NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

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NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Discussion: Organizational Policies Outline

 

RE: Discussion – Week 3

COLLAPSE

How competing needs may impact the development of polices to address that issue

For years the healthcare system in the United States has relied on a fee-for-service payment system whereby each medical service and procedure is paid for separately. However, this payment model created several limitations, including fueling health care costs, overtreatment, and overutilization at the same time leaving others underserved and undertreated. In an attempt to counter these perverse incentives, the legislation of payment reforms which focuses on methods that reflect providers’ performances, primarily quality, safety, and patient experience, has been put in place to replace the traditional system of fee-for-service (Palumbo et al., 2017). The new healthcare payment reform has been designed to spur provider efficiency, reducing unnecessary spending subsequently reducing healthcare costs. However, competing needs such as the use of 12-hour shifts as employees’ retention strategy, workforce, and resources have affected the development and adoption of this critical policy following the necessity that surrounds competing needs to align with the agenda of payment reform. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Payment reforms such as Medicare, which pushes for bundled payment, whereby patients are required to use only one payment method covering all episodes of care, have to address nursing shortages. With the aging population steadily rising, Medicaid has been burdened with being the primary payer of healthcare for many Americans. Nurses play a critical role in driving system change because of their sheer numbers (Miller et al., 2017). It is estimated that as of 2019, over 3.8 million registered nurses were integrated into the American workforce, a lower number compared to the health care needs of the American people. As a result, the available nursing workforce is forced to register more hours in their workplaces, reducing quality, safety, and quantity of care service (Rivers & Glover, 2008). There are numerous severe ramifications associated with shortages of nurses, such as work overload of available healthcare personnel, which results in burnout and subsequently compromise patient safety and long waiting, which may cause more harm, including preventable deaths.

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References: 

Miller, B., Ross, K., Davis, M., Melek, S., Kathol, R., & Gordon, P. (2017). Payment reform in the patient-centered medical home: Enabling and sustaining integrated behavioral health care. American Psychologist, 72(1), 55-68. https://doi.org/10.1037/a0040448

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation?. Journal Of Professional Nursing, 33(6), 400-404. https://doi.org/10.1016/j.profnurs.2016.11.005

Rivers, P., & Glover, S. (2008). Health care competition, strategic mission, and patient satisfaction: research model and propositions. Journal Of Health Organization And Management, 22(6), 627-641. https://doi.org/10.1108/14777260810916597

Question Description
I need an explanation for this Health & Medical question to help me study.

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Discussion: Organizational Policies Outline

Discussion: Organizational Policies Outline

Add a section to the paper you submitted in Module 1. The new section should address the following:

Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
I uploaded the file below. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Week03_Assignment_Rubric
ADD A SECTION TO THE PAPER YOU SUBMITTED IN MODULE 1. IN 4–5 PAGES, ADDRESS THE FOLLOWING:

· IDENTIFY AND DESCRIBE AT LEAST TWO COMPETING NEEDS IMPACTING YOUR SELECTED HEALTHCARE ISSUE/STRESSOR.–

Excellent 23 (23%) – 25 (25%)
The response accurately and clearly identifies at least two competing needs impacting the healthcare issue/stressor selected.

Good 20 (20%) – 22 (22%)

The response identifies at least two competing needs impacting the healthcare issue/stressor selected.

Fair 18 (18%) – 19 (19%)

The response identifies at least two competing needs impacting the healthcare issue/stressor selected that is vague or inaccurate.

Poor 0 (0%) – 17 (17%)

The response describes at least two competing needs impacting the healthcare issue/stressor selected that is vague and inaccurate, or is missing.

· DESCRIBE A RELEVANT POLICY OR PRACTICE IN YOUR ORGANIZATION THAT MAY INFLUENCE YOUR SELECTED HEALTHCARE ISSUE/STRESSOR.

· CRITIQUE THE POLICY FOR ETHICAL CONSIDERATIONS AND EXPLAIN THE POLICY’S STRENGTHS AND CHALLENGES IN PROMOTING ETHICS.–

Excellent 27 (27%) – 30 (30%)
The response accurately and thoroughly describes in detail a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected.

The response accurately and thoroughly critiques in detail the policy for ethical considerations and explains in detail the policy’s strengths and challenges in promoting ethics.

