Creative Nursing capstone Project Ideas

Last Updated: 08 December 2020

nursing capstone project ideas


Your search for the best capstone project ideas for nursing capstone projects ends here. If you are wondering what a good nursing capstone topic ideas to choose is, we will guide you through the process of selecting the best topic given different possibilities. We are a nursing writing service that every other nursing student wants to associate with, and it is because we are passionate about what we do.


When you are ready for your BSN, MSN, or DNP capstone project, you can easily get confused with plenty of ideas that come to mind. You might end up choosing a capstone project idea that is unperceivable and lacks content online. Maybe you will most likely settle for a broad topic, or you are just out of capstone ideas in nursing, you should definitely take some coffee, find a relaxed position, and drink from this pot of wisdom. With 100+ nursing capstone project ideas, you surely must get one that fits your taste. Do not peter out yet; our professional nurse writers can help you draft the capstone project outline as well.


Our expert nursing capstone paper writers have always handled topics in different specialties and topics. You can rely on us for graduate nursing capstone project ideas (MSN and DNP level).


Unlike the list of capstone project ideas you will encounter online, we have categorized these ideas to refine them further and make it easier for you to pick one depending on your specialty. Whether you are a BSN, MSN, or DNP student, we are optimistic that this comprehensive list in the internet is all you need to begin brainstorming on your capstone project topics.


What is the Nursing Capstone Project?


A nursing capstone project, also referred to as a senior capstone or capstone experience, refers to an academic paper that consolidates practical work experience, experimentation, facts to help in the identification of real-world setting issues and application of skills from class to develop actionable solutions. Capstone projects in nursing can either be inclined towards research or problem-solving.


A nursing capstone paper can be anywhere between 20 pages and 100 pages in length. It should have a compelling argument, exhibit the choice of excellent capstone nursing topics.


Capstone projects are evidence-based practice (EBP) projects and have to reinforce best practices in different nursing fields. A common focus of the capstone projects in nursing is how to implement technology into practice and effective care delivery. They also revolve around finding solutions for better healthcare management of the staff and staffing issues.


When undertaking a capstone project course, a student works with a practicing professional (a capstone graduate) to help them all the way, offer real-world experience, and advise on the design.


Why Capstone Projects are Important for Nursing Students


There are many goals of a nursing capstone project. These reasons are anchor the need for most students to choose a capstone project over a nursing thesis if given a chance.



  1. Understanding Community Needs. Through handling the nursing capstone projects, students identify and address the healthcare needs and issue within their community settings.

  2. Capstone projects help define an information problem or opportunity. For instance, if the rates of childhood obesity is high, a capstone project can come up with assured strategies to address the scourge.

  3. The nursing capstone project also helps develop an interest in a given specialty. As one works on their capstone projects, they can in the process, develop a passion for a given area of interest.

  4. Capstone projects are a chance to combine work from class with professional practice. As students handle their capstone projects, they can apply various nursing theories, frameworks, models, and ideas to help in their professional development.

  5. It helps students look at the world from a systems approach point of view. A student who resorts to a nursing capstone project will most likely make a difference in the community, clinical setting, of the healthcare department by trying to solve systemic problems in their specific area.


A good capstone project must reflect the use of research ethics, statistics, program theory, leadership, and is always preceded by a capstone research proposal.


Given the goals, graduate program capstone projects in nursing might take an entire semester. On the other hand, BSN capstone projects might take ten weeks to two semesters.




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Difference between a Nursing Capstone Project and a Nursing Thesis


As you get close to the final term and the residency program gets closer, you are most likely either to handle a thesis or a capstone project. A typical confusing question nursing students ask is, “what’s the difference between a capstone and a thesis in nursing?” We have the answers right here for you.


Most of the nursing programs, both at the undergraduate and graduate levels, mandate that the students must complete either a nursing thesis or a capstone project.  While a thesis project is meant to focus on a general issue and provide insights to the reader, a capstone thinly focuses on a specific issue, concern, or problem in the realm of nursing.


