Business Management Plan for Primary Care Setting
Develop a business management plan for a primary care setting
Promote an APN practice to the public
Expertise of professionals specialized in the skills and knowledge are vital towards the achievement of goals and objectives with reference to the reformed health care system. In the context of the restructured health care system, Advanced Practice Nurses (APNs) are unique and valuable service providers. The effectiveness and efficiency of the Advanced Practice Nurses are well documented in the modern healthcare sector. There have been challenges towards the implementation and maximization of the concept of the advanced practice nurses. The application of the advanced practice nurses in relation to provision of care has been hindered through restrictions with reference to the scope of practice, prescriptive authority, and eligibility for reimbursement.
It is imperative to eliminate practice barriers, standardize specialists’ preparation, and achievement of clear determination of the roles of the advanced practice nurses for essential impact on the health care delivery process and systems. Advanced practice nurses in the form of clinical nurse specialists, nurse midwives, and nurse anesthetists play crucial in the future of healthcare. Advanced practice nurses are primary care providers and offer preventive care to the public with the aim of improving health care delivery to the patients and entire society. The main purpose of this management plan is to promote the advance practice nurses to the public for the purposes of enhancing the service delivery and quality of health care products and services.
Develop a plan to start a practice
Purpose
The purpose of this management plan is to focus on the adoption and implementation of the APN practice to the public through primary care setting. This aims at the achievement of goals and targets in relation to reformed health care system targeting quality healthcare and service delivery. This practice has the ability to enhance the quality of health care and service delivery while minimizing the cost of operations within the context of the primary care setting.
Goals and Objectives
This management plan in relation to the promotion of the practice of APN focuses on the achievement of various goals and objectives. Some of the goals and objectives to be addressed include
To promote advanced practice nurses in the primary care setting for the purposes of enhancing the quality of service delivery and health care programs
To enhance the knowledge and skills of the service providers in the primary care setting to quality services
To identify benefits and challenges towards adoption and implementation of the APN practice in the context of the primary care setting
To enlighten the public on the concept of the APN practice thus the ability to interact with the population effectively and efficiently
To introduce expertise of professionals with skills and knowledge for the achievement of the goals and objectives of the reformed health care system
To minimize the cost of operation while increasing or enhancing the quality of healthcare services and programs for the development of a healthy society
Scope
This management plan emphasizes on the introduction and promotion of a new practice into the primary care setting in the form of the advanced practice nurses for the achievement of the goals and targets of the reformed healthcare systems. It also integrates an extensive evaluation of the advanced practice nurses in the primary care setting for the realization of quality healthcare and improved service delivery.
Management Plan
Planned Implementation Strategy
The strategy will focus on Identification or establishment of advisory committee
Development of quality and clear vision and goals to guide operation of the plan
Attainment of approval of the organizational authorities
Establishment of a business case or evaluation of the APN practice
Development of an evaluation plan to examine the progress of APN implementation and achievement of the goals and objectives
Understanding of barriers and leverage of the practice in relation to the implications on the facilitators
Educational Programs
Following its authorization by the management of the primary care setting, the plan will focuses on promoting the APN practice to the public for the purposes of enhancing the awareness of the target audience on the available quality services. This first step of the management plan will focus on sourcing of funds to execute promotions, seminars, and training models for the purposes of enhancing the image of the APN practices to the public. This step would require education specialists with the ability to interact with the public effectively and efficiently on the issues of APN practice as the new aspect of the primary care setting. The concept of advanced practice nurses would also reach the public through organization of seminars and learning programs for the purposes of the achievement of the goals and objectives of the management plan.
Transformation of the healthcare system
It is critical to focus on the transformation of the healthcare systems and programs for the purposes of enhancing the influence of the new practice towards addressing the needs of the quality health care. This relates to transformation of policies, practices, and programs in accordance with the needs and aspects of the advanced practice nurses. This is vital towards elimination of the barriers to effective and efficient implementation and utilization of the new practice in the context of the primary care setting.
