NUR 621 All Assignments from Topic 1 to 8

NUR 621 Benchmark – Staffing Matrix and Reflection

Staffing Matrix and Reflection Essay

TOPIC 6 DQ 2

What are the similarities and differences between an ACO and a managed care organization (MCO)? Describe a personal or professional situation in which you encountered either an ACO or MCO.

200+ words please..

2 References within 5 years.

TOPIC 6 DQ 2

What are the similarities and differences between an ACO and a managed care organization (MCO)? Describe a personal or professional situation in which you encountered either an ACO or MCO.

200+ words please..

2 References within 5 years.

TOPIC 6 DQ 1

In an accountable care organization (ACO), insurance companies are looking at how health care organizations care for a specific population. How do you think this impacts the health of the population?

200 + WORDS

2 REFERENCES WITHIN FIVE YEARS..

NUR 621 Grand Canyon University Week 5 Patients Quality Improvement Essay

Quality Improvement Essay

Write a 1,250-1,500-word essay about quality improvement. Include the following points in your essay:

1. Describe which accrediting body would be most appropriate for your health care organization.
2. Summarize the requirements to obtain accreditation.
3. Based on your research and experience, what performance or quality metrics could you focus on for a quality improvement project to present to the accrediting body?
4. How does the quality performance financially impact the organization?

Include at least three references, including the textbook

Quality Improvement Essay

Write a 1,250-1,500-word essay about quality improvement. Include the following points in your essay:

1. Describe which accrediting body would be most appropriate for your health care organization.
2. Summarize the requirements to obtain accreditation.
3. Based on your research and experience, what performance or quality metrics could you focus on for a quality improvement project to present to the accrediting body?
4. How does the quality performance financially impact the organization?

 

Include at least three references, including the textbook.

 

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

Every hospital or healthcare institution needs to have an efficient staff management plan to facilitate faster delivery of services and ensure the efficient delivery of services. This essay breaks down the importance of a shift matrix for nurses utilizable by a 30-bed surgical ward.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS ON NUR 621 Benchmark – Staffing Matrix and Reflection

Importance of a Shift Matrix in the Healthcare Setting

When a workable shift matrix is in place, the individual nurses can plan their time well. Therefore, it means that one is less likely to suffer fatigue since shift and handing over is done efficiently. One can also relax, rejuvenate, and prepare for the next shift (Taylor, Henshall, Goodwin, & Kenyon, 2018). In the end, there would be reduced incidences of nursing reporting stress and burn out related to long working hours.

 

A shift matrix helps to save costs related to patient injuries and payrolls. Essentially, an adequate number of nurses per shift allows the hospital unit to keep proper watch over the patients, hence reduced possibility of falls. Staff injuries are also reduced to a great extent since one work while paying full attention. It is unlikely that the hospital or any healthcare setting will suffer lawsuits over negligence or deliberate errors since the nurses do not work under the influence of fatigue or burn out.

A shift matrix presents a suitable skill-mix, which makes it possible to share tasks and reduce workloads. Also, experienced nurses can train and impact nurse assistants in a more meaningful manner. Teamwork and collaboration are therefore cultivated better, ensuring the healthcare setting achieves the set goals and objectives.

When a staffing matrix is efficient, there is usually proper handing over responsibilities from one nurse during one shift to another. In the end, this ensures the delivery of standard care to the patients (Taylor et al., 2018). In the end, there is reduced variation in terms of the outcomes realized by the patients being attended to by the same nurses, keeping other factors constant. NUR 621 Benchmark – Staffing Matrix and Reflection

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource

 

 

Explanation of the Shift Matrix

Census			30	29	28	27	26	25	24
Direct Caregivers	Scheduled Hours	Shift Length	Number of Staff
Day Shift
RN	630	15	12	12	12	12	12	12	12
NA	630	15	4	4	4	4	4	4	4
Health Unit Coordinator	630	15	2	2	2	2	2	2	2
Night Shift
RN	280	10	8	8	8	8	8	8	8
NA	280	10	3	3	3	3	3	3	3
Health Unit Coordinator	280	10	2	2	2	2	2	2	2

 

This is a seven-day shift and typical for a 30-bed capacity medical-surgical unit. The total number of RN is 20, 7 NA, and 4 Health Unit coordinators. During the day shift every day, there are 16 nurses on duty while 4 would report for the night shift. Four NAs would be available daily during the day shift and 3 for the night shift. On both day and night shift, there would be 2 health unit coordinators. The day shift is divided into early shift and late shift broken down as indicated in the table below:

Shift	Hours	RN	RA	Coordinators	Days
Early shift (0715-1430 hours)	7.5	8	2	1	7
Late shift (1400-2130 hours)	7.5	8	2	1	7
Night shift (2115-0715 hours)	7.5	4	3	2	7

The matrix assumes that there are no sick day-off, and in case of any, there is a plan on the compensation. There is an assumption that there is a time out adjustment to cover for all types of leave. There is also a handover period of 30 minutes in the morning for the night-to morning shift and a 15-minute morning to afternoon hand over.

