Description
Please follow the rubric as a guideline to achieving this assignment. Use the Apa format
Brooklyn Presbyterian Hospital (BPH)
Hospital re-‐admission rates through 6/30/2012
Readmissions, Complications and Deaths:
Patients who are admitted to the hospital for treatment of medical problems sometimes get other serious injuries, complications, or
conditions, and may even die. Some patients may experience problems soon after they are discharged and need to be admitted to the
hospital again. These events can often be prevented if hospitals follow best practices for treating patients.
Description of measures below:
Measures of 30-‐day unplanned readmission show when patients who have had a recent hospital stay need to go back into a hospital
again for unplanned care within 30 days of their initial discharge.
Measures of 30-‐day death (mortality) show when patients die, for any reason, within 30 days of admission to a hospital.
Below, each hospital’s performance on the death (mortality) and unplanned readmission measures is compared to the U.S. national
observed rates for those measures. The performance results take into account how sick patients were before they were admitted to the
hospital.
Rate of unplanned readmission for heart attack patients
Death rate for heart attack patients
Rate of unplanned readmission for heart failure patients
Death rate for heart failure patients
Rate of unplanned readmission for pneumonia patients
Death rate for pneumonia patients
Rate of unplanned readmission after hip/knee surgery
Rate of unplanned readmission after discharge from hospital (hospital-‐wide)
BPH
U.S. NATIONAL RATE
No Different than U.S. National Rate
18.30%
No Different than U.S. National Rate
15.20%
Worse than U.S. National Rate
23.00%
No Different than U.S. National Rate
11.70%
Worse than U.S. National Rate
17.60%
No Different than U.S. National Rate
11.90%
No Different than U.S. National Rate
5.40%
Worse than U.S. National Rate
16.00%
LE003: Adapting Internal Policies and Practices: Adapt internal policies and practices to align with changes to
healthcare laws and regulations.
Assessment Rubric
Rubric Criteria
Needs Improvement
Meets Expectations
Exceeds Expectations
Part I: Analyzing HRRP Policy and Evaluating Hospital Performance
Learning
Objective 1.1:
Describe the key
elements of the
Hospital
Readmissions
Reduction Program
(HRRP) criteria.
Learning
Objective 1.2:
Explain the impact
HRRP has had on
healthcare delivery.
Response does not describe,
vaguely describes, or inaccurately
describes the key elements of the
Hospital Readmissions Reduction
Program (HRRP) criteria.
Response accurately and
thoroughly describes three
key elements of HRRP and
how HRRP affects healthcare
readmission rates in practice.
Response offers further
description of the impact of
performance, lack of facility
policy, or loss of revenues
under the reimbursement
plan.
Response is supported by
relevant
academic/professional
resources.
Response does not explain, vaguely Response clearly explains the
explains, or inaccurately explains the negative and positive impact
negative and positive impact of
of HRRP on healthcare
HRRP on healthcare delivery.
delivery.
Response is supported by
relevant
© 2020 Walden University
Response demonstrates
the same level of
achievement as “Meets”
plus the following:
Response accurately and
thoroughly describes
more than three key
elements of HRRP and
how HRRP affects
healthcare readmission
rates in practice.
Response demonstrates
the same level of
achievement as “Meets”
plus the following:
Response includes a
specific example that
illustrates the negative
1
Rubric Criteria
Learning
Objective 1.3:
Identify factors that
contribute to the
risk of failing to
meet Hospital
Readmissions
Reduction Program
(HRRP) criteria.
Learning
Objective 1.4:
Create goals for
earning the
maximum
reimbursement by
following the
Hospital
Readmissions
© 2020 Walden University
Needs Improvement
Response does not identify how
factors that contribute to the risk of
failing to meet Hospital
Readmissions Reduction Program
(HRRP) criteria.
Or response identifies fewer than
two factors (based on the current
policy) at Brooklyn Presbyterian
Hospital that contribute to the risk of
failing to meet HRRP criteria and/or
response identifies irrelevant factors.
Meets Expectations
academic/professional
resources.
Exceeds Expectations
and positive impact of
HRRP on healthcare
delivery.
Response accurately
identifies two relevant factors
(based on the statistical
report) at Brooklyn
Presbyterian Hospital that
contribute to the risk of failing
to meet HRRP criteria.
