Galen College of Nursing Course Syllabus Course Information: Course Name Healthcare Policy and Finance Course Number NSG 3400 Course Section Number 04D01 Credit Hours [Theory/Lab/Clinical] Contact Hours [Theory/Lab/Clinical] Prerequisites 4/0/0 48/0/0 NSG 3000 Co-requisites Course Location Course Meeting Days/Times Methods of Instruction Changes to Syllabus Faculty Information: Faculty (title, credentials) See Student Self Service for information. Select Academics > Schedule. Times and locations are subject to change. Engaged lectures, seminars, multimedia, internet, textbooks, written assignments, and small group work. Faculty reserves the right to make changes as necessary to this course syllabus. Learners will be notified in writing of any changes in a timely fashion. Lois D Lazzopina, BSN, MSN, APRN, BC Office Location Miami Campus Office Hours By Appointment Phone Number(s) 954-547-1661 , 954-634-3200 Miami Campus Email Address llazzopina@galencollege.edu Course Description: This course provides an introduction to healthcare policy and finance. An overview to relevant economic competencies and the basic structure of healthcare policy is provided. Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Textbooks & Resources: Marquis, B. L., & Huston, C. J. (2021). Leadership roles and management functions in nursing: Theory and application (10th ed.). Wolters Kluwer. ISBN: 9781975139216 Required Textbook(s) Recommended Textbook(s) Mason, D.J., Dickson, E. L., McLemore, M. R., & Perez, G. A. (Eds.). (2021). Policy and politics in nursing and health care (8th ed.). Elsevier. IBSN: 9780323554985 n/a Additional Information: Student Portal See Student Self Service for information. Galen Website www.galencollege.edu Student Catalog See Student Self Service for information. For 24/7 technical support with Canvas, you can contact our Canvas Helpdesk: - Canvas 24/7 Help Line Web-Enhanced Access If you are already logged in to Canvas, press the “Help” button on the top right of the screen and make your selection (Phone, Support Ticket, Chat). - If you are not logged in to Canvas, you can access the same support options with the following information: • By Telephone: (855) 680-0125 • By support ticket: http://help.instructure.com • By chat: https://cases.canvaslms.com/liveagentchat?chattype=student • By email: support@instructure.com Courses are augmented on the web utilizing the Canvas Learning Management System. On the first day of class, students will be oriented to the learning system. Students will access the course syllabus and content through this network. https://classroom.galencollege.edu. This network will also provide access to student course grades, a means to submit assignments, and handouts the faculty may post for you. Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Program Student Learning Outcomes (PSLOs): 1. Synthesize knowledge from the arts and sciences to form a foundation for the practice of professional nursing. 2. Provide holistic, culturally competent care for individuals, families, and populations through health promotion and disease prevention across the lifespan and healthcare continuum. 3. Integrate professional values and behaviors when delivering standards-based nursing care to diverse patients and populations. 4. Develop leadership skills to provide and continuously improve the delivery of safe, patient-centered quality healthcare. 5. Incorporate best practices and the most current evidence when using clinical reasoning to make practice decisions. 6. Incorporate information systems and technology in order to communicate, manage knowledge, mitigate error, and support decision-making. 7. Integrate effective communication and collaboration skills to improve patient satisfaction and health outcomes. Course Student Learning Outcomes (CSLOs): 1. Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends. (PSLO 3, 5, 6; AACN III, IV, V, VIII, IX; DEC I; NOF Professionalism, Evidence-Based Practice, Informatics and Technology; QSEN Evidence-Based Practice, Informatics) 2. Articulate the impact of socio-cultural, economic, legal, ethical, and political factors influencing healthcare delivery and practice. (PSLO 1, 2, 4, 7: AACN I, II, V, VI, VII, IX, DEC II, III; NOF Patient-Centered Care, Leadership, Communication, Safety, Teamwork and Collaboration; QSEN Patient-Centered Care, Teamwork & Collaboration, Safety) 3. Describe how healthcare is organized and financed, including the implications of relevant economic concepts such as resource scarcity and system cost factors. (PSLO 4; AACN V, IX; DEC I: NOF Professionalism) 4. Analyze how the roles and responsibilities of regulatory agencies affect patient care quality, workplace safety, and the scope of nurses’ and other health professionals’ practice. (PSLO 4, 7; AACN II, V, VI, VIII, IX; DEC I, III, IV; NOF Safety, Quality Improvement, Professionalism, Teamwork and Collaboration; QSEN Teamwork and Collaboration, Quality Improvement, Safety) 5. Discover the professional nurse’s role in healthcare-related political processes and legislative efforts. (PSLO 3, 4; AACN II, V, VIII, IX; DEC I; NOF Professionalism, Leadership, System-Based Practice) Course Requirements: 1. Achieve a minimum cumulative course average of 74% Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Final Course Grade Determination for NSG 3400 Assignments Policy Advocacy Project Weight Unit/Week Due 40% broken into two parts Part A: Proposal 10% 3 Part B: Report 30% 8 30% 4 30% 10 Healthcare Economics Case Study Nurse Practice Act (NPA) Presentation Total Date Due Day 7 11:59 PM ET Day 7 11:59 PM ET Day 7 11:59 PM ET As assigned 100% Academic Policies: All policies and procedures contained in the most recent edition of the Student Catalog apply to this course and are hereby incorporated by reference into this syllabus. Please refer to the Galen College of Nursing website and your campus at: http://www.galencollege.edu/campuses/ for the most recent edition of the Student Catalog. Students