Discussion questions1. Nursing Budgeting ProcessIn this assignment, you will discuss what the present nursing budgeting process is and how it might be improved.You are the chief nursing executive in a healthcare facility and have been asked to provide a written report to your senior leadership on the nursing budgeting process. In your report, you need to examine how the present nursing budgeting process in your organization or an organization you are familiar with (e.g., a hospital, a health clinic, a nursing home, or an outpatient center) can be revised andchanged to meet the present needs for improved patient communication, improved patient outcomes, and decreased patient safety events. As you begin to work on your report, you become concerned with staffing needs and increased cost of evidence-based nursing care among other issues. Describe the areas that you would like to revise in the nursing budgeting process. Also, provide a rationale for why you would like these revisions to be made.2. Fiscal Ratios of Concern in Developing the BudgetIn this assignment, you will discuss the fiscal ratios needed for examination.Using the Internet, and your text readings, research the fiscal ratios that are of concern to nursing leaders while developing budgets. On the basis of your understanding, respond to the following questions:• What are the three most important fiscal ratios used in your healthcare facility or a healthcare facility you are familiar with (e.g., a hospital, a health clinic, a nursing home, or an outpatient center)?• Why are these ratios important to your effort as a nursing leader to provide value-based care?• What are the two critical questions that the nursing leader must consider for nurse-patient communication, patient outcomes, and patient safety? Provide a rationale for the questions you chose.• What variables and issues did you consider in the development of the two critical questions? Why?3. Case Management—a Fiscal Tool or a Nursing Management ToolIn this assignment, you will discuss how case management helps to care for patients and also manage costs.In today’s environment of fiscal frugality and healthcare organization sustainability, there is a discussion on where in the healthcare delivery system’sorganizational structure should the department of case management report. Case management has a fiscal and also a clinical function with patient care.You are the chief nursing executive of a healthcare delivery system and have been asked to recommend to senior leadership whether the case management function should report to you or the chief fiscal officer (CFO). The reason you are being asked to do this is because your CFO just got back from a conference and the trend he or she observed was of this department coming under the fiscal function.Using the South University Online Library, the Internet, and your text readings, research various opinions on this topic. According to your understanding and the present and future role of case management, should the director of case management report to the chief nurse executive or to the CFO? Why? Explain how case management is a clinical tool for care coordination as well as a fiscal cost management tool.4. The Role of Nursing Leaders in InnovationIn this assignment, you will discuss the need for nursing leaders to respond to cost, quality, and access issues to develop a cost-based answer for innovation.In terms of the current US healthcare landscape, what do you see as the role of the nursing leader in the development of innovative cost effective programs of care? Why do you think this is the role of nursing leaders, and how do you see this role evolving? Your answer should address the following:• Why do healthcare and nursing require innovation in response to the external environment?• How should nursing leaders approach their examination of evidence-based care that leads them to innovation?• What is the role of the nurse in “selling” the need for innovation to senior healthcare leadership?
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