NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One

Chamberlain University NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One                  

Whether one passes or fails an academic assignment such as the Chamberlain University NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One                  

The introduction for the Chamberlain University NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One                  

After the introduction, move into the main part of the NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One                  

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One                  

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One Included After Question

You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) in a busy primary care practice for 2 years. The providers in the group include one physician, who is also the owner of the practice, and two other nurse practitioners, who are staff employees (W2 employees). The owner of the practice recently made comments about the need to produce more

revenue. You relate with his concerns and feel that you have several strategies that could be helpful. Your contract is up for renewal in 3 months. You are highly satisfied with your job and want to stay with the group. You see 20 patients per day on average and take call every third weekend.

Discussion Question:

What negotiation strategies should you use to propose a contract renewal? How does your role as a 1099 contractor benefit the practice over the W2 employees? What evidence will you present to the practice to reinforce your value in the practice both in terms of revenue and patient satisfaction? Consider any additional services you may be willing to provide under your contract. Use logical reasoning, and provide evidence based rationales for your decisions.Keep in mind that your negotiation terms and conditions must be within the legal scope of practice for an ANP.

A Sample Answer For the Assignment: NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One

Title: NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One

Carolyn Buppert suggests using the three P’s when preparing for a contract negotiation (Danielsen, Potenza, and Onieal, 2016). The three P’s stand for prepare, probe, and propose. When the negotiation discussion begins I would start of by stating the number of patients seen for the year and the billable hours that were paid. According to the AANP the US average of NPs see 3 or more patients per hour. A goal to increase revenue would be to start scheduling 3 patients per hour. According to Buppert’s payment model this will increase my revenues by more than $75,000 a year. As a contract employee I would be responsible to pay my own taxes, provide my own malpractice insurance, I would not receive medical benefits, and I would pay for my own continuing education, reducing my cost of employment to the practice. I would discuss patient satisfaction and new patient retention rates. An increase in these rates would show my value to the practice. I would also discuss patient outcomes and the increase or decrease in non-scheduled hospital admissions. A goal to increase revenue would be to decrease no-show rates. Initiating a telephone engagement protocol as stated by Clouse, Williams, and Harmon (2015) has to ability to decrease no-show rates and increase revenues. To take strain off the physician, comanagement of patients could be recommended. Comanagement means the NP and the physician work together to manage the health care needs of the same patients. Norful, de Jacq, Carlino, and Poghosyan (2018) state “the stronger comanagement is, the greater the potential for beneficial patient, clinician, and practice outcome” (p. 254). As the NP I could manage patient call backs of those with chronic illnesses that are being managed in extended care facilities.

Resources:

AANP. (2018). NP Fact Sheet. Retrieved from https://www.aanp.org/all-about-nps/np-fact-sheet.

Clouse, K., Williams, K., & Harmon, J. (2015). Improving the no-show rate of new patients in outpatient psychiatric practice: an advance practice nurse-initiated telephone engagement protocol quality improvement practice. Perspectives in Psychiatric Care, 53, 127-134.

Danielsen, , R., Potenza, A. & Onieal, M. Negotiating the professional contract. Clinician Reviews,28-33.

Decapua, M. (2016). How much revenue does a primary care nurse practitioner generate? Retrieved from https://www.bartonassociates.com/blog/how-much-revenue-does-a-primary-care-nurse-practitioner-generate/.

Norful, A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner-physician comanagement: a theoretical model to alleviated primary care strain. Annals of Family Medicine, 16(3), 250-256.

A Sample Answer 2 For the Assignment: NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One

Title: NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One

99213 and 99214 are billing codes that are used for patient office visits. 99214 is a higher code for providing more complex medical decision making. Jensen (2005) states that the “level of decision making in a patient encounter is based on three parameters: the problems addressed, the data reviewed, and the level of risk” (p. 53). To increase more 99214 billings there are several components that must be provided and documented during the office visit. These 99214 billing could be accomplished when seeing patients with chronic illnesses. When seeing a return patient with a chronic disease the pracitioner must do a review of systems which makes the exam extended problem-focused (Waller, 2007). During the exam if there is an additional system affected from the chronic disease process, this must be documented. The last component is the medical decision making, in which providers provide a points value to the diagnosis, data, and risk to determine if the patient visit is a 99213 or 99214 billing code. Another way to increase 99214 billings is to code using time-based billing. The practitioner must spend at least 15 minutes with the patient and half of that time must be used for counselling or coordinating care (Waller, 2007). Documentation is critical when determining the billing code for patients. Chief complaints can be similar, but the care can be completely different and that must be documented. Waller (2007) describes a scenario where the chief complaint of two patients is a cold with one patient having a sore throat, headache, no fever, and ENT WNL, while the other has a fever, sore throat, headache, enlarged tonsils with exudative materials needing a strep culture. The second patient needs far more care to diagnose than the first and should be coded as a 99214.

Resource:

Jensen, P. (2005). Coding “routine” office visits 99213 or 99214? Family practice management, 52-55. Retrieved from https://www.Aafp.org/fpm.

Waller, T. (2007). Level-II vs. level-III visits: cracking the codes. Family Practice Management, 21-25. Retrieved from https://www.aafp.org/fpm/2007/0100/p21.pdf

A Sample Answer 3 For the Assignment: NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One

Title: NR 510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One

It important to first sit down and make a list of all the attributes one brings to the practice and the overall income of the practice to be able to gauge ones contract negotiations (Buppert,2015). It sounds like the owner of the practice, like any other, is financially driven which is pertinent for keeping a business up and running. As an independent contractor the provider only goes to the place of business for agreed upon services and bills appropriately for these services. As an employee one is provided with benefits, follows the hours of the business, provided the equipment they need, and get malpractice through the business not on their own (Buppert,2015). Under an ongoing contract negotiation I believe it is important to negotiate hours, wages, number of patients seen per day. Generally, an NP needs to see 20 patients a day to generate enough money to make a practice profitable, therefore I believe this a reasonable number of patients to see (Buppert,2010). It is pertinent to revisit the reimbursement regulations to ensure your knowledge is up to date. One must also confirm date of covered care according to their contract prior to seeing any patients to be ensured payment is appropriate (Hahn &Cook,2018).

Buppert, C. (2015). Nurse practitioner’s business practice & legal guide (5th ed.). Retrieved from https://bookshelf.vitalsource.com

Buppert,C. NP, JD (2010) How Many Patients Can a Nurse Practitioner See in a Day?

Hahn, J. A., & Cook, W. (2018). Lessons learned from nurse practitioner independent practice: A conversation with a nurse practitioner entrepreneur. Nursing Economics, 36(1), 18-22. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search-proquest-com.chamberlainuniversity.idm.oclc.org/docview/2007005926?accountid=147674

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APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate

program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.

☐  The title page is present. APA format is applied correctly. There are no errors.

☐ The introduction is present. APA format is applied correctly. There are no errors.

☐ Topic is well defined.

☐ Strong thesis statement is included in the introduction of the paper.

☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.

☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☐ All sources are cited. APA style and format are correctly applied and are free from error.

☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.

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