Also, unlike a thesis that presents a theory or solution, a capstone paper describes the issue using a fact-based approach.


A capstone project is most likely to be assigned from undergraduate to graduate level, whereas a nursing thesis is only assigned to graduate nursing students. Nursing capstone projects are also more focused compared to the theses. One of the reasons is because a capstone demonstrates the understanding of the topic through a detailed analytical approach. On the other hand, a thesis paper for nursing entails the generation of hypothesis or research questions, conducting research, analysis of data, explanation of the findings, and concluding as well as recommending the evidence-based practice.


All in all, even with the differences, both nursing thesis and capstone projects form grounds for evidence-based practice in nursing.


Useful Tips when Choosing Great Nursing Capstone Ideas


Most nursing students complain that they do not have topics for their nursing capstone projects. One thing most students fail to realize is that they can approach their faculty advisor to help them select a capstone project idea that is relevant to their career goals. Here are some useful tips to help you arrive at your capstone idea of choice for your nursing program:



  1. Choose a topic or capstone project idea for nursing that has not been widely explored. This way, you get to chart a path that others who come after you will follow. You will also gain knowledge through research, analysis, and presentation.

  2. Choose nursing capstone projects that are interesting to you. If you decide to go with a topic on technology, for instance, be sure that your career goals are aligned to nursing informatics or any tech-related aspect in healthcare.

  3. Use the internet to look for the scholarly sources that support your capstone idea of choice. Again, you do not want to choose a nursing capstone idea that does not have credible facts to support your idea. Go for strong nursing capstone ideas that are well supported by theories, frameworks, and facts from scholarly nursing sources.

  4. Have a range of nursing capstone ideas. Then after coming up with three-four topic ideas, consult with your capstone project mentor on the best approach to take.

  5. When looking for topics for your nursing capstone, do not go for the straightforward ideas. Chances always are that they won’t get approval from your professor.


We can all agree that even though making a successful nursing capstone project is laborious, picking the best capstone project idea from the onset makes the entire process seamless and successful. If you have trouble and need help, our qualified capstone writers can help you choose the best. We are a leading nursing capstone project writing service on the internet.


The Potential Sources to Get Creative Nursing Capstone Project Ideas


Necessity is always the mother of invention. When the time comes for you to come up with ideas for your capstone project in nursing, you can always wonder where to look. However, here are some highlights of the best places to look for nursing capstone project ideas.



  1. Nursing News Articles


Google Search makes it easy to search for recent news in any realm. Think about the issue of mental health among the homeless, elderly abuse in-home care, or mental health among veterans in the news. It can give you insights on what areas to focus on, depending on the community you come from. When you read through the news, you will most likely click on an idea that could be the best for your nursing capstone.



  1. Peer-Reviewed Nursing Journals


As a focused nursing student, access to peer-reviewed article databases is a must. You are most likely an ardent reader of medical or nursing journals online. By way of research, you could also have accidentally stumbled or objectively found some useful insights from such journals.


Have you spent time reading recent publications in journals? What are some of the topics that strike you the most? Are there issues open to debate that relates to nursing or clinical environment? Are there gaps in research that need to be understood? When objectively reading recent articles published in nursing and medical-related journals is a viable way to come up with worthy capstone project ideas for your nursing capstone projects.



  1. Clinical Rounds


Clinical allows you to work with a preceptor and sometimes shadow your peers when there is a shortage. In this respect, you may have learned a great deal from the clinical. You can convert the knowledge on your experiences during your clinical rounds and when offering care to the patient. How did you feel? What were some of the challenges? What concepts worked and which ones flopped? Did the clinical facility apply evidence-based practice or evidence-based nursing? Were the staff focused on patient-centered care? There are many ideas that you can generate at the end of the day by just reflecting on your clinical.



