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Analyze how business practices, regulatory requirements, and reimbursement impact patient-centered care within a healthcare organization

Copyright:

Competencies:
7006.01.01: Leadership Concepts and Theories – Evaluate leadership practices that support accountability and integrity within an organization.
7006.01.02: Systems Theory and Change Theory – Relate systems theory and change theory to the design, delivery, and evaluation of healthcare.
7006.01.03: Role Development and Effective Interprofessional Teams – The nurse analyzes effective leadership strategies within the context of the interprofessional team.
7006.01.04: Business and Economic Principles and Practices – The nurse identifies the impact of business and economic principles and practices, and regulatory requirements on the provision of healthcare.
7006.01.05: Contemporary Healthcare Leadership Issues – The nurse analyzes the impact of contemporary healthcare trends and practices on the delivery of healthcare.
________________________________________
Introduction:

Healthcare is a complicated system that includes unique economic processes, regulatory requirements, and quality indicators that are not found in traditional business settings. Therefore, developing unique skill sets relating to organizational leadership and interprofessional team development is essential for leaders within the healthcare industry at any level. As the complexity within the healthcare industry increases, it is important to understand the comprehensive approach to patient care management across the continuum and how the concepts of organizational leadership and team development support leaders in creating a patient-centric environment.

The purpose of this assessment is to provide a framework through which you can experience and understand the unique leadership concepts within healthcare and understand the implications of business and regulatory requirements in providing patient-centered care. You will use system theory, change theory, self-assessment approaches, and team development concepts to design a strategy to increase patient-centered care. Using leadership concepts and theories, you will ensure a sustainable model of healthcare delivery throughout the changing healthcare system that considers future trends, evidence-based practice, and regulatory expansion.

For this assessment, you will use the attached “Patient-and Family-Centered Care Organizational Self-Assessment Tool,” to analyze how patient- and family-centered the healthcare setting is. This form will guide you in evaluating this healthcare setting for strengths and weaknesses in patient-centered care attributes. Based on your analysis, you will create a strategy to bridge those areas and increase patient-centered care.

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

The rubric provides detailed criteria for evaluating your submission. You are expected to use the rubric to direct the creation of your submission. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Note: Any information that would be considered confidential, proprietary, or personal in nature should not be included. Do not include the actual names or other personally identifiable information of people or stakeholders involved. Fictional names should be used. Also, agency-specific data, including any financial information, should not be included but should be addressed in a general fashion as appropriate.
A. Analyze how business practices, regulatory requirements, and reimbursement impact patient-centered care within a healthcare organization.

B. Complete the attached “Patient-and Family-Centered Care Organizational Self-Assessment Tool” (PFCC) for a healthcare organization.

Note: The PFCC tool is a subjective tool used to assess the organization you have chosen.

1. Describe the healthcare setting you used in the PFCC.
2. Using the completed PFCC tool, describe the strengths and/or weaknesses of the organization for each domain.

C. Identify one area of improvement from the weaknesses identified in part B2.
1. Create a strategy to increase patient-centeredness in the organization by addressing the weakness from part C.
a. Discuss how you would apply either system theory or change theory in the development of your strategy to address the chosen weakness.
2. Discuss the financial implications of implementing this strategy.
3. Discuss the methods you will use to evaluate the effectiveness of your strategy.

D. Create a multidisciplinary team by identifying the following:
• potential members that will assist you in implementing the identified strategy
• The role of each team member
1. Discuss how cultural diversity within the team supports patient-centered, culturally competent care.
2. Using one of the leadership theories below, discuss the leadership style you would utilize in developing your team:
• transactional leadership
• transformational leadership
• emotional leadership
• traditional leadership
3. Discuss how the team will work together to implement the strategy to address the weakness identified in part C1.
4. Describe how the team will communicate the identified strategy and intended outcomes to the healthcare organization.
5. Describe a specific tool you could use to develop the team’s self-assessment skills.

E. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Patient- and Family-Centered Care Organizational Self-Assessment Tool
Elements of Hospital-Based Patient- and Family-Centered Care (PFCC) and
Examples of Current Practice with Patient and Family (PF) Partnerships
Institute for Healthcare Improvement and the National Initiative of Children’s Healthcare Quality,
developed in partnership with the Institute for Family-Centered Care Page 1
1 Codes: PFCC=Patient- and Family-Centered Care; PF=Patient and Family; PAS= Performance Appraisal System
Domain
Element1
Low to High
Do not know
Leadership / Operations
Clear statement of commitment to Patient Family Centered Care and Patient/Family partnerships
1
2
3
4
5
Explicit expectation, accountability, measurement of Patient Family Centered Care
1
2
3
4
5
Patient/Family inclusion in policy, procedure, program, guideline development, Governing Board activities
1
2
3
4
5
Mission, Vision, Values
Patient Family Centered Care included in Mission, Values, and/or Core Values
1
2
3
4
5
Patient/Family “friendly” Patient Bill of Rights and Responsibilities
1
2
3
4
5
Advisors
Patient/Family serve on hospital committees
1
2
3
4
5
Patient/Family participate in quality and safety rounds
1
2
3
4
5
Patient and family advisory councils
1
2
3
4
5
Quality Improvement
Patient/Family voice informs strategic / operational aims/goals
1
2
3
4
5
Patients/Families active participants on task forces, QI teams
1
2
3
4
5
Patient/Family interviewed as part of walk-rounds
1
2
3
4
5
Patient/Family participate in quality, safety, and risk meetings
1
2
3
4
5
Patient/Family part of team attending IHI, NPSF, and other meetings
1
2
3
4
5
Personnel
Expectation for collaboration with Patient/Family in job descriptions & Policies in Performance Appraisal Process
1
2
3
4
5
Patient/Family participate on interview teams, search committees
1
2
3
4
5
Patient/Family welcome new staff at new employee orientation
1
2
3
4
5
Staff/physicians prepared for & supported in Patient/Family Centered Care practice
1
2
3
4
5
Environment And Design
Patient/Family participate fully in all clinical design projects
1
2
3
4
5
Environment supports patient and family presence and participation as well as interdisciplinary collaboration
1
2
3
4
5
Patient- and Family-Centered Care Organizational Self-Assessment Tool
Elements of Hospital-Based Patient- and Family-Centered Care (PFCC) and
Examples of Current Practice with Patient and Family (PF) Partnerships
Institute for Healthcare Improvement and the National Initiative of Children’s Healthcare Quality,
developed in partnership with the Institute for Family-Centered Care Page 2
2 Codes: PFCC=Patient- and Family-Centered Care; PF=Patient and Family; PAS= Performance Appraisal System
3Codes: PFCC=Patient- and Family-Centered Care; PF=Patient and Family; PAS= Performance Appraisal System
Domain
Element2
Low High
Do not
know
Information / Education
Web portals provide specific resources for Patient/Family
1
2
3
4
5
Clinician email access from PF is encouraged and safe
1
2
3
4
5
Patient/Family serve as educators/faculty for clinicians and other staff
1
2
3
4
5
Patient/Family access to / encouraged to use resource rooms
1
2
3
4
5
Domain
Element3
Low High
Do not know
Diversity & Disparities
Careful collection and measurement; race / ethnicity / language
1
2
3
4
5
Patient/Family provided timely access to interpreter services
1
2
3
4
5
Navigator programs for minority and underserved patients
1
2
3
4
5
Educational materials at appropriate literacy levels
1
2
3
4
5
Charting and Documentation
Patient/Family have full and easy access to paper/electronic record
1
2
3
4
5
Patient and family are able to chart
1
2
3
4
5
Care Support
Families members of care team, not visitors, with 24/7 access
1
2
3
4
5
Families can stay, join in rounds & change of shift report
1
2
3
4
5
Patient/Family find support, disclosure, apology with error and harm
1
2
3
4
5
Family presence allowed/ supported during rescue events
1
2
3
4
5
Patient/Family are able to activate rapid response systems
1
2
3
4
5
Patients receive updated medication history at each visit
1
2
3
4
5
Patient- and Family-Centered Care Organizational Self-Assessment Tool
Elements of Hospital-Based Patient- and Family-Centered Care (PFCC) and
Examples of Current Practice with Patient and Family (PF) Partnerships
Institute for Healthcare Improvement and the National Initiative of Children’s Healthcare Quality,
developed in partnership with the Institute for Family-Centered Care Page 3
4Codes: PFCC=Patient- and Family-Centered Care; PF=Patient and Family; PAS= Performance Appraisal System
Domain
Element4
Low High
Do Not Know
Care
Patient/Family engage with clinicians in collaborative goal setting
1
2
3
4
5
Patient/Family listened to, respected, treated as partners in care
1
2
3
4
5
Actively involve families in care planning and transitions
1
2
3
4
5
Pain is respectively managed in partnership with patient and family
1
2
3
4
5

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