Heart Failure Clinic Resourcing Plan
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Health care delivery is a complex process and system that includes multiple delivery sites such as hospitals, ambulatory-care centers, private-provider offices, community-health facilities, home-care agencies, and extended-care facilities. Managed care is a method used to reimburse or pay for health care service. It includes more than just payment; it also controls the delivery services. Health care reform has been undertaken for a variety of reasons, not the least of which are access and health disparities issues. Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014).
Questions to consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
For the following questions, you may wish to review the Brown, Bornstein, and Wilcox article “Partnership and Empowerment Program: A Model for Patient-Centered, Comprehensive, and Cost-Effective Care,” listed in the Unit Resources.
- Who makes you accountable for the delegation that you use in your organization, as well as on a state and national level?
- Are there ways you could initiate greater collaboration with the health care team by using delegation?
- What is the purpose of the National Council of State Boards of Nursing delegation decision-making tree?
- What is the long-term implication related to health care cost if the patient or patient population continues to have poor outcomes related to cost containment?
- How can you address cost within your organization, as a nursing leader, and how is this related to patient outcomes?
Instructions
Deliverable: Develop one component of an evidence-based resourcing plan.
Scenario:
The hospital leadership team has already allocated the major capital expenditures for the heart failure clinic, such as the facility, legal services, IT, and security services. However, as a member of the nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting.
You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.
Choose one of the following:
Budget:
- Apply evidence-based management strategies and best practices for resourcing health care services.
- Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic.
- Start-up expenses.
- Examine fixed and variable costs.
- Capital budget items.
- Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera.
- Contingency fund and parameters.
- Apply legal and professional standards for resourcing outpatient services.
- Explain the alignment to best practices and professional standards for cost effective outpatient services.
- How will uninsured or underinsured patients be managed?
- Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
- What data resources and tools analyze costs, health insurance, and hospitalization services?
- How will billing be handled?
- How will you determine if outpatient management is cost-effective?
- How does transparency impact the consumer?
Staffing Plan:
- Apply evidence-based management strategies and best practices for resourcing health care services.
- Identify the disciplines and skill mix needed for appropriate staffing.
- Estimate staffing requirements by discipline and staffing ratios (evidence-based).
- Develop a sample staffing schedule.
- How will you staff to meet corporate diversity goals or the needs of diverse patients?
- Explain how delegation, collaboration, negotiation will affect staffing plan.
- How does a union contract affect the staffing plan or schedule?
- Examine the Nurse Practice Act for your state.
- How does the Nurse Practice Act affect your staffing plan?
- Examine the Nurse Practice Act for your state.
- How does a union contract affect the staffing plan or schedule?
- Apply legal and professional standards for resourcing outpatient services.
- Align your staffing plan to best practices, the Nurse Practice Act for your state, scope of practice, and the Joint Commission standards for outpatients.
- Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
- How will you know if staffing is cost-effective?
- How will you know if staffing mix or schedule impacts patient outcomes?
Additional Requirements
- Written communication: Written communication should be free of errors that detract from the overall message.
- APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
- Length: The plan should be 3–4 pages in content length, double-spaced.
- Font and font size: Times New Roman, 12 point.
- Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

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