Show Work Calculations Assignment Help: How to Answer This Question

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Original Question

Show work for calculations. HealthFull Clinic is an innovative nurse-run clinic staffed by three DNP nurse practitioners, with one of the DNPs also serving as clinic manager. The clinic is based within HealthFull ACO, providing primary care patient education, monitoring and support for underserved elderly patients with conditions such as congestive heart failure, diabetes and Parkinson’s disease. The clinic opened for operations in January 2020, adapting to the challenges posed by the COVID pandemic that began in March 2020. Many of HealthFull Clinic’s underserved elderly patients suffer from social isolation exacerbated by COVID risks. There is a lot of confusion among these clients as the guidelines and trends in COVID frequently change. The DNP decides to make a business case to HealthFull ACO administrators to provide staff support for monthly telephone “check-ins” with each client to assess how well the person is coping, to answer questions about COVID, and to refer the client to the clinic or to community resources (such as Meals on Wheels) as needed. Table 6.2 analyzes appointments that are lost (cannot be scheduled) because of limits to capacity. However, another problem at HealthFull Clinic is cancelled appointments, often because patients forget or cannot arrange transportation. Currently, the cancellation rate, calculate as the number of cancellations/number of scheduled appointments over the same time period (Ehrenfeld et al., 2013) is 30 percent. The telephone “check-in” would include appointment reminders and offers to arrange transportation, thus reducing cancellations. HealthFull Clinic currently serves an estimated 400 clients. The DNP estimates 20 minutes per phone call. How much staff time would the DNP budget for this program per month? Would the DNP consider hiring staff to support this program? What data would the DNP use to analyze the financial impact of cancellations? In 2021, 2,880 clinic visits were scheduled, and this is expected to remain the same for 2022. What calculations would the DNP make to analyze the financial impact of reducing the 2021 30% cancellation rate to 20% in 2022? TABLE 6.2 Utilization and Revenue Report, HealthFull Clinic, June 2021 Item June 2021 2021 YTD 2020 YTD Budgeted Actual Budgeted Actual Budgeted Actual Referrals 60 83 360 381 360 165 Appointments requested 240 292 1,440 1,342 1,440 626 Appointments scheduled 240 240 1,440 1,268 1,440 626 Lost appointments 0 52 0 74 0 0 Total Encounters 240 217 1,440 1,157 1,440 626 Lost revenue from capacity limits $0 $5,200 $0 $7,400 $0 $0 Wait Time (minutes) 15.0 23.4 15.0 18.7 15.0 5.2 Patients leave without rescheduling 0 23 0 111 0 0 Lost revenue from excess wait time $0 $2,300 $0 $11,100 $0 $0 Total Lost Revenue $0 $7,500 $0 $18,500 $0 $77,400 Total encounters 240 263 720 1,379 720 626 Estimated Net Revenue $24,000 $21,700 $144,000 $115,700 $144,000 $62,600 Percent Revenue Shortfall 0.0% 9.6% 0.0% 19.7% 0.0% 56.5% Average net revenue per encounter $100 $100 $100 $100 $100 $100

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