Response demonstrates
the same level of
achievement as “Meets”
plus the following:
Response includes
supporting data showing the
difference between hospital
and HRRP criteria.
Response is supported by
relevant
academic/professional
resources.
Response does not include creation Response provides five
of goals for earning the maximum
relevant, clear, and
reimbursement by following the
measurable SMART goals for
Hospital Readmissions Reduction
Brooklyn Presbyterian
Program (HRRP) criteria.
Hospital for earning the
maximum reimbursement
Or response provides fewer than five by following HRRP criteria.
goals or includes goals that are
Response identifies more
than two relevant factors
that contribute to the risk
of failing to meet the
HRRP criteria.
Response demonstrates
the same level of
achievement as “Meets”
plus the following:
Response describes more
than five goals for earning
maximum reimbursement
2
Rubric Criteria
Reduction Program
(HRRP) criteria.
Needs Improvement
tangential or unclear rather than
SMART goals.
Goals are not supported by relevant
academic/professional resources or
are not related to processes or
outcomes.
Learning
Objective 1.5:
Describe programs
or activities to
increase
reimbursement
under HRRP by
reducing
readmission rates.
Rubric Criteria
Response does not describe,
describes fewer than three, or
unclearly or illogically describes
programs or activities to increase
reimbursement under HRRP by
reducing readmission rates.
Response is not supported by
relevant academic/professional
resources.
Needs Improvement
Meets Expectations
Goals are related to
processes or outcomes.
Goals are supported by
relevant
academic/professional
resources.
Exceeds Expectations
by following HRRP
criteria.
Response clearly describes
three programs or activities to
increase reimbursement
under HRRP by reducing
readmission rates.
Response demonstrates
the same level of
achievement as “Meets”
plus the following:
Response is supported by
relevant
academic/professional
resources.
Response clearly
describes more than three
programs or activities to
increase reimbursement
under HRRP by reducing
readmission rates.
Meets Expectations
Exceeds Expectations
Part II: Developing an Action Plan to Maximize Reimbursements and Adapt to Change
© 2020 Walden University
3
Rubric Criteria
Learning
Objective 2.1:
Explain strategies
for earning
maximum
reimbursement
under the Hospital
Readmissions
Reduction Program
(HRRP).
Learning
Objective 2.2:
Develop a plan for
the implementation
of strategies for
earning maximum
reimbursement
under the Hospital
Readmissions
Reduction Program
(HRRP).
Learning
Objective 2.3:
© 2020 Walden University
Needs Improvement
Presentation does not provide or
provides a partial or unrealistic
explanation of strategies for earning
maximum reimbursement under
HRRP. Response is not supported
by relevant academic/professional
resources.
Meets Expectations
Presentation explains realistic
and achievable strategies for
earning maximum
reimbursement under HRRP.
Exceeds Expectations
Demonstrates the same
level of achievement as
“Meets” plus the following:
Response is supported by
relevant
academic/professional
resources.
Presentation addresses
strategies for securing the
support of different
stakeholders.
Presentation does not provide or
provides a partial or unrealistic plan
for the implementation of strategies
for earning maximum reimbursement
under HRRP.
Presentation explains a
realistic and achievable plan
for the implementation of
strategies for earning
maximum reimbursement
under HRRP.
Demonstrates the same
level of achievement as
“Meets” plus the following:
Response is not supported by
relevant academic/professional
resources.
Presentation does not provide or
provides a vague description of
strategies for preparing and
Plan clearly describes ways
to change patient and
provider behavior in order to
earn maximum
reimbursement under HRRP.
Response is supported by
relevant
academic/professional
resources.
Presentation provides a clear
description of two strategies
for preparing and monitoring
Presentation addresses
strategy for securing the
support of different
stakeholders to assist in
implementation of Plan.
Demonstrates the same
level of achievement as
“Meets” plus the following:
4
Rubric Criteria
Describe strategies
for preparing and
monitoring for
change in the
Center for
Medicare and
Medicaid policies
Needs Improvement
monitoring for change in the Center
for Medicare and Medicaid policies.
Response is not supported by
relevant academic/professional
resources.
Meets Expectations
for change in the Center for
Medicare and Medicaid
policies.
Learning
Objective 2.4:
Presentation does not provide or
provides a partial or unrealistic
education plan for the staff to learn
about the strategies for earning
maximum reimbursement under
HRRP.
