Reflective Journal: Learning Objectives for Chapters 10 and 12

Posted: August 27th, 2021

Reflective Journal: Learning Objectives for Chapters 10 and 12

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Reflective Journal: Learning Objectives for Chapters 10 and 12

Chapter 10

The learning objectives for Chapter 10 majorly focus on fiscal planning and health care reimbursement. The first section of the chapter provides an understanding of fiscal terminologies, giving the ability to differentiate between various concepts and understand further discussion. Subsequently, topics touching on major types of budgets that include personal, operating, and capital ones are examined to increase learners’ knowledge of fiscal management. . While the chapter provides a clear differentiation between the four most common budgeting methods (incremental, zero-based, flexible, and new performance budgeting), it also helps to discover the strengths and weaknesses of flexible budgets, which is a necessary skill for a nursing leader. The section also identifies the major parties that should be included in the formulation of a fiscal plan, including subordinates and followers of the organization. Likewise, the chapter emphasizes the importance of designing a decision package to aid fiscal planning. Similarly, it sets a basis for the development of diagnosis-related groups and other payment systems as well as the management of care initiatives. Lastly, the chapter examines the resulting impacts on quality and cost when utilizing appropriate approaches during reimbursement, also calculating nursing care hours per patient-day. The increasing shift in private and government insurer reimbursement plans from a volume to a value-based insurer underlines the need to be actively engaged in fiscal planning and health-care reform. Therefore, Chapter 10 enlightens learners on growing changes in federal and state reimbursement policies and informs on the importance of understanding and involving stakeholders in fiscal planning.

Chapter 12

            In Chapter 12, learners study the concept structure of a health care organization. The concept of organizational structure is explained with a focus on system flexibility, communication, and job satisfaction because these components affect the stability of operation within the workplace and enable employees and managers to plan their performance accordingly. Learners are exposed to several theories of organizational management, including Max Weber’s theory of bureaucracy, which influences one’s understanding of the flaws contributing to challenges in companies. Further, the chapter describes the components of informal organization structure, such as interpersonal relationships among employees and the formation of primary and secondary groups. The description enables the learners to appreciate the contribution of these components in strengthening the performance of a healthcare organization. Equally, the lessons on differentiating between centralized and decentralized decision-making help to discern the appropriate approach in decision-making. In this case, learners can effectively analyze how the undertaken position may influence the organization’s direction. Subsequently, the chapter gives insight into the common components of shared governance models, which is an imperative aspect in reaching a common understanding when confronted with conflicting decision-making centers. The learners gain knowledge on how to create a constructive culture in an organization since skillful application of authority requires being responsible and accountable. Thus, the detailed analysis of constructive undertaking of organizational decisions in this aspect is important for a healthcare professional. Lastly, the chapter educates on effective committees and committee members to appropriately select and establish committees. The ideas on the same are drawn from the need for group thinking and their importance to the organization. Learners are provided with skills to identify symptoms of poorly designed committees hence organization. The same is demonstrated using established healthcare models and the important role that stakeholders play in an organization.