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 standar

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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.


Professional Skills:


Written Communication

,

Technology

, and

Critical Thinking and


Problem


Solving

are assessed in this Competency.

Your response to this Assessment should:

  • Download the

    Academic Writing Expectations Checklist

    to use as a guide when completing your Assessment. Responses that do not meet the expectations of scholarly writing will be returned without scoring. Properly formatted APA citations and references must be provided, where appropriate.
  • Be sure to use scholarly academic resources as specified in the rubric. This means using Walden Library databases to obtain peer reviewed articles. Additionally, .gov (government expert sources) are a quality resource option. Note: Internet and .com sources do not meet this requirement. Contact your coach or SME for guidance on using Library Databases.
  • Carefully review the rubric for the Assessment as part of your preparation to complete your Assessment work.

Assessment requires submission of one (1) document (Part I) and one (1) PowerPoint presentation (Part II). Save the Word document as

LE003_PartI_firstinitial_lastname

(for example, LE003_PartI_J_Smith). Save the PowerPoint Presentation as

LE003_PartII_firstinitial_lastname

. When you are ready to upload your completed Assessment, use the

Assessment

tab on the top navigation menu.


Instructions

Before submitting your Assessment, carefully review the rubric. This is the same rubric the assessor will use to evaluate your submission and it provides detailed criteria describing how to achieve or master the Competency. Many students find that understanding the requirements of the Assessment and the rubric criteria help them direct their focus and use their time most productively.


Rubric

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.


Access the following to complete this Assessment:


  • Brooklyn Presbyterian Hospital Acute Inpatient Hospital Admissions Payment Policy

  • Brooklyn Presbyterian Hospital—Unplanned Readmission Rates (from Medicare Hospital Compare)
  • James, J. (2013). Medicare Hospital Readmissions Reduction Program. Retrieved from

    http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=102

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 current, “Acute Inpatient Hospital Admissions Payment Policy” document.

Use these resources to develop a report (4–5 pages) to the CEO that completes the following:

  • Describe the key elements of the Medicare Hospital Readmissions Reduction Program (HRRP) established in the Affordable Care Act (ACA).
  • Identify

    two

    factors at Brooklyn Presbyterian Hospital based on the current policy that contribute to the risk of failing to meet HRRP criteria.
  • Explain how current internal practices and the changes in policy might positively impact alignment to current and future healthcare laws.
  • Suggest

    one

    revision to the current policy to help Brooklyn Presbyterian Hospital meet HRRP criteria.
  • Suggest

    one

    change in current practice across the hospital’s organization in order to help Brooklyn Presbyterian Hospital meet changes in Medicare reimbursement. Include 2–3 sentences explaining the importance of adapting internal policies and practices to align with changes in healthcare laws and regulations.
  • Describe

    at least three

    key elements needed in a new program to earn the maximum reimbursement under HRRP by reducing readmission rates.
  • Create

    five

    goals for Brooklyn Presbyterian Hospital for earning the maximum reimbursement by following the HRRP criteria. These goals may focus on processes or outcomes.


Part II: Developing an Action Plan 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.

