Interview questions regarding areas/issues pertaining to implementation of effective control system for effectively and efficiently managing budgets in the hospital
1. Interview Questions With the Finance and Procurement Business Process head:
Financial Management
1. Is cost center management taking place in the hospital?
2. Can managers access and analyze information on expenditure (actual and committed) against budgeted costs on a regular basis?
3. Is there a system in place to hold department/section managers accountable for monthly expenditure?
4. Are efficiency targets and anticipated savings set with in the operational plan and are they monitored regularly?
5. Is there adequate control process in place for charging of services?
6. Is
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An asset register of medical equipment is available and updated regularly
4. Medical repair maintenance records are kept (Costs, dates, etc...)
5. Risks due to loss or theft are identified and managed
6. Mechanisms are found to ensure maximum use out of high cost items (e.g. sharing)
Procurement policies and procedures
1. Procurement policies are in place to ensure adequate stock of the appropriate medicines for specific level of care
2. A standard operating procedure guides the ordering of medicines from zonal depots, including standard stock levels.
3. Sufficient budgetary provision is made for planned medicine usage.;
1. Adequate management control of procurement process exists
2. Senior management asses the procurement system and ensure maximum value for money.
3. The procurement section has adequate staffing and sufficient senior management to meet performance targets.
4. Goods are paid with the required time frame and discounts for proper payment are received
Auditability/Paper/ trial accountability
1. The control systems and paper trial that currently exists is sufficient for an audit by the Auditor General to be possible.
2. When last did the Auditor general conduct an audit at your
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Does the human resource plan forms part of the strategic and operational plans and monitoring system?
2. Suitable approved organgrams in accordance with the specified level of care and service package exist to guide staffing and roles
3. Are these posts with in the organogram fully funded in the business plans and approved budgets?
4. Duty planning and management of staff adequately covers duty rosters, overtime, leave, contracting of additional staff
5. All overtime or contracting of additional staff is approved with the budget and duty plan.
6. Leave, sick leave and absenteeism are actively controlled and monitored by the head of department and personnel management
7. Ongoing monitoring and control as well as regular audits or reviews are conducted of the planning and controls of the staff including doctors.
Information Management
1. The facility is able to use PERSAL/ BAS/ LOGIS ON-LINE/ DHIS
2. The pharmaceutical system (remote demander’s module) is available
Assignment – There are five common purposes for medical records. List each of these purposes and provide an example of each in healthcare. Having good medical records is very important, for the proper care of patients. “Medical records can be used to manage healthcare, track healthcare, provide clinical data, meet regulatory requirements, and document healthcare” (Allen, 2013, P. 57). Without the proper documentation there is no proof that it was ever done.
Analysis of the goals has determined that resident satisfaction within Berlasco Court Centre regarding meals is far lower than it should be. The goal of providing a level of independence and freedom for the residents is currently not being met either which is supported further below by the requirements from elicitation. The result has suggested that residents are unhappy with the current meal plan system and would like more versatility as well as an ordering system this system also needs to be efficient for nursing and kitchen staff to minimize damaging impact within those two areas. Using this it’s been established that the primary Business Need is providing a system to ensure greater versatility and control over meal plans for residents.
It’s very crucial that the technology proposal includes these recurrent expenses established not only on current amounts, but also on the healthcare organizations’ future situation. In general, upcoming planning expenses have to account the employee’s resources that are required to meet the organizations’ needs. This would entail the support of administrative employee for the technology, overall technical support to maintain the organization’s growth and management capacity to maintain the organization’s strategic planning. This could be kept in-house or given to outside cohorts, but the expense implications of both models must be assessed as a component of the planning process. A lot of work and time should be set aside so the organization can isolate known and estimated expenses and develop and create them within the general organizational plan so they everyone know what they will need to pay for and when.
If we supposed that the service level agreement states that the system would not be offline or unavailable more than 45000 seconds a month then the goal would be to stay away from exciding the stated time. In the data from the years 2009-2017 we can see that the average total downtown is 44151.24 and we can determine that for the most part we are keeping with the goal of not exciding the 45000 mark. In the histogram, we can also see that there was also a high number of occurrences were the system was offline or unavailable for more than 45000.