with Disabilities: Any student who wishes to request an accommodation may do so by contacting the campus Section 504/Title IX Coordinator. Information regarding accommodations for students with disabilities can be found in the Student Catalog, which is made available on the Galen College of Nursing website. Late Assignment Policy All assignments are expected to be submitted by the due date. Late assignments, without faculty consent, may result in a grade of “0”. Late assignments, with faculty consultation and consent, may result in a penalty of 5% per day past due on written assignments. No assignments will be accepted after the official term end date. Initial weekly discussions or reflections will be penalized for lateness according to the rubric and instructions. Makeup Exam/Quiz Policy Students are expected to take all exams and quizzes as scheduled. A student who will be late for or misses an exam or quiz is expected to notify faculty in advance. The decision to offer a make-up exam or quiz will be at the discretion of the course faculty member in collaboration with the program director. The number of makeup exams or quizzes per term may be limited. The make-up exam or quiz may be different from the originally administered version and standardized reporting for feedback regarding the exam may be unavailable. The program director must approve any change in the scheduling of the last exam administered in the course. Course/Faculty Evaluation: As part of Galen’s continued effort to offer courses of the highest quality and effectiveness, students will have the opportunity to evaluate this course as well as provide feedback on course faculty. Evaluations will be distributed to students prior to the end of the quarter. All evaluations are completely confidential and anonymous. Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Theory Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Topical Outline: Any changes to this syllabus will be communicated to the student in writing. Unit 1 Unit Student Learning Outcomes (USLOs) 1. Summarize health and health care and its significance to American life. (CSLO 3, 2) 2. Contrast healthcare systems of other countries to the United States. (CSLO 1, 2) 3. Examine the role of the key stakeholders on the impact of health care. (CSLO 1, 4) Theory Theory Content Learning Activities • Overview of Basic Elements of Healthcare • Presentation Environment in the United States (Part I) • Socratic Questioning o Policy making in the United States o Regulatory bodies o Perceived performance according to different stakeholders (patients, providers, politicians, payers, etc.) Required Reading Mason et al. (2021) Ch. 2 An Historical perspective on Policy Politics and Nursing p. 17-23 Ch 15 The Changing United States Health care system p. 121-129 Ch. 16 A Primer on Health Economics of Nursing and Health policy p. 134-139 Ch. 17 Financing health Care in the United States p. 141-153 Unit 2 Unit Student Learning Outcomes (USLOs) 1. Explore the nurse’s role and responsibility in serving as the patient advocate. (CSLO 4, 5) 2. Explain how advocacy can aid the patient in healthcare. (CSLO 4) 3. Recognize major issues and concerns in healthcare policy. (CSLO 5) Theory Theory Content Learning Activities • Overview of Basic Elements of Healthcare • Presentation Environment in the United States (Part II) • Socratic Questioning o Advocacy • Group Activity: Case Study • Article Review Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Required Reading Mason et al. (2021) Ch. 37 Contemporary Issues in government p. 313320 Ch. 38 How Government works: what your need to know to influence the proves p. 323-332 Ch. 42 Is there a Nurse in the house? The Nurses in the U.S. Congress p. 356-360 Ch. 39 An overview of legislation and regulation p. 333-342 Ch. 2 Advocacy in Nursing and health care p. 17-23 Marquis & Huston (2021) Chapter 10 Fiscal Planning p. 237-269 Unit 3 Unit Student Learning Outcomes (USLOs) 1. Identify elements of population and public health. (CLSO 1, 2) 2. Describe innovative approaches that integrate the population and medical models. (CLSO 2, 4) 3. Describe local, state, and federal authority for public health law, regulation, and services. (CLSO 1, 2) 4. Identify how challenges and opportunities are transforming public health. (CLSO 1, 2, 5) Theory Theory Content Learning Activities • Population and Public Health • Presentation o Social determinants of health • Socratic Questioning o Medical model vs. population health model • Group Activity: Discussion Questions o Public Health Model o Barriers to public health achieving its goal Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Required Reading Mason et al. (2021) Ch. 18 The Affordable Care Act: Historical Context and an introduction to the state of health care in the United States p. 157-164 Ch 201 Patient Engagement and Public Policy: Emerging New Paradigms and Roles P. 207-213 Ch 22 Policy Approaches to Address Health Disparities P, 171-176 Ch 74 An Introduction to Community Activism P. 571-577 Ch 75 From Sewage Problems to The Statehouse: Serving Communities P. 580-583. Ch 79 Family and Sexual Violence; Nursing And U.S. Policy P. 598-602 Ch 80 Human Trafficking: The Need for Nursing Advocacy P. 605-611 Ch 81 Reefer Madness: The Clash of Science, Politics and Medical Marijuana P. 613-616 Ch 82 International Health and Nursing Policy and Politics Today: A Snapshot P. 617-624 Ch 83 Infections Disease: A Global Perspective. P. 625-631 Unit 4 Unit Student Learning Outcomes (USLOs) 1. Discuss personal, social, political and environmental health determinants and risks for changing individual and population health behavior. (CSLO 1, 3, 2) 2. Explore provider-oriented interventions for changing individual and population health behavior and their influence in achieving national health care quality objectives. (CSLO 5, 1) 3. Articulate how the U.S. health care system provides and pays for services to vulnerable populations. (CSLO 1, 3, 