599 comp3

Sources of Data Cite using APA guidelines. Enter text below.  County and Health Profile County and Hospital / Health System / Clinic Select a county for the location of your project. County level data is kept by most states and is usually more detailed than city-level data. Include a rationale of why you selected the city, including if you have any prior experience or knowledge about the existing health care system in that city. (175-250 words) Enter text below.  Health Issue 1 Description and Analysis of Data Explain the source(s) of your data and the types of analyses you conducted to reach your findings. For example, how does this data compare with other counties, states, or at the national level? (250-350 words) Enter text below. Description of Condition(s) (primary interest) Describe the condition(s) you have identified in your data analysis. Describe the extent of these health problems and why you feel they warrant a program or service to address their impact on the population. Provide demographic information on the county population including age, gender, income, employment and other relevant information for your program. (250-350 words) Enter text below.  Health Issue 2 Description and Analysis of Data Explain the source(s) of your data and the types of analyses you conducted to reach your findings. For example, how does this data compare with other counties, states, or at the national level? (250-350 words) Enter text below. Description of Condition(s) Describe the condition(s) you have identified in your data analysis. Describe the extent of these health problems and why you feel they warrant a program or service to address their impact on the population. Provide demographic information on the county population including age, gender, income, employment and other relevant information for your program. (300-350 words) Enter text below.  Part 2: Program Design In Part 1, you conducted research on health data of a population to identify an endemic public health issue and proposed a program to help improve health outcomes for this population. In Part 2, further develop your program idea by researching existing programs that address to some degree the health problem you identified in this population. Goals and Objectives Develop a goal and 2 related objectives for your program. Enter text below. Description of Program and Facility Describe the facility and its services, including the target population and demographics. (300-350 words) Enter text below.  Impact on Marginalized Groups Examine the impact of this program on uninsured, low-income populations. How will these groups of people get access to the services? (250-350 words) Enter text below. Staffing and Support Provide an initial estimate of the staff required to operate this facility, including physicians, nurses, receptionist, and other support staff. Apply standards on the ratio of clinical and support staff per physician. (250-350 words) Enter text below.  SWOT Analysis Evaluate the potential strengths, weaknesses, opportunities, and threats that can impact the targeted outcome of this program. (250-350 words) Enter text below. Internal Strengths Enter text below. Weaknesses Enter text below.  External Opportunities Enter text below. Threats Enter text below.  Policies, Procedures, Incentives Describe policies, procedures, and incentives that would make the program a transformative work environment. (250-350 words) Enter text below.  Literature Review Conduct a literature review and list at minimum 5 sources (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality) to identify programs that exist that address at least to some degree your identified health problem.  Part 3: Program Finances Factors that determine the financial feasibility of a health care program include the cost of the facility, equipment, staff salaries, patient out-of-pocket expenses, and insurance reimbursement. Referring to the concepts practiced so far, work on the following: 1. Determine how many physicians and supporting staff are needed to operate the clinic, applying the appropriate ratio of clinical and support staff per physician. 2. Determine the direct costs of the program. Direct costs in this case are patient expenses, and they increase as the number of patients increase. These include: a. Physician and procedural support staff costs per patient/procedure b. Gloves, sutures, gowns, equipment, lab supplies, other supplies 3. Determine the indirect costs of the program. Indirect costs are overhead costs that include but are not limited to: a. General support staff and related costs b. Electronic medical records c. Insurance and taxes d. Facility and administration e. Employee benefits such as health and life insurance, retirement plans, and fringe benefits 4. Determine the equipment costs of the program. This includes items for the physician clinic that will be used for more than one year. This is in contrast to variable costs which occur per patient and include such items as gloves, syringes, needles, and gauze, and would include items such as: a. Examination tables b. Workstations c. Desks and chairs in the waiting room d. Other equipment of this nature 5. Determine reimbursement for clinic services based on HCPCS/CPT codes with geographical adjustment. 