Presentation explains a
realistic and achievable
education plan for the staff to
learn about the strategies for
earning maximum
reimbursement under HRRP.
Develop an
education plan for
the staff to learn
about the strategies
for earning
Response is not supported by
maximum
relevant academic/professional
reimbursement
resources.
under the Hospital
Readmissions
Reduction Program
(HRRP).
© 2020 Walden University
Response is supported by
relevant
academic/professional
resources.
Response is supported by
relevant
academic/professional
resources.
Exceeds Expectations
Presentation provides a
clear description of at
least one additional
strategy for preparing and
monitoring for change in
the Center for Medicare
and Medicaid policies.
Explanation demonstrates
the same level of
achievement as “Meets”
plus the following:
Presentation addresses
strategy for securing the
support of different
stakeholders to help
promote the education
plan.
5
Overview
This Performance Task Assessment is based on a case study set in Brooklyn
Presbyterian Hospital, in the Park Slope neighborhood of Brooklyn, New York,
as the hospital confronts the new quality standards set by the Patient
Protection and Affordable Care Act (PPACA) for Medicare patients. To
complete this Assessment, read the scenario below, and then complete Parts
I and II that follow. You will use information from the scenario, along with the
supporting documents, to demonstrate your ability to adapt internal policies
and practices to align with changes to healthcare laws and regulations.
This Assessment requires submission of one (1) document (Part I) and one
(1) Slide presentation (Part II).
•
•
Save the Word document as LE003_PartI_firstinitial_lastname (for
example, LE003_PartI_J_Smith).
Save the slide presentation as LE003_PartII_firstinitial_lastname (for
example, LE003_PartII_J_Smith).
When you are ready to upload your completed Assessment, use
the Assessment tab on the top navigation menu.
Instructions
Imagine you are an administrator at Brooklyn Presbyterian Hospital in
Brooklyn. One day you arrive at work to find an urgent memo from your CEO:
Medicare has released its data on unplanned 30-day hospital readmission
rates, and your hospital is being penalized at the maximum rate for having an
exceptionally high rate of unplanned 30-day readmissions. Alarmed by these
statistics, your CEO gives you a special project, outlined in Part I and Part II
below.
Rubric
This assessment has two-parts. Click each of the items below to complete this
assessment.
Part I: Analyzing HRRP Policy and Evaluating Hospital Performance
•
Read the Health Affairs Policy Brief on the “Medicare Hospital
Readmissions Reduction Program.” Then, analyze the document
“Brooklyn Presbyterian Hospital—Unplanned Readmission Rates,” which
•
presents statistics on the unplanned readmission rates at the hospital and
how they compare to the national averages. Also, review the “Acute
Inpatient Hospital Admissions Payment Policy” document.
Use these resources to develop a report (4–5 pages) to the CEO that
completes the following:
o Describe the key elements of the Medicare Hospital Readmissions
Reduction Program (HRRP) established in the Affordable Care Act
(ACA).
o Explain whether you think HRRP has a positive or negative impact
on Brooklyn Presbyterian Hospital’s delivery of care and explain the
rationale for your opinion.
o Identify two factors at Brooklyn Presbyterian Hospital based on the
statistical report of Brooklyn Presbyterian Hospital’s unplanned
readmission rates that contribute to the risk of failing to meet HRRP
criteria. Use additional ideas related to HRRP policies.
o Create five SMART goals for Brooklyn Presbyterian Hospital for
earning the maximum reimbursement by following the HRRP criteria.
These goals may focus on processes or outcomes.
o Describe at least three programs or activities based on the SMART
goals you created that would help the hospital increase
reimbursement under HRRP by reducing readmission rates.
Part II: Developing an Action Plan in a slide presentation to Maximize
Reimbursements and Adapt to Change
•
Political pressure will result in changes to Centers for Medicare and
Medicaid Services (CMS) policy and reimbursements. Develop a 10- to
12-slide presentation, to senior management, proposing strategies for
executing a plan for earning maximum reimbursement under HRRP,
specifically by changing the behavior of providers and patients. Your goal
is to secure resources to put your plan into action. In this presentation,
explain your approach, your plan for implementation, at least two ways you
will prepare and monitor for change in CMS policy, and your education
plan for staff.
