Discussion 06.1: LP06 NAUXChange - Nursing
HA4200D - Healthcare Financial Management   Discussion 06.1: LP06 NAUXChange LP06- When considering your household budget, what obvious trends can you identify about your expenses and income? Do your expenses continue to increase? What future expenses can you expect in the next 5 years? What actions can you take to meet your expected expense changes? Chapter 14: Trend Analysis, Common Sizing, and Forecasted Data Common Sizing Common sizing puts data on the same relative basis. Common Sizing: Example Common sizing converts numbers to percentages so that comparative analysis can be performed. The worksheet below shows the assets of two hospitals. Same Year for All Three Hospitals Hospital 1 Hospital 2 Hospital 3 Current Liabilities Long-term debt Total liabilities $100,000 400,000 $500,000 20\% 80\% 100\% $500,000 1,500,000 $2,000,000 25\% 75\% 100\% $400,000 100,000 $500,000 80\% 20\% 100\% Common Sizing: Practice Exercise 14-1 Trend Analysis Trend analysis compares figures over several time periods. Trend Analysis: Example Trend analysis allows comparison of figures over time. Hospital 1 Year 1 Year 2 Difference Current Liabilities Long-term debt Total liabilities $100,000 400,000 $500,000 20\% 80\% 100\% $500,000 1,500,000 $2,000,000 25\% 75\% 100\% $50,000 50,000 $100,000 50.0\% 12.5\% Trend Analysis: Practice Exercise 14-2 Comparative Analysis of Operating Data: Horizontal Analysis Usually involves converted $ to \% Called “horizontal analysis” because computation of the \% is across, or horizontal (Refer to examples in this chapter.) Comparative Analysis of Operating Data: Vertical Analysis Usually involves converted $ to \% Called “vertical analysis” because computation of the \% is up and down, or vertical (Refer to examples in the chapter.) Forecast Definition Webster defines the verb “forecast” as “to calculate or predict some future event or condition, usually as a result of study and analysis of available pertinent data” (Merriam Webster’s Collegiate Dictionary, 10th ed., s.v. “Forecast”). Forecasting Results Managers can use three levels of forecasts: Short Range: Next year Intermediate Range: 5 years from today Long Range: The next decade and beyond Forecasting Approaches The manager’s forecasting approach usually involves three source levels: Level 1: Directly involved personnel Level 2: Electronic and statistical information Level 3: Executive-level judgment Forecasting Types The three most common types of healthcare forecasts include: Revenue forecasts Staffing forecasts Operating expense forecasts Forecasting Results (1 of 2) Assumptions affect forecasted results and are the basis of the numbers in your forecast. For example: Computing a staff requirement of 3 lab technicians requires an assumption. Computing the salary and fringe benefits for each of the technicians requires another assumption. When the salary and fringe benefit dollars are computed for the 3 lab technicians, the resulting figure becomes part of your forecast. Forecasting Results (2 of 2) Five important assumptions, (especially when forecasting for revenues) include: Utilization Changes Patient Mix Changes Contractual Allowance Changes Trend Analysis Payer Changes Contractual Allowance: Practice Exercise 14-3 A: The unit has recorded 2,000 procedures. A: 500 procedures are attributed to each payer. A: Net revenue and contractual allowance as follows: Payer # Gross Charges \% Paid by Each Payer Net Revenue per Procedure Contractual Allowance per Procedure 1 $100.00 90\% $90.00 $10.00 2 $100.00 80\% $80.00 $20.00 3 $100.00 70\% $70.00 $30.00 4 $100.00 50\% $50.00 $50.00 Contractual Allowance: Assignment Exercise 14-3 A: The unit has performed 2,000 procedures. Of these, Payer 1 = 30\% × 2,000 = 600 procedures Payer 2 = 40\% × 2,000 = 800 procedures Payer 3 = 20\% × 2,000 = 400 procedures Payer 4 = 10\% × 2,000 = 200 procedures Proof Total = 2,000 Contractual Allowance: Assignment Exercise 14-3 (1 of 3) A: The net revenue per procedure and the contractual allowance per procedure for each payer is as follows: Payer # Gross Charges \% Paid by Each Payer Net Revenue per Procedure Contractual Allowance per Procedure 1 $100.00 80\% $80.00 $20.00 2 $100.00 70\% $70.00 $30.00 3 $100.00 50\% $50.00 $50.00 4 $100.00 90\% $90.00 $10.00 Contractual Allowance: Assignment Exercise 14-3 (2 of 3) A: The total net revenue computation for each payer is as follows: Payer # Number of Procedures Times Net Revenue per Procedure per Payer Equals Total Net Revenue per Payer 1 600 $80.00 $48,000 2 800 $70.00 $56,000 3 400 $50.00 $20,000 4 200 $90.00 $18,000 Total 2,000 $142,000 Contractual Allowance: Assignment Exercise 14-3 (3 of 3) A: The total contractual allowance computation for each payer is as follows: Payer # Number of Procedures Times Contractual Allowance per Procedure per Payer Equals Total Contractual Allowance per Payer 1 600 $20.00 $12,000 2 800 $30.00 $24,000 3 400 $50.00 $20,000 4 200 $10.00 $ 2,000 Total 2,000 $58,000 Forecasting Results Managers often have to prepare staffing forecasts Watch for Non-Controllable Expense Problems Required Minimum Staff Levels Labor Market Problems (More details are in the chapter.) Staffing Forecasts A staffing forecast has many parts. A master staffing plan should include all units and all hours and days required to cover all positions with the units. Refer to Figure 14-4, “Components of the Staffing Forecast,” in the text. (Computation of an annual staffing factor is also illustrated in Figure 14-4.) Figure 14-4 Components of the Staffing Forecast. Capacity Level Issues in Forecasting (1 of 2) In the healthcare industry, “capacity” refers to levels of services; that is, the ability to produce or provide a certain amount of specific healthcare services. In the manufacturing industry, on the other hand, “capacity levels” refer to production levels, such as the ability to produce a certain number of widgets. Capacity Level Issues in Forecasting (2 of 2) Limitations on healthcare capacity levels generally involve: Space and equipment availability Staffing availability (Refer to details in the chapter.) Final Words About Forecasts In summary: The ultimate accuracy of a forecast rests on the strength of its assumptions Always remember: forecasting is an important part of the budget process. Chapter 15: Using Comparative Data Using Comparative Data Managers use comparative data to set common ground for planning, control, and decision-making purposes. Comparability Criteria True comparability needs to meet three criteria: Consistency Verification Monetary Unit Measurement Consistency Three elements of consistency are all equally important: Time periods Consistent methodology Inflation factors Verification You should ask three questions about verification: Can the data be verified? Are the data reasonable? If an objective, qualified person reviewed the data, would he or she arrive at the same conclusion and/or results? Monetary Unit Measurement You should ask this question: Is all the information being prepared or under review measured by the same monetary unit? In the United States, we would expect all data to be in dollars, but properly consistent currency conversions are important when reporting global operations. Uses of Comparative Data Four common uses of comparative data include: Compare current expenses to current budget Compare current actual expenses to prior periods in own organization Compare to other organizations Compare to industry standards Figure 15-1 A Comparison of Hospital Ones Budgeted and Actual Expenses. Figure 15-2 A Comparison of Hospital One’s Expenses Over Time. Figure 15-3 A Comparison of Three 100-Bed Hospitals Long-Term Debt Figure 15-4 A Comparison of Three Hospitals Total Expenses. Figure 15-5 A Comparison of Three Hospitals Expenses per Bed. Figure 15-6 A Comparison of Hospital Ones GS Inpatient Expenses with Industry Standards. Making Data Comparable: Annualizing Partial-Year Expenses Annualizing partial-year expenses is important to know because comparability requires such consistency. Table 15-2 (p. 158) sets out actual 10-month expenses that are annualized to 12 months. (Details about how to compute annualizing are in the chapter text.) Making Data Comparable: Inflation Factors “Inflation” is defined as “an increase in the volume of money and credit relative to available goods and services resulting in a continuing rise in the general price level” (Merriam Webster’s Collegiate Dictionary, 10th ed., s.v. “Inflation”) An inflation factor is used to compute the effect of inflation over time. (An example follows on the next two slides.) Making Data Comparable: Currency Measures Currencies are typically converted for financial reporting purposes using the U.S.-dollar foreign exchange rates as of a certain date. (Chapter 15 explains how to convert currency using the exchange rates. Foreign currency examples follow on the next slide.) Making Data Comparable: Standardized Measures Finally, standardized measures aid comparability and especially assist in performance measurement. Electronic medical records: The wave of the future in health care–depend upon such standardized input. Cumulative Inflation Factor for Comparable Data-Assignment Exercise 15-3: Solution Projected Revenue (in millions) Year 1 Year 2 Year 3 Year 4 Year 5 Hosp. 1 $20 $22.50 $27.50 $27.50 $30 Hosp. 2 $20 $22.05 $27.55 $27.75 $31.6
