Question:

1. Indicate why each stakeholder opposes or supports the proposed change in practice.

2.Describe the negotiation style, strategy or tactic that you would use if any stakeholder doesn’t support your proposed change.

Answer to Question: NSG565 Primary Care Management Across The Lifespan

Introduction

American hospitals are finding different ways to reduce their costs. This may include using low-quality, high-cost strategies or vice versa.

Below are reasons for and against cost cutting from different stakeholders.

Stakeholders

Why not submit a proposal for a project

Why propose a Project?

Administrative team

They are the Organization’s top-ranking managers.

They argue that ordering additional tests will increase market share, which can be done by charging more for the tests.

However, it is important to reduce costs through better processes and treatment.

The organization’s administrative team is the key decision maker. They propose the project, as they do not require additional employees.

They are afraid it will increase overall and system costs.

This will enable them to reduce their facility costs.

Doctors

Doctors will order more tests if they can cut costs.

They get paid for orders and not referrals.

Providers order the tests that they need. This reduces costs and allows them to use order systems and pay more attention to their orders.

Doctors are more likely to order more tests to their own benefit.

This causes healthcare costs to rise (Hall & Doran (2016)

Doctors fear the law so they require unnecessary tests to avoid being sued.

They also bill higher so that they can also gain more money by requesting unnecessary tests which increases the cost.

This should be stopped as it is detrimental to doctors and has no benefit for the providers.

Nurses

Nursing staff work closely with Doctors and Nurse Practitioners.

They assist in deciding whether or not a test is required by doctors (MedPac, 2008).

They should help lower costs by preventing unnecessary tests, especially those required by physicians and members of the inter-disciplinary group.

As nurses can influence decision-making, they might support doctors to order unnecessary tests in order to receive the benefits.

This will increase the overall cost.

Pharmacy

These tests are necessary because the pharmacy can reduce costs by advising on low-cost medication, using a cheaper route, or reusing space to treat asthmatic patients (Probst Shaffer and Chan, 2013).

Pharmacists and doctors work together to discover new drugs on the marketplace. In order to maximize their benefits, they also do unnecessary tests. This can lead to higher medication costs.

Radiology

Radiology experts proposed the project, as they will recommend the most economical tests.

Radiology teams can advise physicians. They may also order unnecessary tests, so they get more money (Rovner and Associates 2009).Negotiation tactic

I should establish my target based in the firm and identify my main objective which is to lower costs.

This will help me feel confident and make it easier to decide on solutions.

Negotiation style

I will try to be accommodative and allow members to speak up.

This will build trust among members, and provide the foundation for negotiations and finding information that supports your view.

Every member must agree to make the other happy.

I will make my final decision based on the views of others.Negotiation strategy

I will ask each member about their interests, prioritize them according to importance, highlight common interests, be open and honest with them.

This will enable the other members to rank and choose their priorities, as well as offer better solutions.

The agreement will hinge on weighing all the options and choosing the best option.

Conclusion

To reduce costs, stakeholders need to consider many options.

To reduce costs, stakeholders must weigh the alternatives before selecting the right option. This is why negotiations that included different points of view were used in order to reach a consensus.

ReferencesHall, W., & Doran, C. (2016).

How Much can the USA reduce healthcare costs by quitting smoking?

PLoS Med.MedPac. (2008). Medicare Payment Advisory Commission. USA.Probst, A. C., Shaffer, V. A., & Chan, R. Y. (2013).

The Effects. Health Psychology, 32.Rovner, J.

(2009 July 31).

Better Health Care, for Less Money Retrieved from https:/www.npr.org/templates/story/story.php?storyId=106875583