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Fiscal Planning;
Fiscal Planning in Nursing
Question | Answer |
---|---|
Fiscal planning | Nurses should play a role, it is not intuitive, it is a learned skill |
Complications in healthcare | the joining of Cost Containment and quality care |
Responsibility accounting | Someone is responsible for all accounting planning |
Budget | Fixed (do not vary), variable, controllable, noncontrollable, |
Budget Process | Assess, Diagnosis (goal), plan, implementation, evaluation |
3 types of budgeting | Personnel, operation, capital |
NCH/PPD | nursing hours worked in 24 hours/patient census |
Budgeting methods | incremental (used from current year), zero-based (rejustify program needs, decision package), flexible, performance |
Critical Pathways | The usual route of care for pts of illnesses. Used to cut down on costs and confusion, but sometimes pts do react outside of the norm |
Prospective Payment System | Healthcare providors receive specified amount, regardless of actual cost of care |
Balanced Budget Act | Cost containment measures for healthcare and medicaid/medicare |
Managed Care | system that attempts to integrate efficiency of care, access, and cost |
Health Maintenance Organization HMO | corporate body funded by insurance premiums, community group, POS (pt gets to choose dr), EPO (must use certain dr or pay out of pocket) |
Moral Hazard | pt will use healthcare options just because insurance will pay for them--not that they actually need them |