Heart Failure Clinic

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BSN-FP4012 Heart Failure Clinic Resourcing Plan – ASSESSMENT 4

Assignment: Heart Failure Clinic Resourcing Plan

Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic.

Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.

. Describe accountability tools and procedures used to measure effectiveness.

· Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.

. Develop an evidence-based plan for health care delivery.

· Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.

. Apply professional and legal standards in support of a care plan.

· Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.

. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

. Correctly format citations and references using current APA style.

Assessment Instructions

Preparation

Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment.

Instructions

Deliverable: Develop an evidence-based plan for health care delivery.

Scenario:

The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.

As a member of the nurse team, you have been asked to develop one component of the clinic.

The hospital leadership established these objectives for the clinic services:

· Evaluate and maximize proper medication therapy.

· Conduct regular diet, exercise, and stress management classes for the patients.

· Monitor physiological indicators for the patients (lab work, weights, vital signs, ECGs).

· Provide a case management system for patients in the program post-discharge.

The overall goals for the heart failure clinic are to:

· Enroll greater than 90 percent of the patients with a primary or secondary diagnosis of HF prior to discharge.

· Facilitate discharge planning to achieve 100 percent compliance with patient education prior to discharge (discharge planning).

· Decrease readmission rates in this population by 5 percent over the next year.

The leadership team has asked you to provide them with an evidence-based plan for one of the components of the clinic. 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.

Develop one: an Orientation Course Plan, a Discharge Education Plan, or a Care Coordination Plan.

An Orientation Course Plan:

· Develop an evidence-based plan for health care delivery.

· Include a comprehensive schedule of topics, objectives, key points, and patient resources for the orientation course.

. What are the components of an evidence-based education plan?

. How will you know that patients will understand what to do?

. What modalities will you use to deliver information?

. How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?

. Identify specialized and supplementary material needs.

· Apply professional and legal standards in support of a care plan.

. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.

. Describe the accountability tools and procedures used to measure effectiveness.

. How will you know if the patient education plan is successful?

. What are the indicators of success or effectiveness?

A Discharge Education Plan:

· Develop an evidence-based plan for health care delivery.

. Develop a discharge plan with objectives and resources, and tools for patients to monitor their progress.

. How will you know that patients understand what to do?

. What modalities will you use to deliver information?

. How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?

· Apply professional and legal standards in support of a care plan.

. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.

. Describe accountability tools and procedures used to measure effectiveness.

. How will you know if the discharge plan is successful?

. What are the indicators of success or effectiveness?

Care Coordination Plan:

· Develop an evidence-based plan for health care delivery.

. Develop a procedure for coordinating services.

. Consider the needs of “outliers.” For example, someone with lung disease may need extra resources.

. Who should be on the team?

. When would the team be activated?

. How would it be activated?

. What is the time frame required to coordinate services?

. How would the intervention plan be monitored for effectiveness?

· Apply professional standards in support of a care plan.

· Explain the alignment to the most recent heart failure guidelines and specific professional standards.

· Describe accountability tools and procedures used to measure effectiveness.

. How will you know if the care coordination plan is successful?

. What are the indicators of success or effectiveness?

. How will information be collected or communicated?

Additional Requirements

· Written communication: Written communication should be free of errors that detract from the overall message.

· APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.

· Length: The report should be 3-4 pages in content length, double-spaced.

· Font and font size: Times New Roman, 12 point.

· Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

Heart Failure Clinic Resourcing Plan Scoring Guide
Heart Failure Clinic Resourcing Plan Scoring Guide Grading Rubric
Criteria Non-performance Basic Proficient Distinguished
Apply evidence-based management strategies and best practices for resourcing health care services. Does not apply evidence-based management strategies and best practices for resourcing health care services. Develops a plan for resourcing health care services, but does not connect it to evidence-based management strategies and best practices for resourcing health care services. Applies evidence-based management strategies and best practices for resourcing health care services. Applies evidence-based management strategies and best practices for resourcing health care services; identifies risks and opportunities.
Apply legal and professional standards for resourcing outpatient services. Does not apply legal and professional standards for resourcing outpatient services. Cites a legal framework for resourcing outpatient services, but does not connect it to professional standards. Applies legal and professional standards for resourcing outpatient services. Applies legal and professional standards for resourcing outpatient services; identifies risks and opportunities under the Health Care Reform Act.
Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. Does not describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. Describes management and accountability tools and procedures used to manage health delivery services, but does not address patient outcomes. Describes management and accountability tools and procedures used to manage health delivery services and patient outcomes. Describes management and accountability tools and procedures used to manage health delivery services and patient outcomes; explains the relationship of staffing to improved outcomes.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Does not write content clearly or logically, with correct use of grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, or mechanics. Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics; uses relevant evidence to support a central idea.
Correctly format citations and references using current APA style. Does not correctly format citations and references using current APA style. Uses current APA to format citations and references but with numerous errors. Correctly formats citations and references using current APA style with few errors. Correctly formats citations and references using current APA style with no errors.

meet the needs of the patients, without compromising the funding process of the clinic.

