Leadership replies | Nursing homework help

MarianVinasLeadershipreply.docx

Marian Vinas

Florida National University

Professor: Carmen Lazo

September 25, 2024

Discussion Question 1: Case Scenario

Question1

A nurse at the bedside would not inherently know the specifics of a patient's payor arrangement unless it has been discussed. However, many nurses are generally familiar with payor systems, such as Medicare and Medicaid, and the ways these payors impact patient care processes (Ladin et al., 2022). In this case, the nurse may notice differences in the care being given, specifically in a smoking cessation program for FS. However, the specific repercussions of the value-based contract, FFS, and ACO payment models may be less known unless more training or involvement on the administrative levels for health care reimbursement has been provided.

Question2

Yes, nursing is among those fields standing on a different payor arrangement and how they influence patient care. Having been conversant with education and resources that the patients can afford financially or through their insurance, nurses may give their care more holistically. For example, the resources available to RT are not as well-organized as in FS since the latter has more bundled payment initiatives from the FFS model, giving more significant financial incentives to avoid excess care. This will contribute to easier nursing interventions and proper resource allocation and help prevent readmission to the hospital.

Question3

Nursing should continue to educate both patients regarding their disease, regardless of payor arrangements. Disease management education is paramount in improving patient outcomes, especially with chronic conditions such as COPD (Shnaigat et al., 2022). Both RT and FS need education on smoking cessation, the use of inhalers, and oxygen therapy, which could decrease the number of hospitalizations and complications. Inconsistencies in education could lead to variation in patient outcomes, which contradicts the very role of nursing in ensuring equity of care.

Question4

If RT and FS were in the same nursing unit, there may be some issues regarding the disparity of the available support services. With an ACO contract, FS could have home care and smoking cessation coaching, whereas RT has FFS Medicare without those services. It can become an ethical dilemma when both patients have the diagnosis but are treated differently. The distribution of resources by nurses should be fair to ensure that the two patients receive equal treatment upon discharge from the hospital.

Discussion Question 2: Workarounds in Nursing

Nursing sometimes overrides Pyxis or Omnicell automated medicine delivery systems, especially when medications are urgently needed. In emergency cases, nurses use this workaround to avoid system delays. Avoiding safety inspections increases the likelihood of pharmaceutical mishaps. Adding alerts to these dispensing devices to identify medications that need faster processing is an interesting option. Nursing staff could swiftly retrieve urgent drugs without manual overrides. These urgent drugs could also benefit from a speedy authorization strategy to ensure timely access and safety.

Medication mistakes may be reduced, improving patient safety and care delivery. It may not fully address the causes of manual overrides, such as understaffing or workflow inefficiencies. Nurses may use manual overrides if system improvements don't cut delays, undermining the innovation. IT and pharmacy teams must work together to create a system highlighting urgent medications and providing speedy authorization standards (Aruru et al., 2020). To ensure proper use, nursing staff would need extensive training after development. Monitor medication mistake rates, time-to-administration data, and nurse satisfaction after adoption to evaluate the innovation. This solution's development and implementation depend on leadership. This innovation requires transformational leadership that promotes creativity, cooperation, and employee empowerment. An open and adaptable leader will likely get staff buy-in and support changes. Authoritarian leadership styles that reject change or ignore nursing staff input could hurt innovation. Healthcare teams can innovate care delivery and improve patient outcomes by adopting a collaborative and supportive leadership style.

References

Aruru, M., Truong, H.-A., & Clark, S. (2020). Pharmacy emergency preparedness and response (PEPR) framework for expanding pharmacy professionals’ roles and contributions to emergency preparedness and response during the COVID-19 pandemic and beyond. Research in Social and Administrative Pharmacy, 17(1), 1967–1977. https://doi.org/10.1016/j.sapharm.2020.04.002

Ladin, K., Bronzi, O. C., Gazarian, P. K., Perugini, J. M., Porteny, T., Reich, A. J., Rodgers, P. E., Perez, S., & Weissman, J. S. (2022). Understanding The Use Of Medicare Procedure Codes For Advance Care Planning: A National Qualitative Study. Health Affairs, 41(1), 112–119. https://doi.org/10.1377/hlthaff.2021.00848

Shnaigat, M., Downie, S., & Hosseinzadeh, H. (2022). Effectiveness of patient activation interventions on chronic obstructive pulmonary disease self‐management outcomes: A systematic review. Australian Journal of Rural Health, 30(1), 8–21. https://doi.org/10.1111/ajr.12828

JasmineMatosleadershipreply.docx

Jasmine Matos

Florida National University

Nursing Leadership and Management

Professor: Carmen Lazo

09/25/2024

Case Scenario

It is interesting to note the limited awareness that bedside nurses may have of details related to patients’ payment sources such as Medicare, Medicaid, ACO (Accountable Care Organizations) in the cases of either RT or FS. Of course, it remains beneficial for dully trained a minimum of knowledge regarding the impact of such models in relation to patient care, resource allocation, and subsequent treatment. While most of the focus lies with nurses moving about in the clinical setting and ensuring actualization of positive patient outcomes, they may sometimes liaise with case managers or social workers who ensure that RT and FS receive equal care regardless of the differences in payment approaches.