6. Determine net reimbursement after variable costs per patient. 7. Determine how many patients the clinic will need to see (a) on average per day and (b) annually to break even on expenses. Note: Refer to the health financial instructions and sample calculations document to help you with this part of the project.  Table 1. Staffing and Salaries Complete Table 1 by adding the staff positions including physician specialty, nurses and support staff, and the number of positions in your clinic. Multiply the number of positions by average salary for those positions to obtain total salaries. Staff Position Number of Positions Average Salary Total Salaries Primary Care Physician Nurse Support Staff Total Salary: Table 2. Fringe Benefits Expense and Total Salary Expense These expenses have been established by the hospital system at 25% of salaries and added to salaries for Total Salary Expense. Factors Dollar Amount Total Salaries Fringe Benefit Expense 25% of Salaries Total Salary Expense w/ Fringe Benefits: Table 3. Overhead (Indirect) Costs and Total Fixed Practice Costs Begin with total salaries including fringe benefits. Multiply that amount by 40% (0.40) and combine the 2 numbers for total fixed practice costs. These costs do not vary based on the number of patients. Cost Factors Dollar Amount Total Salaries Expense Overhead Costs 40% of Total Salary Expense Total Overhead and Fixed Costs: Table 4. Equipment Costs These items will be used by the clinic for 5 years so the costs will be divided equally over 5 years (depreciation). Cost Factors Dollar Amount Total Equipment Cost Depreciated Equipment Cost (cost for year one) Total Clinic Costs (for year one including salaries, overhead, and equipment costs): Table 5. RVU and Reimbursement Calculation The cost of physician care varies in different locations, as do the cost of operating a practice and the rates of physician malpractice claims. In addition, each year Medicare adjusts the conversion rate either up or down. Category RVU GCI Total RVU Totals • RVU: • GCI: • Total RVU: Table 6. Variable Costs and Net Reimbursement To complete Table 6, multiply reimbursement per visit by 10% (0.10) and subtract this number from reimbursement to obtain net reimbursement per patient. Cost Factors Dollar Amount Reimbursement per visit Variable cost per patient 10% Net Reimbursement per patient: 7. Breakeven Analysis To calculate the number of patients needed to break even, divide total practice costs by net reimbursement. To calculate the number of patients per day, divide the total number of patients for an annual breakeven number by the number of days the practice is open. Enter text below.  Part 4: Organizational Structure Create an organizational chart that outlines the leadership structures and clinical departments at the facility you are planning. Include all positions that are required in your health care facility. Consider the organizational structure and roles that would shape the program and promote health care in a transformational way.  Summary Summarize the clinic’s organizational structure and provide your rationale for these decisions. (350-525 words)  Part 5: SBAR Proposal and Video Presentation As part of Competency 3, you submit an SBAR proposal that outlines all of the required supporting information to have your plan approved. You also present your proposal to the board and CEO as a 7- to 10-minute recorded video. Add your SBAR information below and submit your video to the Blackboard assignment. Review the readings on writing SBAR proposals to help you with this assignment. SBAR Proposal (525-700 words) Situation Clearly and succinctly describe the situation or problem. Enter text below. Background What relevant factors led up to the described problem? Enter text below. Assessment What improvements would result from investing the resources to tackle the problem? Recommendations What action do you propose? How do you propose to make it happen?  Video Presentation Record a 7- to 10-minute video in which you explain the following: • Pitch your program plan for approval by hospital executives. • Summarize and explain each part of your Capstone Project. Submit your video to the Competency 3 - Summative Assessment: Capstone Project – Part 5: SBAR Proposal and Video Presentation. his assessment has two parts, Part 4 and Part 5 of your Capstone Project. Complete Part 4 and Part 5 and submit them together. Capstone Project: Part 4 – Organizational Structure Part 4, the Organizational Structure of your Capstone Project, invites you to consider the shapes leadership can take when ideas in transformational leadership are applied to running a health care program. Complete Part 4 of the Capstone Project document. Capstone Project Capstone Project: Part 5 – SBAR Proposal and Video Presentation This part marks the beginning of the final piece of your Capstone Project, where you develop an SBAR Proposal and a video presentation that would be viewed by the hospital executives. The objective of Part 5 is to pitch your program plan. Complete Part 5, the SBAR Proposal and Video Presentation, of the Capstone Project document. Capstone Project Cite any references to support your assignment. Format your citations according to APA guidelines. Submit your completed Capstone Project document, including all completed parts, as well as your recorded video presentation. Sources of Data Cite using APA guidelines. Enter text below.  