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Financial management series. Functional value analysis.

A brief explanation of the process of functional value analysis, an in-depth method of developing cost-saving ideas, is provided in this article. Steps for preliminary preparation are discussed, then the actual phases of functional value analysis are described. This analysis is a complete method for developing and assessing cost-saving measures during this time of increasing pressures in the health care arena.

Administrative Personnel↗

Laboratory manager's financial handbook. Cost accounting: the road map to financial success.

Cost accounting is the most basic element of the laboratory's financial management structure. Historically, cost accounting in the nonmedical world referred to accumulating and assigning costs to units of production and departments, primarily for inventory valuation and income determination. In the health industry, microcost accounting is distinguishable from macrocost (management/internal) accounting and serves multiple purposes. Microcost accounting pertains to gathering and providing information for decision making. The range of decisions include managing recurring operations, making nonrecurring strategic decisions, and formulating major organizational policies. Macrocost accounting fulfills the legal requirements of reporting to stockholders, auditors, governmental agencies, and other external parties.

Accounting↗

Litigation risk management. Home care challenge.

Although realizing the potential for proliferation of liability litigation, home care administrators are not fully cognizant of the numerous ways that exposure manifests itself and the necessary methods of responding to this risk. Implementing a Litigation Risk Management (LRM) program will provide a comprehensive approach to decrease the agency's risk in all areas of exposure: clinical care, personnel management, financial management, criminal activities and indirect care-related activities.

Financial Management↗

Reviewing the basics of investment management.

As financial managers run healthcare institutions like a business, the idea of investing excess or reserved funds as a method of increasing cash flow is becoming more accepted. Often times, though, a review of the basics of investment management is needed. By reviewing various methods such as yield curve analysis, procedures and reporting, and portfolio review, financial managers can be assured of a sound investment policy for their institutions.

Financial Management↗

Selectivity within primary health care.

While great strides have been made in improving socioeconomic conditions in the developing world, prospects for health for all remain remote. Resources are few, and difficult decisions must be made concerning the priorities for their use. This paper addresses several topics involved in making these choices including the methods for determining priorities and ensuring effectiveness of resource use. First, prioritizing. Information is needed concerning the prevalence, mortality, morbidity, feasibility and cost of control for each disease of importance in the area under consideration. Second, the use of technology. In discussion of health care some have denigrated the concentration many programs have placed on specific methods and technologies. Nevertheless, technological advances, while some have had detrimental results, have often led to improved living conditions; for example, improved seed and fertilizer use, improved water pumps, family planning efforts. These technologies required a larger investment in management, financial and communication systems. Health interventions are frequently more various and complex than these and need a similar support system for impact. However there are many shortcomings in health services; the paper looks at some of these learnt through experience, and concludes that the lack of impact on health of large scale health programs that have provided selective interventions is probably related to an inadequate recognition of the importance of community and political involvement and of the necessary social, cultural, financial, management and administrative underpinnings.

Developing Countries↗

Developing a decision support system to meet nurse managers' information needs for effective resource management.

This article describes the development of a decision support system called CLASSICA, which assists nurse managers in financial management, resource allocation, activity planning, and quality control. CLASSICA integrates information about patient flow and activity, staffing, and the cost of nursing care at the nursing-unit level. The system provides assistance in planning activities, balancing the budget, and identifying barriers to unsatisfactory resource management. In addition, CLASSICA contains forecasting and simulation options to analyze the influence of factors that affect nursing costs. This article describes the system's development process steps to tailor it to the needs of nurse managers and their existing work practices. Nurse managers actively participated in defining their tasks and responsibilities; identified barriers and difficulties in managing these tasks; defined information needs, data input, and output and interface requirements; and identified expected benefits. Clear communication of project goals, strong user involvement, and purposeful benefit planning was used to achieve the goals for CLASSICA: (1) to provide essential information and decision support for effective financial management, resource allocation, activity planning, and staffing; (2) to improve nurse managers' competence in financial management and decision making; (3) to improve cost containment; and (4) to provide a helpful and easy to use tool for decision support.

Decision Support Systems, Management↗