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After reading Chapters 12, 13, 15, and 17, answer the following discussion question:
Use the Decision-Making Format in Box 15-1 on page 259 in the course text to answer “The Challenge” (below) practice example found on page 257 (Chapter 15).
| The Challenge: Vickie Lemmon, RN, MSN Director of Clinical Strategies, Operations WellPoint, Inc., Ventura, CA Healthcare managers today are faced with numerous and complex issues that pertain to providing quality services for patients within a resource-scarce environment. Stress levels among staff can escalate when problems are not resolved, leading to a decrease in morale, productivity, and quality service. This was the situation I encountered in my previous job as an administrator for California Children Services (CCS). When I began my tenure as the new CCS administrator, staff expressed frustration and dissatisfaction with staffing, workload, and team communications. This was evidenced by high staff turnover, lack of teamwork, customer complaints, unmet deadlines for referral and enrollment cycle times, and poor documentation. The team was in crisis, characterized by infighting, blaming, lack of respectful communication, and lack of commitment to program goals and objectives. Because I had not worked as a case manager in this program, it was hard for me to determine how to address the problems the staff presented to me. I wanted to be fair but thought that I did not have enough information to make immediate changes. My challenge was to lead this team to greater compliance with state-mandated performance measures. How would you lead a new team of nurses to greater compliance with state-mandated performance measures? Use the Table to rank your choices on the actions you would take. Why did you rank your choices the way you did and why did you rank your first choice (#1) as your first choice? Explain your rationale. Select your best option and design an implementation plan and an evaluation plan. |
Complete the table using the Decision-making Format in Box 15-1. Post your table by copy/paste into your initial 200-word response.
Box 15.1 Decision-Making Format (page 259)
Objective: ______________
Add more rows where needed. Rank the priority of options, with “1” being most preferred.
| Options | Advantages | Disadvantages | Ranking |
Write in your own words (No Quotations). You may use your books, WebLinks, or other library resources to answer this question. Prepare to respond to your classmates’ posts in this discussion. APA Format for references is required.
This discussion supports the following course objective:
3. Use a decision-making format to list options to solve a problem, identify pros and cons of each option, rank the options, and select the best option. (SLO #1)
Find, open, and read the Excel spreadsheet document that goes with this discussion question. Complete the spreadsheet and attach it to your post. Then, return to the discussion question.
Patient Acuity – Spreadsheet Exercise 1.1 Patient Acuity, Workload, and FTE’s.
| Question: | If the acuity at your facility goes up during a year’s time, and your budget plan does not include for an increase in acuity levels or an increase in census, what will you need to as a leader and manager in this organization? |
| Question: | If the acuity at your facility goes DOWN during a year’s time, and your budget plan does not include for an increased census, what will you need to do as a nursing leader/manager? |
Prepare a 200-word response using at least one reference in the discussion. Write in your own words (No Quotations). You may use your books, WebLinks, or other library resources to answer this question. Prepare to respond to your classmates’ posts in this discussion. APA Format for references is required.
This discussion supports the following course objective:
5. Apply basic concepts of human resource management to professional nursing practice situations. (SLO #1, 2)
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