2) 4. Identify target population challenges and opportunities to reduce health care costs and improve health outcomes. (CSLO 2, 3) Theory Theory Required Reading Content Learning Activities Mason et al. (2021) • Determinants of Health and Needs of • Presentation Ch 1 Frameworks for Action in Policy and Politics Vulnerable Populations • Socratic Questioning P. 1-16 o Health and Behavior • Group Activity: Case Studies (Determinants of Health P. 646-649) o Is healthcare a right or privilege? • Group Activity: Discussion Questions Ch 25Achieving Mental Health Parity P. 203-209 Ch 27 Women’s Reproductive Health Policy P. 225229 Unit 5 Unit Student Learning Outcomes (USLOs) 1. Explain the evolution of the United States health care systems compared to global health systems. (CSLO 1, 3) 2. Describe common models for organizing health care delivery. (CSLO 1, 3) 3. Discuss how reimbursement and other policy decisions influence organization healthcare delivery. (CSLO 1, 3, 2) 4. Examine how different interdisciplinary teams contribute to health care system. (CSLO 5, 4) Theory Theory Required Reading Content Learning Activities Mason et al. (2021) • Healthcare Delivery Systems • Presentation Ch 15 The changing united states health care system o How does the U.S. address to other • Socratic Questioning p. 121-129 developed countries? • Group Activity: Compare and Contrast Ch 16 A primer of health care economics of nursing o For-profit vs. not-for profit institutions • Group Activity: Case Studies and health policy. P. 134-139 o Free market vs. government control • Group Activity: Discussion Questions Ch 28 Public Health: Promoting the Health of Populations and Communities P. 231-239 Ch 30 The Politics and Policy of Disaster Response and Public Health Emergencies P. 246-254 Ch 32 Family Care Giving and Social Policy P. 270276 Ch 48 Policy and Politics in Health Care Organizations P. 392-399 Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Unit 6 Unit Student Learning Outcomes (USLOs) 1. Differentiate healthcare delivery methods in the United States. (CSLO 1) 2. Describe the benefits and limitations of healthcare delivery methods. (CSLO 2, 1, 3) 3. Identify components of the Triple Aim Initiative. (CSLO 1, 2, 3) Theory Theory Content Learning Activities • The Role of policy in Outcomes of Care: • Presentation Quality, Cost, and Access (part I) • Socratic Questioning o Healthcare delivery in the United States • Group Activity: Innovative Healthcare o Triple Aim Initiative Organizations o Innovative models of care (Patient • Group Activity: Case Studies Centered Medical Home, Accountable Care • Group Activity: Discussion Questions Organizations, etc.) Required Reading Mason et al. (2021) Ch 51 Quality and Safety in Health Care: Policy Issues P. 411-420 Ch 52 Politics and Evidence-Based Practice and Policy P. 422-426 Ch 53 The Nursing Workforce P. 430-435 Ch 54 Rural Health Care: Workforce Challenges and Opportunities P. 437-444 Unit 7 Unit Student Learning Outcomes (USLOs) 1. Explore future trends and mechanisms for improvement in the health delivery system. (CSLO 1, 5, 4) 2. Review how economic incentives can influence quality improvement. (CSLO 3, 2, 1) 3. Discuss how non-governmental organizations influence quality in healthcare. (CSLO 1, 2, 3) Theory Theory Content Learning Activities • The Role of policy in Outcomes of Care: • Presentation Quality, Cost, and Access (part 2) • Socratic Questioning o Quality Indicators • Group Activity: Case Studies o Quality of Care and Reimbursement • Group Activity: Discussion Questions • Group Activity: Non-Governmental Organizations Unit 8 Unit Student Learning Outcomes (USLOs) 1. Discuss the components of health insurance. (CSLO 3, 2, 1) Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Required Reading Mason et al. (2021) Ch 51 Quality and Safety in Health Care: Policy Issues P. 411-422 Ch 52 Politics and Evidence-Based Practice and Policy P. 422-426 Ch 56 Nurse Staffing Ratios: Policy Options P. 452456 Ch 57 The Contemporary Work Environment of Nursing P. 459-474 2. Explain how providers are paid. (CSLO 3, 2, 1) 3. Identify sources of waste in U.S. healthcare. (CSLO 3, 2, 1) 4. Summarize the benefit/cost analysis of healthcare in the U.S. healthcare. (CSLO 3, 2, 1) Theory Theory Content Learning Activities • Healthcare Financing • Presentation o Economic competencies • Socratic Questioning o Sources of waste in U.S. healthcare • Group Activity: Case Studies o Benefit/cost analysis • Group Activity: Discussion Questions • Group Activity: Payment Review Required Reading Mason et al. (2021) Ch 17 Financing Health Care in the United States P. 141-153 Marquis & Huston (2021) Ch.10 Fiscal Planning P. 237-259 Ch 15 Employee Recruitment, Selection, Placement, And Indoctrination P. 376-382 Ch. 17. Staffing Needs and Scheduling Policies P. 436-458 Unit 9 Unit Student Learning Outcomes (USLOs) 1. Describe how health information technology impacts the delivery of health care. (CSLO 2, 4) 2. Examine the components of managing and governing health care organizations. (CSLO 4, 5) 3. Differentiate the major elements of the Patient Protection and Affordable Care Act. (CSLO 1, 3) Theory Theory Content Learning Activities • The Future of Healthcare in the United States • Presentation o Federal Assistive Healthcare • Socratic Questioning o Health Information Technology • Group Activity: Discussion Questions o The Future of Health Care Delivery and Policy Required Reading Mason et al. (2021) Ch 62 Overcoming Barriers to Full APRN Practice: The Idaho Story P. 490-496. Ch 65 The Intersection of Technology and Health Care: Policy and Practice Implications P. 511-515 Ch. 73 Where Policy Hits the Pavement: Contemporary Issues in Communities P. 562-649 Unit 10 No new USLOs • Theory Content Nurse Practice Act (NPA) Presentation • Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Theory Learning Activities Presentation and class discussion Required Reading Unit 11/12 No new USLOs • Theory Content Nurse Practice