  1. Nursing Capstone Papers from Past Classes


You will most likely be paired with a graduate capstone student. Besides, you can also ask your instructor and friends who have been through the nursing capstone paper writing process. Skim through the past nursing capstone papers and see if some ideas come to mind. You will notice that as you interact with the content, your mind will wander into insightful topic ideas for your capstone project.



  1. Class Notes and Material


The course objectives are given before you commence a course that can also be a starting point to brainstorm for nursing capstone ideas. As you read the objectives, you will understand what the end project capstone paper must look like. Also, class notes and reading material can give you useful insights. Still, you can comb through your past nursing essays, research papers, concept papers, and term papers or case studies to get suitable nursing capstone ideas.


Nursing Capstone Project Ideas for Mental Health



  1. The link between homelessness and mental health issues

  2. The efficiency of Yoga in maintaining mental health wellbeing

  3. Use of expressive art therapy for positive youth development

  4. Using CBT for PTSD affected veterans

  5. Impact of sexual abuse on children

  6. How domestic violence affects the children

  7. Culture-based mental health programs

  8. Impacts of bullying at the workplace for new nurses

  9. Development of new mental health guide for educators

  10. The use of cognitive-behavioral therapy techniques in psychiatric facilities

  11. Art therapy and mental health

  12. Causes of suicide among youths

  13. Child and adolescent psychiatry

  14. Ketamine infusion therapy

  15. Tobacco dependence

  16. Safety in the psychiatric centers

  17. Preventing falls in psychiatric facilities

  18. Substance abuse disorders

  19. Substance abuse among the geriatric population

  20. Health education approach for mentally ill patients

  21. Addressing stigma among carers and patients with mental health issues

  22. Mental health issues among the aboriginal populations

  23. Understanding postnatal depression among women

  24. Mental health nursing for adolescents

  25. Mental health scales best for children in prison

  26. Access to mental health services by aboriginals or specific population

  27. Lateral violence among nurses

  28. Effectiveness of mental health services for deaf service users

  29. Outcome measures for an inpatient with mental health issues

  30. Mental illness and autonomous decision making

  31. Psychological rehabilitation readiness assessment

  32. Links between heritage, arts, museums and mental health

  33. Impacts of teenage suicides

  34. Preparing student nurses to manage trauma in clinical settings

  35. Mental health simulation models for ADN students

  36. Are Intellectual Disability Nurses perceived differently to other nurses?


Medical Surgery Capstone Project Ideas



  1. Operating room nurses and compassion fatigue

  2. Burnout among anesthetists

  3. Surgical asepsis

  4. Complications of general anesthesia

  5. Roles and responsibilities of nurses in OT

  6. Fumigation of OT

  7. Causes and symptoms of Meningitis

  8. Arterial bypass surgery

  9. Peripheral artery bypass

  10. Coronary artery bypass grafting

  11. Bariatric surgery intervention for obesity patients

  12. Role of the clinical nurse coordinator

  13. Organ failure and transplantation

  14. Patient care involvement and intervention post-surgery

  15. Improving safety in operating rooms

  16. Operating room requirements and set up

  17. Complexity within the cardiac intensive care unit environment

  18. Burn nursing through surgical care

  19. Role of certified registered nurse anesthetist (CRNA)

  20. Preoperative, intraoperative, and postoperative phases of surgery

  21. Lyme diseases

  22. Minimally Invasive Gastrointestinal Surgery

  23. Celiac disease management

  24. Cataract and Refractive Surgery

  25. Stem cells therapy in cancer

  26. Interventional cardiology and surgery

  27. Surgical interventions for neurogenic shock

  28. Dengue hemorrhagic fever

  29. Bronchiectasis

  30. Peptic ulcers disease management

  31. Angina pectoris management

  32. Cushing syndrome management

  33. Management of COPD

  34. Immunodeficiency disorder

  35. X-ray care

  36. Dermatitis management

  37. Diabetic foot care

  38. Thyroid storm and crisis

  39. Insulin therapy

  40. Congenital heart disease

  41. Raynaud’s diseases

  42. Phlebotomy procedure

  43. Digitalis therapy

