Module: Financial Management in Healthcare Assignment Tittle: Improving overtime rates with30% for Healthcare Assistant (HCA) employees by reducing the agency staff expenditure in order to maintain high standards of healthcare service delivery -Individual Report 2500 words (+/- 10%) ***The written submission assesses all four learning outcomes. You are required to identify change you wish to introduce in your organisation, make the case for change, perform a budget impact analysis of the intervention and analyse the potential impact of the change on the service area. 1. Critically discuss global mechanisms of healthcare financing and critically reflect on healthcare financing in a local context. 2. Critically evaluate a Business Case to ensure the effective management of people, finances and organisational resources. 3. Critically analyse financial information and how it informs decision making in a healthcare environment. 4. Critically discuss the role of the manager in the financial management of a healthcare organization. In this assignment we will use a “PRIVATE Irish HEALTHCARE SERVICE -/nursing home… named in this assignment as -Private… a modern Irish healthcare centre purpose-built, providing a wide range of care services for 66 long-term residents aged over 18 years and over, physical disabilities and attained brain injuries, respite care, and convalescence. Further …We will have to talk about the high EXPENDITURE on “AGENCY STAFF -Healthcare Assistant Staff “ which has increased dramatically since the Covid pandemic –and how this cost impact this Private Nursing Home financially…by further mentioning the impact on the quality of care.. The assessment is focused on your assessment of the financial impact in a healthcare decision. You will be pulling together aspects on global healthcare financing, accounting, financial analysis and using the budget impact analysis process, to fully assess the impact of your proposed intervention. You will be required to propose an intervention, justify the business case, and demonstrate informed financial decision-making. You are required to do the following: Business Case (Budget Impact Analysis) Critically evaluate a service area in your organisation and identify an area for improvement. Once you have identified the area for improvement work through the Budget Impact Analysis steps for that improvement. Draft a costed Business Plan (Budget Impact Analysis) for submission to your Board providing suggested solutions to the issues outlined. Provide supporting backup for your proposal with relevant data and assumptions including the consideration of associated risks/benefits (both tangible and intangible). The Business Plan must be clearly tied into your organisation’s corporate strategy and/or national strategy. 1. Introduction that includes background information, context and the case for change. Reference should be made to the local financing context (. Insurance based, hospital is public/private). This section should include: • A clear description of the context. • The clinical/financial/organisational need for change. • An argument for the chosen intervention. • All of the above with reference to up to date literature and organisational data/evidence. 750 words 2. Clearly state: • Intervention scope – A succinct description of the intervention that makes clear what is and is not covered under the intervention. • Objectives – SMART objectives of the change • Risks and constraints in table format. Risks and Constraints are not interchangeable. 250 words 3. Provide a critical financial/budget impact analysis: • Use the budget impact analysis process to assess all the impacted resources. • Cost the impact of change from both the perspective of what will need to be invested and what will be gained or lost from the intervention. • Costs must be referenced, justified, and presented in clear financial information formatting . tables not text. 4. Evaluate the impact analysis on the service area. With reference to the literature, analyse the likely impact on the service area as a result of the intervention from financial, clinical and organisational perspectives as appropriate to the intervention. Report Guidelines • 2,500 words (+/- 10%)-ARIAL 12/ double space • Written in third person • Use Harvard referencing(40 /50 ref.) • Use Grammarly to enhance writing • When referring to your workplace, do so as named: Private *** Use Uk English , ref mostly to HSE,NHS Irish med system/ Further information/data: 750 words –Cost of employees overtime its less 750 words Ref: • • • Health System Performance Comparison: An Agenda for Policy, Information and Research • Paperback European Observatory on Health Care Systems, English, By (author) Irene Papanicolas & Peter Smith • Sullivan SD, Mauskopf JA, Augustovski F, Jaime Caro J, Lee KM, Minchin M, Orlewska E, Penna P, Rodriguez Barrios JM, Shau WY. Budget impact analysis-principles of good practice: report of the ISPOR 2012 Budget Impact Analysis Good Practice II Task Force. Value Health. 