Week 1 Discussion Board

The instructor wants me to think further about #2. ***Think on a DNP level. The original order number is 121525 – you may look at the original post and think further on a DNP level. Please!

***See number 2 question below***

2. Describe ways the doctor of nursing (DNP) provides leadership in helping a health care entity optimize reimbursement from insurers. (slightly edited #1 from Chapter 2)

Week 1 Discussion Board

2. Describe ways the Doctor of Nursing (DNP) provides leadership in helping a health care entity optimize reimbursement from insurers. (Slightly edited #1 from Chapter 2) ********Think on a DNP level for the question)*************

 

 

Discussion Board Initial Posting Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeRelevance to the topic or problem	20 pts Exemplary 18-20 points. The posting directly addresses key issues, questions, or problems related to the text and the discussion activity. The posting applies course concepts well, connecting them to the actual activity. 17 pts Satisfactory 15-17 points. The posting addresses key issues, questions or problems related to the text and the discussion activity, but in some cases only indirectly or obliquely. It does not always apply course concepts fully. 0 pts Unsatisfactory 0-14 points. The posting does not directly address the question or problem posted by the discussion activity.	20 pts
This criterion is linked to a Learning OutcomeInsight and application of course concepts	40 pts Exemplary 37-40 points. The posting offers original or thoughtful insight, analysis, or observation that demonstrates a strong grasp of concepts and ideas pertaining to the discussion topic. 36 pts Satisfactory 30-36 points. The posting does offer some insight, analysis, or observation related to the topic, but may not demonstrate a full understanding or knowledge of concepts and ideas pertaining to the discussion topic. 0 pts Unsatisfactory 0-29 points. The posting does not offer any significant insight, analysis or observation related to the topic. No knowledge or understanding is demonstrated regarding concepts and ideas pertaining to the discussion topic.	40 pts
This criterion is linked to a Learning OutcomeUse of evidence and support	25 pts Exemplary 23-25 points. The posting supports all claims and opinions with either rational argument or evidence. Evidence is documented with appropriate citations. 22 pts Satisfactory 19-22 points. The posting generally supports claims and opinions with evidence or argument, but may leave some gaps where unsupported opinions still appear. 0 pts Unsatisfactory 0-18 points. The posting does not support its claims with either evidence or argument. The posting contains largely unsupported opinion.	25 pts
This criterion is linked to a Learning OutcomeGrammar, Punctuation & APA	15 pts Exemplary 14-15 points. The posting has less than 3 errors in grammar, Punctuation, and/or APA. 13 pts Satisfactory 11-13 points. The posting has 3-5 errors in Grammar, Punctuation, and/or APA. 0 pts Unsatisfactory 0-10 points. The posting has more than 5 errors in Grammar, Punctuation, and/or APA.	15 pts
Total Points: 100

 

Discussion Board #2

Delayed reimbursements have a negative impact on the financial performance of healthcare organizations. In their leadership role, doctorally-prepared nurses can help their healthcare entities to optimize reimbursement from insurers in a number of ways. As outlined in the Doctor of Nursing Practice (DNP) Essential V, doctorally-prepared nurses have the capacity to provide leadership for the creation and implementation of healthcare policy that shapes healthcare financing (Joanne & Christine, 2016). With these competencies, a DNP graduate can provide leadership in helping a health care entity optimize reimbursement from insurers by steering organizational reforms to improve the documentation and coding of prescriptions by physicians. Such changes help to increase efficiencies and effectiveness in the billing process. Again, by leading frequent auditing of their organizations’ systems, DNP nurses ensure that accurate codes are used and sufficient details of healthcare interventions are correctly captured. This promotes timeliness are accuracy during reimbursement (Waxman, 2018). The function of a DNP nurse in enhancing timeliness, effectiveness, and efficiency in reimbursement is part of the imperatives of the Institute of Medicine (IOM) regarding the role.

Doctorally-prepared nurses can utilize modern technologies to generate and integrate innovative ideas that help healthcare entities to manage complex health data and relatively reduce costs. Such technologies can help healthcare organizations to reduce variations during billing, remove healthcare processes that are deemed unnecessary from the list of interventions that require full reimbursement, and adhere to the payers’ coding requirements (Waxman, 2018). Monica et al. (2019) view DNP nurses as leaders who utilize evidence-based research to address financial and economic issues in healthcare organizations. In this respect, doctorally-prepared nurses have the ability to utilize evidence-based interventions when proposing reforms that are aimed at helping healthcare entities to optimize reimbursement from insurers.

 

References

Joanne, H. & Christine, B. (2016). Evaluation of health care quality for DNPs. 2nd ed. doi: 10.1891/9780826131584.

Monica, T., Sarah, H., Barbara, B., & Jeanine, F. (2019). The expert role of the DNP prepared nurse impacting healthcare systems: Bench to bedside, classroom to boardroom. Washington, DC. https://sigma.nursingrepository.org/handle/10755/21142#.

Waxman, K. T. (2018). Financial and business management for the Doctor of Nursing practice. 2^nd ed. Springer Publishing Company.