalizing the strategy/intervention (e.g. patients, providers, support staff, IT, the management team, etc.)

NOTE: advanced graduate level scholarship requires a well-articulated discussion about who will be involved in operationalizing the strategy/intervention; consider utilizing the ‘Notes’ section of the slide if needed to provide additional details

NOTE: Be sure to support your discussion of who will be involved with operationalizing the strategy/intervention with scholarly resources.

Slide 7 – Reference citations list

Direct access to articles cited is essential for grading. Either upload all evidence along with your presentation or be sure an activated link is provided within your citation so that faculty evaluators can readily access the articles that you are referencing in your paper and add presentation.

NUR 512 Module 5 Discussion

Discussion 5 

 

Describe a situation of ethical dilemma that you have experienced as a psych nurse  and how it was resolved. (Saunders, 2014)

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.