Coursework : Evidence Based Resourcing Plan from the Heart Failure Clinic

Overview
Write a 3–4 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.

Health care delivery is a complex process and system that includes multiple delivery sites such as hospitals, ambulatory-care centers, private-provider offices, community-health facilities, home-care agencies, and extended-care facilities. Managed care is a method used to reimburse or pay for health care service. It includes more than just payment; it also controls the delivery services. Health care reform has been undertaken for a variety of reasons, not the least of which are access and health disparities issues. Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014).

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 or Staffing Plan):

Budget:
• Apply evidence-based management strategies and best practices for resourcing health care services.
o Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic.
o Start-up expenses.
o Examine fixed and variable costs.
o Capital budget items.
• Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera.
o Contingency fund and parameters.
• Apply legal and professional standards for resourcing outpatient services.
o Explain the alignment to best practices and professional standards for cost effective outpatient services.
o How will uninsured or underinsured patients be managed?
• Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
o What data resources and tools analyze costs, health insurance, and hospitalization services?
o How will billing be handled?
o How will you determine if outpatient management is cost-effective?
o How does transparency impact the consumer?

Staffing Plan:
• Apply evidence-based management strategies and best practices for resourcing health care services.
o Identify the disciplines and skill mix needed for appropriate staffing.
o Estimate staffing requirements by discipline and staffing ratios (evidence-based).
o Develop a sample staffing schedule.
o How will you staff to meet corporate diversity goals or the needs of diverse patients?
o 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.
o 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.
o How will you know if staffing is cost-effective?
o How will you know if staffing mix or schedule impacts patient outcomes?

SAMPLE SOLUTION

Evidence-Based Resourcing Plan from the Heart Failure Clinic

Staffing Plan This staffing plan represents a systematic process that ensures the hospital has the right resources including the right skills and personnel to meet clients’ needs. Assessment of staffing needs and the requirement of all hospital departments is a fundamental necessity during the annual budget-making process. The staffing plan aims at meeting specific needs of patients in addition to those of the congestive heart failure clinic. The plan shall be subjected to annual reviews to ensure current needs are incorporated. This would ensure improvement in patient care and appropriate management of financial and human resources. The development of this staffing plan was based on evidence-based criteria that include information regarding…