Purchase answer to see full
attachment
Hospital re-‐admission rates through 6/30/2012
Readmissions, Complications and Deaths:
Patients who are admitted to the hospital for treatment of medical problems sometimes get other serious injuries, complications, or
conditions, and may even die. Some patients may experience problems soon after they are discharged and need to be admitted to the
hospital again. These events can often be prevented if hospitals follow best practices for treating patients.
Description of measures below:
Measures of 30-‐day unplanned readmission show when patients who have had a recent hospital stay need to go back into a hospital
again for unplanned care within 30 days of their initial discharge.
Measures of 30-‐day death (mortality) show when patients die, for any reason, within 30 days of admission to a hospital.
Below, each hospital’s performance on the death (mortality) and unplanned readmission measures is compared to the U.S. national
observed rates for those measures. The performance results take into account how sick patients were before they were admitted to the
hospital.
Rate of unplanned readmission for heart attack patients
Death rate for heart attack patients
Rate of unplanned readmission for heart failure patients
Death rate for heart failure patients
Rate of unplanned readmission for pneumonia patients
Death rate for pneumonia patients
Rate of unplanned readmission after hip/knee surgery
Rate of unplanned readmission after discharge from hospital (hospital-‐wide)
BPH
U.S. NATIONAL RATE
No Different than U.S. National Rate
18.30%
No Different than U.S. National Rate
15.20%
Worse than U.S. National Rate
23.00%
No Different than U.S. National Rate
11.70%
Worse than U.S. National Rate
17.60%
No Different than U.S. National Rate
11.90%
No Different than U.S. National Rate
5.40%
Worse than U.S. National Rate
16.00%
LE003: Adapting Internal Policies and Practices: Adapt internal policies and practices to align with changes to
healthcare laws and regulations.
Assessment Rubric
Rubric Criteria
Needs Improvement
Meets Expectations
Exceeds Expectations
Part I: Analyzing HRRP Policy and Evaluating Hospital Performance
Learning
Objective 1.1:
Describe the key
elements of the
Hospital
Readmissions
Reduction Program
(HRRP) criteria.
Learning
Objective 1.2:
Explain the impact
HRRP has had on
healthcare delivery.
Response does not describe,
vaguely describes, or inaccurately
describes the key elements of the
Hospital Readmissions Reduction
Program (HRRP) criteria.
Response accurately and
thoroughly describes three
key elements of HRRP and
how HRRP affects healthcare
readmission rates in practice.
Response offers further
description of the impact of
performance, lack of facility
policy, or loss of revenues
under the reimbursement
plan.
Response is supported by
relevant
academic/professional
resources.
Response does not explain, vaguely Response clearly explains the
explains, or inaccurately explains the negative and positive impact
negative and positive impact of
of HRRP on healthcare
HRRP on healthcare delivery.
delivery.
Response is supported by
relevant
© 2020 Walden University
Response demonstrates
the same level of
achievement as “Meets”
plus the following:
Response accurately and
thoroughly describes
more than three key
elements of HRRP and
how HRRP affects
healthcare readmission
rates in practice.
Response demonstrates
the same level of
achievement as “Meets”
plus the following:
Response includes a
specific example that
illustrates the negative
1
Rubric Criteria
Learning
Objective 1.3:
Identify factors that
contribute to the
risk of failing to
meet Hospital
Readmissions
Reduction Program
(HRRP) criteria.
Learning
Objective 1.4:
Create goals for
earning the
maximum
reimbursement by
following the
Hospital
Readmissions
© 2020 Walden University
Needs Improvement
Response does not identify how
factors that contribute to the risk of
failing to meet Hospital
Readmissions Reduction Program
(HRRP) criteria.
Or response identifies fewer than
two factors (based on the current
policy) at Brooklyn Presbyterian
Hospital that contribute to the risk of
failing to meet HRRP criteria and/or
response identifies irrelevant factors.
Meets Expectations
academic/professional
resources.
Exceeds Expectations
and positive impact of
HRRP on healthcare
delivery.
Response accurately
identifies two relevant factors
(based on the statistical
report) at Brooklyn
Presbyterian Hospital that
contribute to the risk of failing
to meet HRRP criteria.
