Financial Statement Analysis
The ability to evaluate the financial statement of Doctors Hospital (DH) will promote accessibility to safe and timely healthcare. According to Kieso, Weygant, & Warfield (2014), the advanced practice nurse (APN) recognizes the relevance within nursing and the data presented in financial statements to predict the future and ascertain the potential flaws of such organization. This purpose of this paper is to analyze the implications of finances for the APN, its role in the financial welfare of a healthcare organization, examine the financial statement analysis of Doctors Hospital (DH), illustrate the significance of the financial statement to comprise the balance sheet, cash flow and income statement and calculate the financial ratios of the financial statements.
Implications of Economics for Advanced Practice Nurse
According to Lim et. al. (2013), it is essential for the APN to recognize that improving quality patient centered in healthcare involves having expertise in the exploration and application of financial material. To create a financial judgement, the APN must be versatile in the financial administration of an organization (Butts & Rich, 2015). The understanding of financial abilities assists the APN to use resources proficiently thereby sustaining the standards of the nursing profession. This transcends to financial expertise and quality performances of managerial skills on the units (ANA, 2010). Due to changes in the healthcare system,
Each aspect plays a role, as financial management as a whole impacts the health care organization in a significant way. An example (that ties to evidence) of a primary component is the model analysis of the insurance system that affects the health budgeting spending on a statewide level. Further elaborating, the insurance system affects the input and output of the external categorization of the practical approach for a health care organization to utilize their primary care towards patients. Thus, as a result the aspects shift according to model process. Additionally, one’s perspective plays an important role in influencing decision-making in regards to financial management for healthcare. This is because the individual plays a primary role in the performance and internal indicators of the direction of the organizational mission; thus their output affects the organization’s advancement.
Budzi, Lurie, Singh, and Hooker (2010) state, “Nurse Practitioners’ (NP) interpersonal skills in patient teaching, counseling, and patient centered care contribute to positive health outcomes and patient satisfaction.” According to their research they encourage healthcare systems in the U.S. to hire more NPs to allow for better access affordable, and quality care (Denisco & Barker, 2016). With the demand for primary care providers, The NP role aids in delivering a solution to some of the healthcare issues that exist today. Organizations like the Institute of Medicine (IOM) and Centers for Medicare and Medicaid (CMS) all agree to allow nurses to practice to their full abilities to make healthcare more accessible and affordable, especially for the aging baby boomers and less accessible rural neighborhoods, and densely populated urban areas. Research has proven that NPs that provide primary care have similar health outcomes to primary care physicians (DeNisco et. al., 2016). NPs particularly take pride in their holistic approach, forming therapeutic relationships between other providers of the healthcare team, patients, and their families, aiding the informed decision making process, use of the evidence based practice approach in health management (Brown, 2005). Some of the other actions or qualities that
In this era of healthcare reform, with the increasing complexity of care, declining reimbursement for services and increased accountability for patient outcomes, attention is focused on quality outcomes that yield a financial return on investment for the patient and the healthcare organization. While hospital leadership may embrace evidence-based practice, a mission critical environment requires making the business case for implementing evidence-based interventions by justifying the potential for cost savings. In order to demonstrate a return on investment for clinical interventions, Clinical Nurse Specialists’ (CNSs’) must learn business skills that allow them to justify a need for change in practice. Business skills include intervention planning that considers the resources involved in planning, implementing and evaluating interventions and the associated costs, known as the “business case.” The purpose of this paper is to describe the process of making a business case for developing CNS-led interventions. The business case framework was developed by CNS faculty to help CNS students develop these skills in making the business case for intervention development. This framework can be used as a tool for educating CNS students as well as for practicing CNSs.
One common theme that has resurfaced throughout the entire Obama administration and has created a great deal of focus and debate is health care reform. The Patient Protection and Affordable Care Act (PPACA) which was introduced by Obama in 2010 creates a new structure of health care. It transforms health care from “late-stage, high intensity, illness focused, tertiary, interventional health service to a much stronger value driven focus on achieving the highest levels of health” (Porter-O’Grady, 2014, p. 65). Through this act, legislation has been created that regulates the way hospitals and physicians are reimbursed, which is built on evidenced-based, quality health care outcomes that are cost effective without infringing upon patient satisfaction. At the heart of this debate is the impact on nursing care, for nursing is the largest health care professional as well as the largest component of health care costs. Any change in the health care reimbursement will greatly affect the nursing practice (Buerhaus, 2010). In order to fully understand the impact of this health care reform, one must understand that health care reform is not a new concept. Health care reform has been transforming since the 1800s.