Act (NPA) Presentation • Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Theory Learning Activities Presentation and class discussion Required Reading Comparison of Nurse Practice Acts (NPA) Presentation PSLOs: 1, 4, 7; CSLOs: 2, 4,5 Directions: Compare two nurse practice acts (NPAs); including the accompanying rules for administration for those acts. Presentation Component: Create a presentation comparing the following information and address each item in the list below. In the presentation, you are encouraged to be creative, therefore you can use any presentation software of your choice as long as the finished product can be submitted to Canvas and viewed by the faculty (without the need to install any additional plug-ins or software). Presentation software options include, but are not limited to, PowerPoint, Keynote, Prezi, etc. 1. Identify the state agency overseeing the practice of nurses. 2. List the professions included in the NPA. • Indicate RN, LPN/LVN, APRN, APRN, ARNP • If APRN: indicate the type (delineated /not delineated) – nurse practitioner, certified nurse midwife, certified registered nurse anesthetist, clinical nurse specialist. 3. Identify LPN/LVN scope of practice (i.e.: pass medications, IVs). 4. List any professions or job titles other than that of a nurse (e.g., dialysis tech, community health worker, nurse’s aide, medication aide, massage therapist, etc.). 5. List any protected professional titles (i.e., prohibitions against anyone not possessing a license calling her/himself an RN, LPN or APRN). 6. Describe rules for the Board of Nursing. • How many members are required? • How does one become a board member? • Must the board represent certain specialties of nursing? • If so, what are those specialties? • If the Board of Nursing does not require APRN members, is there some other board or council or committee or other entity that specifically oversees APRN practice? • If so, is there a requirement that physicians be members of this other board/council/committee, and if so, how many? 7. Define delegation restrictions (limits to the kinds of tasks an RN can delegate and to whom the RN can delegate those tasks). 8. Continuing education requirements, if any, for each type of nurse delineated in the NPA. (Note: APRNs might have different requirements from other types of nurses). 9. Identify criminal background check requirements. 10. APRNs: • If APRNs are delineated in the NPA, must they possess separate RN and APRN licenses in order to practice as an APRN? • Are APRNs required to have a graduate degree and/or certification specific to their type of APRN? • Requirement for an APRN to practice: Must there be physician oversight? If so, is it: Supervision (written or unwritten agreements) or collaboration (written or unwritten agreements)? Or may APRNs practice independently? • Are APRNs regulated by the same body as other nurses (e.g., the Board of Nursing, or its equivalent)? The Board of Medicine? Both Board of Nursing and Board of Medicine? Some other entity (e.g., Department of Health)? Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 • Are APRNs allowed to prescribe medication? Are they allowed to prescribe controlled substances? If so, which schedules are they allowed to prescribe (options include some or all of Schedules V, IV, III, and II). Does their prescriptive authority require supervision or collaboration of a physician? 11. Identify any nurse license compacts (special agreements with states so that nurses may practice across state lines)? 12. Are there any unique features required of nurses in either state (e.g., passing a jurisprudence examination, having to complete specific types of continuing education, such as HIV)? 13. Are nurses (RNs or APRNs) allowed to perform certain procedures (e.g., determine a cause of death, sign death certificates)? Presentation Formatting: Appropriate graphics, color choices, and general aesthetic design should be used throughout the presentation. In addition, be sure to consider the following: • Correct spelling, grammar, punctuation, and sentence structure. • Organize information with bullet points (very few slides should have full paragraphs) • Summarize and paraphrase content (DO NOT copy and paste entire sections of a statute). • Side-by-side comparisons of information can be effective, assuming the slide is not too “busy.” If a slide is too hard to read, it is better to divide the content into two or more slides. • Include an APA references list slide at the end of the presentation. • Include appropriate APA citations that correspond to the reference list at the end of the presentation. • Presentations should be 15-20 minutes in length and include the work of each team member. Each team member is responsible for participating in the group presentation to the class (equal participation). While presenting information, transitions in slides and content should occur smoothly, thoroughly cover content, use correct grammar and professional vocabulary, display professional appearance and behaviors, maintain eye contact with the audience and involve the audience using questions, quizzes, games or other activities. APA Citations & References: • Many statutes use this symbol to delineate a section number: § (double “s” or signum sectionis). Thus a section and its subsection may look something like this: § 65-30). • The easiest way to get that section symbol into your presentation is to go into Microsoft Word, find the "insert" tab in the top toolbar, find the "symbol" icon; often that symbol is in the category of "Basic Latin." Once you insert that symbol into one slide, you should be able to just copy and paste that symbol from one slide to another. • NPAs are statutes and their format is discussed on pp. 220-221 in the 6th edition of the APA manual. • Remember that the primary purpose of citations and references is to help the reader to find original sources if so desired, not to make the presentation appear as if it were written by an attorney. • Citations on slides may be in smaller font than the rest of the slide and appear in the bottom right corner unless quotation. Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Nurse Practice Act (NPA) Presentation Grading Rubric: Excellent 20 points Successfully addressed; in the sequence provided, questions 1-3. Satisfactory 15 points Successfully addressed; in the sequence provided, all but 1 of questions 1-3. Needs Improvement 13 points Successfully addressed; in the sequence provided, all but 2 of questions 1-3. Non-Performance 0 points Failed to address items 1-3. Successfully addressed; in the sequence provided, questions 4-7. Successfully addressed; in the sequence provided, all but 1 of questions 4-7. Successfully addressed; in the sequence provided, all but 2 of questions 4-7. Failed to address items 4-7. Successfully addressed; in the sequence provided, questions 8-10 Successfully addressed; in the sequence provided, all but 1 of questions 8-10 Successfully addressed; in the sequence provided, all but 2 of questions 8-10 Failed to address items 8-10. Successfully addressed; in the sequence provided, questions 11-13 Successfully addressed; in the sequence provided, all but 1 of questions 11-13 Successfully addressed; in the sequence provided, all but 2 of questions 11-13 Failed to address items 1113 Excellent 10 points Summarized and paraphrased (rather than just copying and pasting entire sections of a statute). Speakers used appropriate tone of voice, all members of the group participated in the presentation. Included a title slide. Satisfactory 8 points Summarized and paraphrased (rather than just copying and pasting entire sections of a statute). Speakers was difficult to understand at times, only some group members presented. Included a title slide. Needs Improvement 6 points Failed to summarize or paraphrase but copied and pasted entire sections of a statute. Presentation was disorganized, or speakers did not clearly communicate, only some group members presented. Included a title slide. Grammar, spelling, and APA formatting of citations and references utilized. The assignment follows correct APA formatting: citations and reference slide. Free of grammar and spelling errors. The assignment contains some (2 or less) APA formatting errors for citations and reference slide and/or some grammar and spelling errors. The assignment contains significant (more than 2) APA formatting errors for citations and reference slide and/or some grammar and spelling errors. Non-Performance 0 points Failed to summarize or paraphrase (copied and pasted entire sections of a statute). Presentation was lacking organization and speakers did not clearly communicate, only one group member presented all information. Failed to include a title slide. No attempt at APA formatting and multiple spelling/ grammar errors. Total 100 76 64 Criteria Examined the NPA to address questions 1-3. CSLOs: 2, 4,5 Examined the NPA to address questions 4-7. CSLOs: 2, 4,5 Examined the NPA to address questions 8-10. CSLOs: 2, 4,5 Examined the NPA to address questions 11-13. CSLOs: 2, 4,5 Criteria Format Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 0 Total Total _____ / 100 VOTED OFF THE LEARNING TEAM Criteria for consideration for voting for a member off the learning team Document the behaviors in the category below for consideration to dismiss the learner from the learning team. Discuss this with your faculty member. _____Learner has come unprepared to be part of the learning process. _____Learner does not attend learning team. _____Learner is not participating in learning activities. _____Learner is disrupting the learning activities. _____Learner is not open to feedback or allowing all members to participate. Group members signatures (All members must sign, and documentation must be provided.) A learner who is voted out of the learning group must complete the assignment individually. Learner may lose up to ten points at the discretion of faculty. Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Healthcare Economics Case Study Rubric: PSLOs: 1, 3, 4, 5, 6; CSLOs: 1, 2, 3, 4 Directions: Complete the case study below by answering each question in Part A and B. Utilize a minimum of two scholarly resources to support responses to Part A of the case study. For Part B use the Personnel_Budget_Case_Study_Worksheet.xlsx provided in Canvas to make calculations based on the instructions and compile your responses into one document for parts A and B. The assignment does not require a formal written paper; however, an APA style title page with running head and reference page are required. Answers may be recorded as Part A 1.), 2.), and 3.). Part B 1.), 2.), etc. Scenario: Mary Jane Smith has recently accepted a position as nurse manager on 1 West, a medical surgical nursing unit at Mercy Hospital Center. Part A: 1. Identify the nursing-sensitive indicators Mary Jane should consider in making staffing decisions. 2. Discuss how nursing-sensitive indicator data can be utilized to enhance safety and quality of patient care. 3. Discuss the relationship between nurse staffing and two of the following: urinary tract infections, pneumonia, upper gastrointestinal bleeding, shock, or length of stay. Part B: Mary Jane has been asked by the Chief Nursing Officer to prepare a personnel budget for the coming fiscal year. Mary Jane has collected the following information in addition to what she has determined based on nursing-sensitive indicator data discussed in Part A. Patient Data Average Daily Census 28 Unit Capacity 30 Average Nursing HPPD (Hours Per Patient Day) 8.8 Total Care Hours 96,360 Staff Data Total Hours/employee/year 2,080 Average Salary per Employee Category RN $36.00/hour LPN $22.00/hour Nurse’s Aide $12.00/hour 1. 2. 3. 