This course is intended to educate nursing leadership about the impact of quality on the financial health of acute care facilities. Nurses as leaders need to understand the current reimbursement models, how to use the available tools to evaluate practice effectively, and how to interpret the data to create improved delivery systems while collaborating with members of the interprofessional team.
Outline:
Quality Series: Impact of Quality on the Bottom Line
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Healthcare Reimbursement
Overview
Development of Payment Models
Healthcare in the U.S.
The Triple Aim
The Quadruple Aim
Impact on Nursing Care
Pay For Performance and Alternative Payment Models
Value-Based Programs (VBP)
Alternative Payment Models (APMs)
Utilization Management
Purchasing Groups or Contracts
Review
Summary
Section 3: Impact of Nursing on Hospital Finances
Nursing and Quality of Care
Review
Summary
Course Summary
Course Contributors
Resources
References
Deborah K. Zastocki, DNP, Ed.M. MA, RN, retired NEA-BC, FACHE(r) is currently founder and president of Legacy Healthcare Management Consulting in North Carolina. She received her BSN from the University of Rhode Island, both master's degrees from Teachers College Columbia University, and her DNP from the University of Medicine and Dentistry of NJ. Dr. Zastocki has over 30 years of experience, with a professional career that included a journey from staff nurse to nurse executive roles, authorship, adjunct faculty, and healthcare executive leadership. Dr. Zastocki is the former president and CEO of Chilton Medical Center and became a health system executive with Atlantic Health System in New Jersey, after system integration. Disclosure: Deborah Zastocki, DNP, EdM, MA, RN, NEA-BC, FACHE(r) has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Staff Writer: Cathryn Ayers, RN
Cathryn Ayers, RN, MSN has nearly 10 years of critical care experience. She was active in multiple committees to improve patient safety, executed staff education activities, and managed the new graduate orientation program for those entering intensive care units. Cathryn obtained a license for massage and bodywork therapy in 2012 and graduated from the University of North Carolina at Greensboro in 2016 with a Master of Science in Nursing Education. She has provided telephonic case management services and developed program materials to facilitate positive outcomes for people with rare conditions across the United States. Cathryn has a passion for teaching and helping other to be their best. Disclosure: Cathryn Ayers, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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