NUR 621 Topic 1 Discussion Question 1
After your monthly review of your unit’s operational budget, you find you are over your budget for medical supplies. What steps would you take to investigate why this happened and how to correct the issue?
NUR 621 Topic 1 Discussion Question 2
Your staff have come to you with several requests for new equipment for the nursing unit. How would you go about determining what is the most important request? What next steps would you take in regards to the operational budget and these requests?
NUR 621 Topic 2 DQ 1
The Affordable Care Act has subsidies available; how does one qualify? How does this differ from Medicaid?
NUR 621 Topic 2 DQ 2
Uninsured patients can impact the financial status of a health care organization. What are the ethical implications of distributing scarce resources? How do you balance the cost of business versus the quality of care in order to ensure all patients are treated fairly and receive the care that they need?
NUR 621 Topic 3 DQ 1
Identify two quality metrics used in your clinical workplace. How are these measured and are the results shared with the nursing staff? If not, do you think they should be? What would be the benefit?
NUR 621 Topic 3 DQ 2
What is a patient-centered medical home (PCMH)? Why is this important to population health?
NUR 621 Topic 4 DQ 1
One of the aspects of meaningful use is the implementation of the electronic health record (EHR). How has the EHR impacted your health care organization? What were the positives, and are there any negative issues with any aspects of EHR?
NUR 621 Topic 4 DQ 2
Identify two to three indications that meaningful use has improved care coordination. What were some of the priorities when meaningful use was developed?
NUR 621 Topic 5 DQ 1
Health plans participating in the Affordable Care Act must be accredited; what is the difference between the National Committee for Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC)? Why would a health plan select one over the other?
NUR 621 Topic 5 DQ 2
Do you think it is important for health care organizations to be paid for the quality of performance? Why or why not?
NUR 621 Topic 6 DQ 1
In an accountable care organization (ACO), insurance companies are looking at how health care organizations care for a specific population. How do you think this impacts the health of the population?
NUR 621 Topic 6 DQ 2
What are the similarities and differences between an ACO and a managed care organization (MCO)? Describe a personal or professional situation in which you encountered either an ACO or MCO.
NUR 621 Topic 7 DQ 1
What are some of the key differences for a staffing model in a skilled nursing facility as compared to a medical-surgical unit in the hospital?
NUR 621 Topic 7 DQ 2
What type of staff performance indicators would you monitor to ensure you were meeting your budget? How would you monitor these indicators?
NUR 621 Topic 8 DQ 1
You find that your staff is not aware of the budgeted staffing model for their nursing unit. How would you go about educating/informing your staff? What would the most important factors to address?
NUR 621 Topic 8 DQ 2
Your supervisor met with you and let you know you are over the budgeted dollars for agency nurses for your unit. What are some tactics you could implement to decrease agency usage? What departments in your health care facility could you partner with?