NHS 6008 Discussion Vila Health Assessing Financial Risk

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NHS 6008 Discussion Vila Health Assessing Financial Risk

NHS 6008 Discussion Vila Health Assessing Financial Risk

This discussion will be based upon the media simulation,
Vila Health: Assessing Financial Risk.

To complete this discussion please address the following:

Reflect on the various financial risks that were brought up
throughout the media simulation:

Which risks did you feel were the most vital to address?

Describe, in general, your preferred approach to
investigating and addressing the financial risks that were brought up.

Why did you take the approach that you did?

Why is it important to consider and address the financial
risks when planning and implementing a new service or project?

Post according to the Faculty Expectations Response
Guidelines. Remember to cite the readings, resources, and research that you
have used in the development of your post.

Response Guidelines

Respond to the posts of other learners according to the
Faculty Expectations Response Guidelines. In your response address one or more
of the following:

How did the risks you identified as being most important to
address compare to those of your peer?

How did your approach to addressing these risks compare to
that of your peer?

Do you have any further recommendations on strategies for
addressing financial risks that could be helpful to your peer?

Vila Health: Assessing Financial Risk

This discussion will be based on the media simulation, Vila Health: Assessing Financial Risk.

To complete this discussion please address the following:

Reflect on the various financial risks that were brought up throughout the media simulation:

Which risks did you feel were the most vital to address?

Describe, in general, your preferred approach to investigating and addressing the financial risks that were brought up.

Why did you take the approach that you did?

Why is it important to consider and address the financial risks when planning and implementing a new service or project?

Your discussion response should be a minimum of 150 words. Remember to cite the readings, resources, and research that you have used in the development of your post.

Vila Health: Assessing Financial Risk

Introduction

Interactive

Conclusion

 

Introduction

Brenda Turner, a nurse at Independence Medical Center, is feeling good about her initiative to start a mobile clinic to serve veterans in the area. Initial meetings with stakeholders were a bit rocky, but she believes she’s handled their concerns. Now it’s time for her to convince the leadership that the clinic is viable financially.

Back to top

Interactive

Brenda Turner

Independence Medical Center Nurse

Now that she’s gotten the logistical stakeholders on board, Brenda needs to do the same with the financial stakeholders. She decides to start at the top, with Cassie Woo, the CFO of Vila Health overall.

Instructions: Follow along as Brenda tries to mitigate the financial risks of the project. Try different paths to see how they come out.

 

Brenda decides to start with the CFO of Vila Health.

Brenda: Hi, Cassie. Did you get my proposal about the mobile clinic for veterans? I don’t know if you’ve had a chance to read it, but if you have, what did you think?

Cassie Woo: Here’s my problem with this. I understand why you split up the budget among two different departments. But that puts the bottom lines of two different departments at risk, instead of just one. Have you thought about how you could minimize that bottom-line risk?

What should Brenda do?

Add Behavioral Health

Consider Cost-Cutting Measures

Add Behavioral Health

Brenda: Well, one option is to add a third department to the mix. Behavioral Health isn’t contributing any funds to make this work. I know that increases at-risk bottom lines to three, but with three sharing the cost evenly, does that diminish it, at least?

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Cassie: Works for me. But I’d recommend running that by the CFO at IMC. Jarvis, right? He’s going to be more in tune with how that affects Behavioral Health.

What should Brenda do?

Brenda Talks to Jarvis Norwood

Consider Cost-Cutting Measures

Brenda: Well, maybe there’s a way to find some efficiencies in the budget for it. If I minimize the cost for each department, that reduces that risk, right?

Cassie: That would definitely help. Meanwhile, you might want to talk to someone at whatever local Public Health department there is in Independence about this project. You might be duplicating some services.

What should Brenda do?

Brenda Calls to Shelley Edigers

Brenda Talks to Jarvis Norwood

Brenda: I talked to Cassie about the project, and she’s worried about the impact on the bottom line for the two departments that are contributing funds for its ongoing operation. Rather than cut costs, I wanted to run this by you: What if I added Behavioral Health to the list of departments that are contributing funds?