Functions
The management plan also emphasizes on the functions or duties of the advanced practice nurses towards the achievement of the goals and objectives of quality services and health care programs. In the context of increasingly industry, advanced practice nurses play vital role towards enhancing the quality of services to the patients and the entire society. This relates to provision of cost-effective acre and accessibility to qualified practitioners by various patients and their families. The advanced practice nurses will execute these general functions in the context of the primary care setting (Mullinex & Bucholtz, 2009)
Develop or generate differential diagnoses
Evaluation of the patient’s response to the care plan and offer valuable modification in case of need
Provision of patient/family education and counseling programs in accordance with reformed healthcare systems
Involvement in the execution, interpretation, and implementation of the research studies with the aim of improving the quality healthcare among the patients
Focus on effective and efficient arrangement for the referrals and consultation programs for the patients
Development and integration of the aspects of therapeutic care plan with the aim of offering sound services and programs to the society members
Maintenance of the patient records
Examination of the health histories and execution of comprehensive physical evaluations such as functional, psychosocial, and development assessments
Obtain and interpret lab results and other relevant diagnostic studies for the purposes of improving the quality care to the patients
Monitoring and Evaluation Process
The last and continuous process in relation to implementation of the new practice in the form of the advanced practice nurses is the monitoring/evaluation process. This process will focus on the identification of success and failure of the APN towards enhancing the quality of healthcare in the modern primary care setting. Monitoring/evaluation process will focus on the effectiveness, efficiency, and quality of the APN practice towards the achievement of the goals and objectives set in the management plan. This is critical towards examination or evaluation of the implication of the new practice towards the achievement of the goals and objectives of the reformed and complex health care system in the modern society. This process should occur after every four months for the purposes of efficiency and quality in the assessment of the implications or contributions of the new practice in relation to primary care setting.
Conduct a business evaluation of an APN practice
In the development of the business evaluation of an APN practice, the focus will be on examination of the benefits, impact on the staff, systems, and processes, costs, and result of failure to adopt and implement APN practice in the primary care setting. APN practice focuses on the improvement of the quality of service delivery while minimizing the cost of operations. Implementation of the APN practice will improve the skills and knowledge expertise of the service providers. This is through effectiveness and efficiency in the documentation of the patient information, quality interpretation of lab results, and execution of favorable and adequate research studies. These activities focus on the promotion of the health care quality to the patients and their families. Improvement in the skills and knowledge expertise of the facilitators or service providers will lead to increase in the level of effectiveness and efficiency in service delivery for the purposes of improved healthcare systems and services.
Implementation of the APN practice is also an effective approach towards minimizing the cost of service delivery while minimizing the cost of operations. This is in accordance with the goals and objectives of the modern or reformed healthcare systems focusing on the improvement of quality while reducing the cost of operations. APN practice will also improve the efficiency of systems and processes of the primary care setting through integration of valuable expertise, knowledge, and skills of the service providers. Failure to implement the new practice in the form of APN practice would result into lack of efficiency in the service delivery as well as increment in the cost of operations. The organization will continue to accumulate massive operational costs thus transferring the burden to the consumers or patients and their families. This is an indication of poor service delivery and planning for the achievement of the goals and objectives of the reformed health care systems in the modern society.
Negotiate essential elements of an employment contract for an advanced practice nurse in a selected care setting
Professional resume is vital in the preparation and submission during the interview process. Written employment contracts are essential in relation to provision of protection of the nurse and the employer. Before signing of a final agreement, it is ideal to integrate the services of an attorney with experience on the medial practitioner acts or contracts. There are various elements or factors essential in the development of the contracts for the advanced practice nurses (Adcock, 1995). The first element is nursing practice act. The first component is the examination of the state practice act through evaluation of parameters, collaboration, and regulations in accordance with the nursing practitioner practice (Adcock, 1995). The second element is practice setting. It is advisable to seek answers to the type of practice setting, family, specialty, and support towards the role of the nurse practitioner. The third element is the aspect of personal inventory with the aim of evaluating the needs and desire in the contractual or employment arrangement.
The fourth and fifth elements focus on the integration of negotiation tips and compensation thus examination and determination of the worth of service. It is also vital to incorporate benefits to the employees in the contractual or employment agreement for the purposes of motivation and transparency in striking the deal. An effective contractual agreement should also focus on the integration of restrictions in relation to competition and conflict of interest (Adcock, 1995). This is vital towards minimization of challenges and barriers with reference to the achievement of the goals and objectives of the reformed healthcare system.
Compare and contrast the legal and contractual considerations for APN as an employee and as a contractor
There are diverse considerations in relation to the employee or independent contractor in relation to legal and contractual considerations for advanced practice nurses. In the case of APNs as an employee, the employer is more likely to be liable for the acts of negligence with reference to the respondent superior as long as the acts of the employee are within the context of the employment. In this context, the employees have social security and Medicare taxes withheld from the paychecks. The employer is responsible for the payment of the unemployment taxes. It is also essential for the employer to offer W-2 statement illustrating the total amount of withheld taxes at the end of the year. Employee has the ability to deduct unreimbursed business expenses with reference to his or her tax returns. This is possible in case of itemization of the deductions totaling to more than two percent of the of the employee (Henry 1995).