County and Health Profile County and Hospital / Health System / Clinic Select a county for the location of your project. County level data is kept by most states and is usually more detailed than city-level data. Include a rationale of why you selected the city, including if you have any prior experience or knowledge about the existing health care system in that city. (175-250 words) Enter text below.  Health Issue 1 Description and Analysis of Data Explain the source(s) of your data and the types of analyses you conducted to reach your findings. For example, how does this data compare with other counties, states, or at the national level? (250-350 words) Enter text below. Description of Condition(s) (primary interest) Describe the condition(s) you have identified in your data analysis. Describe the extent of these health problems and why you feel they warrant a program or service to address their impact on the population. Provide demographic information on the county population including age, gender, income, employment and other relevant information for your program. (250-350 words) Enter text below.  Health Issue 2 Description and Analysis of Data Explain the source(s) of your data and the types of analyses you conducted to reach your findings. For example, how does this data compare with other counties, states, or at the national level? (250-350 words) Enter text below. Description of Condition(s) Describe the condition(s) you have identified in your data analysis. Describe the extent of these health problems and why you feel they warrant a program or service to address their impact on the population. Provide demographic information on the county population including age, gender, income, employment and other relevant information for your program. (300-350 words) Enter text below.  Part 2: Program Design In Part 1, you conducted research on health data of a population to identify an endemic public health issue and proposed a program to help improve health outcomes for this population. In Part 2, further develop your program idea by researching existing programs that address to some degree the health problem you identified in this population. Goals and Objectives Develop a goal and 2 related objectives for your program. Enter text below. Description of Program and Facility Describe the facility and its services, including the target population and demographics. (300-350 words) Enter text below.  Impact on Marginalized Groups Examine the impact of this program on uninsured, low-income populations. How will these groups of people get access to the services? (250-350 words) Enter text below. Staffing and Support Provide an initial estimate of the staff required to operate this facility, including physicians, nurses, receptionist, and other support staff. Apply standards on the ratio of clinical and support staff per physician. (250-350 words) Enter text below.  SWOT Analysis Evaluate the potential strengths, weaknesses, opportunities, and threats that can impact the targeted outcome of this program. (250-350 words) Enter text below. Internal Strengths Enter text below. Weaknesses Enter text below.  External Opportunities Enter text below. Threats Enter text below.  Policies, Procedures, Incentives Describe policies, procedures, and incentives that would make the program a transformative work environment. (250-350 words) Enter text below.  Literature Review Conduct a literature review and list at minimum 5 sources (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality) to identify programs that exist that address at least to some degree your identified health problem.  Part 3: Program Finances Factors that determine the financial feasibility of a health care program include the cost of the facility, equipment, staff salaries, patient out-of-pocket expenses, and insurance reimbursement. Referring to the concepts practiced so far, work on the following: 1. Determine how many physicians and supporting staff are needed to operate the clinic, applying the appropriate ratio of clinical and support staff per physician. 