While there is still much to learn about financial operation of a health organization, I feel that I have better understand of most of the fundamental principles that apply to a broad spectrum of businesses. Upon reflection this understanding of financial principles also reinforces the need to have a fundamental base of knowledge, but simultaneously services to illustrate the vast body of information that there still is to learn. The allied health community assignments were useful in a general sense, in that they allowed a student to apply some of the concepts that they have learned. This “hands on” approach was helpful because it added context to the lectures and readings. As an exercising in doing the work of an administrator, the allied health community exercises required the student to research additional information about the topics assigned and this allowed me to further mentally cement the concepts.
As stated previously, it will encourage nurses to pursue advanced degrees to make up for shortages in primary care and the pay-for-performance system will stress the overworked nurses. Nurses will also see more opportunities to work in new settings as there are needs in the new community-based programs prescribed in the policy. Nurses will also be inundated with much sicker patients, as this segment receives more benefits to seek care and the previously uninsured or underinsured can now pursue the care they need. The system has pluses and minuses, but it is undeniable that this healthcare policy could lead to many opportunities for all
Health care economics, understanding of governance, and understanding of evidence based practice are all necessary to fulfill the nursing administrator position (American Organization of Nurse Executives, 2005). These two areas seem to be independent from the core competencies of a clinical advanced practice nurse.
Healthcare changes occurring today along with shrinking budgets and reimbursement rates for hospitals has forced institution CEOs to do more with less. Changes and restructuring of various health facilities require nursing leaders with flexibility and adaptability. Nurse leaders must also consider budgetary constraints, cost effectiveness, patient safety, and quality care while maintaining focus on improved patient outcome. The responsibility of ensuring patients receive safe and high quality care belongs to every employee in the hospital, including support staff such as IV therapy. In this hospital, this led to the development of a nurse director position to oversee the
The delivery of healthcare has evolved and changed over the years and with the advances in science and technology, the ability to provide safe, quality care to all patients has been impacted by the changes. With the rising healthcare costs and decrease in reimbursement for care provided, organizations must look for ways of cost containment to maintain viability for the future. Fabre (2005) noted that administrators are struggling to maintain financial stability and retain competent nurses during these difficult
The role of the Advanced Practice Nurse (APN) is expanding internationally throughout the healthcare system. Since the initiation of the Patient Protection and Affordable Care Act in 2010, there has been an increased need for APNs due to the growing demand for primary care services and increased population that have gained healthcare coverage (Lanthrop & Hodnicki, 2014). The purpose of this paper is to explore the role of APN and develop a professional development plan for my future career.
The following pages present a brief analysis of sample data from one healthcare organization. Accompanying this written report are spreadsheets of the company's financial data its balance sheet and its statement of revenue and expenses that provide not only the figures from the audited reports of the hospital examined, but also show the change from year to year on each item as both a dollar amount and a percentage. Changes of more than five percent are considered worthy of discussion, and as these documents show much
According to the IOM report, the nursing profession is undergoing fundamental changes within the underlying operations of the field. A new regulatory environment coupled with increased scrutiny of the profession will dramatically impact the nursing profession. As the report indicates nurses, in the near future, will have job requirements that are business oriented. Nurses will need to have a better understanding of quality management methods in addition to overall concepts of management. As the health care system continues its rapid reform nurses must also be cognizant of the effects these changes will have on their overall roles and responsibilities. This involves a transformation of the roles and responsibilities of nurses as they enter the profession. As the health care landscape continues to change, so too must the nurses of the future. A dedication to continual learning is therefore needed to help diminish the influence of antiquated and obsolete knowledge regarding the profession.
Healthcare managers participate in various important roles that allow them to form and maintain flourishing organizations. Managers ought to be aware of the decisive elements of management and the generally accepted accounting principles. At the same time, they must realize, stick to, and put into effect the general financial ethical standards. Successful management of finances of healthcare is one of countless tests that mug the organization. Revenues and expenses of the organization are essential because they establish the external and internal finances of the company. The
The financial statement analysis of Doctors Hospital raises hopes and concerns regarding the financial performance and financial situation of the hospital. A rise in net assets and drop in liabilities will support the financial base of the hospital. Profits from short-term I nvestments should maintain this base, and improve the total assets. There is a concern in regards to cash flow and net income. There is a large reduction in cash flow of $2,222,000, which means there might be a shortage in cash flow to continue the project or purchase capital equipment. The organization should have to find solutions like to borrow from banks, spreading payments in future, etc. to manage the shortage of cash flow (Finkler et al., 2013). Another area
The following paper discusses the nurse manager’s/leader’s role in healthcare financial management and budgeting. The definition of a budget is a detailed financial plan. The nurse manager/leader is responsible in knowing and understanding the different types and budgets within the healthcare organization: operating, capital expenditure, and cash. The operating budget is the main budget the nurse manager/leader maintains an active role in for the healthcare organization by controlling personnel and supply costs. Collaboration with the nursing staff on the unit as well as other