Response demonstrates
the same level of
achievement as “Meets”
plus the following:
Response includes
supporting data showing the
difference between hospital
and HRRP criteria.
Response is supported by
relevant
academic/professional
resources.
Response does not include creation Response provides five
of goals for earning the maximum
relevant, clear, and
reimbursement by following the
measurable SMART goals for
Hospital Readmissions Reduction
Brooklyn Presbyterian
Program (HRRP) criteria.
Hospital for earning the
maximum reimbursement
Or response provides fewer than five by following HRRP criteria.
goals or includes goals that are
Response identifies more
than two relevant factors
that contribute to the risk
of failing to meet the
HRRP criteria.
Response demonstrates
the same level of
achievement as “Meets”
plus the following:
Response describes more
than five goals for earning
maximum reimbursement
2
Rubric Criteria
Reduction Program
(HRRP) criteria.
Needs Improvement
tangential or unclear rather than
SMART goals.
Goals are not supported by relevant
academic/professional resources or
are not related to processes or
outcomes.
Learning
Objective 1.5:
Describe programs
or activities to
increase
reimbursement
under HRRP by
reducing
readmission rates.
Rubric Criteria
Response does not describe,
describes fewer than three, or
unclearly or illogically describes
programs or activities to increase
reimbursement under HRRP by
reducing readmission rates.
Response is not supported by
relevant academic/professional
resources.
Needs Improvement
Meets Expectations
Goals are related to
processes or outcomes.
Goals are supported by
relevant
academic/professional
resources.
Exceeds Expectations
by following HRRP
criteria.
Response clearly describes
three programs or activities to
increase reimbursement
under HRRP by reducing
readmission rates.
Response demonstrates
the same level of
achievement as “Meets”
plus the following:
Response is supported by
relevant
academic/professional
resources.
Response clearly
describes more than three
programs or activities to
increase reimbursement
under HRRP by reducing
readmission rates.
Meets Expectations
Exceeds Expectations
Part II: Developing an Action Plan to Maximize Reimbursements and Adapt to Change
© 2020 Walden University
3
Rubric Criteria
Learning
Objective 2.1:
Explain strategies
for earning
maximum
reimbursement
under the Hospital
Readmissions
Reduction Program
(HRRP).
Learning
Objective 2.2:
Develop a plan for
the implementation
of strategies for
earning maximum
reimbursement
under the Hospital
Readmissions
Reduction Program
(HRRP).
Learning
Objective 2.3:
© 2020 Walden University
Needs Improvement
Presentation does not provide or
provides a partial or unrealistic
explanation of strategies for earning
maximum reimbursement under
HRRP. Response is not supported
by relevant academic/professional
resources.
Meets Expectations
Presentation explains realistic
and achievable strategies for
earning maximum
reimbursement under HRRP.
Exceeds Expectations
Demonstrates the same
level of achievement as
“Meets” plus the following:
Response is supported by
relevant
academic/professional
resources.
Presentation addresses
strategies for securing the
support of different
stakeholders.
Presentation does not provide or
provides a partial or unrealistic plan
for the implementation of strategies
for earning maximum reimbursement
under HRRP.
Presentation explains a
realistic and achievable plan
for the implementation of
strategies for earning
maximum reimbursement
under HRRP.
Demonstrates the same
level of achievement as
“Meets” plus the following:
Response is not supported by
relevant academic/professional
resources.
Presentation does not provide or
provides a vague description of
strategies for preparing and
Plan clearly describes ways
to change patient and
provider behavior in order to
earn maximum
reimbursement under HRRP.
Response is supported by
relevant
academic/professional
resources.
Presentation provides a clear
description of two strategies
for preparing and monitoring
Presentation addresses
strategy for securing the
support of different
stakeholders to assist in
implementation of Plan.
Demonstrates the same
level of achievement as
“Meets” plus the following:
4
Rubric Criteria
Describe strategies
for preparing and
monitoring for
change in the
Center for
Medicare and
Medicaid policies
Needs Improvement
monitoring for change in the Center
for Medicare and Medicaid policies.
Response is not supported by
relevant academic/professional
resources.
Meets Expectations
for change in the Center for
Medicare and Medicaid
policies.
Learning
Objective 2.4:
Presentation does not provide or
provides a partial or unrealistic
education plan for the staff to learn
about the strategies for earning
maximum reimbursement under
HRRP.