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 standar
©2014 Walden University 1 LE00 3: Adapting Internal Policies and Practices : Adapt internal policies and practices to align with changes to healthcare laws and regulations. Assessment Rubric 0 Not Present 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations Part I: Analyzing HRRP Policy and Evaluating Hospital Performance Sub -Competency 1 : Describe the key elements of the Hospital Readmissions Reduction Program (HRRP) criteria Learning Objective LO 1.1 : Describe the key elements of the Hospital Readmissions Reduction Program (HRRP) criteria. Description of the key elements of the Hospital Readmissions Reduction Program (HRRP) criteria is missing. Response provides an unclear or inaccurate description of the key elements of the HRRP criteria. Response clearly and accurately describes the key elements of the HRRP criteria. Response demonstrates the same level of achievement as level “2,” plus the following: Response offers further description of the impact of performance, lack of facility policy, or loss of revenues under the reimbursement plan. Sub -Competency 2 : Evaluate the internal processes in a healthcare organization to adhere to external regulations . Learning Objective LO 2.1 : Identify factors that contribute to the risk of failing to meet Hospital Readmissions Reduction Program (HRRP) criteria. Identification of factors that contribute to the risk of failing to meet Hospital Readmissions Reduction Program (HRRP) criteria is missing. Response identif ies fewer than two factors (based on the current policy) at Brooklyn Presbyterian Hospital that contribute to the risk of failing to meet HRRP crit eria and/or response identifies irrelevant factors . Response accurately identifies two relevant factors (based on the current policy) at Brooklyn Presbyterian Hospital that contribute to the risk of failing to meet HRRP criteria. Response includes suppor ting data showing the difference between Response demonstrates the same level of achievement as level “2,” plus the following: Response identifies more than two relevant factors. ©2014 Walden University 2 0 Not Present 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations hospital and HRRP criteria. Learning Objective 2.2 Explain how internal practices might positively impact alignment to current and future healthcare laws. Explanation of how internal practices might positively impact alignment to current and future healthcare laws is missing. Response provides a vague expl anation of how internal practices and the changes in policy might positively impact alignment to current and future healthcare laws. Response clearly explains how internal practices and the changes in policy might positively impact alignment to current and future healthcare laws. Response demonstrates the same level of achievement as level “2,” plus the following: Response includes a specific example that illustrates how internal practices have positively impacted alignment to healthcare laws. The example is supported with references to an academic and/or professional resource. Learning Objective LO 2. 3: Recommend revisions to current policies in order to meet Hospital Readmissions Reduction Program (HRRP) criteria . Recommendation for revisions to curre nt policies that help meet Hospital Readmissions Reduction Program (HRRP) criteria is missing. Response recommends revisions to current policies that are vague and /or unrealistic . Response is not supported by academi c/professional resources or the resources are not relevant Response recommends one measurable and realistic revision to current policies that help Brooklyn Presbyterian Hospital meet HRRP criteria . Response is supported by relevant academic/ professional resources. Response demon strates the same level of achievement as level “2,” plus the following: Response provides recommendations that can be used across departments. Learning Objective LO 2. 4: Recommend change s in current Recommended change to help Brooklyn Presbyterian Hospital meet changes in Response recommends a change that is vague and/or unrealistic in Response recommends one realistic change in current practice in order Response demonstrates the same level of achievement ©2014 Walden University 3 0 Not Present 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations practice in order to align with healthcare laws and regulations. Medicare reimbursement is missing. helping Brooklyn Presbyterian Hospital meet changes in Medicare reimbursement to help Brooklyn Presbyterian Hospital meet changes in Medicare reimbursement. Response includes a 2 -3 sentences ex planation of the importance of adapting internal policies and practices to align with changes in healthcare laws and regulations. as level “2,” plus the following: Response provides recommendations that can be used across departments. Sub -Competency 3 : Establish guidelines to align with laws and regulations while maintaining flexibility to adapt to change. Learning Objective LO 3.1: Describe key elements of a new program to earn maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP). Description of key elements of a new program to earn maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP) is missing. Response describes fewer than three ap proach es for earning maximum reimbursement under HRRP, and/or the approaches are illogical or unclear. Response is not supported by relevant academic/professional resources. Response clearly describes three key elements needed in a program to earn reimbu rsement under HRRP. Response is supported by relevant academic/professional resources. Response demonstrates the same level of achievement as level “2,” plus the following: Response clearly describes more than three key elements needed in a program to ea rn reimbursement under HRRP. Learning Objective LO 3 .2: Create goals for earning the maximum reimbursement by following the Hospital Readmissions Reduction Program (HRRP) criteria . Creation of g oals for earning the maximum reimbursement by following the Hospital Readmissions Reduction Program (HRRP) criteri a is missing. Response provides fewer than five goals, or includes goals that are tangential or unclear. Goals are not supported by relevant Response provides five relevant , clear , and measurable goals for Brooklyn Presbyterian Hospital for earning the maximum reimbursement Response demonstrates the same level of achievement as level “2 ,” plus the following: Response describes more than five goals for earning ©2014 Walden University 4 0 Not Present 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations academic/professional resources or are no t related to processes or outcomes . by following HRRP criteria. Goals are related to processes or outcomes. Goals are su pported by relevant academic/professional resources. maximum reimbursement by following HRRP criteria. Part II: Developing an Action Plan to Maximize Reimbursements and Adapt to Change Learning Objective LO 3.3 : Explain strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP). Explanation of strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP) is missing. Presentation provides a partial or unrealistic explanation of strategies for earning maximum reimbursement under HRRP. Response is not su pported by relevant academic/professional resources. Presentation explains realistic and achievable strategies for earning maximum reimbursement under HRRP. Response is supported by relevant academic/professional resources. Response demonstrates the same level of achievement as level “2,” plus the following: Presentation addresses strategies for securing the support of different stakeholders. Learning Objective LO 3.4: Develop a plan for the implementation of strategies for earning maximum reimbursemen t under the Hospital Readmissions Reduction Program (HRRP). Development of a p lan for the