As an independent contractor, it is the organization that the independent contractor works to issue the 1099 form illustrating the total amount of money paid over the course of the year. The independent contractor has the obligation and responsibility of paying the income and self-employment taxes. It is also essential to note that under this consideration, business expenses are reported annually in relation to the income tax return. There is no specific amount or percentage of the independent contractor’s adjusted gross income. Individuals do not have access to the benefits extended to the employees. Such contractors are also liable to financial benefits or profits and losses. Individuals are not reimbursed for some or all aspects of the business expenses (Henry 1995). There is significant or substantive investment by the contractor in the work or process of the health system. The independent contractor does not information on unfolding of events and activities despite the realization of less extensive instructions on what should be done.
Propose an employment contract
I would propose an employment contract relating to the APN as an employee rather than an independent contractor. This is because of the ability to understand what is to be done and aspects towards the achievement of the set goals and targets. Employment contract will also demonstrate benefits such as pension, motivational packages, ethical issues, and insurance coverage for the purposes of effectiveness and efficiency in service delivery. Employees under such contracts will have the ability to contribute to the development of the society through taxation systems and welfare contributions (Buppert 1997). The employment will focus on the demonstration of the aspects of the nursing practice act in accordance with the beliefs and doctrine of nursing in the context of the United States. This is vital for the promotion of an effective working environment and quality interaction among the APNs, organizations, and patients.
that may impact the APN
Ethical issues affect various complex issues outside of the philosophy of an individual. This indicates that ethics affect an individual socially, politically, economically, and legally. Some of the critical ethical issues affecting advanced practice nurses include autonomy, beneficence, justice, and non-maleficence (Bartter 2001). Autonomy focuses on the demonstration of sense of control in the healthcare by the patients. It is the responsibility of the advanced practice nurses to facilitate the empowerment thus realization of the sense of autonomy by the patients in their healthcare. Beneficence focuses on the demonstration of kindness and execution of good acts. In the context of healthcare programs, the balances between the actual patients benefit and betterment have massive influence in the decision-making process. This indicates that the employees or advanced practice nurses must demonstrate kindness and good act with the aim of avoiding harm to others especially the patients (Bartter 2001). APNs must focus on the examination of their actions to minimize or eliminate benefits and risks of an action. Justice is also an essential ethical issue in relation to the verification of the value system of the advanced practice nurses. This focuses on the examination or evaluation of the interests, morals, and values of the advanced practice nurses to avoid looming conflict with the rights, interests, and autonomy of the patients.
Examine insurance issues
The modern society is associated with rapid change and restructuring of the health care system delivery. This is an indication that advanced practice nurse face various new opportunities and challenge thus the need to understand the federal and state laws, regulations, and rules defining their scope of practice and prescriptive authority. It is also ideal for the APNs to familiarize themselves with Medicare and Medicaid payment policies and other aspects of the private policies. This is through learning the basic language in relation to the third-party payers thus getting to know the process of ensuring the rendering of reimbursement for the services. There is also need to keep in touch with the modern knowledge and technologies for the purposes of enhancing effectiveness and efficiency in the service delivery by the APNs (The American Association of Nurse Attorneys, 2005). Insurance issues should focus on the provision of coverage to the APNs in their contractual agreements, execution of duties, and interaction with the organization, employees, and patients. This is vital for effectiveness and efficiency in service delivery.
References
Adcock, G (1995). Negotiating an employment contract. Nurse Practitioner, 20(6), 22-23.
Bartter, K. (2001). Ethical issues in advanced nursing practice. Boston: Butterworth-
Heinemann.
Buppert, C. (1997). Employment agreements: cause that can change an NP’s life. The Nurse
Practitioner 22(8), 108-119.
Buppert, Carolyn. (2011). Nurse practitioner’s business practice and legal guide Chapter 10
the Employed Nurse Practitioner, Chapter 10, 277-305.
Henry, P. (1995). The nurse practitioner’s guide to practice agreements. Nurse Practitioner
Forum. Vol 6, No. 1, 4-5
Mullinex, C., & Bucholtz, D. (2009). Role and quality of nurse practitioner practice: A policy issue. Nursing Outlook, 57(2), 93 — 98.
Sidani, S., Irvine, D., Porter, H., O’Brien-Pallas, L., Simpson, B., McGills-Hall, L., et al.
(2000). Practice patterns of acute care nurse practitioners. Canadian Journal of Nursing Leadership, 13, 6-12.
The American Association of Nurse Attorneys. (2005). Business and legal guidebook for nurse practitioners. Columbus, OH: Author.