Understanding the differences between payment methods such as FFS (Fee-For-Service) and ACO may help the nurses to control the patient’s expectations and provide the proper education. For instance, FS may get better organized and coordinated care if it is put under an ACO explaining why the diagram shows less organized help under FFS for RT (Pittman et al., 2021). This consciousness makes the nurses to personalized care but it also brings out the aspect of managing illnesses such as COPD and smoking cessation for the patients.

Whether nurses are paid for it or not, their priorities should include disease prevention, patient education, and chronic illness. RT and FS reported that both staff and patient need to be educated about Addressing Social Determinants of Health (COPD), the dangers of smoking and the correct use for medication such as inhaled steroids. Whereas FS may in a position to gain more from the ACO in terms of resource leverage there is also an element of opportunity for RT to manage more effective self-management nursing initiated self-management and optimal utilization of the resources available.

Variations between payor models RT and FS could put home support at variance if RT and FS were on the same unit of nursing. Nurses should also make sure that both the patients they have undergone surgery get enough follow up and home care services just as the other (Fan, 2020). Patient centered care is therefore done with the noble aim of halting disease progression and improving the quality of life of the concerned patient regardless of cost implication.

The concept of SDOH remains crucial because they play a decisive role in patients’ health state with reference to such conditions as social and economic status, healthcare access, literacy, and housing. Community health nursing also plays a special role in addressing these determinants through advocacy, policy making and promotion of activities in the community. Health equity should be a goal for health facilities and for nurses as professionals who can fight for resources and programs that can promote better health of the population. Realizing these possibilities, the nurses can develop significant macro level change in the organizations and settings of health care delivery.

References

Fan, L. R. (2020). Care Coordination in Interhospital Transfer: Different Transfer Types, Coordination Mechanisms, and Destination Choice Strategies.

Pittman, P., Rambur, B., Birch, S., Chan, G. K., Cooke, C., Cummins, M., ... & Trautman, D. (2021). Value-based payment: What does it mean for nurses?. Nursing administration quarterly, 45(3), 179-186.

MarianVinasLeadershipreply.docx

Marian Vinas

Florida National University

Professor: Carmen Lazo

September 25, 2024

Discussion Question 1: Case Scenario

Question1

A nurse at the bedside would not inherently know the specifics of a patient's payor arrangement unless it has been discussed. However, many nurses are generally familiar with payor systems, such as Medicare and Medicaid, and the ways these payors impact patient care processes (Ladin et al., 2022). In this case, the nurse may notice differences in the care being given, specifically in a smoking cessation program for FS. However, the specific repercussions of the value-based contract, FFS, and ACO payment models may be less known unless more training or involvement on the administrative levels for health care reimbursement has been provided.

Question2

Yes, nursing is among those fields standing on a different payor arrangement and how they influence patient care. Having been conversant with education and resources that the patients can afford financially or through their insurance, nurses may give their care more holistically. For example, the resources available to RT are not as well-organized as in FS since the latter has more bundled payment initiatives from the FFS model, giving more significant financial incentives to avoid excess care. This will contribute to easier nursing interventions and proper resource allocation and help prevent readmission to the hospital.

Question3

Nursing should continue to educate both patients regarding their disease, regardless of payor arrangements. Disease management education is paramount in improving patient outcomes, especially with chronic conditions such as COPD (Shnaigat et al., 2022). Both RT and FS need education on smoking cessation, the use of inhalers, and oxygen therapy, which could decrease the number of hospitalizations and complications. Inconsistencies in education could lead to variation in patient outcomes, which contradicts the very role of nursing in ensuring equity of care.

Question4

If RT and FS were in the same nursing unit, there may be some issues regarding the disparity of the available support services. With an ACO contract, FS could have home care and smoking cessation coaching, whereas RT has FFS Medicare without those services. It can become an ethical dilemma when both patients have the diagnosis but are treated differently. The distribution of resources by nurses should be fair to ensure that the two patients receive equal treatment upon discharge from the hospital.

