| Contributors |
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x | |
| Preface |
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xi | |
| Acknowledgments |
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xii | |
| Introduction |
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xiii | |
| Part I Health Care, the Economy and Value-Based Purchasing |
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1 | (106) |
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Chapter 1 How We Got to Where We Are! |
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3 | (24) |
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How Did We Get into This Mess? |
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4 | (1) |
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Foundations of Health Care: The Early Days of Our Country |
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4 | (1) |
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Policies Addressing Access to Care |
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5 | (4) |
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Access to Direct Services: Hospitals and Beyond |
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6 | (1) |
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6 | (1) |
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Healthcare Access Changes Post-World War II |
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6 | (1) |
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Medicare and Medicaid: New Forms of Access |
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7 | (1) |
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8 | (1) |
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9 | (3) |
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Blue Cross/Blue Shield: Setting Trends in Paying for Care |
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9 | (1) |
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The Federal Role in Cost Containment |
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10 | (1) |
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Hospital Prospective Payment: A New World for Hospitals and Providers |
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10 | (1) |
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Health Maintenance Organizations |
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11 | (1) |
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The Health Insurance Portability and Accountability Act of 1996 |
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11 | (1) |
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The Balanced Budget Act of 1997 |
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11 | (1) |
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Policies Addressing Quality |
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12 | (2) |
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Governmental Agencies Concerned with Quality |
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13 | (1) |
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The Affordable Care and Patient Protection Act |
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14 | (8) |
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22 | (1) |
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23 | (1) |
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24 | (1) |
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24 | (1) |
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25 | (2) |
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Chapter 2 Healthcare Stakeholders: Consumers, Providers, Payers, Suppliers, and Regulators |
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27 | (18) |
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Healthcare Dilemmas: Access, Cost, and Quality |
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28 | (1) |
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Five Stakeholders: Consumers, Providers, Payers, Suppliers, and Regulators |
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28 | (14) |
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29 | (2) |
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31 | (1) |
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32 | (6) |
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38 | (1) |
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38 | (4) |
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42 | (1) |
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42 | (1) |
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42 | (1) |
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42 | (2) |
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44 | (1) |
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Chapter 3 Microeconomics in the Hospital Firm: Competition, Regulation, the Profit Motive, and Patient Care |
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45 | (22) |
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Microeconomics, Cost Accounting, and Nursing |
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46 | (2) |
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48 | (1) |
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Regulation and Managed Care |
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49 | (2) |
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Profit Motive and Patient Care |
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51 | (2) |
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Getting the Word Profit Back |
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52 | (1) |
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Quality of Care: At What Level? At What Cost? |
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52 | (1) |
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53 | (1) |
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Information on Quality and the Risk-Adjustment Process |
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53 | (1) |
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Healthcare Policy: The Staffing Ratios Debate |
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54 | (6) |
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Hospital Operations and Closure |
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55 | (1) |
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Feasibility and the Sporadic Nursing Shortage |
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56 | (1) |
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Political Opportunity Costs for Nursing |
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57 | (1) |
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58 | (2) |
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The Business Case: Electronic Health Record Systems in Hospitals |
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60 | (2) |
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60 | (1) |
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Benefits for the Hospital and Patients |
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61 | (1) |
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62 | (1) |
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63 | (1) |
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63 | (2) |
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65 | (2) |
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Chapter 4 Providing Patient Value While Achieving Quality, Safety, and Cost-Effectiveness |
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67 | (40) |
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68 | (1) |
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Part 1: Problems We Must Address |
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69 | (13) |
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We Have a L-O-N-G Way to Go to Fix Our Healthcare System |
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69 | (1) |
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71 | (1) |
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Workforce Management Issues |
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75 | (1) |
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77 | (1) |
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77 | (1) |
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78 | (1) |
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Regulatory Response: Restricting or Eliminating Reimbursement |
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79 | (2) |
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Our Reality Is Changing-Ready or Not! |
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81 | (1) |
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Part 2: What Does The Patient Want? |
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82 | (4) |
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Our First Priority: Discovering What the Patient Wants and Values |
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82 | (1) |
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84 | (1) |
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Patient and Family Advisory Councils |
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84 | (1) |
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Replace Patient Compliance with What the Patient Wants and Values |
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85 | (1) |
