Adapting Internal Policies and Practices
Pompom
LE003_Rubric.pdf
©2014 Walden University 1
LE003: Adapting Internal Policies and Practices: Adapt internal policies and practices to align with changes to healthcare laws and regulations.
Assessment Rubric
0 Not Present
1 Needs Improvement
2 Meets Expectations
3 Exceeds Expectations
Part I: Analyzing HRRP Policy and Evaluating Hospital Performance
Sub-Competency 1: Describe the key elements of the Hospital Readmissions Reduction Program (HRRP) criteria
Learning Objective LO 1.1: Describe the key elements of the Hospital Readmissions Reduction Program (HRRP) criteria.
Description of the key elements of the Hospital Readmissions Reduction Program (HRRP) criteria is missing.
Response provides an unclear or inaccurate description of the key elements of the HRRP criteria.
Response clearly and accurately describes the key elements of the HRRP criteria.
Response demonstrates the same level of achievement as level “2,” plus the following: Response offers further description of the impact of performance, lack of facility policy, or loss of revenues under the reimbursement plan.
Sub-Competency 2: Evaluate the internal processes in a healthcare organization to adhere to external regulations.
Learning Objective LO 2.1: Identify factors that contribute to the risk of failing to meet Hospital Readmissions Reduction Program (HRRP) criteria.
Identification of factors that contribute to the risk of failing to meet Hospital Readmissions Reduction Program (HRRP) criteria is missing.
Response identifies fewer than two factors (based on the current policy) at Brooklyn Presbyterian Hospital that contribute to the risk of failing to meet HRRP criteria and/or response identifies irrelevant factors.
Response accurately identifies two relevant factors (based on the current policy) at Brooklyn Presbyterian Hospital that contribute to the risk of failing to meet HRRP criteria. Response includes supporting data showing the difference between
Response demonstrates the same level of achievement as level “2,” plus the following: Response identifies more than two relevant factors.
©2014 Walden University 2
0 Not Present
1 Needs Improvement
2 Meets Expectations
3 Exceeds Expectations
hospital and HRRP criteria.
Learning Objective 2.2 Explain how internal practices might positively impact alignment to current and future healthcare laws.
Explanation of how internal practices might positively impact alignment to current and future healthcare laws is missing.
Response provides a vague explanation of how internal practices and the changes in policy might positively impact alignment to current and future healthcare laws.
Response clearly explains how internal practices and the changes in policy might positively impact alignment to current and future healthcare laws.
Response demonstrates the same level of achievement as level “2,” plus the following: Response includes a specific example that illustrates how internal practices have positively impacted alignment to healthcare laws. The example is supported with references to an academic and/or professional resource.
Learning Objective LO 2.3: Recommend revisions to current policies in order to meet Hospital Readmissions Reduction Program (HRRP) criteria.
Recommendation for revisions to current policies that help meet Hospital Readmissions Reduction Program (HRRP) criteria is missing.
Response recommends revisions to current policies that are vague and/or unrealistic. Response is not supported by academic/professional resources or the resources are not relevant
Response recommends one measurable and realistic revision to current policies that help Brooklyn Presbyterian Hospital meet HRRP criteria. Response is supported by relevant academic/professional resources.
Response demonstrates the same level of achievement as level “2,” plus the following: Response provides recommendations that can be used across departments.
Learning Objective LO 2.4: Recommend changes in current
Recommended change to help Brooklyn Presbyterian Hospital meet changes in
Response recommends a change that is vague and/or unrealistic in
Response recommends one realistic change in current practice in order
Response demonstrates the same level of achievement
©2014 Walden University 3
0 Not Present
1 Needs Improvement
2 Meets Expectations
3 Exceeds Expectations
practice in order to align with healthcare laws and regulations.
Medicare reimbursement is missing.
helping Brooklyn Presbyterian Hospital meet changes in Medicare reimbursement
to help Brooklyn Presbyterian Hospital meet changes in Medicare reimbursement. Response includes a 2-3 sentences explanation of the importance of adapting internal policies and practices to align with changes in healthcare laws and regulations.
as level “2,” plus the following: Response provides recommendations that can be used across departments.
Sub-Competency 3: Establish guidelines to align with laws and regulations while maintaining flexibility to adapt to change.
