LE003 Adapting Internal Policies and Practices
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LE003_Rubric.pdf
© 2020 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
Rubric Criteria
Needs Improvement
Meets Expectations
Exceeds Expectations
Part I: Analyzing HRRP Policy and Evaluating Hospital Performance
Learning Objective 1.1:
Describe the key elements of the Hospital Readmissions Reduction Program (HRRP) criteria.
Response does not describe, vaguely describes, or inaccurately describes the key elements of the Hospital Readmissions Reduction Program (HRRP) criteria.
Response accurately and thoroughly describes three key elements of HRRP and how HRRP affects healthcare readmission rates in practice. Response offers further description of the impact of performance, lack of facility policy, or loss of revenues under the reimbursement plan. Response is supported by relevant academic/professional resources.
Response demonstrates the same level of achievement as “Meets” plus the following: Response accurately and thoroughly describes more than three key elements of HRRP and how HRRP affects healthcare readmission rates in practice.
Learning Objective 1.2: Explain the impact HRRP has had on healthcare delivery.
Response does not explain, vaguely explains, or inaccurately explains the negative and positive impact of HRRP on healthcare delivery.
Response clearly explains the negative and positive impact of HRRP on healthcare delivery. Response is supported by relevant
Response demonstrates the same level of achievement as “Meets” plus the following: Response includes a specific example that illustrates the negative
© 2020 Walden University 2
Rubric Criteria
Needs Improvement
Meets Expectations
Exceeds Expectations
academic/professional resources.
and positive impact of HRRP on healthcare delivery.
Learning Objective 1.3:
Identify factors that contribute to the risk of failing to meet Hospital Readmissions Reduction Program (HRRP) criteria.
Response does not identify how factors that contribute to the risk of failing to meet Hospital Readmissions Reduction Program (HRRP) criteria. Or 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 statistical report) at Brooklyn Presbyterian Hospital that contribute to the risk of failing to meet HRRP criteria. Response includes supporting data showing the difference between hospital and HRRP criteria. Response is supported by relevant academic/professional resources.
Response demonstrates the same level of achievement as “Meets” plus the following: Response identifies more than two relevant factors that contribute to the risk of failing to meet the HRRP criteria.
Learning Objective 1.4:
Create goals for earning the maximum reimbursement by following the Hospital Readmissions
Response does not include creation of goals for earning the maximum reimbursement by following the Hospital Readmissions Reduction Program (HRRP) criteria. Or response provides fewer than five goals or includes goals that are
Response provides five relevant, clear, and measurable SMART goals for Brooklyn Presbyterian Hospital for earning the maximum reimbursement by following HRRP criteria.
Response demonstrates the same level of achievement as “Meets” plus the following: Response describes more than five goals for earning maximum reimbursement
© 2020 Walden University 3
Rubric Criteria
Needs Improvement
Meets Expectations
Exceeds Expectations
Reduction Program (HRRP) criteria.
tangential or unclear rather than SMART goals. Goals are not supported by relevant academic/professional resources or are not related to processes or outcomes.
Goals are related to processes or outcomes. Goals are supported by relevant academic/professional resources.
by following HRRP criteria.
Learning Objective 1.5:
Describe programs or activities to increase reimbursement under HRRP by reducing readmission rates.
Response does not describe, describes fewer than three, or unclearly or illogically describes programs or activities to increase reimbursement under HRRP by reducing readmission rates. Response is not supported by relevant academic/professional resources.
Response clearly describes three programs or activities to increase reimbursement under HRRP by reducing readmission rates. Response is supported by relevant academic/professional resources.
Response demonstrates the same level of achievement as “Meets” plus the following: Response clearly describes more than three programs or activities to increase reimbursement under HRRP by reducing readmission rates.
Rubric Criteria
Needs Improvement
Meets Expectations
Exceeds Expectations
Part II: Developing an Action Plan to Maximize Reimbursements and Adapt to Change
© 2020 Walden University 4
Rubric Criteria
Needs Improvement
Meets Expectations
Exceeds Expectations
Learning Objective 2.1:
Explain strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP).
Presentation does not provide or 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.
Demonstrates the same level of achievement as “Meets” plus the following: Presentation addresses strategies for securing the support of different stakeholders.
Learning Objective 2.2:
Develop a plan for the implementation of strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP).
Presentation does not provide or provides a partial or unrealistic plan for the implementation of strategies for earning maximum reimbursement under HRRP. Response is not supported by relevant academic/professional resources.
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 and provider behavior in order to earn maximum reimbursement under HRRP. Response is supported by relevant academic/professional resources.
Demonstrates the same level of achievement as “Meets” plus the following: Presentation addresses strategy for securing the support of different stakeholders to assist in implementation of Plan.
Learning Objective 2.3:
Presentation does not provide or provides a vague description of strategies for preparing and
Presentation provides a clear description of two strategies for preparing and monitoring
Demonstrates the same level of achievement as “Meets” plus the following:
© 2020 Walden University 5
Rubric Criteria
Needs Improvement
Meets Expectations
Exceeds Expectations
Describe strategies for preparing and monitoring for change in the Center for Medicare and Medicaid policies
monitoring for change in the Center for Medicare and Medicaid policies. Response is not supported by relevant academic/professional resources.
for change in the Center for Medicare and Medicaid policies. Response is supported by relevant academic/professional resources.
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 2.4:
Develop an education plan for the staff to learn about the strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP).
Presentation does not provide or 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 academic/professional resources.
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 academic/professional resources.
Explanation demonstrates the same level of achievement as “Meets” plus the following: Presentation addresses strategy for securing the support of different stakeholders to help promote the education plan.