  44. Post-operative nursing practice in Asccitis

  45. Pre and post-operative care for general surgery

  46. Minor and significant surgery: compare and contrast

  47. Post-operative complications

  48. An interdisciplinary approach to surgical interventions

  49. Role of ICU nurse

  50. Application of thermal heating to prevent intraoperative hypothermia

  51. Treatment of fire wounds

  52. Classification and management approaches to burn wounds

  53. Performing CPR

  54. Wound healing processes and management


Nursing Leadership Capstone Project Ideas


Here is a list of some nursing leadership ideas that can be a great starting point when choosing a creative topic for your nursing leadership capstone project. Leadership is a great area that many researchers venture into. However, this does not mean that all the knowledge is exhausted.  When selecting the nursing leadership capstone topics, you need to be very keen not to choose a broad topic that will make you dilute the content of your nursing capstone project.



  1. Importance of charismatic leadership among nurse leaders

  2. The stress management approach for nurse leaders

  3. Professional development strategies for nurses

  4. Importance of ethical practice among nurse leaders

  5. Impact of nurse leadership on patient outcomes

  6. Significance of nurse leadership

  7. What is leadership from a nursing perspective?

  8. Long term and short term goals for clinical leaders

  9. Theories that support nurse leadership

  10. Importance of nurse leaders in quality improvement projects

  11. How nurse leaders can initiate and manage change

  12. The link between nurse leadership and change management

  13. Nurse leadership: Passion or Duty?

  14. Role of transformational leadership among nurse managers

  15. Significance of communication among interprofessional team nurse leaders

  16. Impacts of nurse engagement and inclusion on patient outcomes

  17. Organizational strategies nurse leaders can use to motivate the healthcare personnel

  18. Challenges facing contemporary nurse leaders

  19. Role of nurse leaders in solving conflicts in clinical settings

  20. Nurse leaders as patient advocates

  21. Role of nurse leaders in preventing violence in emergency rooms

  22. How nurse leaders can address burnout among nurses

  23. Importance of having a personal leadership philosophy as a nurse leader

  24. Leadership in the U.S. Health system

  25. Influential nurse leaders in the political space

  26. Senators and governors who are nurses in the U.S.

  27. Role of nurse managers in healthcare

  28. Nurse leadership qualities and behavior

  29. Effective nursing leadership styles

  30. Leadership in nursing education

  31. Student nurses and leadership

  32. Top qualities of a great nurse leader

  33. Management styles in nursing

  34. Improving nursing leadership skills

  35. Interview with a nurse leader

  36. Strength and weaknesses of charge nurses

  37. Role of nurse leaders in shaping public policy

  38. Leadership characteristics that represent excellence

  39. Defining leadership in nursing

  40. Training plan for nurse leaders

  41. Transactional leadership approach among nurses

  42. The future of nurse leadership

  43. How nurse leaders can ensure team leadership for the best collaboration in healthcare teams

  44. Traits of a great nurse leader

  45. Comparing and contrasting nurse leadership roles in private and public hospitals

  46. Difference between accountability among nurse leaders in developed nations and developing nations

  47. Nurse leaders as change agents in healthcare settings

  48. Impact of recognition program on Registered Nurses motivation level

  49. Pharmaceutical Companies Overpricing Medication: Background and Policy Landscape

  50. The Roles of Nursing Organizations in Shaping the future of nursing


Patient Falls Nursing Capstone Project Ideas


The patient falls an active area that is being continuously addressed by nurses. As a DNP, MSN, or BSN student, you can easily choose a capstone project topic on patient falls and craft a well-written capstone project that can earn you the best grades. When looking at the holistic issue of patient falls there are measurement scales, contributing factors such as dementia, mental and physical health issues, age, or Alzheimer’s, which you must take into account. As well, there are different fall prevention and fall management strategies that can also be an active area for research when undertaking your nursing capstone project. Here are some ideas:



