NR510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One
NR510 dq 1 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One
You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) in a busy primary care practice for 2 years. The providers in the group include one physician, who is also the owner of the practice, and two other nurse practitioners, who are staff employees (W2
employees). The owner of the practice recently made comments about the need to produce more revenue. You relate with his concerns and feel that you have several strategies that could be helpful. Your contract is up for renewal in 3 months. You are highly satisfied with your job and want to stay with the group. You see 20 patients per day on average and take call every third weekend.
Discussion Question:
What negotiation strategies should you use to propose a contract renewal? How does your role as a 1099 contractor benefit the practice over the W2 employees? What evidence will you present to the practice to reinforce your value in the practice both in terms of revenue and patient satisfaction? Consider any additional services you may be willing to provide under your contract. Use logical reasoning, and provide evidence based rationales for your decisions.Keep in mind that your negotiation terms and conditions must be within the legal scope of practice for an ANP.
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It important to first sit down and make a list of all the attributes one brings to the practice and the overall income of the practice to be able to gauge ones contract negotiations (Buppert,2015). It sounds like the owner of the practice, like any other, is financially driven which is pertinent for keeping a business up and running. As an independent contractor the provider only goes to the place of business for agreed upon services and bills appropriately for these services. As an employee one is provided with benefits, follows the hours of the business, provided the equipment they need, and get malpractice through the business not on their own (Buppert,2015). Under an ongoing contract negotiation I believe it is important to negotiate hours, wages, number of patients seen per day. Generally, an NP needs to see 20 patients a day to generate enough money to make a practice profitable, therefore I believe this a reasonable number of patients to see (Buppert,2010). It is pertinent to revisit the reimbursement regulations to ensure your knowledge is up to date. One must also confirm date of covered care according to their contract prior to seeing any patients to be ensured payment is appropriate (Hahn &Cook,2018).
Buppert, C. (2015). Nurse practitioner’s business practice & legal guide (5th ed.). Retrieved from https://bookshelf.vitalsource.com
Buppert,C. NP, JD (2010) How Many Patients Can a Nurse Practitioner See in a Day?
Hahn, J. A., & Cook, W. (2018). Lessons learned from nurse practitioner independent practice: A conversation with a nurse practitioner entrepreneur. Nursing Economics, 36(1), 18-22. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search-proquest-com.chamberlainuniversity.idm.oclc.org/docview/2007005926?accountid=147674
I understand that it is a fine line in not asking for too much but as Hahn (2018) stated “We know the reward of hard work is the work itself. Insist on being paid fairly and well for doing it anyway.” People in other professions such as physicians, those in finance, lawyers, all demand respect and to be financially compensated for the services they provide why shouldn’t nursing be treated the same. I would approach the conversation of increasing productivity backed with some nursing theory of caring and giving full attention to ones patients in addition to statistical facts. There is no possible way to be fully engaged in each patient when seeing 28 to 30 patients in a single day. I would also research the money lost for a patient who returns frequently because they are not being seen for an adequate amount of quality time with their provider or feel like they didn’t get adequate care because they were rushed or if something is actually missed because they are rushed through. Many people believe NP’s share information and talk to them in the correct manner and on the right level of medical jargon (Pothula,2001)
Hahn, J. A., & Cook, W. (2018). Lessons learned from nurse practitioner independent practice: A conversation with a nurse practitioner entrepreneur. Nursing Economics, 36(1), 18-22. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search-proquest-com.chamberlainuniversity.idm.oclc.org/docview/2007005926?accountid=147674
Pothula, S. M. (2001). Parent satisfaction with care provided by nurse practitioners (Order No. 1402980). Available from ProQuest Central; ProQuest Dissertations & Theses Global. (250188324). Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search-proquest-com.chamberlainuniversity.idm.oclc.org/docview/250188324?accountid=147674
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate
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☐ Strong thesis statement is included in the introduction of the paper.
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Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
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