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Written by and for nurses, this key foundational text helps to build the fundamental economics and financial management skills nurses and nurse leaders need for daily use. This third edition delivers several new features, adding to its value as the only timely and relevant text written for the full spectrum of RN-to-BSN, BSN, and MSN students. It has been significantly revised to simplify content, to address the vast changes in and increasing complexity of U.S. health care financing, and to be useful in both traditional in-class format and hybrid and online programs. Two new and refocused chapters address assessing financial health and nurse entrepreneurship and practice management, and new material illuminates recent research findings and statistics. Chapters feature worksheets such as business plan checklists and text boxes expanding on key chapter content.
The book is distinguished by its provision of case examples based on nurse-run clinic and inpatient nursing unit financial issues. It provides multiple opportunities for experiential learning, such as writing business plans and health program grant proposals. It delivers cost-benefit and cost-effectiveness analyses, discusses budget preparation, offers strategies for controlling budget costs, and updates relevant health policies and statistics. The text's engaging format promotes the synthesis of economics and finance across the nursing curriculum through the use of end-of-chapter exercises, discussion questions, and games based on concepts within the text. Additionally, tips throughout the book alert students about the need to apply concepts from other aspects of their education to economic and financial situations. Also included are online supplemental materials for teachers and students, including Excel spreadsheets, grant proposals, a test bank, and PowerPoint slides.
New to the Third Edition:
Key Features:
Susan J. Penner, DrPH, MN, MPA, RN, CNL, is adjunct faculty, School of Nursing and Health Professions, University of San Francisco.
CONTENTS
Contributors
Preface
Acknowledgments
PART I: OVERVIEW OF ECONOMICS AND HEALTH CARE
1 Economics of Health Care
Historical Context of Health Care and Nursing Economics
Health Care Costs
Health Care Economics Concepts
Economics and the Nursing Workforce
Crossword: Economics of Health Care
2 Health Insurance and Reimbursement
Health Care Coverage and the Uninsured
Health Insurance History and the ACA
ACA Timeline
Reimbursement Mechanisms
Principles of Health Insurance
Government Health Insurance Programs
Crossword: Health Insurance and Reimbursement
3 Managed Care and ACOs
Historic Foundations of Managed Care
Principles of Managed Care
Provider Reimbursement Mechanisms
Problems With Managed Care
ACOs Compared With MCOs
CMS and ACA Financing Innovations
Primary Care Utilization and Financial Measures
Performance Measures for Inpatient and Ambulatory Care
Comparing and Trending Indicators
Crossword: Managed Care and ACOs
PART II: BUDGETS AND BUDGETING
4 Measuring Nursing Care
Rules and Conventions for Reporting Indicators
Categories of Indicators
Measuring Nursing Care in a Nurse-Managed Health Center
Measuring Nursing Care in an Inpatient Nursing Unit
Crossword: Measuring Nursing Care
5 Reporting and Managing Budgets
Reporting Operating Budgets
Managing Operating Budgets
Health Center and Inpatient Unit Budgets
Crossword: Reporting and Managing Budgets
Appendix
6 Budget Planning
Budget Planning and the Nurse's Role
Strategic Planning and Budget Linkage
Budget Forecasting
Planning the Operating Budget
Closing a Program
Crossword: Budget Planning
7 Special Purpose, Capital, and Other Budgets
Special Purpose Budget
Product Line Budget
Evidence-Informed Case Rate
Capital Budget
Cash Flow Budget
Budget Relationships and Linkage
Crossword: Special Purpose, Capital, and Other Budgets
PART III: FINANCIAL ANALYSIS AND MAKING A BUSINESS CASE
8 Cost Finding, Break Even, and Charges
Cost Finding
Cost Allocation
Break-Even Analysis
Contribution Margin
Prices and Pricing
Classification and Coding Systems
Crossword: Cost Finding, Break Even, and Charges
9 Comparing Costs and Benefits
Cost?Benefit Analysis
Cost-Effectiveness Analysis
Cost?Utility Analysis
Program Evaluation
Limitations of CBA, CEA, and CUA
Comparative Effectiveness Research
Crossword: Comparing Costs and Benefits
Appendix 9A Worksheets
Appendix 9B A Cost?Benefit Analysis Evaluating Adult Outpatient Asthma Education
Appendix 9C A Cost-Effectiveness Analysis for Proposed Alternative Interventions to Postprocedure Surgical Pain Reduction
Appendix 9D A Cost?Utility Analysis Evaluating Adult Outpatient Asthma Education
10 Writing a Business Plan
Writing Skills for Business Plans
Business Plan Sections
Crossword: Writing a Business Plan and Health Program Grant Writing
Appendix 10A Business Plan Feasibility Checklist
Appendix 10B A Business Plan: To Initiate the Cleaning of Hospital Privacy Curtains to Reduce Nosocomial Infections at Bay General Hospital's 4B Progressive Care Unit
Corinne M. Allen, Whitney E. Bralye, Madeira A. Macedo, Alysia D. Porter, and Heather N. Rothhammer
Appendix 10C Respiratory Project Committee, Fairfield County Hospital
Samanthika T. De Alwis, Jasmine B. Erguiza, Candace Fleming, and Jennifer N. Ma
Appendix 10D Increasing Patient Volume at the Bay General Hospital Cardiac Clinic
Yonatan G. Breiter, Seth M. Cloues, Caitlin O. Flanagan, Alex Guevarra, and Hector E. Solano
Appendix 10E Business Plan: Probiotic Use With Antibiotics
Natalie Bower, Gehrig Y. Ertle, Emily M. Finzen, Lindsey F. Reardon, and Cassen E. Uphold
11 Health Program Grant Writing
Business Plans and Grant Proposals
Grant Proposal Sections
After the Application Is Submitted
Appendix 11A Worksheets
Appendix 11B Dental Care Van Grant Proposal
Angelica Holguin, Christina M. Nardi, Diane Trinh, Paige M. Weisbrod, and Sara E. Moschetto
Appendix 11C Grant Proposal: Decreasing High Utilizers of the Emergency Department
Alexandra Carr, Caramia O. Perlas, Deborah B. Rosenberg, and Asja Serdarevic
Appendix 11D Incorporating Massage and Healing Touch Therapies on a Specialized Nursing Unit at Seaview Hospital: A Grant Application
Janet A. Giachello and Jennifer A. Schmid
PART IV: ADVANCED TOPICS
12 Assessing Financial Health
Hospital-Wide Indicators
Accounting Concepts
Financial Statements
Crossword: Assessing Financial Health, and Entrepreneurship and Practice Management
13 Entrepreneurship and Practice Management
Starting a Nurse-Run Business
Principles for Practice Management
Nurse Entrepreneur Resources
14 Ethical Issues and International Health Care Systems
Bioethics and Health Economics
International Health Economics and Financing
Crossword: Ethical Issues and International Health Care Systems, and Health Policy and Future Trends
15 Health Policy and Future Trends
Health Policy Questions
Future Trends
Keeping Up to Date
Glossary
Resources
Crossword Puzzle Answer Key
Index
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