I. As a new nurse engaged in advanced nursing practice (NP, Educator, or Administrator) you are asked in your Primary Care Clinic to take the lead in strategic planning for the clinic. This 1600 square foot urban-based clinic has 6 exam rooms, 1 small reception area, 1 staff meeting room, and serves 3,000 older adults with 4-6 patients booked each hour.
At present, a receptionist/billing intake staff associate greets patients and also schedules all appointments. There are 2 registered nurses, and 2 medical assistants. At a recent meeting there was little information about the population seen, ICD-10 codes, nor reporting on quality care outcomes. Dr. T, a leader in geriatric medicine and Dr. S. felt that the clinic was running smoothly, while the staff complained of files not filed, a backlog of billing not processed, and no training opportunities. You overheard some patients in the waiting area complain that they must wait weeks to find out lab results. You are asked to provide a renewal to the clinic environment and processes.
Select 2 goals for your strategic plan and specify your financial plan for only those two goals and the process for roll-out (gaining buy-in/ownership, meeting challenges of barriers, etc).
Notes: Remember though this is a local situation, health finance advocacy can extend from state to federal level. Keep in mind that you are planning for a better health care system. Additional resources beyond the course text and selected websites (screened for quality) are welcomed.
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