  1. Prevention of patient falls through education

  2. Fall prevention strategies in home settings

  3. Fall prevention strategies in hospitals

  4. Potential causes of falls in hospitals

  5. Defining fall and fall risk patient

  6. The use of SPICES framework and FAMILY cards to assess old patients

  7. Nursing interventions to prevent falls

  8. Evidence-based practice fall intervention strategies in hospital settings

  9. The use of video and camera monitoring to prevent falls among elderly patients

  10. The use of technology in fall prevention

  11. Hospital-Based Fall Program Measurement and Improvement in High-Reliability Organizations

  12. Role of hospital leadership in preventing patient falls

  13. Quality improvement program for reducing falls in medical-surgical units

  14. Factors contributing to psychiatric patient falls in hospitals

  15. Creating a safety culture that prevents falls

  16. Multifactorial fall risk assessment

  17. Fall risk among osteoporosis patients

  18. Multifactorial interventions for the prevention of falls among elderly patients

  19. Use of exercise in reducing falls among elderly patients

  20. The Morse fall risk scale and its significance in fall risk assessment and management

  21. Characteristics of at fall risk patients

  22. Using engineering controls to prevent falls among patients and the elderly

  23. Outpatient fall risk assessment tool

  24. Effects of implementing evidence-based fall risk scale on fall rates

  25. Standardized fall risk assessment tool

  26. Medical staff attitude and knowledge about in-patient falls

  27. Patient fall rates in the acute care in-patient hospitals

  28. Patient fall education and patient safety

  29. Nurse education on patient falls and safety culture

  30. Strategies to reduce patient injuries from falls

  31. Fall prevention practices at home

  32. Environmental assessment and modification as a fall management strategy

  33. Home modification approach to falls management

  34. Impacts of the design of healthcare stings/environments on patient fall

  35. Physical environmental risk factors for elderly falls

  36. Home safety modifications to reduce fall injuries among geriatric patients

  37. Home environment assessment for elderly patients

  38. Safety awareness activities for elderly patients

  39. Strategies and tools to address patient falls in nursing homes

  40. Impacts of visiting home nurses on reducing in-patient falls

  41. Role of pharmacists in addressing patient falls

  42. An interdisciplinary approach to fall management in clinical settings

  43. Hourly Rounding and Fall Prevention among the elderly in long term care: A change process.


Women’s Health Capstone Project Ideas


The area of women’s health is also an active area of research where you can choose a creative nursing capstone idea. For instance, it integrates breastfeeding nursing capstone ideas, sexual health, general wellbeing of women, and access to healthcare. Here are some suggestions or ideas:



  1. Preeclampsia among women

  2. Postpartum depression among women

  3. Diabetes management during pregnancy

  4. Addressing mental health among pregnant women in rural areas

  5. Smoking and pregnancy

  6. Infant mortality and preterm birth among African American women

  7. Teenage pregnancy

  8. Preventing pregnant women from Zika Virus

  9. The link between HPV and cervical cancer

  10. Mammography to detect breast cancers in women

  11. Gestational diabetes management

  12. Birth control approach among women

  13. Ectopic pregnancy

  14. Breast pumps and breastfeeding

  15. Using codeine and tramadol products in breastfeeding women

  16. Nutritional management during pregnancy

  17. Management of endometriosis

  18. Emergency contraception/ birth control

  19. Female genital mutilation and sexual health of women

  20. Impacts of fibroids on women

  21. Menopause in women

  22. Breastfeeding, work, and women of low socio-economic status

  23. Normal versus cesarean births

  24. Epidural in induced births

  25. Pelvic floor issues in women

  26. Constipation after cesarean surgery

  27. Urine incontinence in women

  28. Uterine cancer and fibroids in women

  29. Postmenstrual syndrome and hormonal changes

  30. Factors that influence the decision to breastfeed

  31. Use of supplements when breastfeeding

  32. Exclusive breastfeeding and immune levels of children


Nursing Informatics Capstone Project Ideas



  1. HITECH Legislation and Electronic Medical Records in healthcare

  2. Data governance in healthcare settings

  3. Impacts of a healthcare data breach

  4. Use of Healthcare Information Technology to support evidence-based practice in nursing

  5. Importance of clinical support decision making systems

  6. The use of technology to bridge the nurse shortage gaps in rural areas

  7. Electronic health records in healthcare

  8. Nurse informatics competencies

  9. Meaningful use and HIT

  10. Healthcare management information system

  11. Collaborative decision making through shared governance in healthcare

  12. Ethics and data management in healthcare

  13. The use of big data in healthcare settings

  14. Robotics in surgery

  15. The use of electronic health records to offer patient-centered care

  16. Assisting recovering centers

  17. Role of nursing informatics in quality improvement

  18. E-learning as a professional development approach among nurses

  19. Developing digital literacies for nursing school students

  20. Barriers to competency development in nursing informatics

  21. Integrating health informatics to nursing education

  22. The use of smartphones in inpatient management and education

  23. The use of simulation for nursing students

  24. Adoption of transformative technology such as CDSS in clinical settings

  25. The use of big data in clinical research

  26. Use of electronic medical records in acute care

  27. Significance of mHealth apps on mental health care access by rural populations


General Nursing Capstone Project Ideas



  1. Patient Portal Underutilization influence by Ethnically and Low Income

  2. Reducing associated ventilator infections in hospitalized patients.

  3. Integration of healthcare systems

  4. The importance of taking the health history

  5. A disease common with the aged population

  6. Strategies to ensure healthy aging

  7. Employee-based health insurance

  8. Levels of evidence in nursing

  9. Does pre-hospital rapid cooling of MDMA overdose improve clinical outcome

  10. Implementing the IOM future of nursing

  11. Impacts of organizational culture on the implementation of Evidence-Based Practice (EBP)

  12. Affordable care for all Americans- Revisiting the legislations

  13. Addressing healthcare disparity in the US

  14. Racial discrimination in healthcare delivery in the US

  15. Macro trends affecting the US healthcare system

  16. The attitude of Saudi Arabians on their healthcare system

  17. Transforming from student nurse to registered nurse

  18. Patient advocacy and advanced practice

  19. The use of chlorhexidine to reduce hospital-acquired infections

  20. Improving the Process of Preventative Care in HMO Organizations for Better Outcomes

  21. Impact of leadership on health management

  22. Examining the Mental Health of Veterans

  23. Associate Degree Nurses Perceptions on Motivators and Barriers to Return to School for a Bachelor’s of Science Degree in Nursing


Manages Nursing Care Topic Ideas for Dissertations, Term Papers, and Nursing Essays



  1. Identify the principal factors that determine what form and structure managed care
    organizations assume and how these factors influence plan design.

  2. Recognize the main aspects, features, and characteristics of health plans and how
    these components have changed over time.

  3. Recognize the range of health plans from the perspective of a continuum that moves
    through key variables as relative points of comparison from plan to plan.

  4. Recall the types of health maintenance organizations (HMOs) that served as models
    for other forms of managed care organizations (MCOs) and predicted their future.

  5. Understand the fundamental principle behind all managed care health plans that
    balances cost and control.

  6. Know the general definition of Integrated Delivery Systems that can apply to various
    forms of IDSs.

  7. Describe the various types of Medicare Advantage plans both those that are quite
    popular and those that are less so.

  8. Identify the requirements managed care organizations must have in order to qualify
    for offering Medicare Advantage plans.

  9. Know what are core results managed care organizations, physicians, and health care
    organizations can expect from the effective operations of disease management

  10. Learn what connects consumerism, network development, and contract negotiation
    as major themes in managed care.

  11. Describe the social and economic factors and conditions that strongly promoted the
    rise of integrated delivery systems in this country.

  12. Recall the design and structure of such systems and how they function and operate
    comparing traditional delivery systems with today's approaches.