BSN-FP4012 Heart Failure Clinic Resourcing Plan – ASSESSMENT 4

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.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
• Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.
o Apply evidence-based management strategies and best practices for resourcing health care services.
o Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
o Apply legal and professional standards for resourcing outpatient services.
Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
o Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
o Correctly format citations and references using current APA style.
Reference
Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.
Context
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).
Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
For the following questions, you may wish to review the Brown, Bornstein, and Wilcox article “Partnership and Empowerment Program: A Model for Patient-Centered, Comprehensive, and Cost-Effective Care,” listed in the Unit Resources.
Who makes you accountable for the delegation that you use in your organization, as well as on a state and national level?
Are there ways you could initiate greater collaboration with the health care team by using delegation?
What is the purpose of the National Council of State Boards of Nursing delegation decision-making tree?
What is the long-term implication related to health care cost if the patient or patient population continues to have poor outcomes related to cost containment?
How can you address cost within your organization, as a nursing leader, and how is this related to patient outcomes?
Resources
Suggested Resources
The following optional resources are provided to support you in completing each assessment. They provide helpful information about the topics in this unit. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.
Library Resources
The following resources are provided for you in the Capella University Library and are linked directly in this course. These articles contain content relevant to the topics and assessments that are the focus of this unit.
Brown, C., Bornstein, E., & Wilcox, C. (2012). Partnership and empowerment program: A model for patient-centered, comprehensive, and cost-effective care. Clinical Journal of Oncology Nursing, 16(1), 15–17.
Rundio, A. (2012). The nurse manager’s guide to budgeting & finance. Indianapolis, IN: Sigma Theta Tau International.
Cranmer, P., & Nhemachena, J. (2013). Ethics for nurses: Theory and practice. Maidenhead, Berkshire, UK: Open University Press.
Pynes, J. E., Lombardi, D. N. (2011). Human resources management for health care organizations: A strategic approach. San Francisco: Jossey-Bass.
Simons, T., Leroy, H., Savage, G. T. (2013). Leading in health care organizations: Improving safety, satisfaction, and financial performance. Bingley, UK: Emerald Group.
Zelman, W. N., McCue, M. J., Glick, N. D., Thomas, M. S. (2014). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (4th ed.). San Francisco: Jossey-Bass.
Mensik, N. (2013). What nurses need to know about nurse staffing today | Transcript. Retrieved from https://www.youtube.com/watch?v=mo5OFmGQQH0
American Nurses Association (ANA). (2015). Code of ethics for nurses. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses.aspx
National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved from https://www.ncsbn.org/index.htm
Joint Commission. (2015, January 12). Hospital outpatient department. Retrieved from http://www.jointcommission.org/hospital_outpatient_department
American Nurses Association (ANA). (n.d.). Scope of practice. Retrieved from www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2
Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.
o Chapters 8–10
o Chapters 14–15.
Assessment Instructions
Preparation
Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment.
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:
Apply evidence-based management strategies and best practices for resourcing health care services.
 Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic.
 Start-up expenses.
 Examine fixed and variable costs.
 Capital budget items.
 Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera.
 Contingency fund and parameters.
Apply legal and professional standards for resourcing outpatient services.
 Explain the alignment to best practices and professional standards for cost effective outpatient services.
 How will uninsured or underinsured patients be managed?
Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
 What data resources and tools analyze costs, health insurance, and hospitalization services?
 How will billing be handled?
 How will you determine if outpatient management is cost-effective?
 How does transparency impact the consumer?
Staffing Plan:
Apply evidence-based management strategies and best practices for resourcing health care services.
• Identify the disciplines and skill mix needed for appropriate staffing.
• Estimate staffing requirements by discipline and staffing ratios (evidence-based).
• Develop a sample staffing schedule.
• How will you staff to meet corporate diversity goals or the needs of diverse patients?
• 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.
 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.
 How will you know if staffing is cost-effective?
 How will you know if staffing mix or schedule impacts patient outcomes?
Additional Requirements
Written communication: Written communication should be free of errors that detract from the overall message.
APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
Length: The plan should be 3–4 pages in content length, double-spaced.
Font and font size: Times New Roman, 12 point.
Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.
Heart Failure Clinic Resourcing Plan Scoring Guide
Heart Failure Clinic Resourcing Plan Scoring Guide Grading Rubric
Criteria Non-performance Basic Proficient Distinguished
Apply evidence-based management strategies and best practices for resourcing health care services. Does not apply evidence-based management strategies and best practices for resourcing health care services. Develops a plan for resourcing health care services, but does not connect it to evidence-based management strategies and best practices for resourcing health care services. Applies evidence-based management strategies and best practices for resourcing health care services. Applies evidence-based management strategies and best practices for resourcing health care services; identifies risks and opportunities.
Apply legal and professional standards for resourcing outpatient services. Does not apply legal and professional standards for resourcing outpatient services. Cites a legal framework for resourcing outpatient services, but does not connect it to professional standards. Applies legal and professional standards for resourcing outpatient services. Applies legal and professional standards for resourcing outpatient services; identifies risks and opportunities under the Health Care Reform Act.
Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. Does not describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. Describes management and accountability tools and procedures used to manage health delivery services, but does not address patient outcomes. Describes management and accountability tools and procedures used to manage health delivery services and patient outcomes. Describes management and accountability tools and procedures used to manage health delivery services and patient outcomes; explains the relationship of staffing to improved outcomes.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Does not write content clearly or logically, with correct use of grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, or mechanics. Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics; uses relevant evidence to support a central idea.
Correctly format citations and references using current APA style. Does not correctly format citations and references using current APA style. Uses current APA to format citations and references but with numerous errors. Correctly formats citations and references using current APA style with few errors. Correctly formats citations and references using current APA style with no errors.

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