The number of hours worked by full-time employees is 7.5 hours per day during the day shift. For seven days a week, this sums up to 52.5 hours (7days x7.5hours). The full-time equivalent would be 54,600 for the full-time nurses who are RN (20 nurses x 52.5 hours x 52 weeks a year). For the NA, the FTE is 19,110 (7 NAs x 52.5 hours x 52 weeks). The FTE for the health unit coordinators is 10,920 (4 coordinators x 52.5 hours x 52 weeks). The total FTE is, therefore, 84,630. The annual FTE thus results in 31 FTE (84,630 total hours/7.5hrs per day x 7 days x 52 weeks).

I used the care hours per patient day (CHPPD) to determine the FTE because it is consistent and very comparable to decide on the deployment process and reporting for the inpatient nurses. Other units of measurements like the midnight census are not reliable since it does not account for the differences in the care for each patient (Hughes, Bobay, Jolly, & Suby, 2015). The financial management principles I considered are consistency, timelines, and justification.

Adjustment of Staff Based on Bed Census: NUR 621 Benchmark – Staffing Matrix and Reflection

I used the generic exact analytic approach to determine the number of nurses working in every shift. In this case, there is an effort to determine the precise number of nurses required to be staffed in each change in a manner that guarantees the expected outcome. The outcome is one that is reflected by the nurse to patient ratio in a cost-effective way (Hurst, n.d.). I favored this approach since it connects with the bed census prediction, so there is an alignment of staffing decisions when inpatient planning occurs. There is also an efficient way to coordinate with other departments. This approach avoids the possibility of overstaffing, which could be counterproductive or even harmful to the overall delivery of services by the nurses.

Adjustment When There are Variances in FTE: NUR 621 Benchmark – Staffing Matrix and Reflection

Determining the cause for the variance in FTE is the most crucial step to mitigate future occurrences. It could be related to errors during budgeting, changing business conditions, and unmet expectations. Once the cause is established, there are strategies to eliminate the causes and streamline expenditure with revenue. One approach I would use to make for variance is to create a flexible budget. The flexible budget enables the comprehension of required resources to support the variable demand and allow the business to be more productive. I would calculate this by finding the ratio between the true (actual) and the budgeted value and then applying an adjustment to the previously planned budget.

I would also consider cost containment, which effectively and efficiently generates the revenue needed to maintain the hospital’s productivity. This approach would ensure the services are still delivered at the required quality at the lowest possible cost. I would also create a position control, and this would help determine the exact budget for labor. The tool would also help to create an accurate inventory or the present and future human resource requirements. Further, the tool would also improve the hiring and scheduling practices hence help reduce higher than budgeted FTEs (A Phase 2 Consulting White Paper Optimal Staffing and Scheduling Management, n.d.). In the end, crisis hiring, which in most cases, attracts extra costs would be avoided when the position control tool is used appropriately.

NUR 621 Benchmark – Staffing Matrix and Reflection References

A Phase 2 Consulting White Paper Optimal Staffing and Scheduling Management. (n.d.).

Hughes, R. G., Bobay, K. L., Jolly, N. A., & Suby, C. (2015). Comparison of nurse staffing based on changes in unit-level workload associated with patient churn. Journal of Nursing Management, 23(3), 390–400. https://doi.org/10.1111/jonm.12147

Hurst, K. (n.d.). Selecting and Applying Methods for Estimating the Size and Mix of Nursing Teams A systematic review of the literature commissioned by the Department of Health Selecting and Applying Methods for Estimating the Size and Mix of Nursing Teams Selecting and Applying Methods for Estimating the Size and Mix of Nursing Teams.

Taylor, B., Henshall, C., Goodwin, L., & Kenyon, S. (2018). Task shifting Midwifery Support Workers as the second health worker at a home birth in the UK: A qualitative study. Midwifery, 62, 109–115. https://doi.org/10.1016/j.midw.2018.03.003

NUR 621 Benchmark – Staffing Matrix and Reflection

Assessment Description

Attachments

Order Description

The purpose of this assignment is to write a business plan for a new process, change, or piece of equipment needed at your place of employment. A business plan is a proposal, so it must be carefully thought out, and the need must be clearly understood and justified. Refer to the “Business Plan” document to successfully complete the assignment.