Learning Objective LO 3.1: Describe key elements of a new program to earn maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP).
Description of key elements of a new program to earn maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP) is missing.
Response describes fewer than three approaches for earning maximum reimbursement under HRRP, and/or the approaches are illogical or unclear. Response is not supported by relevant academic/professional resources.
Response clearly describes three key elements needed in a program to earn reimbursement under HRRP. Response is supported by relevant academic/professional resources.
Response demonstrates the same level of achievement as level “2,” plus the following: Response clearly describes more than three key elements needed in a program to earn reimbursement under HRRP.
Learning Objective LO 3.2: Create goals for earning the maximum reimbursement by following the Hospital Readmissions Reduction Program (HRRP) criteria.
Creation of goals for earning the maximum reimbursement by following the Hospital Readmissions Reduction Program (HRRP) criteria is missing.
Response provides fewer than five goals, or includes goals that are tangential or unclear. Goals are not supported by relevant
Response provides five relevant, clear, and measurable goals for Brooklyn Presbyterian Hospital for earning the maximum reimbursement
Response demonstrates the same level of achievement as level “2,” plus the following: Response describes more than five goals for earning
©2014 Walden University 4
0 Not Present
1 Needs Improvement
2 Meets Expectations
3 Exceeds Expectations
academic/professional resources or are not related to processes or outcomes.
by following HRRP criteria. Goals are related to processes or outcomes. Goals are supported by relevant academic/professional resources.
maximum reimbursement by following HRRP criteria.
Part II: Developing an Action Plan to Maximize Reimbursements and Adapt to Change
Learning Objective LO 3.3: Explain strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP).
Explanation of strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP) is missing.
Presentation provides a partial or unrealistic explanation of strategies for earning maximum reimbursement under HRRP. Response is not supported by relevant academic/professional resources.
Presentation explains realistic and achievable strategies for earning maximum reimbursement under HRRP. Response is supported by relevant academic/professional resources.
Response demonstrates the same level of achievement as level “2,” plus the following: Presentation addresses strategies for securing the support of different stakeholders.
Learning Objective LO 3.4: Develop a plan for the implementation of strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP).
Development of a plan for the implementation of strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP) is missing.
Presentation provides a partial or unrealistic plan for the implementation of strategies for earning maximum reimbursement under HRRP. Response is not supported by relevant
Presentation explains a realistic and achievable plan for the implementation of strategies for earning maximum reimbursement under HRRP. Plan clearly describes ways to change patient
Response demonstrates the same level of achievement as level “2,” plus the following: Presentation addresses strategy for securing the support of different stakeholders to assist in implementation of Plan.
©2014 Walden University 5
0 Not Present
1 Needs Improvement
2 Meets Expectations
3 Exceeds Expectations
academic/professional resources.
and provider behavior in order to earn maximum reimbursement under HRRP. Response is supported by relevant academic/professional resources.
Learning Objective 3.5: Describe strategies for preparing and monitoring for change in the Center for Medicare and Medicaid policies.
Description of strategies for preparing and monitoring for change in the Center for Medicare and Medicaid policies is missing.
Presentation provides a vague description of strategies for preparing and monitoring for change in the Center for Medicare and Medicaid policies. Response is not supported by relevant academic/professional resources.
Presentation provides a clear description of two strategies for preparing and monitoring for change in the Center for Medicare and Medicaid policies. Response is supported by relevant academic/professional resources.
Response demonstrates the same level of achievement as level “2,” plus the following: Presentation provides a clear description of at least one additional strategy for preparing and monitoring for change in the Center for Medicare and Medicaid policies.
Learning Objective LO 3.6 Develop an education plan for the staff to learn about the strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP).
Development of an education plan for the staff to learn about the strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP) is missing.
Presentation provides a partial or unrealistic education plan for the staff to learn about the strategies for earning maximum reimbursement under HRRP. Response is not supported by relevant
Presentation explains a realistic and achievable education plan for the staff to learn about the strategies for earning maximum reimbursement under HRRP. Response is supported by relevant
Response demonstrates the same level of achievement as level “2,” plus the following: Presentation addresses strategy for securing the support of different stakeholders to help promote the education plan.
