Level 1: Entry-Level |
7.2a Describe the financial and payment models of health care. |
Identify key financial concepts in healthcare.
Describe basic insurance coverage principles and their role in patient access to care.
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Explain how different payment models shape care delivery. |
7.2b Recognize the impact of health disparities and social determinants of health on care outcomes. |
Identify how social determinants of health contribute to disparities in patient outcomes.
Describe the relationships between social and environmental factors and their influence on health status among populations.
Articulate patients’ unique circumstances, demonstrating sensitivity to how social determinants affect health and access to care.
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Integrate knowledge of health disparities into patient assessments and care planning. |
7.2c Describe the impact of healthcare cost and payment models on the delivery, access, and quality of care. |
Describe basic payment models and their influence on healthcare access and quality.
Identify how cost considerations affect care delivery and patient outcomes.
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Analyze how payment models influence nursing practice, patient outcomes, and healthcare access. |
7.2d Explain the relationship of policy, regulatory requirements, and economics on care outcomes. |
Identify fundamental healthcare policies and regulations that influence nursing practice and patient care.
Articulate how economic factors interact with policies to shape patient access and health outcomes.
Describe examples of how regulatory requirements affect care delivery processes within clinical settings.
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Describe the intersection of policy, regulation, and economics, evaluating their impact on resource allocation, patient care quality, safety, and outcomes. |
7.2e Incorporate considerations of efficiency, value, and cost in providing care. |
Describe the importance of efficiency, resource utilization, and value in patient care while identifying cost-saving strategies that maintain quality outcomes.
Explore how evidence-based practices contribute to high-value care by optimizing resource use and improving efficiency.
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Assess the impact of cost and efficiency in nursing care delivery and provide alternatives during care planning. |
7.2f Identify the impact of differing system structures, leadership, and workforce needs on care outcomes. |
Identify workforce needs within clinical settings and their impact on care coordination and patient outcomes. |
Analyze how leadership styles and team dynamics influence safe, effective care delivery.
Explain how system-level structures affect the quality and consistency of patient care.
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Level 2: Advanced-Level |
7.2g Analyze relevant internal and external factors that drive healthcare costs and reimbursement. |
Examine key internal factors that impact healthcare costs.
Identify external cost drivers and explain how they influence healthcare costs and reimbursement.
Examine the interplay between cost drivers and reimbursement models.
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Synthesize data from organizational reports or policy analyses to assess the influence of internal and external factors on financial outcomes and healthcare quality.
Apply knowledge of cost drivers to advocate for strategies that improve efficiency and reimbursement rates while maintaining quality healthcare.
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7.2h Design practices that enhance value, access, quality, and cost-effectiveness. |
Explore evidence-based practices that improve healthcare quality and patient outcomes while addressing cost considerations.
Identify barriers to access and equity within healthcare systems and consider potential solutions.
Propose strategies to enhance value and cost-effectiveness.
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Adopt care models, workflows, or processes that prioritize value, quality, and efficiency through evidence-based approaches.
Prioritize interventions supported by research and best practices.
Evaluate, redesign, and refine practices to improve cost-effectiveness and care quality.
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7.2i Advocate for healthcare economic policies and regulations to enhance value, quality, and cost effectiveness. |
Identify key healthcare policies and regulations that impact cost, quality, and value in healthcare delivery.
Explore advocacy strategies and participate in discussions regarding economic policy changes.
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Advocate for policy changes that align with evidence-based practices and improve cost-effectiveness and value in care delivery.
Engage with organizations and healthcare professionals to support policies that enhance quality and equity.
Evaluate proposals addressing economic challenges within healthcare delivery systems.
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7.2j Formulate, document, and disseminate the return on investment for improvement initiatives collaboratively with an interdisciplinary team. |
Explore methods for calculating return on investment (ROI) using fundamental tools and metrics in quality improvement projects.
Contribute to discussions regarding ROI and value-based care initiatives. Draft initial reports documenting outcomes and cost savings from small-scale improvement projects.
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Collaborate with interdisciplinary team members to formulate comprehensive ROI analyses for improvement initiatives by integrating financial and clinical outcomes.
Prepare reports and present findings on ROI, utilizing evidence to advocate for continued investment in high-value initiatives.
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7.2k Recommend system-wide strategies that improve cost- effectiveness considering structure, leadership, and workforce needs. |
Analyze organizational structures and workforce challenges to identify opportunities for enhancing cost-effectiveness.
Explore leadership strategies that support financial efficiency while maintaining quality standards.
Participate in team discussions on system-level changes to optimize resource utilization and reduce costs.
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Recommend strategies that address workforce needs and improve cost-effectiveness across healthcare systems.
Develop proposals for system-wide changes that incorporate evidence-based practices and workforce data.
Collaborate with interdisciplinary teams to implement initiatives that align with financial and quality improvement goals.
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7.2l Evaluate health policies based on an ethical framework considering cost-effectiveness, health equity, and care outcomes. |
Review health policies through an ethical lens, focusing on their impact on cost-effectiveness and patient care.
Participate in discussions on health equity, analyzing how policies address disparities in access and outcomes.
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Evaluate health policies for alignment with ethical principles, cost-effectiveness, and equity in care delivery.
Develop policy recommendations that address gaps in health equity and improve patient outcomes.
Collaborate with stakeholders to advocate for ethically sound policies that optimize care delivery.
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