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Part 3: The Impact Of Quality |
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86 | (15) |
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86 | (1) |
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87 | (1) |
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91 | (1) |
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Changing Administrative Practices |
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91 | (1) |
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Provider Accountability in the Cost-Quality Dilemma |
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92 | (1) |
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What Does It Mean to Be in the Information Age? |
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94 | (1) |
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Recognition of Value and Quality |
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95 | (1) |
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95 | (1) |
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Magnet Recognition Program |
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95 | (1) |
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The National Database of Nursing Quality Indicators |
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95 | (1) |
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95 | (1) |
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96 | (1) |
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96 | (1) |
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Performance Measurement and Patient Value |
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97 | (1) |
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Balanced Scorecard: Best Approach to Performance Measurement |
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98 | (1) |
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98 | (1) |
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98 | (1) |
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OSHA Standards for Employee Safety |
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99 | (1) |
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Promoting a Healthy Workplace |
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99 | (1) |
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Disaster Planning and Preparedness |
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99 | (1) |
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100 | (1) |
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101 | (1) |
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101 | (1) |
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102 | (1) |
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103 | (4) |
| Part II Budget Principles |
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107 | (88) |
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109 | (22) |
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An Introduction to Budgeting |
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110 | (1) |
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Budgeting Principles and Terminology |
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110 | (5) |
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Capital Budgeting Versus Operational Budgeting |
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110 | (1) |
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111 | (1) |
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111 | (1) |
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111 | (1) |
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112 | (1) |
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113 | (2) |
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Budgeting Implications for Nurse Leaders |
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115 | (1) |
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An Introduction to Nursing-Specific Budgeting Principles |
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115 | (2) |
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116 | (1) |
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116 | (1) |
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Developing a Nursing Department Budget and Staffing Plan |
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117 | (1) |
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117 | (1) |
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Determine Nurse-Patient Ratio |
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117 | (1) |
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Establish Skill Mix Necessary to Meet Patient Needs |
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117 | (1) |
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117 | (2) |
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117 | (1) |
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118 | (1) |
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Education and Orientation |
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118 | (1) |
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118 | (1) |
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Building a Staffing Model |
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119 | (10) |
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PTO, Education, and Orientation |
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123 | (1) |
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Productive Hours Overview |
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124 | (2) |
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126 | (3) |
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Calculating Nursing Hours Per Patient Day |
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129 | (1) |
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129 | (1) |
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129 | (1) |
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129 | (2) |
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Chapter 6 Budget Development and Evaluation |
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131 | (28) |
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132 | (1) |
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Case Study #1 Inpatient Setting |
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132 | (11) |
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133 | (1) |
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Schedule 1 Staffing Matrix |
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134 | (1) |
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Calculating FTEs from Total Hours |
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136 | (1) |
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Schedule 2 Determining Replacement FTEs |
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137 | (1) |
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Education and Meeting Hours |
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138 | (1) |
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Schedule 3 Financial Impact |
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139 | (1) |
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140 | (1) |
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141 | (2) |
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143 | (13) |
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144 | (1) |
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Schedule 1 Staffing Pattern |
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145 | (1) |
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Calculating Total Hours per Job Class |
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146 | (1) |
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Calculating FTEs from Total Hours |
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146 | (1) |
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Schedule 2 Replacement FTEs |
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147 | (1) |
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Education and Meeting Hours |
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148 | (1) |
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Schedule 3 Financial Impact |
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149 | (1) |
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151 | (1) |
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152 | (1) |
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154 | (1) |
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155 | (1) |
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Schedule 4 The Big Picture |
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156 | (1) |
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156 | (1) |
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157 | (2) |
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Chapter 7 Budget Variances |
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159 | (14) |
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160 | (1) |
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160 | (1) |
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Analyzing History to Predict the Future |
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160 | (1) |
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161 | (1) |
