How do outpatient services increase reimbursement in a Wellness Center?

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Established in 1977, Krona Community Hospital is a 60-bed, acute care hospital located in the heart of Banconota County. With a staff of nearly 100 physicians and specialists, 400 employees and 75 volunteers, they offer a full range of health care services. They are accredited by The Joint Commission.
Nouveau Health, a private, not-for-profit health care chain, took over management Krona Hospital. Last year, state officials began to discuss Nouveau’s proposal to build a new, replacement hospital in Banconota County. The new facility would have 74 acute care beds, four observation rooms, four surgical operating rooms, one c-section room, a 24-hour emergency department, a maternity center, an intensive care unit, and an extensive outpatient center that will provide service such as diabetes treatment, physical therapy, speech pathology, and so forth.
You are a staff member in the finance department at Nouveau Health, whose sole responsibility is to advance the success of the organization through assisting in planning, forecasting, and finance management.
Primary Task Response: A wellness program includes services with exercise programs and chronic disease management to catch problems early so that a customer can be seen in urgent care or a doctor’s office instead of ending up in the hospital.  It increases outpatient revenue and decreases inpatient admissions and readmissions thereby, hopefully, decreasing risk for financial loss. Familiarize yourself with an example of a wellness center at the following web site:
 
http://www.sw.org/location/waco-getterman-wellness-center
 
Based on Krona’s budget, consider the effects that a Wellness Program provides to Krona.  If the wellness program is to include outpatient revenue, home health revenue, and pharmacy revenue, discuss how outpatient and inpatient revenue will differ with these budgetary goals.  Include the following:

What has to occur for inpatient revenue to increase? 
How do readmission rates affect inpatient revenue? 
How do outpatient services increase reimbursement in a Wellness Center? 
How can expenses be controlled to improve revenue?

Click here for last year’s budget.
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How do you think it is best to handle a situation in which a client becomes upset or frustrated because the counselor’s paraphrase is not what the client was trying to communicate?

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Answers should be at least 100-175 words and reflect critical thought. Whenever possible, please try to relate the course content to real-world applications from your work experience. Be sure to cite all sources as well. Provide citation and reference to the material(s) you discuss alongside the question.

1. How do you think it is best to handle a situation in which a client becomes upset or frustrated because the counselor’s paraphrase is not what the client was trying to communicate?

2. In your post, you stated, ” It is important when paraphrasing to end with” did I hear you correctly”? and the client will affirm to it or not.” This is a good point. When paraphrasing, we are making space to help ensure that we are understanding the client correctly and to get feedback from the client accordingly. You mentioned one way to give space to the client to confirm or correct our understanding by ending our paraphrase by asking if we hear them correctly. Can anyone think of some other ways that we can give the client space to affirm or correct our paraphrased understanding of the client?

3. Note taking is a very individualized therapeutic decision on the part of the clinician. I know many counselors who regularly take notes during session, and they find it to be a very useful way to stay connected to what the client is saying and provide clarity for therapy. Others, and I being among them, feel that taking notes prevents them from being able to attend to the client as closely as they want to. For me, I want to be able to constantly observe and interpret the client’s body language, facial expressions, and vocal tone. If I take notes, I am not able to do that as well as I would like. However, as I indicated above, it is something that is determined by the individual style and approach of the therapist. I like the plan you referenced in your post in which immediately following the session, therapists create a summary of the session with the follow up plan for the next session. Why do you think this is important to do immediately following the session versus at the end of the day?

Gender Identity and Sexual Orientation

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Gender Identity and Sexual Orientation
Gender identity and sexual orientation are critical issues that affect an individual’s development from childhood or adulthood through the life span. As more individuals from the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community feel comfortable sharing their identities, social workers and other helping professionals may wish to further develop strategies for serving those populations.
This week, you explore issues related to gender identity and sexual orientation and consider their impact on social work practice. You also evaluate empirical research that addresses sexual orientation development.
Learning Objectives
Students will:

Analyze the impact of gender identity on development in young and middle adulthood
Apply understanding of gender identity development to social work practice
Analyze evidence-based research on sexual orientation across the life span
Apply evidence-based research on sexual orientation to social work practice