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Indigenous Australian Entrepreneurs Exami Calculus (people influence of  others) processes that you perceived occurs in this specific Institution Select one of the forms of stratification highlighted (focus on inter the intersectionalities  of these three) to reflect and analyze the potential ways these ( American history Pharmacology Ancient history . Also Numerical analysis Environmental science Electrical Engineering Precalculus Physiology Civil Engineering Electronic Engineering ness Horizons Algebra Geology Physical chemistry nt When considering both O lassrooms Civil Probability ions Identify a specific consumer product that you or your family have used for quite some time. This might be a branded smartphone (if you have used several versions over the years) or the court to consider in its deliberations. Locard’s exchange principle argues that during the commission of a crime Chemical Engineering Ecology aragraphs (meaning 25 sentences or more). Your assignment may be more than 5 paragraphs but not less. INSTRUCTIONS:  To access the FNU Online Library for journals and articles you can go the FNU library link here:  https://www.fnu.edu/library/ In order to n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading ce to the vaccine. Your campaign must educate and inform the audience on the benefits but also create for safe and open dialogue. A key metric of your campaign will be the direct increase in numbers.  Key outcomes: The approach that you take must be clear Mechanical Engineering Organic chemistry Geometry nment Topic You will need to pick one topic for your project (5 pts) Literature search You will need to perform a literature search for your topic Geophysics you been involved with a company doing a redesign of business processes Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages). Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in in body of the report Conclusions References (8 References Minimum) *** Words count = 2000 words. *** In-Text Citations and References using Harvard style. *** In Task section I’ve chose (Economic issues in overseas contracting)" Electromagnetism w or quality improvement; it was just all part of good nursing care.  The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management.  Include speaker notes... .....Describe three different models of case management. visual representations of information. They can include numbers SSAY ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3 pages): Provide a description of an existing intervention in Canada making the appropriate buying decisions in an ethical and professional manner. Topic: Purchasing and Technology You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.         https://youtu.be/fRym_jyuBc0 Next year the $2.8 trillion U.S. healthcare industry will   finally begin to look and feel more like the rest of the business wo evidence-based primary care curriculum. Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev 4. Identify two examples of real world problems that you have observed in your personal Summary & Evaluation: Reference & 188. Academic Search Ultimate Ethics We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities *DDB is used for the first three years For example The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case 4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle From a similar but larger point of view 4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open When seeking to identify a patient’s health condition After viewing the you tube videos on prayer Your paper must be at least two pages in length (not counting the title and reference pages) The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough Data collection Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. 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After establishing where each member is in relation to the family A Health in All Policies approach Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum Chen Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change Read Reflections on Cultural Humility Read A Basic Guide to ABCD Community Organizing Use the bolded black section and sub-section titles below to organize your paper. For each section Losinski forwarded the article on a priority basis to Mary Scott Losinksi wanted details on use of the ED at CGH. He asked the administrative resident