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Causative Factors of Variance |
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161 | (7) |
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162 | (1) |
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162 | (1) |
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162 | (5) |
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167 | (1) |
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Dissecting the Variance Report |
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168 | (1) |
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Identifying Variance Early |
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169 | (1) |
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170 | (1) |
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171 | (1) |
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171 | (2) |
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Chapter 8 Comparing Reimbursements with Cost of Services Provided |
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173 | (22) |
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174 | (1) |
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174 | (1) |
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174 | (1) |
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175 | (1) |
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Clarifying the Cost Issue |
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175 | (5) |
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Defining Costs, Charges, and Payments |
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175 | (1) |
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Cost of Service Versus Reimbursement |
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176 | (2) |
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Nurse Leader's Role in Cost Control |
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178 | (2) |
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Departmental Operations Report |
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180 | (12) |
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181 | (6) |
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187 | (4) |
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Predicting Financial Success |
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191 | (1) |
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Nursing Management Decisions Affect Financial Outcomes |
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191 | (1) |
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192 | (1) |
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192 | (1) |
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192 | (1) |
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193 | (2) |
| Part III Financial Strategies and Accounting Issues |
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195 | (110) |
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Chapter 9 Strategic Management: Facing the Future with Confidence |
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197 | (32) |
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Strategic Planning in Health Care |
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202 | (1) |
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Contemporary Strategic Management |
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202 | (2) |
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Traditional Strategic Management |
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204 | (18) |
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205 | (4) |
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209 | (7) |
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216 | (3) |
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219 | (1) |
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220 | (1) |
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221 | (1) |
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222 | (1) |
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222 | (1) |
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223 | (1) |
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224 | (1) |
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224 | (3) |
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227 | (2) |
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Chapter 10 Financial Strategies |
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229 | (24) |
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231 | (1) |
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Providing What the Patient Values |
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232 | (1) |
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Ensuring Quality and Safety |
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233 | (2) |
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Improving Efficiency Through Productivity and Financial Management |
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235 | (3) |
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237 | (1) |
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The Budget Process: Is It Flawed or Effective? |
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238 | (3) |
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Creating a Cost-Conscious Environment |
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239 | (2) |
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Developing Integrated Information Systems |
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241 | (1) |
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Educating and Engaging Employees and Physicians to Create Leaders |
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242 | (1) |
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243 | (1) |
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Scenario-Based Strategic, Financial, and Operational Planning |
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244 | (1) |
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Achieving Population Health Improvement Through Pursuit of the Triple Aim |
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244 | (1) |
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244 | (1) |
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245 | (1) |
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245 | (1) |
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246 | (1) |
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246 | (1) |
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247 | (6) |
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Chapter 11 Accounting for Healthcare Entities |
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253 | (26) |
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254 | (1) |
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254 | (1) |
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Statement of Financial Position (Balance Sheet) |
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254 | (11) |
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254 | (3) |
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257 | (1) |
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258 | (1) |
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259 | (2) |
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261 | (2) |
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Schedule of Changes in Equity |
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263 | (2) |
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Internal Accounting Information |
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265 | (3) |
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Cost/Managerial Accounting |
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265 | (1) |
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265 | (3) |
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268 | (1) |
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269 | (1) |
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269 | (2) |
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271 | (8) |
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Chapter 12 Financial Analysis: Improving Your Decision Making |
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279 | (26) |
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Common Size Balance Sheets' |
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280 | (4) |
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Common Size Income Statements |
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284 | (3) |
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287 | (5) |
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287 | (1) |
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288 | (1) |
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289 | (1) |
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290 | (2) |
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Not-for-Profit Comparisons |
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292 | (10) |
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300 | (2) |
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302 | (1) |
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303 | (1) |
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303 | (2) |
| Index |
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