Urban and rural health care organizations throughout the industry are working together to coordinate care for Medicare patients. Accountable Care Organization (ACO) programs were established by the Centers for Medicare and Medicaid Services to help facilitate this cooperation.

Select a type of health care organization that would accept Medicare patients (e.g., family practice, hospital, urgent care, or nursing home).

Write a 700- to 1,050-word executive summary that discusses the purpose of joining an ACO and the funding available through one. Include the following:

Describe the organization you selected and the general services that would be offered to Medicare patients.
Describe the types of ACOs recognized by the Centers for Medicare and Medicaid Services.
Evaluate industry dynamics that would influence your organization’s decision to participate in an ACO.
Identify the steps needed to participate in an ACO.
Justify participation in an ACO for your organization.

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Read the Hospital scenario, located in the Allied Health Community. Be sure to review the Instructions and Legend information.
In a total of 250-500 words, respond to the questions located in the Hospital scenario.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Type of care provided
Scenario
Question 1
Question 2
Question 3
A hospital is an acute care short-term stay and emergency medical center that also includes medical
departments such as, surgical, obstetrics, infectious disease, radiology, laboratory and mental health.
How would you determine which skills, certifications, and licensur
e would be effective in retaining the
current nurses?
Is there a direct correlation between additional skills and retention and motivation of the nurses?
How would you determine who would be provided the skills development? Are all skills for all nurses
feasible?
You are the administrator of a medium-sized hospital. The Director of Human Resources has been
summoned to an executive team meeting in an effort determine why an unusual number of nursing staff
leaving for other employment. During the discussions, the Director of Nursing provides her thoughts re
–
garding why the nurses may be less productive and why some are departing. She states that the primary
reason is salaries/benefits. A charge nurse thinks the reason might be working conditions, especially
involving patient load in the various nursing units. Overall morale is low
, which is adversely affecting pro
–
ductivity. This has also resulted in some patient quality outcomes discovered by the Continuous Quality
Improvement team.
During the discussion, the Senior Director of Admissions shares some experiences she had with a for
–
mer employer–that the nursing staff tended to remain longer with the employer based on good working
conditions, specifically in the area of learning new skills, obtaining additional certifications, licensure, and
cross-training for other areas not usually assigned. She feels that these measures result in higher reten
–
tion and patient quality outcomes.
After the meeting, you meet with the Director of Nursing and Human Resources Director, who is also in
charge of all training and development for the hospital. As the administrator
, you consider developing
a small group to explore the feasibility of providing more skills development and training to your current
nursing staff. Before implementing this directive, consider the following:
Question 4
Question 5
How would you determine if additional compensation would be required for trained nurses?
How would you quantitatively determine the cost of this initiative?

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