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. RESPONSE: As a Family Nurse Practitioner (FNP) who has been employed as an independent contractor for the past two years in a primary care practice, and who desires to maintain or preserve the current position, several strategies can be utilized during the negotiation process for renewal of contract. The first thing I want to discuss is the difference between a 1099 independent contractor and W2 employees. I learned from personal experience as a travel nurse, W2 employees (permanent staff of the healthcare facility) typically received other benefits while 1099 contractors were excluded from benefits such as: health, life and disability insurance, 401K and IRA match, and paid time off (vacation and sick leave). Therefore, hiring on a contract basis is more inexpensive than hiring W2 employees. What negotiation strategies could I propose in order to reinforce by value in the practice related to revenue and patient satisfaction? The first thing I would mention and focus on is my length of employment. My devotion for the past 2 years of service has greatly contributed to the establishment of positive patient-provider relationships, therefore increasing patient satisfaction. Increasing my
You've reached the end of your free preview.
Want to read all 3 pages?
- Winter '16
- Melissa, Rubio