Legacy Hospices missions statement is to affirm life and focus on the quality of life. Legacy Hospices consist of twenty-one offices located in seven states, including Alabama, Louisiana, Arkansas, Missouri, Kansas, Oklahoma, and Mississippi. Legacy Hospices provides care for people who are in their last stages of life. Hospices allow nurses, doctors, spiritual leaders, and rehab teams to stay and work with the patient so the family members can carry out their everyday lives. Hospices job is not to postpone deaths, but to prepare the family in every way possible for that time.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
The document breaks down all of the budgeting needs and shows where the money will be allotted and distributed to improve the processes of the HRSA at each specific level. Major Programs and
Legislation P3- Explain relevant sections of key legislation and associated guidelines with regard to the administration of medicines. M1- Discuss how organisational policies and procedures are influenced by legislation and guidelines with regard to the administration of medicines. D1- Evaluate the effect of legislation and guidelines on the administration of medicines. In this assignment I am going to be explaining what different types of legislations and guidelines are in place when it comes to handling medicines in a health and social care setting.
The Effects of Regulations on Managed Care and IDS Managed Care is a health care delivery system organized to manage cost. The legal and business imperatives of managed care pervade our national healthcare system, the regulation of managed care depends on who contributes to the plan and who bears the risk for paying for the insured services. More than 170 million Americans receive health care coverage or benefits through some type of "managed care" setting.1 By 2007 about 20 percent of these services are directly provided by a health maintenance organization (HMO), while the majority are served through other managed arrangements, 60 percent in Preferred Provider Organizations (PPO) and 13 percent in Point of Service (POS) plans. Beginning
Secondly, the way the resident receives his medications should consist of the CM stating what each of the medications are so the resident is aware what he is taking. By implementing this, the CM can do the final check of administering the medications. If the medications themselves could be barcoded and scanned in before popping the medication in the medication cup, this would help the CM double check the five rights as well. A bar-code electronic medical administration record (eMAR) technology associates several technologies into the medication administration process to provide the correct medication, dose, time, route, and patient. This technology will provide an additional check and implement safety (Poon et al., 2010).
• Specifications for the proper use of workstations and the access to the PHI. • Security and Access to the workstations. • Receipt and Control of all media that contains PHI in and out building and proper reuse and disposal of said media. Technical Safeguards: This would making sure you have safeguards build into your IT system so that it is secure and not easily to access patients PHI unless it is an authorized personnel.
Also, I should be able to order medication for patient as well as those for the patient to take home for leave or on discharge. The only lack of knowledge is {how to deal with most control drug which I would like to know much in my next placement as an ongoing objective in
We believe our purpose statement will help motivate our employees and help to provide trust amongst our employees as the statement informs them that we are committed to their safety and wellbeing. Strategic changes must be implemented to ensure that the Human Resources Department does its part to ensure that the company’s goal of doubling sales in the next fiscal year is reached. In order to fulfill The Atha Corporation’s restructuring needs the human resources functional area goal is to: hire and train employees, reconfigure company policies, and distribute new job responsibilities. Implementing new human resource policies and practices will allow new and old employees to show understanding of the department 's vision, mission, values; and a strong commitment to our company (Guide, 1996). The consolidation and reorganization of the Human Resources department is sure to display The Atha Corporation’s greatest asset: human capital.
1. Discuss the difference in Medicare payment methods for outpatient services and physician services. The outpatient services provide the following information about the Hospital Outpatient Prospective Payment System (OPPS). On August 1, 2000, the Centers for Medicare & Medicaid Services (CMS) began using the OPPS, which was authorized by Section 1833(t) of the Social Security Act (the Act) as amended by Section 4533 of the Balanced Budget Act of 1997. The OPPS was implemented in calendar year (CY) 2000 and pays for designated hospital outpatient services (Figure 1- UB04 bill) , certain Medicare Part B services furnished to hospital inpatients when Part A payment cannot be made; partial hospitalization services furnished by hospitals or
Julian is able to recognize which patients, and which of the three divisions: gastroenterology, cardiology, and oncology is using more of a variety of resources, since some patients do require more medication, lab work, and therapeutic treatment, based on the patient’s diagnoses. The information from the third system will provide Dr. Julian the ability to recognize and distinguish that not all patients require the same amount of care, some patients due to their diagnosis require different level of nursing care, some more than others. With this third approach Dr. Julian will be able to have a more precise cost of care service given to the different patients based on their necessities. The information provided by both second and third system will provide Dr. Julian with a more efficient way to control costs. She will now able to see the differences in costs among the divisions using the second and third approach.