GCU NUR621 Full Course: Health Care Reimbursement Training Plan

GCU NUR621 Full Course: Health Care Reimbursement Training Plan

GCU NUR621 Full Course: Health Care Reimbursement Training Plan

NUR621 Health Care Reimbursement Training Plan

Week 1 Discussion

DQ1 After your monthly review of your unit’s operational budget, you find you are over your budget for medical supplies. What steps would you take to investigate why this happened and how to correct the issue?.

DQ2 Your staff have come to you with several requests for new equipment for the nursing unit. How would you go about determining what is the most important request? What next steps would you take in regards to the operational budget and these requests?

 

NUR621 Health Care Reimbursement Training Plan

Week 2 Discussion

DQ1 The Affordable Care Act has subsidies available; how does one qualify? How does this differ from Medicaid?

DQ2 Uninsured patients can impact the financial status of a health care organization. What are the ethical implications of distributing scarce resources? How do you balance the cost of business versus the quality of care in order to ensure all patients are treated fairly and receive the care that they need?

 

NUR621 Health Care Reimbursement Training Plan

Week 3 Discussion

DQ1 Identify two quality metrics used in your clinical workplace. How are these measured and are the results shared with the nursing staff? If not, do you think they should be? What would be the benefit?

DQ2: What is a patient-centered medical home (PCMH)? Why is this important to population health?

 

NUR621 Health Care Reimbursement Training Plan

Week 4 Discussion

DQ1 One of the aspects of meaningful use is the implementation of the electronic health record (EHR). How has the EHR impacted your health care organization? What were the positives, and are there any negative issues with any aspects of EHR?

DQ2- Identify two to three indications that meaningful use has improved care coordination. What were some of the priorities when meaningful use was developed?

 

NUR621 Health Care Reimbursement Training Plan

Week 5 Discussion

DQ1 Health plans participating in the Affordable Care Act must be accredited; what is the difference between the National Committee for Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC)? Why would a health plan select one over the other?

DQ2 Do you think it is important for health care organizations to be paid for quality of performance? Why or why not?

 

NUR621 Health Care Reimbursement Training Plan

Week 6 Discussion

DQ 1 In an accountable care organization (ACO), insurance companies are looking at how health care organizations care for a specific population. How do you think this impacts the health of the population?

DQ2 What are the similarities and differences between an ACO and a managed care organization (MCO)? Describe a personal or professional situation in which you encountered either an ACO or MCO.

 

NUR621 Health Care Reimbursement Training Plan

Week 7 Discussion

DQ1 What are some of the key differences for a staffing model in a skilled nursing facility as compared to a medical-surgical unit in the hospital?

DQ2 What type of staff performance indicators would you monitor to ensure you were meeting your budget? How would you monitor these indicators?

 

NUR621 Health Care Reimbursement Training Plan

Week 8 Discussion

DQ1 You find that your staff is not aware of the budgeted staffing model for their nursing unit. How would you go about educating/informing your staff? What would the most important factors to address?

DQ2 Your supervisor met with you and let you know you are over the budgeted dollars for agency nurses for your unit. What are some tactics you could implement to decrease agency usage? What departments in your health care facility could you partner with?

 

NUR621 Health Care Reimbursement Training Plan

Week 1 Assignment

The purpose of this assignment is to create an operational budget presentation identifying key components of budgeting and possible capital purchases that may be required.

Scenario: You have been asked to create an operational budget for a 20-bed nursing unit and present it to the senior leaders of your organization.

Create a presentation of 10-12 slides, including comprehensive speaker notes that detail the budget.

Provide the key components of budgeting, including the cost of staff, activities, services, and supplies.

Identify and describe a relevant capital purchase this unit may require, including the need, the return on investment, benefits, etc.

Use at least three references, including your textbook.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance

 

NUR621 Health Care Reimbursement Training Plan

Week 2 Assignment

Complete the “NUR-621 Economic Theories and Models in Health Care” worksheet. This assignment explores the efficiency and components of current health care models.