4. Calculate the number of full-time equivalents (FTEs) that would be needed. Show your calculations. Explain Nursing HPPD. How would the acuity of the unit affect Nursing HPPD? Explain how diagnosis related groups (DRG's) and Case Mix Index (CMI) affects hours per patient day. Review the staffing plan for last year. What outcomes would you use to evaluate this staffing plan? Based on this data, would you recommend any changes for the upcoming year? 5. Briefly in 2-3 paragraphs summarize possible barriers a unit manager may encounter in implementing a staffing plan. Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Healthcare Economics Case Study Rubric: Criteria Part A: Question 1 CSLOs: 1, 2, 3, 4 Part A: Question 2 CSLOs: 1, 2, 3, 4 Part A: Question 3 CSLOs: 1, 2, 3, 4 Part B: Question 1 CSLOs: 1, 2, 3, 4 Part B: Question 2 CSLOs: 1, 2, 3, 4 Part B: Question 3 CSLOs: 1, 2, 3, 4 Part B: Question 4 Excellent 10 points Successfully identified the nursing-sensitive indicators. Satisfactory 8 points Minor issues with the identification of nursingsensitive indicators. Needs Improvement 6 points Moderate issues with the identification of nursingsensitive indicators. Non-Performance 0 points Not included or severe issues present in paper. Successfully discussed how nursing-sensitive indicator data can be utilized to enhance safety and quality of patient care. Minor issues with how the nursing-sensitive indicators can be utilized to enhance safety and quality of patient care. Not included or severe issues present in paper. Successfully discussed the relationship between nursing staffing and 2 of the conditions listed. Successfully discussed the relationship between nursing staffing and 1 of the conditions listed. Correctly calculated the number of productive FTEs that would be needed and showed calculations. Correctly calculated the number of productive FTEs that would be needed but failed to show calculations. Successfully explained HPPD and how the acuity of the unit would affect HPPD. Minor issues with explaining HPPD and/or how the acuity of the unit would affect HPPD. Minor issues with explaining how diagnosis related groups (DRG's) and Case Mix Index (CMI) affects hours per patient day. Minor issues with explaining outcomes for use in evaluating the staffing plan and/or recommended changes. Discussed how nursingsensitive indicator data can be utilized to enhance safety or quality of patient care (failed to discuss both). Successfully discussed 2 of the conditions listed but fails to address the relationship to nurse staffing. Failed to correctly calculate the number of productive FTEs but included calculations to show attempt. Moderate issues with explaining HPPD and/or how the acuity of the unit would affect HPPD. Moderate issues with explaining how diagnosis related groups (DRG's) and Case Mix Index (CMI) affects hours per patient day. Moderate issues with explaining outcomes for use in evaluating the staffing plan and/or recommended changes. Successfully explained how diagnosis related groups (DRG's) and Case Mix Index (CMI) affects hours per patient day. Successfully explained outcomes for use in evaluating the staffing plan and recommended changes. CSLOs: 1, 2, 3, 4 Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Not included or severe issues present in paper. No attempt to answer question or inappropriate attempt at calculation. Not included or severe issues present in paper. Not included or severe issues present in paper. Not included or severe issues present in paper. Score Part B: Question 5 CSLOs: 1, 2, 3, 4 Scholarly Resources Grammar, Spelling, and APA Formatting Total Successfully explained barriers in implementation of a staffing plan. Successfully utilizes 2 scholarly reports to justify the discussion presented in Part I. The assignment follows correct APA formatting for title and reference page, including citations. Free of grammar and spelling errors. 100 Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Minor issues with explaining barriers in implementation of a staffing plan. Successfully utilizes 1 scholarly reports to justify the discussion presented in Part I. The assignment contains some (2 or less) APA formatting errors for title and reference page, including citations and/or some grammar and spelling errors. Moderate issues with explaining barriers in implementation of a staffing plan. Utilizes 2 resources but not scholarly reports to justify the discussion presented in Part I. The assignment contains significant (more than 2) APA formatting for title and reference page, including citations and/or some grammar and spelling errors. 80 60 Not included or severe issues present in paper. Not included or severe issues present in paper. Severe issues present in paper. 0 _____ / 100 Policy Advocacy Project Policy Advocacy Project Overview: Nurses are important advocates for patients and healthcare policy. Policy makers rely on our knowledge and expertise to help make decisions that influence healthcare delivery. For this Policy Advocacy Project, you will need to identify a topic of legislation that is important to you. You will need to choose an elected official from your district, state, etc. to meet with to advocate for your selected topic. The project contains two parts that you will submit for grading, the proposal and the report. • Part A, the proposal, you will explain the legislation you have selected to advocate for and identify the appropriate elected official (or staff member) with whom you will speak. • Part B, the report, you will summarize the meeting that you held with the elected official. Part A: Proposal Directions PSLOs 1, 4, 5, 7; CSLOs: 1, 5 • • • • • • • • • Identify an appropriate topic of legislation that you would like to advocate. Describe the proposed topic of legislation. Explain why you think the topic of legislation is important or relevant. Identify an elected official or staff member whom you plan on contacting to advocate for this legislation and justify why this person is a suitable target audience. Present information in a scholarly manner including skillful and proficient writing using appropriate spelling, grammar, punctuation and mechanics, and APA style and formatting of the title page, appropriate in-text reference citations, and reference page. The proposal should be approximately 100-200 words in length. Please keep in mind: You are advocating for pending topics of legislation. You cannot choose something that has already passed because if that is the case, no advocacy is necessary. You must specify the exact topic of legislation in your proposal. You must refer to this by the appropriate title. For example: Title VIII funding, H. R. 952, etc. The elected official you contact must have the authority to vote for the proposed topic of legislation. The mayor of a city would have no legislative authority and therefore would not be appropriate. You are most likely going to contact a state or federal member of congress (House or Senate). Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Policy Advocacy Project – Part A: Proposal Grading Rubric: Criteria Identification and description of the topic of legislation to advocate. CSLOs: 1, 5 Explanation of why the legislation is important or relevant CSLOs: 1, 5 Identification and justification of elected official or staff member CSLOs: 1, 5 Criteria Presented information in a scholarly manner Total Excellent 30 Points Identified a topic of legislation and provided an excellent description of the topic of legislation to advocate. Satisfactory 23 Points Identified a topic of legislation and provided a satisfactory description of the topic of legislation to advocate. Provided an excellent explanation of why the legislation is important or relevant. Provided a satisfactory explanation of why the legislation is important or relevant. Identified an elected official or staff member and provided an excellent justification of the chosen individual. Identified an elected official or staff member and provided a satisfactory justification of the chosen individual. Excellent 10 Points Skillful and proficient writing using appropriate spelling, grammar, punctuation and mechanics, and APA style and formatting of the title page, headers, page numbers, headings in the body of the paper, appropriate in-text reference citations, and reference page. Written 100 – 200 words, double spaced. Satisfactory 8 Points Uses appropriate spelling, grammar, punctuation and mechanics, and APA style and formatting of the title page, headers, page numbers, headings in the body of the paper, appropriate in-text reference citations, and reference page with 2 or less errors or lapses. Written 100 – 200 words, double spaced. Needs Improvement 20 Points Identified a topic of legislation that is not appropriate for the assignment and/or provided a poor description of the topic of legislation to advocate. Provided an explanation but is somewhat unclear in articulating why the legislation is important or relevant. Identified an individual that is not appropriate for the assignment and/or provided a poor justification of the chosen individual. Needs Improvement 6 Points Uses appropriate spelling, grammar, punctuation and mechanics, and APA style and formatting of the title page, headers, page numbers, headings in the body of the paper, appropriate in-text reference citations, and reference page with more than 2 errors or lapses. Written less than 100 or greater than 200 words. 77 66 100 Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Non-Performance 0 Points Failed to address criteria. Score /30 Failed to address criteria. /30 Failed to address criteria. /30 Non-Performance 0 Points Does not write effectively using appropriate spelling, grammar, punctuation and mechanics, and APA style and formatting. 0 Score /10 _____ / 100 Policy Advocacy Project – Part B: Report PSLOs 1, 4, 5, 7; CSLOs: 1, 5 Directions: Arrange a meeting and speak with the elected official or staff member that you identified in the Policy Advocacy Project: Proposal to advocate for the legislation you selected. Use the information in the Policy Advocacy Project Assignment Reference document found in Canvas to help with this assignment. Make sure to complete all the requirements specified in this assignment and the assignment rubric. The Meeting • Meet with the elected official or staff member to discuss the legislation. • Do not mention that you are a student or that you have arranged this visit as part of a course requirement. The Report Write a report of your visit and include all the items listed below. 1. Include the exact name of the elected official or staff member whose office you visited and the person with whom you spoke. 2. Indicate whether the elected official or staff member was familiar with the legislation. 3. Describe how you conveyed your issue in the meeting. Summarize the topic and how you presented the topic, including what facts or supporting information that you provided. Once you lay out the issue, you should ask for the legislator's support. 4. Summarize the elected official’s or staff member ‘s response to the your request; namely, will the legislator provide the requested support or not? If not, why not? If the individual can support your position, you should elaborate why he or she was so enthusiastic about showing support (so that we might convey that enthusiasm to other less enlightened legislators). 5. Describe how the meeting ended. Was there additional information that you needed to send the elected official or staff member? 6. Summarize the elected official’s or staff member’s demeanor. Was he or she cordial, merely civil, barely engaged, etc.? In other words, despite your anxiety about the meeting (which is common for most nurses), did the individual seem agreeable to having the discussion? For example, did he or she: • Seem interested in the topic? • Ask good questions? • Seem candid about their position or remain noncommittal? • Seem pleasant, easy to talk to versus merely civil versus confrontational? • Relate any experiences that contributed to his or her understanding about the topic (e.g., has a family member in one of the health professions or some other relevant personal experience). If so, did these experiences help the individual to support your request or did it have the opposite effect? 