Question

Why do nurses/health care professionals need to understand and be involved in fiscal planning? How involved are you in your organization with this process. Discuss the impact of DRG's, PPS, pay for performance, and the managed care movement on fiscal planning. Consider the reimbursement methodologies that penalize facilities for readmissions, infections, pressure ulcer development etc...What is the impetus of these types of reimbursement methodologies. Do you agree or disagree and why?

3. Describe the impact of a career development program on employee attrition, equal employment opportunity, quality of work life and competitiveness of the organization. Rate your organization's career development program and describe its weaknesses/strengths and the subsequent impact on its workforce.

Answer 1

Fiscal Planning:- It is defined as it is a continuous process which involves the health care professionals/nurses in decision making about the alternative way of using available resources for achieving the goals.

Fiscal planning is involve the budgeting plannig for palnning care.

Need to understand & be involved in fiscal planning among health care workers:-

The health care workers need's to understand about the fiscal planning because they are activally involved in care of the patient.

Needs:-

1. Knowledge about the fiscal planning help to improve patient outcomes by improvement in quality, have a good knowledge about care costs and financing issues related to patient care.

2. Knowledge about the fiscal planning help to properly manage the service in the unit in which they are responsible for management.

3. It help to provide cost containment care to the patient.

4. Knowledge about the fiscal planning help the nurse manager to balance the relationship between nursing and financial resources available in the unit.

5. Knowlege about the fiscal planning not only help the better understanding about the business side of health care but also about the impove in patient outcome by providing qualty care, cost containment care.

Impact of DRG's on fiscal planning:-

DRG's stand for Diagnosis related group.

1. DRG's help to monitor the cost containment care to the patient.

2. It predertermine the inpatient hospital stay rates.

3. DRG help to covers all the cost that is associated with an inpatient stay of the patient from the time of admission to discharge of the patient.

4. DRG (Diagnosis related group) payment system help to increase in  efficiency and reduced the length of stay of the inpatient & reduce the cost

5. By doing Strategic planning under DRG's helip in financial simulation & analysis of position .

Impact of PPS (Prospective payment system) on fiscal planning:-

It is method of reimbursement that is based on a predermined fixed amount.

1. It help to reduce the length stay of the patient in hospital.

2. It provide basic information to plan budget & care.

3. it provide a better information about what the payers are purchaging & we can use this information for in turn, network development, & manmagement of medical care.

4. It also motivate to provide cost effective care to patient to avoid any unnecessary services.

Impact of pay of performance on fiscal planning:-

Pay for performance is refer to the strategies to pay according to performance of the individual.

1. It motivate the health care worker to do more to drive good income levels. If the employee are good motivated they are working harder that is beneficial for the company or organization. In this way the pay for performance do impact on fiscal planning.

Impact of managed care movement on fiscal planning:-

1. Managed Care movement in the health care delivery system help organize &  to manage the cost, utilization, and quality in the patient care. Managed care help to organizing health care providers to achieve the goals of of the organization in controlling health care costs to improve the fiscal planning.

2. Through the managed care movement of information occurs through network that help to provide quality care.

3. The main goal of the managed care movement is to provide quality care to the patient & reduce the cost.

3. Describe the impact of a career development program on employee attrition

ans . employee attrition maens employee retire or resign.

Career development programme helps to increase employee motivation and their productivity. It also help to attract the to retain the valued employee

Career development programme helps to improves employees morale, strength and motivation to work effectively. It also enables the organizations to internal promotional vacancies , & also help to reducing the cost of recruitment.

Describe the impact of a career development program on equal employment opportunity

Equal Employment Opportunity helps the organization to reduce potential barriers & biasis among the employees of organization. It also   help the individuals to feel that they are being treated fairly and equally in the organization, which help to increase an employee level of commitment, satisfaction, and loyalty to their employer.

Describe the impact of a career development program on quality of work life

Quality of work life is defined as the total quality of an employee's work-life in an organization.

Career development programme is help to extend jobs opportunity  and working conditions that are outstanding for employees as well as also help to improve the economic strength of the organization. It also help to improve the performance of the employees.

Competitiveness of the organization:-

Competitiveness on an organization is defined as an it is a level of organization's permanent capability to deliver quality products and services . Career development programme help to foster Competitiveness of the organization is because it is a driving factor that makes people work very hard, personal development.