Week 8 Portfolio: Business Proposal-Human Resource Component Health care delivery continues as the topic of debate amongst health care providers, community members, and legislators in the United States (U.S.). The health care reform agenda assures the American people access to safe, quality health care while containing cost expenditures. As a nurse leader, this business proposal provides an opportunity to enhance patient care, meet the needs of the community, and further the strategic plan and organizational goals of the healthcare organization for which I am employed. In the previous course, Nurse Administrator, I proposed attaining patient-centered medical home (PCMH) recognition through the National Committee for Quality Assurance (NCQA, 2011). In Health Care Finance and Budget, a comprehensive financial statement identified revenue and operation expenses for the first year of operation. The purpose of this paper is to consider the human resource component and develop a staffing plan to ensure adequate personnel. I will add the personnel required for the proposed PCMH business plan, building specifically on the budget projections established in the latter portfolio assignment, and include relevant information gained from my learning experiences. My staffing plan will include the position type and number and number of individuals, justification for each position to addresses type and number, and determine salaries and benefits. The required Learning Experiences provided the forum to acquire an understanding of how the human resources department contributes to the strategic initiatives of the organization and supports the department of nursing. 66 Overview: Patient Centered Medical Home The focus of health care is moving beyond the patient care received today, to an emphasis on the health of the patient across the continuum. Nurses strive to promote patient-centered health care within the community to incorporate the necessary resources Patient-centeredness, a core value identified by the Institute of Medicine in a 2001 report is a future goal for health care reform in the United States (Millenson, n.d.). This patient care delivery system responsibly integrates all aspects of health care and health services, eliminates fragmentation, and concentrates on the patient. The PCMH fosters a partnership between the patient and medical practitioner coordinating care, engaging patients and family members, and encouraging selfmanagement of one's personal health care (Apold, 2012). The joint principles of the PCMH; incorporating a personal physician, and patient directed medical practice, whole person orientation, coordinated care, quality and safety, enhanced access to care, and reimbursement based on acknowledging the value of patient-centeredness, offers best practice for attaining positive quality outcomes and maintaining chronic illnesses, such as diabetes and hypertension (National Committee for Quality Assurance [NCQA], 2011). America's Health Insurance Plans (AHIP, 2009) and the Centers for Medicare and Medicaid Services (CMS, 2011) reward the quality of care provided by physicians with PCMH achievement versus reimbursement regardless of the patient outcome. The future of healthcare is dependent on maintaining wellness and preventing illness. The health care reform agenda assures the American people access to safe, quality health care while containing cost expenditures. 67 Staffing Plan This business plan entails adding to the existing employees. The PCMH care delivery system engages the patient to assume responsibility in optimizing their health in a safe, timely, effective, patient-centered, efficient manner regardless of the existing personnel parity (Carver & Jessie, 2011). Incorporating these, principles require increased face-to-face time spent with the patient, justifying the need for increased staffing since financially, it is impossible to allocate more time for each appointment (Carver & Jessie, 2011). NCQA PCMH Standards (2011) include leaving appointments available to allow scheduling same-day appointments. The current staffing pattern includes two medical doctors and one NP, with a caseload of 15 to 20 patients per day. An RN works alongside each medical practitioner. These are full time employees. The PCMH team approach should include an additional full time NP and RN and four certified medical assistants. A full time Quality Assurance RN is necessary for data collection and quality reporting to the NCQA
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