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financial management
Questions and Answers of
Financial Management
Review the income statement provided in Table 8.2 and address the following questions:a. From your analysis, you understand that the net margin for the organization has shown strong growth over the
Using the data in Table 8.1 and the definitions given in Table 8.4, calculate the current ratio, quick ratio, and the debt ratio.a. What information do these ratios provide?b. If you were concerned
Using the data in Table 8.1 and the definitions in Table 8.4, calculate the days cash on hand.a. What information does this financial ratio provide?b. If you were concerned about the result, what
Using the information in the following table, calculate the average daily census and the bed utilization rate over the last 3 months for this 395-bed hospital. Month Days of service July 11,480
As a DNP, you know that providing care that is measurable (at a financial as well as a quality level) can give you the ability to request additional funding. Take a moment and ponder a current
If a fictional treatment costs a total of $45,000 at today’s value and increases a person’s quality of life from 0.5 to 0.6 for the remainder of their life from age 70 and onward, and the
With all the changes that are occurring in healthcare today, what are some of the challenges your environment is facing and what is your organization doing to plan for the financial consequences?
What implications do you believe exist with MACRA? Do you believe that moving to a paymentfor-quality model over quantity/volume is going to improve patient outcomes? Why?
The CNO is reviewing patient satisfaction benchmark data from their facility and four similar facilities (see table). What conclusions can they make, given the information? What are the limitations
A group of nurses wishes to explore the effectiveness of a new treatment approach for increasing activity tolerance among COVID-19 patients. As a member of your agency’s research and practice
The geriatrics inpatient unit has experienced a significant amount of nursing staff turnover. In the last 12 months, seven of the 29 permanent RN staff members have left. In addition, the number of
You complete a calculation of the Pearson product–moment correlation coefficient to determine the relationship of the number of temporary RNs on an inpatient nursing unit to the number of
Three of the nurses in the cardiac outpatient clinic are enrolled in an MPH program. They want to investigate whether a patient’s ethnicity or race influences the quality and quantity of care
Big data can play an essential role in community and population health. Using the data sets in Table 11.3, determine what relationship, if any, may exist between the unemployment rate, number of
Perhaps there is no more critical role of a nurse leader than ensuring you have the most appropriate levels of staff in the correct areas at the right times. What does the this data table tell the
Many states require hospitals and EDs to utilize a patient acuity system to provide care for patients. What impact, if any, does patient acuity have on the following metrics: unit-budgeted HPPD, the
Nurse leaders frequently seek to implement quality-improvement projects to improve outcomes and save lives. Your healthcare organization has recently hired a quality coordinator to improve patient
You are the chief nurse executive at an organization that provides clinic services to Medicare patients; seven of the clinics are located in underserved areas. While visiting one of the clinics, you
You are an NP who sees mostly posthead trauma patients and who refers many of these patients to physical and occupational services. On one routine follow-up visit, your patient claims that he has not
You are the chief nursing executive for a small rural clinic that provides contraception services to low-income individuals. An insurer, providing care under the ACA, has rejected paying the claims,
You are an NP in a small hospital and you are reviewing the chart of a patient who underwent a second abdominal surgery. Six months after his initial surgery, the patient had to return to surgery for
The scenario: You are a DNP clinical coordinator in an urban teaching hospital that includes medical school students and a physician residency program. After an unexpected interruption, a medical
Members of the team agree on the aim statement that you, as the DNP project manager, and they are ready to start developing the hospital-wide policy. Before starting the policy, you ask team members
The CNO has asked to meet with you to discuss your stakeholder analysis. Prepare a stakeholder map, power/interest grid, and stakeholder analysis in advance of the meeting. Also include a one-page
The team is halfway through the project when you receive word that the chief medical officer (CMO) plans to retire in a month. You are concerned about the project because the CMO was a strong
The procedure was presented to the full medical staff and approved after a lively discussion regarding the risks and benefits of having a hospital-wide disclosure policy. You worked with several key
“Smoke-Free SFMC” Project, St. Francis Medical Center, Lynwood, CA Established in 1945, St. Francis Medical Center was the only comprehensive, nonprofit healthcare institution serving Southeast
A local Southern California hospital serving 5.5% of Los Angeles County’s population recently conducted a triennial community needs assessment and some of the significant community health needs
A university professor who has conducted research for many years submitted a grant to the NIH to request funding to integrate a Spanish-language video about hospice care in the discharge planning
The health ministry in your faith community provides ongoing health-promotion and disease-prevention outreach to congregants within the context of their faith tradition, and to the community. As the
You are the newly appointed dean of health sciences at a small community college in a mixed-income community and oversee dental assistant, medical assistant, EMT, licensed vocational nurse (LVN), and
Successful entrepreneurs are “made,” not born. They have acquired a skill set that promotes the identification and development of new ideas. Rate yourself, using the following criteria, to
As our country ages, the impact of baby boomers turning 65 every 7 seconds is significant. What does this mean to the DNP? How can the DNP help the organization develop a plan for succession planning?
Writing an executive summary should occur after the business plan is written.Think about a project or proposal that will either increase revenue or decrease expenses. Write a two-page concise
In a small group, build a business case to add clinical nurse specialists (CNSs) to a nursing unit. What are the costs? What are the benefits? How would you build a case to add this additional FTE?
During the COVID pandemic, what lessons did you learn related to your organization’s capability/inability to respond quickly, efficiently, and effectively to the influx of critically ill patients.
In today’s healthcare environment, DNPs are faced with increasing challenges in addressing ever-changing complexity and persistent uncertainty. Using assumption-based planning, identify three key
Leaders must be clear about what drives them to authentically navigate the landscape and be able to see and understand other perspectives, as well as to be patient and persistent to be an influence.
Nurse leader DNPs are evaluated on their agility, ability to create a culture of trust by recognizing the collective wisdom of those with whom they work, and on their business acumen. There is a need
Lifelong learning is imperative for DNPs to continue to think differently and learn new skills. DNPs must also increase financial acumen related to the provision of patient care and ensure an
Describe the ways in which the Patient Protection and Affordable Care Act(ACA), the Future of Nursing report, the Future of Nursing 2020–2030, report, and the work of the AACN-AONL Task Force on
Describe at least four of the features of the U.S. Department of Veterans Affairs Nursing Academy (VANA) that differentiate it from the other academicpractice partnerships described.a. Using one of
Compare and contrast the development of an academic-practice partnership that focuses on addressing a pipeline shortage such as OR nurses with the development of an academic-practice partnership that
A newly appointed senior vce president for nursing/chief nursing officer at a Magnet® -recognized ®large academic medical center (AMC) identifies outdated practice guidelines during her first few
The dean of a school of nursing (SON) and the associate deans of undergraduate and graduate programs have experienced increasing frustration with a lack of clinical placements for the students. The
When a crisis has a significant financial impact, how can you adapt your business/staffing model to reduce costs, both in the short and medium term?
Are there well-coordinated and standardized communication systems and protocols to follow to ensure clear and transparent communication with all stakeholders? If not, what will you need to do to
At what loss of volume should you take action to enable the sustainability of the organization and its long-term mission? What steps can you take to align expenses with anticipated volumes without
How can technology expand capacity to provide services, improve efficiencies, and improve staff and patient satisfaction? What is your role in identifying and enabling this technology?
What role does innovation play in disaster/emergency response planning? What is the role of the DNP-prepared nurse in disaster mitigation and response?
Identify three things that the DNP-prepared nurse can do to prepare and lead during times of uncertainty, shortages, and change.
Your collective bargaining agreement is due to expire in 60 days. Given the tenor of the negotiations, you anticipate the union will be issuing a strike notice in the next 10days. What steps will you
In groups of three, with each person acting in one of the C-suite leadership roles, identify and share with the class your hospital’s core values, core purpose, and what the future of the
Focus on a quality campaign of aggressive early ambulation. How might you differently consider and articulate the value of this initiative?a. Consider the value proposition of adding one unlicensed
Review the data presented in Exhibit 19.2. Based on this information, consider the following questions and provide an action plan that is aligned to the hospital’s core purpose, vision, and
In your original C-suite grouping, explore examples of how technology might assist in the area of human capital management during a crisis such as a pandemic. How might you introduce these concepts
What steps might managers of a business take to reduce:(a) the degree of financial gearing, and(b) the degree of operating gearing where each is considered to be too high? Try to think of at least
Can you think of any bases that could be used to compare a ratio you have calculated from the financial statements of a business for a particular period? (There are three main possibilities.)
Why might the directors of a business engage in creative accounting? Try to think of at least three reasons.
Some businesses fail to take account of inflation in investment decisions. Does it matter given that, in recent years, the level of inflation has been low? What would be the effect of dealing with
Provide two examples of businesses that are likely to be:(a) Seriously affected by an economic recession(b) Slightly affected by an economic recession.
What kind of attributes should the owners and managers of a business possess to attract private equity finance?
Consider each of the following:Derwent plc and Plym plc have shares with beta values of 0.5 and 1.2 respectively. The expected rate of return for Derwent plc investors is 9 per cent and the expected
Consider the following businesses:(i) Alpha plc, a house builder, has reported a surge in profits. Following two years of low economic growth, the economy has recently started to improve and
The managers of Gripton plc are currently deciding between a dividend payment and a share buyback as a means of distributing funds to shareholders.Required:Which of the two do you think is more
How is the gearing ratio of a business affected by:(a) A scrip dividend(b) A cash dividend?
What costs might a business incur as a result of holding too low a level of inventories? Try to jot down at least three types of cost.
Petrov plc sells 10,000 tonnes of sand each year and demand is constant over time. The purchase cost of each tonne is £15 and the cost of placing and handling an order is estimated to be £32. The
Try to think of at least two ways in which a merger that reduces competition might adversely affect the consumer.
Which industries are likely to have high operating gearing? Try to think of at least three.
How might the managers of a business increase short-term profits at the expense of long-term profits? Try to think of at least two ways.
Can you think of three examples of what managers might do in pursuit of higher returns that would be regarded by most people as unethical?
Which groups might be regarded as stakeholders in a business? Try to think of at least five groups.
What might financial institutions wish to discuss with the directors of a business? Try to think of at least two financial and two non-financial aspects of the business.
Can you think of at least three other examples of operating costs that are likely to be variable for a manufacturing business?
‘One effect of the recent globalisation of business is that it is now easier for owners and managers to escape their ethical obligations than in previous eras.’ Can you think of any reasons in
Can you think of any way in which:(a) A lender, and(b) A supplier could take steps to avoid the risk of loss, even though the business with which they are dealing is in financial difficulties and may
What are the main drawbacks of adopting the stakeholder approach as the basis for setting the objectives of a business?
Is it always possible for shareholders to exit from a business easily? Can you think of an example where it may be difficult for a shareholder to sell shares in a business?
What sort of interests might the directors pursue that would benefit themselves, but which may conflict with the interests of shareholders? Try to think of at least two.
What consequences for stock markets may arise from a failure to ensure that directors do not benefit from inside information?
Why might this be an important sanction against a non-compliant business?
Can you think of a possible problem with corporate governance rules that are too loosely drawn?
The rise of financial institutions means that private individuals have less direct investment in listed shares than in the past. Does that mean they have less financial interest in listed shares?
Choice Designs Ltd operates a wholesale/retail carpet store. The statement of financial position of the business as at 31 May Year 8 is as follows:As a result of falling profits the directors of the
Why might it be a problem for a financial institution that holds a substantial number of shares in a poorly performing business to simply sell the shares?
Quardis Ltd is a small business that imports high-quality laser printers. The most recent statement of financial position of the business is as follows:The following forecast information is available
In what ways might projected financial statements help a business that is growing fast?
Davis Travel Ltd specialises in the provision of cheap weekend winter breaks but also organises cheap weekend summer breaks. You are given the following information:Its sales estimates for the next
‘The future is uncertain and so projected financial statements will almost certainly prove to be inaccurate. It is, therefore, a waste of time to prepare them.’ Comment.
Fowler Ltd produces ‘Vitex’, a vitamin supplement drink that is sold for £1.20 per bottle. At present the business’s bottling plant is operating at full capacity and it is not possible to
Why is the sales forecast normally critical to the preparation of projected financial statements?
The financial statements of Danube Engineering plc for the year that has just ended are as follows:As in previous years, a dividend of 25 per cent of the profit for the year was proposed and paid
Can you think why cash is so important to a business?
Fill in the outline projected income statement for Designer Dresses Ltd above for the six months to 30 June, using the information contained in Example2.1.Data from Example2.1 Designer Dresses
Distinguish between financial gearing and operating gearing. Why do businesses often avoid having high levels of both financial and operating gearing?
Eco-Energy Appliances Ltd started operations on 1 January and has produced the following forecasts for annual sales revenue:The following additional information is also available:1. Operating profit
Can you think why it would be unlikely to be double the profit for the first six months?
Can you think of three examples of fixed expenses that a business may incur?
The above suggests that the per-cent-of-sales method is best suited to a business with at least one of two possible characteristics. Try to identify at least one of these.
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