  13. Describe the various types of integrated delivery systems for physicians and
    hospitals/health systems.

  14. Learn why member service represents such a strong response to consumerism both
    in health care delivery and administrative services.

  15. Explain the scope of services and general operations of customer interactive

  16. Understand the two factors of geography and competition as they relate to network

  17. Explain the four major areas of contract negotiation and why each if so critically
    important to managed care.

  18. Recognize the close connection these systems have with managed care and how
    these connections are mutually beneficial.

  19. Understand the impact the Accountable Care Act will be having on IntegratedDelivery Systems.

  20. Identify the strategies used by managed care organizations to create effective physician change.

  21. Understand the principle formula of cost and how that impacts the various areas of
    quality in health care delivery.
    Share what are the case management guidelines frequently applied by the managed
    care industry in this quality-driven strategy.

  22. Recall the origins of disease management and the importance of population health,
    evidence-based medicine, and managed care alignment in its development.

  23. Identify the major components of disease management and how they operate using
    its fundamental definition to form this discussion.

  24. Describe the four major roles and functions of primary care physicians as
    understood by managed care organizations.

  25. Learn what are the three major focuses all utilization management programs have.

  26. Know the differences between utilization management in the past with what it
    means today and its current conceptual framework.

  27. Learn the definition of quality based upon the 2003 definition from the Committee
    on Quality of Health Care in America.

  28. Compare the descriptions of quality developed by Donabedian in the 1970s with
    what today's managed care industry understands it to be.

  29. Know what represents case management and what are its core goals.

  30. Identify what is the case management six-step process that is commonly used by
    managed care organizations.

  31. Understand the many changes that have happened to the original Medicare program
    due to legislation and regulation.

  32. Understand the concept of consumerism and what are the two major rationales for
    this concept.

  33. Describe what consumer-directed health plans are and how they relate to the
    the broader category of managed care plans.

  34. Understand the essential value and need that information technology has for the
    managed care industry.

  35. Identify the key areas in which information technology is used by MCOs to achieve
    their major goals and strategies. Identify what are the drivers for both.

  36. Recall how managed care companies create their primary care networks and what
    represents key strategies in that development.

  37. Identify the core functions of physician credentialing, contracting, and network

  38. Explain what are the core content areas and strategies MCOs use for network

  39. Understand both the barriers and challenges faced by Medicaid as it tries to achieve
    its goal of covering uninsured Americans.

  40. Explain what Medicaid waivers are and what are the four most common types of
    waivers today.

  41. Describe the five areas that represent the most important arenas for applying
    information technology in managed care organizations.

  42. Identify the four initiatives common for information technology related to managed
    care organizations.

  43. Describe what is the foundational information technology system and why it is so
    central to the operations of MCOs.

  44. Explain the purpose and function of benefits configuration and employer group and
    member enrollment.

  45. Share what are the social norms operating with physicians and how best to change
    these norms to improve physician behavior.

  46. Describe what are the major barriers to changing physician behavior.

  47. Explain the purpose and function of premium management, provider enrollment contracting-credentialing, and claims payment.

  48. Explain the purpose and function of electronic data exchange, document imaging
    and workflow, and customer services.

  49. Explain the purpose and function of medical management and data warehousing.

  50. Share what connects Medicare, Medicaid, and employers together as it related to
    managed care.

  51. Describe what are similar agenda items for these three purchasers and what are
    differences they have regarding their agendas with managed care.

  52. Explain what has been happening to Medicare over the past 10 years that has
    significantly impacted it.

  53. Learn the ten significant characteristics of disease management programs.

  54. Describe the major benefits of disease management in a managed care environment
    for providers, insurance plans, and for the patients themselves.

  55. Share the major challenges facing disease management programs, as well as what
    are the incentives to promote DM.

  56. Describe what is the business plan component for disease management

  57. Identify what makes effective Medicaid plans citing the nine characteristics that are
    needed to do this.

  58. Describe how managed care organizations address the needs of employers in terms
    of grouping them.