IntroductionGoals, Disciplines, Needs &RequirementOne of the primary goals of the heart failure clinic and healthcare systems reforms is to improve the quality of care and to come up with the cost-effective plan. To meet the patient needs or care factors and also to follow the heart failure clinical needs of patients than you must make the nursing staff reflect specific services.Most of the heart failure clinic and hospitals comprise of nurses clinical staff for fulfilling their patient needs but to control the associated cost their hours of working must be reduced. One of the critical components that play an essential role in the heart failure clinics premises or organization of health care services is the nursing staff to meet the crucial needs of the patients (Rich et al., 1995).Workflow & StructureHealth care delivery is a very complicated process that involves multiple working sites home-based care agencies, care facilities extended, community services, ambulance centers and many other relevant subsidiaries.Discussion & AnalysisPatients DiversityMost people seek medical attention because of the chronic heart diseases spending 70% on health care (Stromberg et al., 2001). Congestive Heart Failure is one serious ailment occur due to the unresponsive blood circulation and oxygen through the heart pump.Effect of Collaboration, Communication & Committees NegotiationEvaluating the department specific needs including the detailed procedure for the continuous improvement while considering the patients, knows employees, medical staff, and projects to fulfill the patient needs and manage resources is critical perspective and is a core component for the budget process.Furthermore, this ailment (Heart Failure) usually causes a lot of money or costs to the country with almost millions of people suffered it (Brewster et al., 2014). It is necessary for the health care nursing staff in the heart failure clinics to recognize the association between the patient outcomes and RN staffing.According to researchers, heart failure clinics and other healthcare systems must have committee staffing that will create and meet the strategic needs of the patient population. Another approach is to command the specific patient ratios to the nurse on a regulatory basis.Nursing Act Practice, Standards, Performance Measures & Management Strategies According to the American Nurses Associates (ANA) provoke a model that empowers to create staffing plans in the heart failure clinics and healthcare systems for each unit to make it flexible to account changes which includes patient needs.All the nursing staff members are comprised of both licensed and unlicensed labor force in most of the heart failure clinics and healthcare systems. According to the employee standards, performance policy the performance standard and qualification skills level require certified surgical techs, technicians for patient care RN and LPN as per rule-based.All the person must have complete competency document (CAP) of that work area or must be under the supervisory of a head to ensure the proper patient care in the heart failure clinics.Following the basic guidelines, core staffing plans must be considered to determine the ration of nurse-patient using the level of skills.Workload assessment may be adjusted and up or down at minimum level including acuity of the patient, care activities like education, discharges, and procedures based scenarios (Brewster et al., 2014). Scheduling, Budgeting and Accountability Factors.Another critical role is to schedule limitations to ensure the patient safety and healthcare in a heart failure clinic or any hospital premises also considering the quality factors. Using relevant Technological Tools like Biometric Systems, Monitoring Software and other appropriate tools to acknowledge cost-effective methods. Reduce false assumptions, improve supply chain, expansion to discharge, overtime, additional diagnostics & Testing, payment or billing errors can lead to a profitable method.Sometimes in case of emergency hours of working can be extended to make sure patient care is provided using hourly based shifts and even the maximum consecutive working hours must not exceed fourteen.ConclusionAssessment of staff personnel must be considered to assure that the qualified staff is available to meet the needs of the patient in the heart failure clinics. Sometimes activities do fluctuate because of the work and require proper planning. (PRN) Relief staff must be scheduled for assigning or can be reassigned to a specific patient care unit.Staffing alternative must be requested for rotating through the shifts, and the interested candidates must be contacted to fulfill the clinical needs of the heart failure patients.Every heart failure clinic, hospital, and any other health care system must provide nursing service staffing plan to each of the members of the hospital or clinic. To ensure the best quality of patient care, 50% of the committee members must be registered.ReferencesBrewster, L., Mountain, G., Wessel, B., Kelly, C., & Hawley, M. (2014). Factors affecting front line staff acceptance of health technologies: a mixed‐method systematic review. Journal of advanced nursing, 70(1), 21-33.Rich, M. W., Beckham, V., Wittenberg, C., Leven, C. L., Freeland, K. E., & Carney, R. M. (1995). A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. New England Journal of Medicine, 333(18), 1190-1195.Stromberg, A., Mortenson, J., Fordland, B., & Dahlström, U. (2001). Nurse‐led heart failure clinics in Sweden. European Journal of Heart Failure, 3(1), 139-144.