...Dr. Stephanie White, is concerned about the dilemma of coping with reduced budgetsd and demand for services. In order to plan for reduced budgets, she must first identify where costs can be cut or reduced and still keep the agency functioning. Below data from past year. Program Area Costs Administration Salaries: Administrator 60,000 Assist 35,000 2 Secretaries 42,000 Supplies 35,000 Advert & promotion 9,000 Professional meetings/dues 14,000 Purchased Services:Acct & bill 15,000 Custodial 13,000 Security 12,000 Consulting 10,000 Community Mental Health Services Salaries (two s w) 46,000 ;Trans 10,000 Outpt mental health tx Salaries:Psychiatrist 86,000 2 SW 70,000 Give a Give a dollar range of costs to reduce budgets (worst and best case analysis). You need to cut $94,000 in cost. Prioritize those cuts that can be made withwithout impacting the operation or quality care of the organization.How would you advise Dr. White to prepare for reduced budgets? excel spread sheet Solution To be able to answer the questions and decide on costs that could be cut, we must divide costs into discretionary and committed costs. Discretionary Fixed Costs (also known as Managed Fixed Costs) usually arise from annual decisions by management to spend in certain fixed costs. There are basically 2 differences between Discretionary and Committed Fixed Costs; 1) The planning horizon for Discretionary Fixed Costs is fairly short-term, usually a single year; and 2) Discretionary Fixed Costs can...
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...Funds and assets needed to support children and adolescents with psychiatric disorders go on to be limited. It’s vital that we identify the growing mental health needs of children in order to fund the costs associated with those needs. A study done by Beecham (2014), was executed based on the notion that economics research could pinpoint patterns of consumption and help supply allotment of treatment and support resources between competing needs and uses. The aim of the study was to identify three things: the cost of supporting children with mental health issues, the impact that childhood psychiatric disorders have in adulthood and recent evidence on interventions that bear any aspects of cost-effectiveness. The studies showed the costs to the...
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...HSM 545 Health Service Systems You Decide Week 6 Devry University August 17, 2013 In order to run a hospital it cannot be ran like any other enterprise. You will need to make several complex decisions and tough choices. The challenges we are facing with the Middleton hospital are focused around factors of the Tanner and cannon philosophy. We will also need to address any government stipulations which can interfere with objectives that need to be accomplished. The main point is to start work on the major issues before the hospital comes to an irreparable point. The first issue we will address is the payer mix issue. The Payer Mix. The Reimbursement issues with Medicare and Medicaid have become a revolving issue which has initiated the Obama care policy. Hopes are the plan is established in a way so the United States is able to resurface from its current bankrupt state. The problem today is paying for patients who are not able to afford the high prices of medical care. The first change provided by the CFO would be a breakdown of all the payers the hospital can manage at one time so adjustments can be made in the company budget. “Consider the classic hospital payer mix—the current mix for many hospitals—where Medicare accounts for 40 to 50 percent of a hospital’s net revenues. Then add 5 to 12 percent for payers that come from Medicaid and the sum suddenly seems to make it virtually impossible for a hospital operating...
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...Dr. Stephanie White, the Chief Administrator of Uptown Clinic, a community mental health agency, is concerned about the dilemma of coping with reduced budgets next year and into the foreseeable future but increasing demand for services. To plan for reduced budgets, she must first identify where costs can be cut or reduced and still keep the agency functioning. Below are some data from the past year. Program Area Costs Administration Salaries: Administrator $60,000 Assistant $35,000 Two Secretaries $42,000 Supplies $35,000 Advertising and promotion $9,000 Professional meetings/dues $14,000 Purchased Services: Accounting and billing $15,000 Custodial $13,000 Security $12,000 Consulting $10,000 Community Mental Health Services Salaries (two social workers) $46,000 Transportation $10,000 Outpatient mental health treatment Salaries: Psychiatrist $86,000 Two Social Workers $70,000 In an Excel spreadsheet: Provide a dollar range of costs to reduce budgets (worst and best case analysis). She needs to cut $94,000 in cost. Prioritize those cuts that can be made without impacting the operation or quality care of the organization. For more information on creating Excel Spreadsheets, please visit the Excel Lab. In addition to the Excel spreadsheet required to support...