2014 Jan-Feb;17(1):5-14. doi: Epub 2013 Dec 13. PMID: 24438712. • How to solve the cost crisis in healthcare,January 2011,Authors:. Kaplan&. Porter • The Economics of an Admissions Holding Unit • June 2017The Western Journal of Emergency Medicine 18(4):553-558,DOI: E. Schreyer&Richard Martin • George Keel, Carl Savage, Muhammad Rafiq, Pamela Mazzocato,Time-driven activity-based costing in health care: A systematic review of the literature,Health Policy,Volume 121, Issue 7,2017, • Comparison of cost determination of both resource consumption accounting and time-driven activity-based costing systems in a healthcare setting. • Özyap?c? H, Tan?? Health Rev. 2017 May;41(2):201-206. doi: PMID: 27248134 ***Use other sustainable materials from books /medical /financial journals with data less the 5 years old as possible …and mainly use the Irish/Uk private/public healthcare system…ref HSE/NHS… Use this information on Part 1: (750words) PRIVATE Irish HEALTHCARE SERVICE -/nursing home… named in this assignment as –Private Nursing Home… a modern Irish healthcare centre purpose-built, providing a wide range of care services for 66 long-term residents aged over 18 years and over, physical disabilities and attained brain injuries, respite care, and convalescence. PRIVATE NURSING HOME Healthcare Staff Budget Weekly Roster Hrs Carers 12Hr/Shifts Budgeted Weekly Roster Hours HCA Staff Mon Tue Wed Thu Fri Sat Sun Day 126 126 126 126 126 126 126 882 Night 60 60 60 60 60 60 60 420 Total Day/Night and Weekly Roster Hrs 186 186 186 186 186 186 186 1302 *Morning ½ shift 8-2 *Afternoon ½ shift 2-8 The writer will have to follow this section 1 request and to present this information, stating that you cannot operate with HCA staff shortage,…its impacting the delivery of care/ burnout, reduce productivity and efficiency at work related tasks …and others . Also you have to make use of HSE/NHS …articles related on how short staff impacts the organization healthcare delivery…pointing that due to Covid pandemic …the HCA staff shortage has increased and a many Healthcare providers public or privates had to use agency HCA staff which has impacted the business operation both financially and quality of care service delivery….***mention ref from HSE/NHS high cost of agency staff and use other ref…from other sources to back up how the quality of care is deteriorated (mention that HCA that work for the organization are more devoted to their work and to the delivery of care, as thy know the care receivers (residents)needs better then agency staff…and also the impact on the residents which has to accept unfamiliar HCA workers…and how this may impact those emotionally…others use plenty ref. to back this up. ***On the financial and need for change use the data X Table where daily cost for HCA employed staff is e and agency HCA staff is …-cost/efficiency…mention that the MH Private in long term will lose financially but also the delivery of care …team work and others will be affected. ***The Reason for change is to maintain the quality of service delivery and to reduce the financial impact by offering to HCA employees the opportunity to work “Overtime”…maintaining a healthy relation between HCA and residents/team work and quality of services…and reducing the agency staff cost. Section 2- 250words INTERVENTION –REDUCE AGENCY STAFF AND INCREASE Private Nursing home HCA EMPLOYEES OVERTIME (30%). Intervention- increase the Private Nursing Home employees HCA overtime rates(30%) in order to maintain the quality of service delivery, HCA staff productivity …and reduce the burden on agency staff spending. (use estimate /assumption- finance analysing…show the numbers to employees…to increase productivity and maintain the quality of service delivery. Making a business decision analysing the numbers/ DATA X table Objective- reduce the HCA agency staff and increase the Private Nursing Home employees HCA overtime rates(30%) Use Specific-the objective is clearly stated (increase the Private Nursing Home employees HCA overtime rates(30%) Measurable- yes Attainable- Relevant – Time-based- ****Financial-Reduce cost of HCA agency staff by the end of the fiscal year/increase HCA overtime 30% Customer -Improve new HCA hire including HCA relief staff Operational Improvement -Increase the number of training/ hours to HCA Employee Learning & Growth -Ensure all HR employees fully trained ***Risks-Covid19/influenza…shortage of staff ****Constraints: Time/Quality /Cost/Scope • Argument for the chosen intervention: cost/ service quality …writer will have to develop Section 3. Provide a critical financial/budget impact analysis?750words Describe what is financial budget impact /analysis and why it’s used…in Private Nursing home Display the X table with all 3 scenarios in this section and debate/analyse…the data from all this and how this approach will support the organization (scenario 2 vs scenario 3)…as we still consider the pandemic Covid 19 or other seasonal influenza and so we will still expect shortages of HCA….so agency HCA will be required. ***We should be clear that also increasing staff overtime with more than (30%) it’s not sustainable …as reduce productivity increase burnout …work satisfaction and quality of work delivery…and will also become more uneconomical . Also by using the Private HCA workers…reduce the chain of infection…(Covid 19/ Influenza and others…and also maintain the HCA and resident(care receiver)satisfaction as many of the elderly people that are residents within this organization suffers from dementia /alzheimer’s disease, so building healthy relations and being aware of resident special needs it’s vital . Section 4: Evaluate the impact analysis on the service area (750words)- explain that this is a private healthcare service sector and it’s important to maintain the quality standards of services provided in order to maintain a successful business . Use the data and explain that it’s important to maintain the HCA employees overtime,…but not to relay fully on employees overtime by increasing further the overtime rates as this may damage the business quality of service delivery … Just present the evaluation of this X DATA AND discus how the company may reduce the cost involved ,and how this may impact the service area.
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