Your responses should be based on evidence. Include references to your textbook and one scholarly article.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

NUR621 Health Care Reimbursement Training Plan

Week 3 Assignment

Write a 1,250-1,500-word essay about delivery models in health care. Include the following in your essay:

Address the triple aim as it relates to population health management and delivery models.

Discuss current trends in health care delivery models.

Describe how quality and safety impact delivery models in health care.

Include at least three peer-reviewed/academic references in your essay, including the HealthyPeople website.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

NUR621 Health Care Reimbursement Training Plan

Week 4 Assignment

Write a 1,200-1,500-word essay describing the electronic health records incentive programs, also known as meaningful use. It offers financial incentives and was designed to improve quality, safety, and efficiency of care through the use of electronic health records.

Describe the three stages of meaningful use and their measures.

Explain the challenges and barriers faced by facilities in implementing each stage of meaningful use.

Include three to five references, including your textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

NUR621 Health Care Reimbursement Training Plan

Week 5 Assignment

Write a 1,250-1,500-word essay about quality improvement. Include the following points in your essay:

Describe which accrediting body would be most appropriate for your health care organization.

Summarize the requirements to obtain accreditation.

Based on your research and experience, what performance or quality metrics could you focus on for a quality improvement project to present to the accrediting body?

How does the quality performance financially impact the organization?

Include at least three references, including the textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

NUR621 Health Care Reimbursement Training Plan

Week 6 Assignment

Scenario: You work for the contracting department for a national payer that is working to convert its provider contracts to value-based arrangements. Your team is approaching large physician groups for recontracting. Develop a 12-15-slide presentation with speaker notes to show the value of converting to a value-based arrangement:

Explain value-based care.

Explain how value-based care differs from a fee-for-service or a capitated approach.

Describe why adopting a value-based purchasing arrangement would be financially advantageous for the physician groups and to the health plan.

Include at least three references, including your textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

NUR621 Health Care Reimbursement Training Plan

Week 7 Assignment

Select an appropriate staffing model for a 30-bed skilled nursing facility or acute inpatient unit.

Create a presentation of 10 to 12 slides, including comprehensive speaker notes to recommend your selected model to nursing leadership and the following information:

A description of the staffing model chosen for a 30-bed skilled nursing facility or acute inpatient unit

A description of the quality metrics and other data that was used to determine the most appropriate staffing model

A description of the budgetary implications of implementing the staffing model

A plan for continuous monitoring to ensure the effectiveness and efficiency of the chosen staffing model

Include three to five peer-reviewed references in your presentation, including the textbook.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

NUR621 Health Care Reimbursement Training Plan

Week 8 Assignment

The purpose of this assignment is to prepare students to make staffing decisions based on sound financial management principles and compliance guidelines.

Scenario: You are the nurse leader of a 30-bed medical surgical unit and have to account for all staffing, including any discrepancies. Using sound financial management principles, complete the “NUR-621 Topic 8: Staffing Matrix” in the provided excel template.

After completing the matrix, compose an 1,050-1,250-word reflection answering the following questions:

Why is it important to use a staffing matrix in your health care setting?

Briefly describe your staffing matrix. How many FTEs (full-time equivalent) on the staffing roster are required to cover daily needs? What units of services or work measurement did you use and why? What financial management principles did you use to determine your staffing matrix?

Explain how you adjusted your staffing based on changes in the patient census.

You receive your financial report for the month. You have used more FTEs than what was budgeted for your census. How will you make up the variance? How would you reallocate resources to make up for the variance and still comply with guidelines?

Include two to four peer-reviewed references in your essay, including the textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

GCU NUR621 Full Course: Health Care Reimbursement Training Plan.GCU NUR621 Full Course: Health Care Reimbursement Training Plan.GCU NUR621 Full Course: Health Care Reimbursement Training Plan.GCU NUR621 Full Course: Health Care Reimbursement Training Plan.GCU NUR621 Full Course: Health Care Reimbursement Training Plan.

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