Discussion Question 2: Workarounds in Nursing

Nursing sometimes overrides Pyxis or Omnicell automated medicine delivery systems, especially when medications are urgently needed. In emergency cases, nurses use this workaround to avoid system delays. Avoiding safety inspections increases the likelihood of pharmaceutical mishaps. Adding alerts to these dispensing devices to identify medications that need faster processing is an interesting option. Nursing staff could swiftly retrieve urgent drugs without manual overrides. These urgent drugs could also benefit from a speedy authorization strategy to ensure timely access and safety.

Medication mistakes may be reduced, improving patient safety and care delivery. It may not fully address the causes of manual overrides, such as understaffing or workflow inefficiencies. Nurses may use manual overrides if system improvements don't cut delays, undermining the innovation. IT and pharmacy teams must work together to create a system highlighting urgent medications and providing speedy authorization standards (Aruru et al., 2020). To ensure proper use, nursing staff would need extensive training after development. Monitor medication mistake rates, time-to-administration data, and nurse satisfaction after adoption to evaluate the innovation. This solution's development and implementation depend on leadership. This innovation requires transformational leadership that promotes creativity, cooperation, and employee empowerment. An open and adaptable leader will likely get staff buy-in and support changes. Authoritarian leadership styles that reject change or ignore nursing staff input could hurt innovation. Healthcare teams can innovate care delivery and improve patient outcomes by adopting a collaborative and supportive leadership style.

References

Aruru, M., Truong, H.-A., & Clark, S. (2020). Pharmacy emergency preparedness and response (PEPR) framework for expanding pharmacy professionals’ roles and contributions to emergency preparedness and response during the COVID-19 pandemic and beyond. Research in Social and Administrative Pharmacy, 17(1), 1967–1977. https://doi.org/10.1016/j.sapharm.2020.04.002

Ladin, K., Bronzi, O. C., Gazarian, P. K., Perugini, J. M., Porteny, T., Reich, A. J., Rodgers, P. E., Perez, S., & Weissman, J. S. (2022). Understanding The Use Of Medicare Procedure Codes For Advance Care Planning: A National Qualitative Study. Health Affairs, 41(1), 112–119. https://doi.org/10.1377/hlthaff.2021.00848

Shnaigat, M., Downie, S., & Hosseinzadeh, H. (2022). Effectiveness of patient activation interventions on chronic obstructive pulmonary disease self‐management outcomes: A systematic review. Australian Journal of Rural Health, 30(1), 8–21. https://doi.org/10.1111/ajr.12828

JasmineMatosleadershipreply.docx

Jasmine Matos

Florida National University

Nursing Leadership and Management

Professor: Carmen Lazo

09/25/2024

Case Scenario

It is interesting to note the limited awareness that bedside nurses may have of details related to patients’ payment sources such as Medicare, Medicaid, ACO (Accountable Care Organizations) in the cases of either RT or FS. Of course, it remains beneficial for dully trained a minimum of knowledge regarding the impact of such models in relation to patient care, resource allocation, and subsequent treatment. While most of the focus lies with nurses moving about in the clinical setting and ensuring actualization of positive patient outcomes, they may sometimes liaise with case managers or social workers who ensure that RT and FS receive equal care regardless of the differences in payment approaches.

Understanding the differences between payment methods such as FFS (Fee-For-Service) and ACO may help the nurses to control the patient’s expectations and provide the proper education. For instance, FS may get better organized and coordinated care if it is put under an ACO explaining why the diagram shows less organized help under FFS for RT (Pittman et al., 2021). This consciousness makes the nurses to personalized care but it also brings out the aspect of managing illnesses such as COPD and smoking cessation for the patients.

Whether nurses are paid for it or not, their priorities should include disease prevention, patient education, and chronic illness. RT and FS reported that both staff and patient need to be educated about Addressing Social Determinants of Health (COPD), the dangers of smoking and the correct use for medication such as inhaled steroids. Whereas FS may in a position to gain more from the ACO in terms of resource leverage there is also an element of opportunity for RT to manage more effective self-management nursing initiated self-management and optimal utilization of the resources available.

Variations between payor models RT and FS could put home support at variance if RT and FS were on the same unit of nursing. Nurses should also make sure that both the patients they have undergone surgery get enough follow up and home care services just as the other (Fan, 2020). Patient centered care is therefore done with the noble aim of halting disease progression and improving the quality of life of the concerned patient regardless of cost implication.

The concept of SDOH remains crucial because they play a decisive role in patients’ health state with reference to such conditions as social and economic status, healthcare access, literacy, and housing. Community health nursing also plays a special role in addressing these determinants through advocacy, policy making and promotion of activities in the community. Health equity should be a goal for health facilities and for nurses as professionals who can fight for resources and programs that can promote better health of the population. Realizing these possibilities, the nurses can develop significant macro level change in the organizations and settings of health care delivery.

References

Fan, L. R. (2020). Care Coordination in Interhospital Transfer: Different Transfer Types, Coordination Mechanisms, and Destination Choice Strategies.