7. Present information in a scholarly manner including skillful and proficient writing using appropriate spelling, grammar, punctuation and mechanics, and APA style and formatting of the title page, appropriate in-text reference citations, and reference page. 8. No more than 2-3 double spaced pages (NOT including the title page, references, and thank you e-mail). 9. Thank-you email – Send a thank-you email that briefly summarizes the bill number and the issue discussed at the meeting. The letter must be written in a professional manner, including your full contact information (address, phone, and e-mail) and the elected official’s or staff member’s full mailing address. Assignment Submission: The summary report and the thank you letter must be submitted in Canvas by the indicated due date. Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Policy Advocacy Project: Part B Grading Rubric: Criteria Identified Elected Official or Staff Member and Familiarity with Legislation CSLOs: 1, 5 Conveyed Own Understanding of the Legislation CSLOs: 1, 5 Summarized Elected Official or Staff Member Response CSLOs: 1, 5 Evaluated Elected Official or Staff Member Demeanor CSLOs: 1, 5 Criteria Developed a Thank You Letter Excellent 20 points Identified the exact name of the elected official or staff member visited. Successfully described the individual’s familiarity (or lack of) with the selected legislation. Successfully described how the information was presented and discussed with the elected official or staff member, including what facts or supporting information was provided; as well as how solicitation for support was requested. Successfully summarized the elected official or staff member response to the request; as well as acknowledgement of support or lack of support for the legislation. Discussed how the meeting ended. Described 3 features or more of the demeanor of the elected official or staff member. Excellent 10 points Letter briefly summarized the bill number and issue Satisfactory 15 points Identified the exact name of the congressperson visited (not a state representative). Discussed but failed to adequately describe the individual’s familiarity (or lack of) with the selected legislation. Identified but failed to adequately describe how the information was presented and discussed with the elected official or staff member, including what facts or supporting information was provided; as well as how solicitation for support was requested. Identified but failed to adequately summarized the elected official or staff member response to the request; as well as acknowledgement of support or lack of support for the legislation. Discussed how the meeting ended. Described 2 features or less of the demeanor of the elected official or staff member. Satisfactory 8 points Letter failed to include the bill number but adequately Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 Needs Improvement 13 points Identified the exact name of the congressperson visited (not a state representative). Failed to discuss the individual’s familiarity (or lack of) with the selected legislation. Non-Performance 0 points Failed to address criteria. Identified but failed to adequately describe how the information was presented and discussed with the elected official or staff member, including what facts or supporting information was provided; but failed to discuss how solicitation for support was requested. Identified but failed to adequately summarize the elected official or staff member response to the request; as well as failed to acknowledgement his/or lack of or support for support for the legislation. Failed to Discuss how the meeting ended. Described 1 feature or less of the demeanor of the elected official or staff member. Needs Improvement 6 points Letter failed to summarize the bill number and issue Failed to address criteria. Score Failed to address criteria. Failed to address criteria. Non-Performance 0 points Failed to address criteria. Thank you letter not Score CSLOs: 1, 5 Presented Information in a Scholarly Manner Total discussed at the meeting. Written in a professional manner including full contact information and the mailing address of the elected official or staff member. summarized meeting. Written in a professional manner including full contact information and the mailing address of the elected official or staff member. Thank you letter was included with the written report. Thank you letter was included with the written report. Skillful and proficient writing using appropriate spelling, grammar, punctuation and mechanics, and APA style and formatting of the title page, headers, page numbers, headings in the body of the paper, appropriate in-text reference citations, and reference page. Written 2-3 pages, double spaced. Uses appropriate spelling, grammar, punctuation and mechanics, and APA style and formatting of the title page, headers, page numbers, headings in the body of the paper, appropriate in-text reference citations, and reference page with a 2 or less errors or lapses. Written 2-3 pages, double spaced. 100 76 Galen College of Nursing – NSG 3400 Course Syllabus – Version 4.0 discussed at the meeting. Or not written in a professional manner failing to include full contact information and the mailing address of the elected official or staff member. Thank you letter was included with the written report. Uses appropriate spelling, grammar, punctuation and mechanics, and APA style and formatting of the title page, headers, page numbers, headings in the body of the paper, appropriate in-text reference citations, and reference page with a more than 2 of errors or lapses. Written less than 2 page or greater than 3 pages. 64 included with the written report. Does not write effectively using appropriate spelling, grammar, punctuation and mechanics, and APA style and formatting. 0 _____ / 100