The Impact of Uncertain Revenues on Emergency Department Financial and Clinical Operations

2.50
Hdl Handle:
http://hdl.handle.net/10755/154319
Type:
Presentation
Title:
The Impact of Uncertain Revenues on Emergency Department Financial and Clinical Operations
Abstract:
The Impact of Uncertain Revenues on Emergency Department Financial and Clinical Operations
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Klein, Elizabeth J., BSN
P.I. Institution Name:St. Peter's University Hospital
Title:Nurse
Co-Authors:Thomas Cox, PhD, RN
Purpose: This paper describes how nurses can strengthen their advocacy roles for critical care services impacted by revenue uncertainties and inaccurate and unfavorable financial and clinical performance evaluations. Background: The size, location, financial strength, and organizational placement of service departments impact their ability to manage uncertain revenue streams, such as those emerging from managed care, capitation, and retrospective audits. Additionally, compulsory service requirements under the EMTALA exacerbate extant financial vulnerabilities and inaccurate assessments of clinical and financial efficiency and effectiveness of acute care facilities. Uncertain finance mechanisms constrain costs; and lead to clinical and financial evaluations that may severely and negatively affect small units such as Emergency Departments and this, in turn, may lead to exacerbations of disparities in access to or availability of much needed healthcare services. Approach: The authors completed a case study of an urban Emergency Department during a nursing economics class. The authors interviewed administrators, managers, support staff and clinicians, and reviewed manuals and procedures to describe the impact of uncertain service revenues for voluntary and compulsory care and assessed Department evaluation methodologies. Major Points & Rationale: Uncertainty with respect to reimbursement for healthcare services affects all operations, including: Admissions, financial, accounting, nursing, discharge planning, and collections and especially units such as Emergency Departments which are gateways to additional services. Nurses who understand the complexity of the financial, managerial, and clinical implications of compulsory care operations can better advocate for their services in reviews of financial and clinical performance. Conclusions: This case study report provides important insights into the clinical, financial, and managerial consequences of compulsory acute care in an urban hospital Emergency Department. Nurses involved in similar units and facing the impact of revenue uncertainty and misallocation of costs and revenues will be better advocates for services critical to community health and well being.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Impact of Uncertain Revenues on Emergency Department Financial and Clinical Operationsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154319-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Impact of Uncertain Revenues on Emergency Department Financial and Clinical Operations</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Klein, Elizabeth J., BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. Peter's University Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">NurseLiz261@yahoo.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Thomas Cox, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">Purpose: This paper describes how nurses can strengthen their advocacy roles for critical care services impacted by revenue uncertainties and inaccurate and unfavorable financial and clinical performance evaluations. Background: The size, location, financial strength, and organizational placement of service departments impact their ability to manage uncertain revenue streams, such as those emerging from managed care, capitation, and retrospective audits. Additionally, compulsory service requirements under the EMTALA exacerbate extant financial vulnerabilities and inaccurate assessments of clinical and financial efficiency and effectiveness of acute care facilities. Uncertain finance mechanisms constrain costs; and lead to clinical and financial evaluations that may severely and negatively affect small units such as Emergency Departments and this, in turn, may lead to exacerbations of disparities in access to or availability of much needed healthcare services. Approach: The authors completed a case study of an urban Emergency Department during a nursing economics class. The authors interviewed administrators, managers, support staff and clinicians, and reviewed manuals and procedures to describe the impact of uncertain service revenues for voluntary and compulsory care and assessed Department evaluation methodologies. Major Points &amp; Rationale: Uncertainty with respect to reimbursement for healthcare services affects all operations, including: Admissions, financial, accounting, nursing, discharge planning, and collections and especially units such as Emergency Departments which are gateways to additional services. Nurses who understand the complexity of the financial, managerial, and clinical implications of compulsory care operations can better advocate for their services in reviews of financial and clinical performance. Conclusions: This case study report provides important insights into the clinical, financial, and managerial consequences of compulsory acute care in an urban hospital Emergency Department. Nurses involved in similar units and facing the impact of revenue uncertainty and misallocation of costs and revenues will be better advocates for services critical to community health and well being.</td></tr></table>en_GB
dc.date.available2011-10-26T12:54:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:54:27Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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