Jarvis Norwood: Well, I don’t know. Blaine probably isn’t going to like that. Remember, if his staff is going to help at all, that’s going to affect his staffing for normal operations. He’s got certain requirements he can’t go below, so you’re going to have to find a way to minimize that impact if you’re going to also ask him to take money out of his budget for it.

What should Brenda do?

Offer Crisis-Only Behavioral Health

Make Behavioral Health Contribute Less

Brenda Calls Shelley Edigers

Brenda: I’m working on a proposal for a mobile clinic to serve veterans closer to or at their homes in Buchanan County. The idea is to help veterans who might not want to come to IMC to get their routine medical care – diabetes checkups, eye appointments, cholesterol testing, and counseling if they’re having mental health difficulties. What do you think?

Shelley Edigers: It sounds like a good idea – but don’t you think it’s a little duplicative? You know about the telehealth clinic they’ve got at Independence Mental Health Institute, right? They set it up for the less populated parts of the county, but that certainly includes veterans. You might end up offering a service they already have access to.

What should Brenda do?

Change to Crisis Only Behavioral Health

Stick With Full Behavioral Health

Offer Crisis-Only Behavioral Health

Brenda: Well, we were hoping to have someone from Behavioral Health in the clinic at all times, in case we had a patient in crisis. But I suppose we could just have crisis-only services, where we get in touch with Behavioral Health, maybe by teleconference, only if we have a patient in crisis.

Jarvis Norwood: That sounds like a good solution. Have you talked to anyone at the VA? I know there isn’t a clinic near here, but I’d make sure you’ve got their perspective. They may see a problem that nobody here can.

What should Brenda do?

Brenda Calls Gary Bigelow

Make Behavioral Health Contribute Less

Brenda: Well, what if Behavioral Health didn’t have to contribute as much as the other two departments?

Jarvis Norwood: That sounds more reasonable. Have you talked to anyone in Public Health in Buchanan County? They’ll be able to tell you if this is similar to other services that you don’t know about.

What should Brenda do?

Brenda Calls Shelley Edigers

Change to Crisis Only Behavioral Health

Brenda: We’ve already thought about only offering crisis services through a telehealth link in the mobile clinic. So maybe that makes sense, for crisis situations, if veterans already have those options.

Shelley: I think so. I would really run this by Gary at the Waterloo VA, though. If he likes it, he’ll help promote it. But he’ll tell you if it doesn’t make sense to offer it at all.

What should Brenda do?

Brenda Calls Gary Bigelow

Stick With Full Behavioral Health

Brenda: I really think it makes sense to offer full services. I believe in telehealth, but I think face to face is really important for people who are in the middle of a crisis.

Shelley Edigers: Well, I’d talk to IMHI about that. They’re in a position to promote your clinic or not, and if they choose not to, you might find that it doesn’t get used.

What should Brenda do?

Brenda Calls Lisa McCloskey

Brenda Calls Gary Bigelow

Brenda: I’m working on a proposal for a mobile clinic to serve veterans closer to or at their homes in Buchanan County. The idea is to help veterans who might not want to come to IMC to get their routine medical care – diabetes checkups, eye appointments, cholesterol testing, and counseling if they’re having mental health difficulties. What do you think?

Gary Bigelow: I’m all for options for veterans! Waterloo is sometimes too far away for the ones who don’t like to drive or maybe have vision issues. But a lot of the veterans already come to Waterloo for services like x-rays or tests or other non-emergency procedures. It takes a lot of money to run a mobile clinic like that and keep it staffed and supplied and running according to standards for sample storage, dispensing medication, and so on. Are you sure it’s going to get used?

Limit Area

Roll Less Often

Brenda Calls Lisa McCloskey

Brenda: I’m working on a proposal for a mobile clinic to serve veterans closer to or at their homes in Buchanan County. The idea is to help veterans who might not want to come to IMC to get their routine medical care – diabetes checkups, eye appointments, cholesterol testing, and counseling if they’re having mental health difficulties.

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