Assignment Content
You are the chief nursing officer for a 500-bed regional medical center on the East Coast. Nurses are in very short supply in your region, and you are constantly struggling to meet staffing needs. Explain what you can do to work with the human resources specialists in your organization to overcome these challenges and effectively staff your hospital. Is your plan an effective one? How?Your journal entry must be at least 200 words in length. No references or citations are necessary.
Category: Health Care and Life Sciences : Health Care
Internal Disaster Plans
Click here (http://www.euro.who.int/__data/assets/pdf_file/0020/148214/e95978.pdf) to read about the standard operating guidelines for hospital disaster plan.
Review the elements required for a disaster plan addressing an internal disaster. Based on your review, create a 2- to 3-page report in a Microsoft Word document covering the hospital’s (internal) disaster plan for how the staff reacts and carries out their duties in the event of an internal disaster.
Your internal disaster plans should include:
Introduction
Size and type of your hospital (you decide this)
Type of internal disaster (fire, explosion, biological etc.)
Key medical and administrative staff to be contacted
Central point for communication
Particular service areas such as intensive care unit (ICU), labor and delivery unit etc.
Other hospitals in your area and how you intend to coordinate with those facilities (you decide this)
Implementation on internal transfers (moving patients from one area of the hospital to another)
Implementation of external transfers
Evacuation plan
Conclusion
cite your sources in your work and provide references for the citations in APA format.
Choose any case (Disaster Plans) that you worked on in this course. Complete a 15-20-slide presentation (not including the title or reference slide) of the case analysis. Add to this analysis for depth where needed as you may have not done this in a previous assignment. Pretend you are presenting your case findings to its organizational leadership. Use the case analysis format to include:
Title slide
Introduction (brief description of the organization or department) (1 Slide)
Definition of the problem (1-2 slides)
Identification of the stakeholders (1-2 slides)
Analysis (1-2 slides) (The SWOT is an example of what to use here)
Identification of alternative solutions (1-2 slides)
Evaluation of alternative solutions (2-3 slides)
Solution (Justification) (1-2 slides)
Implementation steps (include stakeholder issues and how to communicate the findings) (2-3 slides)
Conclusion and reflection of this process (1-2 slides)
Resources slide (APA formatted resources and reference list) (1-2 slides)
Use the noted format in PowerPoint for elaboration of slide content
Use the audio function in PowerPoint to make your verbal presentation.
provide references for the citations in APA format
Health Savings Accounts: Case Study
The United States has arguably the most advanced health care in the world. And yet, a large proportion of Americans do not have access to this care due to its high cost. Providers, consumers, and the government have long searched for a way out of this paradoxical situation. HSAs offer one solution.
The American health care system is complex. A part of the population has access to health care through Medicare and Medicaid. Another part simply pays for care out of pocket. A substantial proportion of the population uses third-party payers to pay for care.
Payers have reacted to the rising costs of care by introducing various gatekeeper mechanisms. These have not been popular with consumers who see them as restrictive. The American population is aging and the need for care is likely to increase over the next decade.
While the earnings of health care professionals have been increasing, insurance premiums have also increased. Among hospitals, many are non-profit organizations offering substantial charity care. But for-profit and non-profit hospitals alike must show return on investment to remain viable. Providers must also factor reimbursement policies of payers into their decisions, sometimes even clinical decisions. These groups of stakeholders—patients, providers, payers, and the government—have different goals and different responses to the rising cost of care.
Based on your understanding, answer the following:
In your opinion, can HSAs be aligned to the expectations of all these groups?
Do you think HSAs can help improve health care cost, quality, and access? Why or why not?
Use the following resources, use outside resources and your textbook for this discussion:
How health savings accounts work: Contributions and tax benefits. (2006). Congressional Digest, 85(3), 69.
Duke, A. C., & Cude, B. J. (2016). Motivating Personal Contributions to Health Savings Accounts. Journal Of Consumer Affairs, 50(3), 652-665. doi:10.1111/joca.12094
Be sure to cite your sources using APA format.
Risk-Based Reimbursement
For your assignment, a primary care physician is often reimbursed by Health Maintenance Organizations (HMOs) via capitation, fee-for-service, relative value scale, or salary. Capitation is considered as a risk based compensation.
In an effort to understand the intricacies involved with physician reimbursement, particularly in an era of health care reform, identify and interview an expert in the field, such as:
Hospital Administrator
Managed Care Organization (MCO) executive
Health care Consultant
Legal Professional
Assumption: MCOs use risk-based reimbursement for primary care physicians.
Ask the following questions in the interview:
What kind of risk do the MCOs assess?
Does risk-based compensation limit the freedom of primary care physicians in any way in terms of patient care? Why or why not?
