Appraise economical aspects that influence healthcare delivery systems.

 

 

 

Scenario
Your hospital received $4,000,000 in revenue this past year. Medicare withholds 2.6% of this amount ($) until the value-based purchasing scores are in. If the scores are good this year, the hospital will earn back this money. If scores are below the national average, the hospital can lose this money. Twenty-five percent (25%) of this score is based upon the Community Engagement patient satisfaction score (HCAHPS). Last year’s patient satisfaction scores (HCAHPS) in the following areas were below the national average, which cost your hospital $398,000 in revenue.
The hospital director of Quality Improvement has asked you to participate in developing a nursing action plan for your facility.

Instructions
Prepare a nursing action plan in poster format for improving one of the following key areas that:
• Selects one key area of focus:
• Communication with nurses
• Communication with physicians
• Responsiveness of hospital staff
• Communication about medications
• Cleanliness and quietness
• Discharge information
• Care transition
• Examines nursing actions to achieve optimal scores to contribute to the hospital’s financial success.
• Provides a list of recommended nursing actions to improve the selected key area.
• Appraises references/resources for best practices to increase score and enhance reimbursement.
• Communicates the rationale for the nursing actions listed in the action plan.
• Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar in the action plan poster.

 

Sample Answer

 

 

 

 

 

 

 

 

ACTION PLAN: IMPROVING PATIENT SATISFACTION (HCAHPS)

Focus Area: Responsiveness of Hospital Staff

Goal: Achieve optimal HCAHPS scores in the "Responsiveness" domain to meet or exceed the national average, ensuring the hospital earns back its $104,000 Value-Based Purchasing (VBP) withholding for this metric (25% of the total 2.6% VBP withholding on $4,000,000 revenue).

I. Nursing Actions to Achieve Optimal Scores

ActionRationale and Financial Impact
. Implement a 3-Minute Call Light PolicyEstablishes a concrete, measurable standard of care. Rationale: Patient anxiety rises rapidly when help is delayed. Faster response times reduce patient frustration, decrease the perception of being "neglected," and improve HCAHPS "Responsiveness" scores. Financial Impact: Direct link to VBP reimbursement.
2. Proactive Rounding (Hourly/2-Hourly)Addresses patient needs (Pain, Potty, Position, Proximity) before the patient needs to use the call light. Rationale: This shift from reactive to proactive care significantly reduces call light usage, minimizing response time variability. Financial Impact: Reduces nurse fatigue from constantly responding to lights and improves efficiency, reducing length of stay.
3. "My Nurse Is..." Whiteboard CommunicationEnsure all patient whiteboards are updated with the names and roles of the entire care team (RN, CNA, MD, etc.), including projected return times. Rationale: Transparent communication creates realistic expectations. If a patient knows help is coming in 5 minutes, their perception of staff responsiveness improves, even if the actual time is slightly longer.