nursing management

1. SEMINAR ON
FISCAL PLANNING OF
NURSING SERVICE &
NURSING EDUCATION
PRESENTED BY
DEBIKA DAS
M. Sc (N) II YR
ACON

2. INTRODUCTION
Budget is defined as a statement of anticipated
results during a stipulated period expressed in
financial & nonfinancial terms.
Fiscal planning is a kind of business planning that
runs according to a fiscal financial year. With
fiscal planning, the year that the accountant or
planner calculates on is not the traditional calendar
year that starts on January 1. Using the fiscal year,
business leaders can engage in fiscal planning to
help them with various aspects of corporate or
small business accounting.

3. DEFINITION
Approximation of the cost of an activity,
job, program or project, prepared for
budgeting and planning purposes only. Not
accurate enough to provide a basis for a
firm commitment, it represents only the
budget maker's understanding of the scope
and expense of what needs to be done.

4. TERMIOLOGIES
 Fiscal
 Cost containment
 Cost effectiveness
 Responsibility accounting
 Forecasting

5. OBJECTIVES
objectives
Capital
requirements
Capital
structure
Financial
policies
Financial
resources

6. PRINCIPLES OF FINANCIAL
PLANNING
Should be on annual basis
Estimation should be balanced, on cash basis,
departmental basis
Rule of relapse.

7. PRINCIPLES OF FINANCIAL
PLANNING
Should be exact
One plan for all financial
transaction
Form of estimate should be correspond
to form of accounts

8. FACTORS AFFECTING FINANCIAL
PLANNING
factors
objective
requirementflexibility

9. STEPS IN FINANCIAL
PLANNING

10. FISCAL PLAN IN NURSING SERVICE
DRGs,
reimbursement
& managed
care
Capitation

11. DRGs, Reimbursement & managed
care
Types of health
care
reimbursement
Diagnosis
related
groups
Managed
care

12. 1. Types of health care reimbursement
Fee for service Medicare
Diagnosis related
group Medicaid

13. 2. Diagnosis related groups.
Cost
containment
Medicare
&
medicaid
Prospected
payment

14. 3. Managed care
Primary Care Physician
Selective Contracting
Copayments
Formularies

15. 3. Managed care
Continuous quality care monitoring
Utilization review
Managed care organization
a. Home Mgt org
b. Preferred provider org
Impact

16. Fiscal Planning For Nursing Institution
philosophy
Sources of revenues that support
budget
a. Federal fund
b. State fund
c. Local fund

17. Fiscal Planning For Nursing Institution
A. Basic process
Formal &
informal
audit
Review of
institutional
vs. non
institutional
costs
Study of
actual
expenditure
Impact on
facilities

18. Categories of expenditure
Instruction
account
Benefit
account
Structured
support
service
account
Instruction
&
curriculum
developme
nt service
account
Education
al media
service
Board of
education
accountin

20. STEPS IN FISCAL PLANNING
Include the cost of supplies
Cost of running physical facilities
Add contract labor cost
Start with personnel planning

21. STEPS IN FISCAL PLANNING
Capital cost
Include the cost of supplies
Institution grounds & parking lots
Sports equipment must be replaced & repaired
Add the cost of machinery & equipment

22. ENACTMENT OF FISCAL PLANNING
Presentation
of budget
General
discussion
Scrutiny by
dept
committees
Voting on
demand for
grants
Passing of
bill
Other
grants

23. SUMMARY & CONCLUSION
Businesses of all sizes undertake fiscal planning for a
variety of reasons. Some use it to mitigate some of their
tax liabilities. Others find it easier to calculate revenue
according to their most lucrative seasons, or use a fiscal
year based on annual industry trends. Regardless of why
businesses use fiscal planning, many world governments
consider it a normal part of business accounting, and
anticipate that the reports coming from various
businesses will be structured according to a fiscal year.