Explain What is the relationship between financial reimbursement and quality of care?

In order to promote safe, caring, patient-centered environments, nurse leaders must both conceptually understand and be proficient at performing a wide variety of leadership skills. Effective nursing leaders develop and maintain awareness of issues that emerge at many levels within and outside of their organizations. In addition to developing self-assessing competencies necessary for their roles, nurse leaders must also acquire organizational and systems leadership skill sets.

In this program, you have examined the role, concepts, and principles of health care policy and how legal and regulatory agencies interact with professional nursing practice. You have also looked closely at the factors that impact disparities in health care access. This understanding of health care policy, as well as the multicultural, socioeconomic, political, legal, and regulatory elements that affect individuals, communities, and vulnerable populations, positions nurses to bring about change through effective communication with colleagues, consumers, and officials. Added to this is your demonstrated knowledge of financial management and cost containment, as well as how they affect quality of care.

 

  • What is the relationship between financial reimbursement and quality of care?
  • How can nurses and health care organizations influence health policy?
  • What is the process in your organization to initiate, implement, and support improvement changes?

For this assessment, write an executive summary analyzing the financial and regulatory impact of organizational compliance with a specific core measure of your choice. The summary must include recommendations for improving performance on the measure.

You must be able to explain the financial implications associated with the measure, as well as its importance in terms of policy, regulation, and finance. This is another good opportunity to consult with a key stakeholder within the organization. Talking to someone who works closely with the organization’s finances can help you develop a deeper understanding of the financial aspects of compliance. You also need to suggest ways your organization can improve compliance and how you would implement changes and overcome obstacles.

 

Directions

Select a core measure and investigate your organization’s compliance rate with the measure. In your executive summary, address the following:

  1. Compare the compliance rates of your organization with those of other organizations.
  2. Identify the financial implications associated with the measure.
  3. Explain why the measure is important in terms of policy, regulation, and finance.
  4. Describe changes that could be made that would improve compliance with the measure.
  5. Identify the people who would be affected by the changes.
  6. Outline a plan to implement the changes within the organization.
  7. Identify obstacles you would expect to encounter.
  8. Explain your strategies for overcoming obstacles.