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Patton fuller final presentation
1. Health Care Case
Study:
Sensitivity Analysis
Regine Roy, Dianne Smith, Dorian Rozier, Tara Brown
HCS 405 – Health Care Financial Accounting
April 28, 2011
Professor Theron Angry
1
2. OBJECTIVES
Discuss Patton-Fuller’s Nursing Shortage
o The Advantages
o The Disadvantages
o The Best Choice
Explain the affects of giving raises to Patton-Fuller nurses
Explain The Use of Trend Analysis to plan for staffing at Patton-Fuller
Summarize the trend data and how comparative data facilitates
forecasting at Patton-Fuller
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3. PATTON-FULLER’S NURSING
SHORTAGE
Patton-Fuller is a cardiac specialty facility with invasive procedures being
done everyday.
Based on the financial statements, 20% of the budget is spent on
nurses wages
Initially the nurse ratio was 5:1 and needs to be changed
Regine Roy 3
4. NURSE 5:1 RATIO DISADVANTAGE
Nurse Burnout
Lack of employee retention
Job dissatisfaction
Poor quality in patient care
Prone to medical errors
Regine Roy 4
5. NURSE 4:1 RATIO ADVANTAGE
Implement team nursing
Get $1 per hour and better benefits
Less nurse burnout levels
Better employee retention
Better quality in patient care
Nurse able to focus better on the patient
Regine Roy 5
6. BEST CHOICE FOR PATTON-FULLER
4:1 ratio in nursing staff regardless of the department
Better Nurse Ratio = Better Care = Better Facility
Better Facility = More Clients = More Revenue = Happy CEO
Regine Roy 6
7. AFFECT OF NURSE RAISES
Negative
Increase in cost per month
Cutting cost else where to cover cost of raises
Other Departments requesting a raise
Paying out more money – Less coming in
Positive
Happier Employees – Getting Paid their worth
Tara Brown 7
9. TREND ANALYSIS
Financial and statistical performance comparison over period of time
Differences between current assets and current liabilities
An aspect of technical analysis that tries to predict the future based
on past data
Dianne Smith 9
10. RECOMMENDATIONS
Internal Analysis Obtain staff feedback
through in house surveys
Surveys
Use manageable ratios of
Delivery nurse to patient to avoid
negative ratings in
quality.
Competitiveness
Performance
management incentives.
Dianne Smith 10
11. SUMMARIZING THE TRENDS ANALYSIS
Patton Fuller’s Cardiac Hospital is a
600 bed facility that generally utilizes
60% occupancy.
Based on the trend analysis the
nurses were burned out based on a
5 to 1 ratio.
Changing the ratio to 4 to 1 will
ease the nurse work load.
Increasing the nurses salary $ 1 per
hour will increase the employee
moral and maintain employee
retention.
Dorian Rozier 11
12. COMPARATIVE DATA
Changes in daily and monthly census
affects the patient revenue.
Based on the patients census, it
determines the nurse patient ratio.
The cost of the nurses is based on the
existing 5 to 1 ratio and a salary of
$30.00 an hour.
The data estimated what the nursing
cost would be if given a $1 per hour
raise or changing the ratio to 4 to 1 .
12
Dorian Rozier
13. REFERENCES
Carlson, J. (2010). Rallying for ratio. Modern Healthcare 40(24), 8 – 9.
Retrieved from Health Source: Nursing/Academic Edition
database.
University of Phoenix. (2011). Analyzing financial indicators for decision
making [Computer Software]. Retrieved from University of Phoenix,
Simulation, HCS405-Health Care Financial Accounting website
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Hinweis der Redaktion
The past decade has been a turbulent time for US hospitals and practicing nurses. News media have trumpeted urgent concerns about hospital understaffing and growing hospital nurse shortage (Carlton,2010). Considering the fact that Patton Fuller is a specialty hospital, the administrators have to take into consideration the patient mix in the unit.
Nurses nationwide consistently report that hospital nurse staffing levels are inadequate to provide safe and effective care. Physicians agree, citing inadequate nurse staffing as a major impediment to the provision on high quality of care (Carlson 2010). The shortage of hospital nurses may be linked to unrealistic nurse workloads. Forty percent of hospital nurses have burnout levels that exceed the norms of health care workers. Job dissatisfaction among hospital nurses is four times greater than the average for all US workers, and one in five hospital nurses report that they intend to leave their current jobs within a year (Carlson 2010).
Team Nursing, on the other hand, is a system developed in the 1950’s to answer the need of more nurses in a hospital. This is where one nurse is in charge of leading group comprising 4-6 different members such as nursing aids and unlicensed assistive personnel to care for a group of patients equating to 15-20 (Carlson, 2010). Patient care is delivered through the coordination and cooperation of each team member through delegation of assignments with respect to the team member’s level of responsibility and accountability. Delegation of patients and duties are done at the beginning of the shift, while a summary of care given and outcomes resulting from patient care is conveyed at the end. Any action that is done by unlicensed assistive personnel, nursing aid or nurse volunteer is the responsibility and accountability of the team leader, the registered nurse. The advantage of team nursing is that the total number of absences and leaves related to over-work and medical conditions related to stress and fatigue is lessened. This is due to the sharing of workload between each team members, enabling them to do a huge amount of work in such a short time without undue exertion. This delegation of duties will also enable team members to hone their skills in different nursing tasks, and also improve their ability to communicate and coordinate. Each can also learn from each other during team conference while discussing on ways how to go about in caring for different patients (Carlson,2010).
Based on the previous financial records Patton-Fuller is struggling and giving the nurses a raises can affect the bottom line for this facility.
Jan - $30 - 1,911,078 $31 - $1,974,781 difference of $63,703March - $30 – $1,769,190 $31 - $1,828,163 difference of $58,973June - $30 - $1,045,194 $31 - $1,080,034 difference of $34,840September $30 - $1,050,392 $31 - $1,085, 405 difference of $35,013December $30 - $1,888,210 $31 - $1,951,150 difference of $62,940
Patton-Fuller Community Hospital (PFCH) faces a common problem relating to the delivery of quality care and maintaining a manageable nurse to patient ratio. An attempt at projecting the financial performance over the upcoming years proves to be challenging because of the state of the economy, nursing shortage and the possibility of a health care reform
PFCH success in the future depends largely on quality care and patient satisfaction. Happy work environment promotes more productivity and productivity increases the hospital financial future.
Patton Fuller’s hospital has to analyze the employment trends in health care that are associated with staffing shortages. In the health care world whether, in a hospital, a clinic, doctor’s office trend analysis are key in decision making.
Data is meaningful when compared to some meaningful figures such as census and nurse patient ratio. Comparison figures from previous periods benefits when a trend analysis is evaluated.