Include 6 peer-reviewed resources. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

NUR-621 Business Plan

 

Directions: Use guiding questions to create a business plan for your assignment. It is expected you will not submit this template; you will use it to guide the formatting of your business plan. Use in-text citations where appropriate as found in the APA Style Guide, located in the Student Success Center.

 

Title Page

• Title of your business plan
• Name of the person writing the proposal (you)
• Date
• Title and department

Proposal

• Describe the proposed process, change, or equipment need.

Rationale

• Why is it needed? Provide evidence.
• Why is this the best way or best item? Provide evidence.
• What are the advantages?
• What are the disadvantages?

Implementation Plan

• Specify what needs to happen.
• Provide an implementation timeline.

Costs/Benefits

• Show the costs of your proposal and how the proposal will change existing costs.
• What monetary resources are necessary to employ your idea?
• What non-monetary resources are necessary to employ your idea?
• Feel free to use a bar graph, table, or pie chart for this section.

Evaluation

• How will you evaluate the success/effectiveness of your proposed change/process/item?

NUR-621 Economic Theories and Models in Health Care

The purpose of this assignment is to describe economic theories and models in health care. Include your responses in the worksheet listed below and base your responses on evidence. Include references to your textbook and one scholarly article. The four theories/models are listed below.

 

Theories/Models	Description/Definition	Example Related to Health Care	Components
1. Efficiency	Efficiency in resource use (getting the most out of limited resources) is a goal that every health-care organization can accept, regardless of one’s perspective (e.g., that of society, insurers, hospital administrators, or patients). Economic analysis is fundamentally about resource use and can serve an important role in health-care decision-making. Applying economic thinking to health care presents challenges to researchers and will require new approaches to analysis. Measuring the productive process in hospital care is complicated by the fact that the patient is both an input and an output in the process (i.e., the patient’s health is a function of factors determined outside the hospital, such as lifestyle and genetics). Precise and accurate information from hospital epidemiology is critical to understanding the resources needed, and thus the economic impact, of caring for hospitalized patients.
2. Supply and Demand	The relationship between the quantity of a commodity that producers wish to sell at various prices and the quantity that consumers wish to buy (“Supply and demand | Definition, Example, & Graph,” n.d.).
3. Economies of Scale
4. Market Failure

 

Ouliaris, S. (2011). What Are Economic Models? ProQuest, 48(2), 46–47. Retrieved from https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/872364973?accountid=7374

 

supply and demand | Definition, Example, & Graph. (n.d.). Retrieved July 28, 2020, from https://www.britannica.com/topic/supply-and-demand

 

© 2020. Grand Canyon University. All Rights Reserved.

© 2020. Grand Canyon University. All Rights Reserved.

Assignment: Operational Budget Presentation

Assignment: Operational Budget Presentation

The purpose of this assignment is to create an operational budget presentation identifying key components of budgeting and possible capital purchases that may be required.

Scenario: You have been asked to create an operational budget for a 20-bed nursing unit and present it to the senior leaders of your organization.

Create a presentation of 10-12 slides, including comprehensive speaker notes that detail the budget.

1. Provide the key components of budgeting, including the cost of staff, activities, services, and supplies.

2. Identify and describe a relevant capital purchase this unit may require, including the need, the return on investment, benefits, etc.

Use at least three references, including your textbook.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

ORDER Assignment: Operational Budget Presentation NUR 621

Assignment: Operational Budget Presentation

Assignment: Operational Budget Presentation

The purpose of this assignment is to create an operational budget presentation identifying key components of budgeting and possible capital purchases that may be required.

Scenario: You have been asked to create an operational budget for a 20-bed nursing unit and present it to the senior leaders of your organization.

Create a presentation of 10-12 slides, including comprehensive speaker notes that detail the budget.

1. Provide the key components of budgeting, including the cost of staff, activities, services, and supplies.

2. Identify and describe a relevant capital purchase this unit may require, including the need, the return on investment, benefits, etc.

Use at least three references, including your textbook.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

ORDER Assignment: Operational Budget Presentation NUR 621

Rubric

NUR-621 Principles of Health Care Financial Management

The Grand Canyon University is mainly a proprietary institution, established in 1949. It is shortened as GCU and is the Arizona’s leading, non-profit, private Christian university. Its nine colleges offer around 200-degree programs. Currently, the institution of higher education, Grand Canyon University, is the largest Christian university in the world with 70,000 student’s online and 20,000 on campus. NUR-621 Principles of Health Care Financial Management course from GCU is of high demand. This course equips students with the skill set to manage the finance of the health care organisations and make a sound decision. It provides future nurses to make a decision pertaining to the sources and application of funds in an effective manner. It also equips them with the skills of making staffing decisions based on sound principles of financial management and compliance procedure.