implementation of strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP) is missing. Presentation provides a partial or unrealistic plan for the implementation of strategies for earning maximum reimbursement under HRRP. Response is not supported by relevant Presentation explains a realistic and achievable plan for the implementation of strategies for earning maximum reimbursement under HRRP. Plan clearly describes ways to change patient Response dem onstrates the same level of achievement as level “2,” plus the following: Presentation addresses strategy for securing the support of different stakeholders to assist in implementation of Plan . ©2014 Walden University 5 0 Not Present 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations academic/professional resources. and provider behavior in order to earn maximum reimbursement under HRRP. Response is supported by relevant academic/professional resources. Learning Objective 3.5: Describe strategies for preparing and monitoring for change in the Center for Medicare and Medicaid policies. Description of strategies for preparing and monitoring for change in the Center for Medicare and Medicaid policies is missing. Presentation provides a vague description of strategies for preparing and monitoring for change in the Center for Medicare and Medicaid policies. Response is not supported by relevant academic/professional resources. Presentation provides a clear description of two strategies for preparing and monitoring for change in the Center for Medicare and Medicaid policies. Response is supported by relevant academic/professional resources. Response demonstrates the same level of achievement as level “2,” plus the following: 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. Learning Objective LO 3. 6 Develop an education plan for the staff to learn about the str ategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP) . Development of an education plan for the staff to learn about the strategies for earning maximum reimbursement under the Hospital Readmissions Reduction Program (HRRP) is missing. Presentation provides a partial or unrealistic education plan for the staff to learn about the strategies for earning maximum reimbursement under HRRP. Response is not supported by relevant Prese ntation explains a realistic and achievable education plan for the staff to learn about the strategies for earning maximum reimbursement under HRRP. Response is supported by relevant Response demonstrates the same level of achievement as level “2,” plus the following: Presentation addresses strategy for securing the support of different stakeholders to help promote the education plan . ©2014 Walden University 6 0 Not Present 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations academic/professional resources. academic/professional resources. PS001: Written Communication: Demonstrate graduate -level writing skills. Learning Objective PS 1. 1: Use proper grammar, spelling, and mechanics. Multiple major and minor errors in grammar, spelling, and/or mechanics are highly distracting and seriously impact readability. Multiple minor errors in grammar, spelling, and/or mechanics a re distracting and negatively impact readability. Writing reflects competent use of standard edited American English. Errors in grammar, spelling, and/or mechanics do not negatively impact readability. Grammar, spelling, and mechanics reflect a high level of accuracy in standard American English and enhance readability. Learning Objective PS 1.2: Organize writing to enhance clarity. Writing is poorly organized and incoherent. Introductions, transitions, and conclusions are missing or inappropriate. Writing is loosely organized. Limited use of introductions, transitions, and conclusions provides partial continuity. Writing is generally well – organized. Introductions, transitions, and conclusions provide continuity and a logical progression of ideas. Wr iting is consistently well – organized. Introductions, transitions, and conclusions are used effectively to enhance clarity, cohesion, and flow. Learning Objective PS 1. 3: Apply APA style to written work. APA conventions are not applied. APA conventi ons for attribution of sources, structure, formatting, etc., are applied inconsistently. APA conventions for attribution of sources, structure, formatting, etc., are generally appli ed correctly in most instances. Sources are generally cited appropriately and accurately. APA conventions for attribution of sources, structure, formatting, etc., are applied correctly and consistently throughout the paper. Sources are consistently cited appropriately and accurately. Learning Objective PS 1.4 : Vocabulary and tone are inappropriate and Vocabulary and tone have limited relevance to the audience. Vocabulary and tone are generally appropriate for the audience and support Vocabulary and tone are consistently tailored to the audience and effectively and ©2014 Walden University 7 0 Not Present 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations Use appropriate vo cabulary and tone for the audience and purpose. negatively impact clarity of concepts to be conveyed. communication of key concepts. directly support communication of key concepts. PS003: Technology: Use technology tools effectively. Learning Objective PS 3.1: Use images and layout of presentations to effectively communicate content to a specific audience. Images and layout are inappropriate, hard to read, and/or impede audience understanding of key concepts. Images or layout provide limited support for audience understanding of key concepts. Images and layout generally support audience understanding of key concepts. Images and design elements are used purposefully, and they effectively support audience engagement and understanding of key concepts. PS005: Critical Thinking and Problem Solving: Use critical -thinking and problem -solving skills to analyze professional issues and inform best practice. Learning Objective PS 5.1: Analyze assumptions and fallacies. Analysis of assumptions is missing. Response is weak in assessing the reasonableness of assumptions in a given argument. Response does not adequately identify and discuss the implications of fallacies or logical weaknesses in a given argument. Response generally assesses the reasonableness of assumptions in a given argument. Response identifies and discusses the implications of fallacies and/or logical weaknesses in a given argument. Response clearly and comprehensively assesses the reasonableness of assumptions in a given argument. Response provides a detailed and compelling analysis of implications of fallacies and logical weaknesses in a given argument. Learning Objective PS 5.2 : Generate reasonable and appropriate assumptions. Assumptions are missing. Response does not adequately present and discuss key assumptions in an original argument. Response presents and discusses key assumptions in an original argument. Response justifies the reasonableness and need for assumptions in an original argument. ©2014 Walden University 8 0 Not Present 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations Learning Objective PS 5.3 : Assess multiple perspectives and alternatives . Assessment of multiple perspectives is missing. Response does not identify nor adequately consider multiple perspectives or alternatives. Response identifies and conside rs multiple perspectives and alternatives. Response justifies selection of chosen alternative relative to others. Learning Objective PS 5.4: Use problem -solving skills. Problems and solutions are not identified. Response presents solutions, but they are ineffective in addressing the specific problem. Response presents solutions that are practical and work in addressing the specific problem. Response presents compelling supporting arguments for proposed solutions .

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