2. Determine the direct costs of the program. Direct costs in this case are patient expenses, and they increase as the number of patients increase. These include: a. Physician and procedural support staff costs per patient/procedure b. Gloves, sutures, gowns, equipment, lab supplies, other supplies 3. Determine the indirect costs of the program. Indirect costs are overhead costs that include but are not limited to: a. General support staff and related costs b. Electronic medical records c. Insurance and taxes d. Facility and administration e. Employee benefits such as health and life insurance, retirement plans, and fringe benefits 4. Determine the equipment costs of the program. This includes items for the physician clinic that will be used for more than one year. This is in contrast to variable costs which occur per patient and include such items as gloves, syringes, needles, and gauze, and would include items such as: a. Examination tables b. Workstations c. Desks and chairs in the waiting room d. Other equipment of this nature 5. Determine reimbursement for clinic services based on HCPCS/CPT codes with geographical adjustment. 6. Determine net reimbursement after variable costs per patient. 7. Determine how many patients the clinic will need to see (a) on average per day and (b) annually to break even on expenses. Note: Refer to the health financial instructions and sample calculations document to help you with this part of the project.  Table 1. Staffing and Salaries Complete Table 1 by adding the staff positions including physician specialty, nurses and support staff, and the number of positions in your clinic. Multiply the number of positions by average salary for those positions to obtain total salaries. Staff Position Number of Positions Average Salary Total Salaries Primary Care Physician Nurse Support Staff Total Salary: Table 2. Fringe Benefits Expense and Total Salary Expense These expenses have been established by the hospital system at 25% of salaries and added to salaries for Total Salary Expense. Factors Dollar Amount Total Salaries Fringe Benefit Expense 25% of Salaries Total Salary Expense w/ Fringe Benefits: Table 3. Overhead (Indirect) Costs and Total Fixed Practice Costs Begin with total salaries including fringe benefits. Multiply that amount by 40% (0.40) and combine the 2 numbers for total fixed practice costs. These costs do not vary based on the number of patients. Cost Factors Dollar Amount Total Salaries Expense Overhead Costs 40% of Total Salary Expense Total Overhead and Fixed Costs: Table 4. Equipment Costs These items will be used by the clinic for 5 years so the costs will be divided equally over 5 years (depreciation). Cost Factors Dollar Amount Total Equipment Cost Depreciated Equipment Cost (cost for year one) Total Clinic Costs (for year one including salaries, overhead, and equipment costs): Table 5. RVU and Reimbursement Calculation The cost of physician care varies in different locations, as do the cost of operating a practice and the rates of physician malpractice claims. In addition, each year Medicare adjusts the conversion rate either up or down. Category RVU GCI Total RVU Totals • RVU: • GCI: • Total RVU: Table 6. Variable Costs and Net Reimbursement To complete Table 6, multiply reimbursement per visit by 10% (0.10) and subtract this number from reimbursement to obtain net reimbursement per patient. Cost Factors Dollar Amount Reimbursement per visit Variable cost per patient 10% Net Reimbursement per patient: 7. Breakeven Analysis To calculate the number of patients needed to break even, divide total practice costs by net reimbursement. To calculate the number of patients per day, divide the total number of patients for an annual breakeven number by the number of days the practice is open. Enter text below.  Part 4: Organizational Structure Create an organizational chart that outlines the leadership structures and clinical departments at the facility you are planning. Include all positions that are required in your health care facility. Consider the organizational structure and roles that would shape the program and promote health care in a transformational way.  Summary Summarize the clinic’s organizational structure and provide your rationale for these decisions. (350-525 words)  Part 5: SBAR Proposal and Video Presentation As part of Competency 3, you submit an SBAR proposal that outlines all of the required supporting information to have your plan approved. You also present your proposal to the board and CEO as a 7- to 10-minute recorded video. Add your SBAR information below and submit your video to the Blackboard assignment. Review the readings on writing SBAR proposals to help you with this assignment. SBAR Proposal (525-700 words) Situation Clearly and succinctly describe the situation or problem. Enter text below. Background What relevant factors led up to the described problem? Enter text below. Assessment What improvements would result from investing the resources to tackle the problem? Recommendations What action do you propose? How do you propose to make it happen?  Video Presentation Record a 7- to 10-minute video in which you explain the following: • Pitch your program plan for approval by hospital executives. • Summarize and explain each part of your Capstone Project. Submit your video to the Competency 3 - Summative Assessment: Capstone Project – Part 5: SBAR Proposal and Video Presentation.