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Students keep worrying and getting terrified of putting down their thoughts on paper during assignment writing as they do not have sufficient knowledge of the subject. They do have very basic details of the subject but not the detailed ones. The academic assignments and other writing work given by Grand Canyon University is quite complex and have a fixed time period to submit NUR-621 Principles of Health Care Financial Management assignment. Students face issues over command over their language to be used in assignments, and that is English as English is not their primary language. Students often do jobs while pursuing their courses so that they can take care of the expenses on their own and earn a degree simultaneously. And hence they are not able to spend time towards their studies. They find it very difficult to balance their studies as well as their jobs are done for their livelihood. They get tensed that they cannot score more marks in assignments due to its quality as they have a very limited period of time. They get scared of failing in the subject due to assignments and paying course fees again as they find it difficult to afford it. Hence, they need someone to trust and assign their assignment writing to fetch them with good marks. There are many other reasons, apart from this for getting assignment writing help.

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Benchmark – Staffing Matrix and Reflection

The purpose of this assignment is to prepare students to make staffing decisions based on sound financial management principles and compliance guidelines.

Scenario: You are the nurse leader of a 30-bed medical surgical unit and have to account for all staffing, including any discrepancies. Using sound financial management principles, complete the “NUR-621 Topic 8: Staffing Matrix” in the provided excel template.

Benchmark – Staffing Matrix and Reflection

 

The purpose of this assignment is to prepare students to make staffing decisions based on sound financial management principles and compliance guidelines.

Scenario: You are the nurse leader of a 30-bed medical surgical unit and have to account for all staffing, including any discrepancies. Using sound financial management principles, complete the “NUR-621 Topic 8: Staffing Matrix” in the provided excel template.

After completing the matrix, compose an 1,000-1,250-word reflection answering the following questions:

 

1. Why is it important to use a staffing matrix in your health care setting?
2. Briefly describe your staffing matrix. How many FTEs (full-time equivalent) on the staffing roster are required to cover daily needs? What units of services or work measurement did you use and why? What financial management principles did you use to determine your staffing matrix?
3. Explain how you adjusted your staffing based on changes in the patient census.
4. You receive your financial report for the month. You have used more FTEs than what was budgeted for your census. How will you make up the variance? How would you reallocate resources to make up for the variance and still comply with guidelines?

Include two to four peer-reviewed references in your essay, including the textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MSN Leadership in Health Care Systems

6.4: Apply sound financial management principles to allocate resources within health care organizations.

 

NUR 621 Grand Canyon University Week 6 Value Based Purchasing Presentation

Scenario: You work for the contracting department for a national payer that is working to convert its provider contracts to value-based arrangements. Your team is approaching large physician groups for recontracting. Develop a 12-15-slide presentation with speaker notes to show the value of converting to a value-based arrangement:

Value-Based Purchasing Presentation

Scenario: You work for the contracting department for a national payer that is working to convert its provider contracts to value-based arrangements. Your team is approaching large physician groups for recontracting. Develop a 12-15-slide presentation with speaker notes to show the value of converting to a value-based arrangement:

1. Explain value-based care.
2. Explain how value-based care differs from a fee-for-service or a capitated approach.
3. Describe why adopting a value-based purchasing arrangement would be financially advantageous for the physician groups and to the health plan.

Include at least three references, including your textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

 

 

TEXT BOOK

 

Economics and Financial Management for Nurses and Nurse Leaders

 

 

Penner, S. J. (2017). Economics and financial management for nurses and nurse leaders (3rd ed.). New York, NY: Springer Publishing. ISBN-13: 9780826160010

URL:

https://www.gcumedia.com/digital-resources/springer-publishing-company/2016/economics-and-financial-management-for-nurses-and-nurse-leaders_3e.php

 

Topic 4 DQ 2

Identify two to three indications that meaningful use has improved care coordination. What were some of the priorities when meaningful use was developed?

200 + words

TOPIC 5 DQ 2

Do you think it is important for health care organizations to be paid for quality of performance? Why or why not?

Minimum 200 words

2 References with 5 years.

TOPIC 5 DQ 1

Health plans participating in the Affordable Care Act must be accredited; what is the difference between the National Committee for Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC)? Why would a health plan select one over the other?

Minimum 200 words

2 resources with 5 years

Description

NUR 621 Grand Canyon University Reduction of Unit Expenses Discussion

TOPIC 8 DQ 2

Your supervisor met with you and let you know you are over the budgeted dollars for agency nurses for your unit. What are some tactics you could implement to decrease agency usage? What departments in your health care facility could you partner with?

200 + words

At lease 2 references within 5 years

NUR 621 All Assignments from Topic 1 to 8