NR533 2022 August Discussions Latest (Full)

NR533 Financial Management in Healthcare Organizations

Week 1 Discussion

Introducing Self and Project

You will notice this collaboration café prompt is a bit different than what you have had in previous courses; however, you will follow the same guidelines used before with a couple of recommendations. The content for this assignment provides the foundation for the work you will be doing throughout the course and your final assignment – the Business Plan. It is important for your success that you have a workable and accurate PICOT question. Your instructor will be responding individually related to the formation of your PICOT. It is highly recommended that you respond to the instructor’s post to ensure you are on the right track. If you have further questions about your PICOT reach out to your instructor for additional help.

During this course you will be relating many of your discussions and assignments to your project proposal you anticipate completing for your practicum. Please introduce yourself to the class and instructor and include the following information.

Description of 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 anticipate using for the final practicum project.

* (For review of creating a PICOT see the example below or watch the media presentation located in resources and announcements)

What led you to choose this issue/topic? With whom have you collaborated, or will you consult about the issue at your facility?

What type of expenses/costs would you need to consider in helping you develop a preliminary budget for your project?

 

NR533 Financial Management in Healthcare Organizations

Week 2 Discussion

Volume-Based Versus Value-Based Reimbursement

Venn Diagram for Discussion Assignment (Week 2)

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. Be sure the overlapping area contains the commonalities between the two systems.Use the editable template for the Venn Diagram, which is available for download above. 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.

 

NR533 Financial Management in Healthcare Organizations

Week 3 Discussion

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?

 

NR533 Financial Management in Healthcare Organizations

Week 4 Discussion

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?

 

NR533 Financial Management in Healthcare Organizations

Week 5 Discussion

Cost-Benefit Analysis

Consider and restate 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?

 

 

 

NR533 Financial Management in Healthcare Organizations

Week 6 Discussion

Business Plan Development: SWOT analysis

For any new project or revision of a current process, key questions that will need to be answered are whether it’s needed, does the institution have the capacity to support it, what is already in place that will facilitate implementation, and what are the downsides or barriers to development. In short, the SWOT analysis is a necessary component of planning a project and preparing the business plan. Critically examine your PICO(T) and project proposal through the lens of a SWOT analysis of your organization. Determine and describe what information you know and what you need to find out to complete a SWOT analysis that will provide rationale and validity for your project.

 

NR533 Financial Management in Healthcare Organizations

Week 7 Discussion

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 the McKinsey Influence Model, how will you go about engaging stakeholders to adopt your proposal for change?

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