Pittman, P., Rambur, B., Birch, S., Chan, G. K., Cooke, C., Cummins, M., ... & Trautman, D. (2021). Value-based payment: What does it mean for nurses?. Nursing administration quarterly, 45(3), 179-186.

MarianVinasLeadershipreply.docx

Marian Vinas

Florida National University

Professor: Carmen Lazo

September 25, 2024

Discussion Question 1: Case Scenario

Question1

A nurse at the bedside would not inherently know the specifics of a patient's payor arrangement unless it has been discussed. However, many nurses are generally familiar with payor systems, such as Medicare and Medicaid, and the ways these payors impact patient care processes (Ladin et al., 2022). In this case, the nurse may notice differences in the care being given, specifically in a smoking cessation program for FS. However, the specific repercussions of the value-based contract, FFS, and ACO payment models may be less known unless more training or involvement on the administrative levels for health care reimbursement has been provided.

Question2

Yes, nursing is among those fields standing on a different payor arrangement and how they influence patient care. Having been conversant with education and resources that the patients can afford financially or through their insurance, nurses may give their care more holistically. For example, the resources available to RT are not as well-organized as in FS since the latter has more bundled payment initiatives from the FFS model, giving more significant financial incentives to avoid excess care. This will contribute to easier nursing interventions and proper resource allocation and help prevent readmission to the hospital.

Question3

Nursing should continue to educate both patients regarding their disease, regardless of payor arrangements. Disease management education is paramount in improving patient outcomes, especially with chronic conditions such as COPD (Shnaigat et al., 2022). Both RT and FS need education on smoking cessation, the use of inhalers, and oxygen therapy, which could decrease the number of hospitalizations and complications. Inconsistencies in education could lead to variation in patient outcomes, which contradicts the very role of nursing in ensuring equity of care.

Question4

If RT and FS were in the same nursing unit, there may be some issues regarding the disparity of the available support services. With an ACO contract, FS could have home care and smoking cessation coaching, whereas RT has FFS Medicare without those services. It can become an ethical dilemma when both patients have the diagnosis but are treated differently. The distribution of resources by nurses should be fair to ensure that the two patients receive equal treatment upon discharge from the hospital.

Discussion Question 2: Workarounds in Nursing

Nursing sometimes overrides Pyxis or Omnicell automated medicine delivery systems, especially when medications are urgently needed. In emergency cases, nurses use this workaround to avoid system delays. Avoiding safety inspections increases the likelihood of pharmaceutical mishaps. Adding alerts to these dispensing devices to identify medications that need faster processing is an interesting option. Nursing staff could swiftly retrieve urgent drugs without manual overrides. These urgent drugs could also benefit from a speedy authorization strategy to ensure timely access and safety.

Medication mistakes may be reduced, improving patient safety and care delivery. It may not fully address the causes of manual overrides, such as understaffing or workflow inefficiencies. Nurses may use manual overrides if system improvements don't cut delays, undermining the innovation. IT and pharmacy teams must work together to create a system highlighting urgent medications and providing speedy authorization standards (Aruru et al., 2020). To ensure proper use, nursing staff would need extensive training after development. Monitor medication mistake rates, time-to-administration data, and nurse satisfaction after adoption to evaluate the innovation. This solution's development and implementation depend on leadership. This innovation requires transformational leadership that promotes creativity, cooperation, and employee empowerment. An open and adaptable leader will likely get staff buy-in and support changes. Authoritarian leadership styles that reject change or ignore nursing staff input could hurt innovation. Healthcare teams can innovate care delivery and improve patient outcomes by adopting a collaborative and supportive leadership style.

References

Aruru, M., Truong, H.-A., & Clark, S. (2020). Pharmacy emergency preparedness and response (PEPR) framework for expanding pharmacy professionals’ roles and contributions to emergency preparedness and response during the COVID-19 pandemic and beyond. Research in Social and Administrative Pharmacy, 17(1), 1967–1977. https://doi.org/10.1016/j.sapharm.2020.04.002

Ladin, K., Bronzi, O. C., Gazarian, P. K., Perugini, J. M., Porteny, T., Reich, A. J., Rodgers, P. E., Perez, S., & Weissman, J. S. (2022). Understanding The Use Of Medicare Procedure Codes For Advance Care Planning: A National Qualitative Study. Health Affairs, 41(1), 112–119. https://doi.org/10.1377/hlthaff.2021.00848

Shnaigat, M., Downie, S., & Hosseinzadeh, H. (2022). Effectiveness of patient activation interventions on chronic obstructive pulmonary disease self‐management outcomes: A systematic review. Australian Journal of Rural Health, 30(1), 8–21. https://doi.org/10.1111/ajr.12828