©2014 Walden University 6
0 Not Present
1 Needs Improvement
2 Meets Expectations
3 Exceeds Expectations
academic/professional resources.
academic/professional resources.
PS001: Written Communication: Demonstrate graduate-level writing skills.
Learning Objective PS 1.1: Use proper grammar, spelling, and mechanics.
Multiple major and minor errors in grammar, spelling, and/or mechanics are highly distracting and seriously impact readability.
Multiple minor errors in grammar, spelling, and/or mechanics are distracting and negatively impact readability.
Writing reflects competent use of standard edited American English. Errors in grammar, spelling, and/or mechanics do not negatively impact readability.
Grammar, spelling, and mechanics reflect a high level of accuracy in standard American English and enhance readability.
Learning Objective PS 1.2: Organize writing to enhance clarity.
Writing is poorly organized and incoherent. Introductions, transitions, and conclusions are missing or inappropriate.
Writing is loosely organized. Limited use of introductions, transitions, and conclusions provides partial continuity.
Writing is generally well- organized. Introductions, transitions, and conclusions provide continuity and a logical progression of ideas.
Writing is consistently well- organized. Introductions, transitions, and conclusions are used effectively to enhance clarity, cohesion, and flow.
Learning Objective PS 1.3: Apply APA style to written work.
APA conventions are not applied.
APA conventions for attribution of sources, structure, formatting, etc., are applied inconsistently.
APA conventions for attribution of sources, structure, formatting, etc., are generally applied correctly in most instances. Sources are generally cited appropriately and accurately.
APA conventions for attribution of sources, structure, formatting, etc., are applied correctly and consistently throughout the paper. Sources are consistently cited appropriately and accurately.
Learning Objective PS 1.4:
Vocabulary and tone are inappropriate and
Vocabulary and tone have limited relevance to the audience.
Vocabulary and tone are generally appropriate for the audience and support
Vocabulary and tone are consistently tailored to the audience and effectively and
©2014 Walden University 7
0 Not Present
1 Needs Improvement
2 Meets Expectations
3 Exceeds Expectations
Use appropriate vocabulary and tone for the audience and purpose.
negatively impact clarity of concepts to be conveyed.
communication of key concepts.
directly support communication of key concepts.
PS003: Technology: Use technology tools effectively.
Learning Objective PS 3.1: Use images and layout of presentations to effectively communicate content to a specific audience.
Images and layout are inappropriate, hard to read, and/or impede audience understanding of key concepts.
Images or layout provide limited support for audience understanding of key concepts.
Images and layout generally support audience understanding of key concepts.
Images and design elements are used purposefully, and they effectively support audience engagement and understanding of key concepts.
PS005: Critical Thinking and Problem Solving: Use critical-thinking and problem-solving skills to analyze professional issues and inform best practice.
Learning Objective PS 5.1: Analyze assumptions and fallacies.
Analysis of assumptions is missing.
Response is weak in assessing the reasonableness of assumptions in a given argument. Response does not adequately identify and discuss the implications of fallacies or logical weaknesses in a given argument.
Response generally assesses the reasonableness of assumptions in a given argument. Response identifies and discusses the implications of fallacies and/or logical weaknesses in a given argument.
Response clearly and comprehensively assesses the reasonableness of assumptions in a given argument. Response provides a detailed and compelling analysis of implications of fallacies and logical weaknesses in a given argument.
Learning Objective PS 5.2: Generate reasonable and appropriate assumptions.
Assumptions are missing. Response does not adequately present and discuss key assumptions in an original argument.
Response presents and discusses key assumptions in an original argument.
Response justifies the reasonableness and need for assumptions in an original argument.
©2014 Walden University 8
0 Not Present
1 Needs Improvement
2 Meets Expectations
3 Exceeds Expectations
Learning Objective PS 5.3: Assess multiple perspectives and alternatives.
Assessment of multiple perspectives is missing.
Response does not identify nor adequately consider multiple perspectives or alternatives.
Response identifies and considers multiple perspectives and alternatives.
Response justifies selection of chosen alternative relative to others.
Learning Objective PS 5.4: Use problem-solving skills.
Problems and solutions are not identified.
Response presents solutions, but they are ineffective in addressing the specific problem.
Response presents solutions that are practical and work in addressing the specific problem.
Response presents compelling supporting arguments for proposed solutions.
