HCA 421 Ashford University Health Care Planning Discussion

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HCA 421

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Contributing Factors to a Strategic Plan

[WLOs: 1, 2, 4] [CLOs: 1, 2, 3, 4, 5, 6]

Prior to beginning work on this assignment, review Chapters 7, 8, and 9 from our textbook along with the instructor guidance. Additionally, review following resources:

Strategic planning in a health care organization requires leadership to incorporate many factors. For example, they must consider state and federal laws and regulations as well as having comprehensive knowledge about the competition, financial resources and revenue streams, the organization’s patient mix, and have a good understanding of the scope of their own employees. Health care leaders are responsible for gathering data and creating a strategic plan. They are also responsible for guiding the organization in achieving the goals identified in the plan.

For this assignment use the Contributing Factors to a Strategic Plan template to address the following:

  • Analyze at least two ways federal and state regulations can limit the strategic plan’s goals for a health care organization. You may choose topics from the list below or other topics you locate through research. If you locate other topics not listed below, you must get permission from your instructor to use the topic:
    • Behavioral health
    • Certificate of Need (CoN) or similar state requirements (expansion of buildings and services, number of beds, etc.)
    • Civil rights, racial equity, and cultural competency in health care
    • Environmental requirements
    • Fraud and abuse laws
    • HIPAA (patient privacy and portability of health care insurance)
    • HITECH Act (information collection and security)
    • Medication guides and new releases or removals of pharmaceutical products
    • Partnerships with other organizations
    • Patient and insurance billing requirements (e.g., physician fee schedule in Medicare Part B, value-based care, etc.)
    • Patient safety standards (located in the Joint Commission E-dition)
    • Public Readiness and Emergency Preparedness (PREP) Act
    • Stark Law (anti-kickback)
    • Telehealth regulations and payment limitations
    • OSHA (workplace safety)
  • Identify two ways in which licensed health care providers contribute to the direction of a health care organization’s strategic plans.
    • Provide rationale for each method of contribution.
  • Examine financial incentives and reward systems for attaining or exceeding objectives.
    • Who should receive financial incentives when the expected outcomes are achieved or exceeded?
    • How can employees who do not receive financial incentives be rewarded for their contributions to the successful outcomes of the strategic planning goals?
  • Discuss at least two management actions that could be taken when organization-wide and functional objectives are not achieved. This can apply to an individual leader, to a small team, or to an entire department.
    • Provide rationale for each management action identified.

The Contributing Factors to a Strategic Plan paper

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Explanation & Answer:
3 pages
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Explanation & Answer

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Health Care Planning Outline
I.

Financial incentives

A. Who to receive financial incentives
B. Rewarding employees
II.

Management actions

A. Reorganizing goals
B. Controlling outcomes


Running Head: HEALTH CARE PLANNING

Health Care Planning
Name
Professor
Course
Date

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HEALTH CARE PLANNING

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Health Care Planning

Regulations in the care industry are orders and rules that government agencies enforce to
influence behavior changes and improve systems’ outcomes. The regulations guide organizations
in initiating and pursuing their strategic goals. An example of such a regulation is Stark Law that
limits providers from referring or receiving patients for designated services payable by Medicare
and Medicaid (Weinstein, 2020). The following discussion explores the law in detail. The
discussion assesses how national and state regulations limit strategic goals for healthcare
organizations in the realms of Stark Law. Other addressed issues include how licensed providers
can contribute to an organization's strategic directions, the compensation criterion, and
management actions for failed organizational-wide and functional objectives. The Stark Law can
limit the fee-for-service and value-based payment system but provides non-financial
compensation for providers.
Regulations Limiting Strategic Plan
An organization with a strategic goal of integrating cybersecurity for providers in fee-forservice and value-based payment systems can conflict with Stark Laws. The law prohibits
physicians from referring Medicaid and Medicare patients to an entity that financially relates to
the physician or an immediate family (Verma & Brandt, 2020). An organization with the
strategic...

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