Presentation explains a
realistic and achievable
education plan for the staff to
learn about the strategies for
earning maximum
reimbursement under HRRP.
Develop an
education plan for
the staff to learn
about the strategies
for earning
Response is not supported by
maximum
relevant academic/professional
reimbursement
resources.
under the Hospital
Readmissions
Reduction Program
(HRRP).
© 2020 Walden University
Response is supported by
relevant
academic/professional
resources.
Response is supported by
relevant
academic/professional
resources.
Exceeds Expectations
Presentation provides a
clear description of at
least one additional
strategy for preparing and
monitoring for change in
the Center for Medicare
and Medicaid policies.
Explanation demonstrates
the same level of
achievement as “Meets”
plus the following:
Presentation addresses
strategy for securing the
support of different
stakeholders to help
promote the education
plan.
5
Overview
This Performance Task Assessment is based on a case study set in Brooklyn
Presbyterian Hospital, in the Park Slope neighborhood of Brooklyn, New York,
as the hospital confronts the new quality standards set by the Patient
Protection and Affordable Care Act (PPACA) for Medicare patients. To
complete this Assessment, read the scenario below, and then complete Parts
I and II that follow. You will use information from the scenario, along with the
supporting documents, to demonstrate your ability to adapt internal policies
and practices to align with changes to healthcare laws and regulations.
This Assessment requires submission of one (1) document (Part I) and one
(1) Slide presentation (Part II).
•
•
Save the Word document as LE003_PartI_firstinitial_lastname (for
example, LE003_PartI_J_Smith).
Save the slide presentation as LE003_PartII_firstinitial_lastname (for
example, LE003_PartII_J_Smith).
When you are ready to upload your completed Assessment, use
the Assessment tab on the top navigation menu.
Instructions
Imagine you are an administrator at Brooklyn Presbyterian Hospital in
Brooklyn. One day you arrive at work to find an urgent memo from your CEO:
Medicare has released its data on unplanned 30-day hospital readmission
rates, and your hospital is being penalized at the maximum rate for having an
exceptionally high rate of unplanned 30-day readmissions. Alarmed by these
statistics, your CEO gives you a special project, outlined in Part I and Part II
below.
Rubric
This assessment has two-parts. Click each of the items below to complete this
assessment.
Part I: Analyzing HRRP Policy and Evaluating Hospital Performance
•
Read the Health Affairs Policy Brief on the “Medicare Hospital
Readmissions Reduction Program.” Then, analyze the document
“Brooklyn Presbyterian Hospital—Unplanned Readmission Rates,” which
•
presents statistics on the unplanned readmission rates at the hospital and
how they compare to the national averages. Also, review the “Acute
Inpatient Hospital Admissions Payment Policy” document.
Use these resources to develop a report (4–5 pages) to the CEO that
completes the following:
o Describe the key elements of the Medicare Hospital Readmissions
Reduction Program (HRRP) established in the Affordable Care Act
(ACA).
o Explain whether you think HRRP has a positive or negative impact
on Brooklyn Presbyterian Hospital’s delivery of care and explain the
rationale for your opinion.
o Identify two factors at Brooklyn Presbyterian Hospital based on the
statistical report of Brooklyn Presbyterian Hospital’s unplanned
readmission rates that contribute to the risk of failing to meet HRRP
criteria. Use additional ideas related to HRRP policies.
o Create five SMART goals for Brooklyn Presbyterian Hospital for
earning the maximum reimbursement by following the HRRP criteria.
These goals may focus on processes or outcomes.
o Describe at least three programs or activities based on the SMART
goals you created that would help the hospital increase
reimbursement under HRRP by reducing readmission rates.
Part II: Developing an Action Plan in a slide presentation to Maximize
Reimbursements and Adapt to Change
•
Political pressure will result in changes to Centers for Medicare and
Medicaid Services (CMS) policy and reimbursements. Develop a 10- to
12-slide presentation, to senior management, proposing strategies for
executing a plan for earning maximum reimbursement under HRRP,
specifically by changing the behavior of providers and patients. Your goal
is to secure resources to put your plan into action. In this presentation,
explain your approach, your plan for implementation, at least two ways you
will prepare and monitor for change in CMS policy, and your education
plan for staff.
Purchase answer to see full
attachment
Categories: