| |
| |
About the Author | |
| |
| |
Introduction | |
| |
| |
Budgeting for the Nurse Manager | |
| |
| |
What Is a Budget | |
| |
| |
The Benefits of Budgeting | |
| |
| |
The Integral Nature of Budgeting | |
| |
| |
Summary | |
| |
| |
How Does Health Care Reimbursement Work? | |
| |
| |
Health Care Reimbursement in the USA | |
| |
| |
The Early Role of Insurance Companies | |
| |
| |
The Advent of Medicare and Medicaid | |
| |
| |
Part D and the "Donut Hole" | |
| |
| |
Medicaid | |
| |
| |
The Role of Philanthropy | |
| |
| |
Managed Care | |
| |
| |
Types of Health Care Reimbursement | |
| |
| |
Capitation | |
| |
| |
The Role of Social Policy | |
| |
| |
Accountable-Care Organizations (ACOs) | |
| |
| |
The Importance of Reimbursement: An Example | |
| |
| |
Summary | |
| |
| |
Varieties of Budgets | |
| |
| |
Forms of Budgets | |
| |
| |
Zero-Based Budgets | |
| |
| |
Fixed Budgets | |
| |
| |
Flexible Budgets | |
| |
| |
Historical Budgets | |
| |
| |
Operating Budgets Versus Capital Budgets | |
| |
| |
Summary | |
| |
| |
The Budget-Development Work Flow | |
| |
| |
Collecting Relevant Data | |
| |
| |
Planning Services | |
| |
| |
Planning Activities | |
| |
| |
Implementing the Plan | |
| |
| |
Monitoring the Budget | |
| |
| |
Taking Corrective Measures When Necessary | |
| |
| |
Management's Role in Budgeting | |
| |
| |
Summary | |
| |
| |
Building an Operating Budget | |
| |
| |
Key Metrics in the Operating Budget | |
| |
| |
Understanding Expenses | |
| |
| |
Projecting Expenses | |
| |
| |
Calculating Employee-Related Costs | |
| |
| |
The Number of FTEs Needed | |
| |
| |
Accounting for Benefit Time | |
| |
| |
Other Key Calculations | |
| |
| |
Putting It All Together | |
| |
| |
Busting Budget Myths | |
| |
| |
Summary | |
| |
| |
Fixed Budgets | |
| |
| |
Flexible Budgets | |
| |
| |
Historical Budgets | |
| |
| |
Operating Budgets Versus Capital Budgets | |
| |
| |
Summary | |
| |
| |
The Budget-Development Work Flow | |
| |
| |
Collecting Relevant Data | |
| |
| |
Planning Services | |
| |
| |
Planning Activities | |
| |
| |
Implementing the Plan | |
| |
| |
Monitoring the Budget | |
| |
| |
Taking Corrective Measures When Necessary | |
| |
| |
Management's Role in Budgeting | |
| |
| |
Summary | |
| |
| |
Building an Operating Budget | |
| |
| |
Key Metrics in the Operating Budget | |
| |
| |
Understanding Expenses | |
| |
| |
Projecting Expenses | |
| |
| |
Calculating Employee-Related Costs | |
| |
| |
The Number of FTEs Needed | |
| |
| |
Accounting for Benefit Time | |
| |
| |
Other Key Calculations | |
| |
| |
Putting It All Together | |
| |
| |
Busting Budget Myths | |
| |
| |
Summary | |
| |
| |
Understanding Capital Budgets | |
| |
| |
Budgeting for Major Movable Equipment | |
| |
| |
Budgeting for Fixed Assets | |
| |
| |
Examples of Capital Expenditures | |
| |
| |
Why Develop a Capital Budget? | |
| |
| |
Developing the Capital Budget | |
| |
| |
Including a Contingency Line | |
| |
| |
Summary | |
| |
| |
Analyzing Budget Variances | |
| |
| |
Conducting a Variance Analysis | |
| |
| |
Calculating Variances | |
| |
| |
Calculating the Efficiency Variance | |
| |
| |
Calculating the Volume Variance | |
| |
| |
Calculating the Cost Variance | |
| |
| |
Putting It All Together | |
| |
| |
Summary | |
| |
| |
Budget Reports | |
| |
| |
Types of Budget Reports | |
| |
| |
Comparative Staff Summary Report #1 | |
| |
| |
Comparative Staff Summary Report #2 | |
| |
| |
Comparative Staff Summary Report #3 | |
| |
| |
Comparative Staffing Report #4 | |
| |
| |
Comparative Staffing Report for the ICU/CCU | |
| |
| |
Staff Mix Analysis Report | |
| |
| |
Nursing Care Hour Report | |
| |
| |
Summary | |
| |
| |
Conclusions | |
| |
| |
Get Politically Involved | |
| |
| |
Know What Types of Insurance Plans Reimburse Your Organization | |
| |
| |
Develop Strategic Relationships with Key Individuals in Your Organization | |
| |
| |
Speak the Language of Finance | |
| |
| |
Do It | |
| |
| |
Concluding Remarks | |
| |
| |
Glossary | |
| |
| |
Index | |