Photo Credit: [Petar Chernaev]/[E+]/Getty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Brewster, M. E., & Moradi, B. (2010). Personal, relational and community aspects of bisexual identity in emerging, early and middle adult cohorts. Journal of Bisexuality, 10(4), 404–428.
Note: Retrieved from the Walden Library databases.
Burri, A., Cherkas, L., Spector, T., & Rahman, Q. (2011). Genetic and environmental influences on female sexual orientation, childhood gender typicality and adult gender identity. PloS ONE, 6(7), 1–8
Note: Retrieved from the Walden Library databases.
Ferguson, A. D., & Miville, M. L. (2017). It’s complicated: Navigating multiple identities in small town America. Journal of Clinical Psychology, 73(8), 975–984.
Note: Retrieved from the Walden Library databases.
Maylor, E. A., Reimers, S., Choi, J., Collaer, M. L., Peters, M., & Silverman, I. (2007). Gender and sexual orientationdifferences in cognition across adulthood: Age is kinder to women than to men regardless of sexualorientation. Archives of Sexual Behavior, 36(2), 235–249.
Note: Retrieved from the Walden Library databases.
Nuttbrock, L. A., Bockting, W. O., Hwahng, S., Rosenblum, A., Mason, M., Macri, M., & Becker, J. (2009). Gender identity affirmation among male-to-female transgender persons: A life course analysis across types of relationships and cultural/lifestyle factors. Sexual & Relationship Therapy, 24(2), 108–125
Note: Retrieved from the Walden Library databases.
Pleak, R. R. (2009). Formation of transgender Identities in adolescence. Journal of Gay & Lesbian Mental Health, 13(4), 282–291.
Note: Retrieved from the Walden Library databases.
Rosario, M., Schrimshaw, E. W., & Hunter, J. (2011). Different patterns of sexual identity development over time: Implications for the psychological adjustment of lesbian, gay, and bisexual youths. Journal of Sex Research, 48(1), 3–15.
Note: Retrieved from the Walden Library databases.
Optional Resources
Use the link below to access the MSW home page, which provides resources for your social work program.
MSW home page
 
Discussion: Gender Identity in Life-Span Development
Gender identity—identifying oneself as male or female—is a critical component of an individual’s life-span development. Misconceptions and stereotypes abound with regard to gender, and you may bring personal misconceptions and stereotypes to your work with clients.
As you read the resources this week, what concepts seem especially relevant to you as a social worker? Are you able to identify any personal misunderstandings about the formation of gender identity? What strategies might you use to apply your new understanding to social work practice?
By Day 3
Post a Discussion that includes the following:

A new understanding you have gained in the resources about gender identity
An explanation of how individuals’ gender identity affects their development through young and middle adulthood
A strategy you might use to apply your understanding of gender identity development to social work practice

By Day 5
Read a selection of your colleagues’ posts.
Respond in one or more of the following ways:

Add to your colleague’s explanation of how gender identity affects an individual’s life-span development.
Explain whether you might use your colleague’s strategy for applying the concept of gender identity to social work practice. Provide support for your position.

Explain how management control is used in conjunction with the financial plan. Include the integration of the financial plan with management control.

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Established in 1987, ABC Community Hospital not-for-profit is an acute care hospital located in an east coast Metropolitan area. With a staff of nearly 200 physicians and specialists, 800 employees and 100 volunteers, they offer a full range of healthcare services. They are accredited by the Joint Commission. The hospital has been profitable for the last 5 years with a profit margin of 3-4%. The mission of ABC Community Hospital is to provide accessible and comprehensive healthcare services in a convenient and cost-effective manner to the people who live in our community. 
At the last Board meeting, hospital administration and the Board of Directors began to discuss a proposal to build a new wing devoted to a Cancer Center and ancillary services devoted to the treatment of cancer. The new wing would have 30 acute care beds, four surgical operating rooms, intensive care unit and extensive support services, including physical therapy and hospice care. All patient rooms would be private. There are no Cancer Centers within a 200 mile radius of the hospital service area.
The Board of Directors is concerned with taking on the additional debt for the Cancer Center. They have tasked the CFO with developing a financial plan and strategic plan that will outline the impact of the Cancer Center on the financial status of the hospital. They want you to address the following areas:

What are the key financial policy targets for which the Board is responsible? List and explain each. 
Create the strategic and financial plan for the new Cancer Center proposal within the framework of the hospital’s mission statement.  
Explain how management control is used in conjunction with the financial plan. Include the integration of the financial plan with management control.  Indicate the phases of management control. 
What are the major categories of assumptions that must be specified to project a future balance sheet? What are the set of programs or activities to which the organization will commit resources during the planning period?