Heart Failure Clinic Resourcing Plan

    Heart Failure Clinic Resourcing Plan

    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.
    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?
    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?

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