Good 24 (24%) – 26 (26%)

The response accurately describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected.

The response accurately critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics.

Fair 21 (21%) – 23 (23%)

The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague or inaccurate.

The response critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics that is vague or inaccurate.

Poor 0 (0%) – 20 (20%)

The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague and inaccurate, or is missing.

The response critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics that is vague and inaccurate, or is missing.

· RECOMMEND ONE OR MORE POLICY OR PRACTICE CHANGES DESIGNED TO BALANCE THE COMPETING NEEDS OF RESOURCES, WORKERS, AND PATIENTS WHILE ADDRESSING ANY ETHICAL SHORTCOMINGS OF THE EXISTING POLICIES. BE SPECIFIC AND PROVIDE EXAMPLES. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

· CITE EVIDENCE THAT INFORMS THE HEALTHCARE ISSUE/STRESSOR AND/OR THE POLICIES AND PROVIDE TWO SCHOLARLY RESOURCES IN SUPPORT OF YOUR POLICY OR PRACTICE RECOMMENDATIONS.–

Excellent 27 (27%) – 30 (30%)
The response provide one or more accurate, clear, and thorough recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies.

Specific and accurate examples are provided.

Accurate and detailed evidence is cited that informs the healthcare issue/stressor selected and a specific synthesis of at least two outside scholarly resources in full support of the policy or practice recommendations is provided. The response integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the healthcare issue/stressor selected.

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Good 24 (24%) – 26 (26%)

The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies.

Specific examples may be provided.

Evidence is cited that informs the healthcare issue/stressor selected and a synthesis of at least one outside scholarly resource that may support the policy or practice recommendations is provided. The response integrates at least 1 outside resource and 2 or 3 course-specific resources that may support the healthcare issue/stressor selected.

Fair 21 (21%) – 23 (23%)

The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies that is vague or inaccurate.

Examples may be provided.

Vague or inaccurate evidence is cited from 2 or 3 resources that informs the healthcare issue/stressor selected and may support the policy or practice recommendations provided.

Poor 0 (0%) – 20 (20%)

The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies that is vague and inaccurate, or is missing.

Examples are missing.

Vague and inaccurate evidence is cited that informs the healthcare issue/stressor and may include at least 1 scholarly resource that vaguely and inaccurately supports the policy practice recommendations is provided, or is missing.

WRITTEN EXPRESSION AND FORMATTING – PARAGRAPH DEVELOPMENT AND ORGANIZATION:

PARAGRAPHS MAKE CLEAR POINTS THAT SUPPORT WELL-DEVELOPED IDEAS, FLOW LOGICALLY, AND DEMONSTRATE CONTINUITY OF IDEAS. SENTENCES ARE CAREFULLY FOCUSED—NEITHER LONG AND RAMBLING NOR SHORT AND LACKING SUBSTANCE. A CLEAR AND COMPREHENSIVE PURPOSE STATEMENT AND INTRODUCTION IS PROVIDED WHICH DELINEATES ALL REQUIRED CRITERIA.–

Excellent 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

Good 4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.

Poor 0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion was provided.

WRITTEN EXPRESSION AND FORMATTING – ENGLISH WRITING STANDARDS:

CORRECT GRAMMAR, MECHANICS, AND PROPER PUNCTUATION–

Excellent 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.

Good 4 (4%) – 4 (4%)

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Contains several (3 or 4) grammar, spelling, and punctuation errors.

Poor 0 (0%) – 3 (3%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

WRITTEN EXPRESSION AND FORMATTING – THE PAPER FOLLOWS CORRECT APA FORMAT FOR TITLE PAGE, HEADINGS, FONT, SPACING, MARGINS, INDENTATIONS, PAGE NUMBERS, PARENTHETICAL/IN-TEXT CITATIONS, AND REFERENCE LIST.–

Excellent 5 (5%) – 5 (5%)
Uses correct APA format with no errors.

Good 4 (4%) – 4 (4%)

Contains a few (1 or 2) APA format errors.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Contains several (3 or 4) APA format errors.

Poor 0 (0%) – 3 (3%)

Contains many (≥ 5) APA format errors.

wk2assnsingletaryn.docx
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Discussion: Organizational Policies Outline

Discussion: Organizational Policies Outline