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Financial Management

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Subject Course: NM 204 – Financial Management

Reported & Presented by: Raiza J. Majid , Amina M. Bahjin, Jhean A. Natividad                                          

   Professor: Prof. Leila D. Benito, RN,MN

  Learning Outcomes: At the end of the class discussion, the post-graduate student can:

  1. Differentiate and classify the different structure of health care facility (its vision, mission, goals and objectives)
  2. Define and discuss the levels of management.
  3. Enunciate importance of financial management

CONTENT

WHAT IS HEALTH CARE?

  • Health care is the field concerned with the maintenance or restoration of the health of the body or mind.

DO I REALLY NEED TO UNDESTAND ACCOUNTING AND FINANCINAL MANAGEMENT?

  • To be successful healthcare managers, regardless of specialized area within a healthcare organization they lead, one must have a firm understanding of accounting and financial management.

WHAT IS THE DIFFERENCE BETWEEN “ACCOUNTING & FINANCIAL MANAGEMENT”?

  • First and foremost, financial management is a decision science.  Financial management provides the theory, concepts, and tools necessary to make better decisions. Whereas accounting provides decision makers with a rational means by which to budget for and measure a business’s financial performance.

WHAT IS FINANCIAL MANAGEMENT?

  • Financial management can now be defined as strategizing the organization’s financial direction as well as the performance of its day-to-day financial operations. Therefore, financial management has a dual purpose. The first is to determine the strategic financial direction of the organization. The second purpose is management of day-to-day financial operations.
  • “Financial management tools and techniques can aid management in providing the community with quality services at least cost by furnishing the data that are necessary for making intelligent capital investment decisions, by guiding the operations of certain hospital subsystems, and by providing the systems and data needed to monitor and control operations” (Berman, Weeks &Kukla, p. 4., 1994)

WHAT ARE THE GOALS OF THE FINANCIAL MANAGER IN A HEALTHCARE ORGANIZATION?

  • Profitability – maximization of wealth or simple maximization of organization’s profits; A trade-off always exist between

                         maximization of expected profits and the acceptable level of risks. Undertaking risks requires greater

                          returns,

  • Viability -  A trade-off always exist between “Profitability” versus “Viability”. Greater liquidity results to lower risks and lower profits.

                   a) Liquidity – is a measure of the amount of resource and organization has that are cash or are convertible to

                                           cash in the near-term to meet the organization’s obligations.

                   b) Solvency – the same concept with “Viability” but for a long- term. Concerned with the generation of cash

                                             in future years of business.

 TWO GENERAL TYPES OF ORGANIZATIONS:

  1. In the FOR-PROFIT WORLD, “management must administer the assets of the enterprise in order to obtain the greatest wealth for the owner” (Berman, Weeks, and Kukla, 1994, p. 4). Therefore, management’s goal is to find the combination of earnings and risk associated with producing those earnings that yields the highest possible value.

  1. In the NOT-FOR-PROFIT WORLD, earnings or profits are called margin. Not-for-profit health care providers place a somewhat greater emphasis on social goals than for-profit providers, but in the end, management’s success or failure—as defined by each organization’s board of directors— is primarily related to the quality of its bottom line.

ROLE OF FINANCIAL MANAGEMENT AND NURSE LEADERSHIP IN HEALTHCARE ORGANIZATION

LEVELS OF MANAGEMENT:

  1. TOP MANAGERS
  • Looks At the organization as a whole
  • Coordinating internal and external influences
  • Make decisions with few guidelines or structures
  • They are the one who have the most authority
  • Responsibilities include determining the organizational philosophy, setting, policy and creating goals and priorities for resource allocation.
  • Ultimately responsible for the entire organization.
  • They verse the overall planning for the organization, work with the middle managers in implementing and planning and maintain overall control over the progress of the organization.

  1.  MIDDLE MANAGERS
  • Coordinates the lower levels of the hierarchy and are the conduit between lower and top-level managers.
  • They carry out day-to-day operations but are still involved in the long-term planning and in establishing unit policies
  • Directly supervises other magers below them.
  • They plan, allocate resources to meet objectives and coordinate and link groups departments and divisions within the company.
  • Mainly responsible for implementing overall organization plans so that organizational goals are achieved as expected.
  1. FIRST LEVEL MANAGERS
  • Concerned with their specific unit’s work flow.
  • Deal with immediate problems in the unit’s daily operations, with organizational needs, and with personal needs of the employees.
  • With the least authority.
  • Manage the work of non-managerial individuals who are involved with the production or creation of the organization’s products or sevice.
  • Directly responsible for the work of operating non-managerial employees.

TOP LEVEL

MIDDLE MANAGER

 FIRST LEVEL

EXAMPLES

Chief Nursing Officer, Chief Executive Officer, Chief financial Officer

Unit Supervisor, Department Head, Director, Assistant Chief Financial Officer

Charge Nurse, Team Leader, Primary Nurse

SCOPE OF RESPONSIBILITY

Look at the organization as a whole

Focus is on integrating unit level day-to-day needs with the organizational needs

Focus primarily on day-to-day needs at the unit level.

PRIMARY FOCUS PLANNING

Strategic Planning

Combination of long and short-range planning

Short-range operational planning

COMMUNICATION FLOW

More often top down but receives subordinate feedback both directly and via middle-level managers

Upward and downward with great centrality

More often upward. Generally relies on middle-level managers to transmit communication to first-level managers.

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