How does the capitation model of reimbursement work? Do physicians generally prefer one model over the other? Why or why not?
Why do HMOs prefer the prepaid, monthly premium?
Is pay-for-performance a better model than existing models of compensation? Are there limitations to it as well?
Feel free to add additional follow-up questions for depth and clarification as you see fit. Create a report in Microsoft Word document, analyzing the responses provided (which should be included as part of the report) using the evidence from the literature to help support or refute the responses provided.
Stereotyping Problem
Click here (https://www.annfammed.org/content/6/1/53) to read the influence of patients’ socioeconomic status on clinical management decisions: A qualitative study.
Having a safe and appropriate organizational culture involves developing employees understanding of how the patient population characteristics can influence clinical decision-making.
As a hospital administrator, you hear some complaints and want to investigate whether the problem of stereotyping exists at your facility.
Using the South University Online Library or the Internet, research various types of stereotyping such as racial, ethnic, religious, and gender. Based on your research and understanding, respond to the following:
How will you conduct the investigation? What will you do if the problem does exist at your facility?
Recently staff has been complaining about abusive physician behavior. A process introduced to deal with abusive physician behavior alienates some doctors. As a direct result of the staff complaints, one of every three doctors threatens to leave the hospital.
Recommend a system for addressing the grievances along with a long-term solution focused on the interpersonal conflict.
Use the case study form to complete this discussion
Introduction
Definition of the problem.
Identification of the stakeholders.
Identification and evaluation of alternative solutions.
Solution chosen and its justification
Conclusion
Be sure to cite your sources using APA format.
Continuing with the case: Community Blood Center of the Carolinas: Donations, Donations, Donations, (https://www.wiley.com/legacy/wileychi/ginter/supp/Case_3.pdf) Complete a full case analysis incorporating your work from your SWOT analysis this week. Use the following format to complete this assignment.
An introduction
Definition of the problem.
Identification of the stakeholders.
Identification of alternative solutions.
Evaluation of alternative solutions.
Solution chosen and how to implement it with the stakeholders.
Conclusion and reflection of this process.
cite your sources in your work and provide references for the citations in APA format.
Cross Training Staff
The practice of cross training staff (learning another type of job) is an old and often successful practice at hospitals.
Using the South University Online Library or the Internet, research cross training techniques. Based on your research and training, respond to the following:
What steps would you take in deciding whether or not to cross train lab technicians as x-ray technicians?
What are the negative and positive financial considerations in making this decision?
What steps will you take to deal with a weekend staffing crisis whereby your small hospital has no x-ray technicians in-house, yet the demand for their services is very high including 30 percent of the need emanating from critical care units?
Make sure that you include an introduction and conclusion to your post.
Be sure to cite your sources using APA format.
Open Heart Surgery
For this assignment, read Case 19: The Case for Open Heart Surgery at Cabarrus Memorial Hospital
Why is the hospital considering this additional service?
Does the hospital and community really need this service? Why or why not?
What should be the most important characteristics of a hospital in which one would want to have an open heart surgery?
Is it financially viable for a hospital to offer this service? What costs and revenues would you predict to know the viability? Would any revenues cover the costs of offering this service?
Cite any sources in APA format.
E-Prescribing
E-prescribing is the transmission of prescription or prescription-related information using electronic media between a prescriber, dispenser, pharmacy benefit manager, or health plan, either directly or through an intermediary, including an e-prescribing network.
In an effort to understand the benefits and cautions about e-prescribing, conduct thorough research. For your assignment, create a 4- report in Microsoft Word document consisting of your research findings covering your responses to the following questions:
Evaluate three pros and three cons of e-prescribing.
Summarize the e-prescription standards as described by the National Council for Prescription Drug Programs.
Evaluate the projected cost and time savings as estimated by the United States Department of Health and Human Services.
Comment on the controversy surrounding the 2013 e-prescribing penalty.
Use the following resources, and 2 outside resources and your text book for this assignment.
Ratanawongsa, N., Lenny L. S. Chan, Fouts, M. M., & Murphy, E. J. (2017). The challenges of electronic health records and diabetes electronic prescribing: Implications for safety net care for diverse populations. Journal of Diabetes Research, 2017 doi:10.1155/2017/8983237
Juszczyk, D., Charlton, J., McDermott, L., Soames, J., Sultana, K., Ashworth, M., . . . Gulliford, M. C. (2016). Electronically delivered, multicomponent intervention to reduce unnecessary antibiotic prescribing for respiratory infections in primary care: A cluster randomized trial using electronic health records-REDUCE trial study original protocol. BMJ Open, 6(8) doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1136/bmjopen-2015-010892
Cite any sources in APA format