All healthcare organizations must be aware of cost controls, regardless of nonprofit or for-profit status

All healthcare organizations must be aware of cost controls, regardless of nonprofit or for-profit status. Managing costs at all levels of the organization affects the bottom line, which has a direct effect on all aspects of the organization.

 

Scenario:

 

You are working in an organization that is conducting an audit of a determined number of policies to determine if they are effective in their current state or if improvements and updates are needed (and alternatives need to be created).

 

Health care organization could be a hospital system like Banner Health or a skilled nursing facility located in your town – FLORIDA, or a surgical outpatient clinic.

You should choose one facility and pick one policy

You should NOT choose a federal generic broad policy like Obama Care/Affordable Care Act or Medicare or Medicaid.

 

Your first step is to find a policy at a healthcare organization related to cost controls. Include the following in your report.

 

Summarize the details of the policy:

• When was the policy put in place?
• Was it adopted system-wide, in one department, or multiple departments?
• What does the policy address?
• What is the potential impact of not following the policy at the organizational level? Unit level? Individual level?

 

Explain how the policy impacts fiscal aspects of the organization:

• How does the policy act as a cost control?

 

Describe how the policy impacts the quality of patient care:

• Does the policy improve efficiency?
• Are the goals to improve care and reduce costs?

 

Explore the unintended consequences:

• What secondary impacts does the policy have on the organization? Unit? Staff? Patient?
• Does the policy need revision?

 

Suggest alternatives to the policy:

• In your opinion, is the policy the best way to address the issue? Support your position by explaining why or why not.