You are the director of a home health agency that has recently become part of a managed care system. In the past, only a physicians order was necessary for authorization from the Medicare system, but now, approval must come from the managed care organization (MCO). In the past, public health certified nurses (all Bachelor of Science in Nursing graduates) have acted as case managers for their assigned caseload. Now, the MCO case manager has taken over this role, creating much conflict among the staff. In addition, there is pressure from your board to cut costs by using more nonprofessionals who are less skilled for some of the home care. You realize that unless you do so, your agency will not survive financially.
You have visited other home health agencies and researched your options carefully. You have decided that you must use some type of team approach.
DQ: Develop a plan, objectives, and a time frame for implementation. In your plan, discuss who will be most affected by your changes. As a change agent, what will be your most important role?
Please observe the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.
Discussions must have a minimum of two references, not older than 2016.