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... There are calls for more funding to be put into the mental health system. Mental health advocates fear more lives will be lost if more support is not given to the sector. Transcript LEIGH SALES: The battle over scarce government dollars is in its final weeks ahead of the Federal Budget on May 10th. The Cabinet met today to discuss what's in and out and tomorrow night, the Prime Minister will set out her framework for what's already being sold as a tough budget. Mental health advocates are concerned that promises to support their sector might not materialise. They say more lives will be lost unless billions of dollars in extra funding goes to mental health. Michelle Ainsworth reports from Canberra. DR ELIZABETH SCOTT, CLINICAL PSYCHIATRIST: I think the mental health system in Australia at the moment is really at a crisis point. PAULA KNOWLES, MOTHER: It is a parent's worst nightmare. PROF. IAN HICKIE, BRAIN & MIND RESEARCH INSTITUTE: We know what to do, largely when to do it, but our shambolic system fails to deliver that for people in the greatest need. BRONTE O'BRIEN: Life was incredibly confusing and incredibly overwhelming and I found myself trying to mask my feelings through using drugs. KEVIN RUDD, FORMER PRIME MINISTER: We need as a nation to live our game. JULIA GILLARD, PRIME MINISTER: I want to be absolutely clear about this. Mental health will be a second term priority for the Government. ...
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...Details: Unit 2 - Cost Management Dr. Stephanie White, the Chief Administrator of Uptown Clinic, a community mental health agency, is concerned about the dilemma of coping with reduced budgets next year and into the foreseeable future but increasing demand for services. To plan for reduced budgets, she must first identify where costs can be cut or reduced and still keep the agency functioning. Below are some data from the past year. Program Area | Costs | Administration | | Salaries: | | Administrator | $60,000 | Assistant | $35,000 | Two Secretaries | $42,000 | Supplies | $35,000 | Advertising and promotion | $9,000 | Professional meetings/dues | $14,000 | Purchased Services: | | Accounting and billing | $15,000 | Custodial | $13,000 | Security | $12,000 | Consulting | $10,000 | Community Mental Health Services | | Salaries (two social workers) | $46,000 | Transportation | $10,000 | Outpatient mental health treatment | | Salaries: | | Psychiatrist | $86,000 | Two Social Workers | $70,000 | • This is how managerial accounting is different from cost accounting. Cost Accounting: It is the technique or arrangement acclimated for determining the amount of project, process, or affair acclimated by the acknowledged entities in society, or assigned by Authoritative accounting group. Cost accounting is the analysis of banking accounting data for fixation of the whole amount and cost of control on cost and the product. Management...
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...Organization of mental health services is an important factor influencing the effectiveness of these services and also influences the aims and objectives of the mental health policy. Several variables are associated with increase the likelihood of mental health care use; they include sociodemographic variables (e.g. gender, age, sex, race and educational level), access variables (employment, urban residence and health insurance coverage) and significant illness variables (e.g. mood disorders, substance use disorders and perceived need for treatment). There is a debate about which type of variables is more important than others, Rayburn (2005) reports that needs variables are more important than sociodemographic and access variables while Katz (1997) thought that sociodemographic factors are the most important in influencing the use of mental health services. Despite that hospital treatment (including long stay admission) may provide better physical assessment and treatment and decrease vulnerability to physical , sexual and financial exploitation(Thornicroft & Tansella, 1999),community based care for long stay institutional patients can enhance their quality of life if there is a well-planned and well-resourced reprovision program for supervision and adequate use (Leff & Treiman,2000) Also, an important point of debate is the availability of mental health services for patients suffering from co-morbidity of psychiatric disorders with substance use disorders in...
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...“Applying SWOT Analysis for Effective Planning” By: Krystal Newton July 8, 2014 Introduction As a graduate business student, I am learning and practicing on becoming an effective manager. According to Daft Chapter 8, much skills and analysis will help managers become successful. Chapter 8 focuses on SWOT Analysis. The purpose in applying a SWOT diagram as a planning tool to assist in organizational performance (Daft, 201420). A SWOT analysis is beneficial in helping an organization identify the strengths, weaknesses, opportunities and threats during the planning process of creating new goals within the organization. Strengths are positive internal characteristics that can help an organization achieve its strategic performance goal. Weaknesses are internal characteristics that may restrict an organization to achieve the goal (Daft, 201420). While planning all these factors, it will help an organization consider all areas needed and successfully achieve goals. When creating SWOT analysis a company opens up opportunity to learn more about what is beneficial and what is not to the organization. Problem Currently I am employed with Freedom Landing, a non-profit rehabilitation day program and residential service. We have been serving the mental health community for 30 years. We are known for or family like environment. We practice and believe in assisting each person’s developing and enhancing the skills needed for living in today’s society. Freedom Landing believes that...
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...Administration and Stakeholders Factor Administration and Stakeholders Factor Introduction Mental Health America is a nonprofit organization filled with committees such as the governance committee, public policy committee, board of directors and affiliated groups that work together with stakeholders to provide services to the mentally disabled and substance abuse community. Services provide by MHA can face impending changes which could influence the organization culture. Nonprofit organizations have challenges recruiting and retaining talented employee’s, which can make it difficult to achieve organization mission, vision, and culture. According to Yazinski (2009), “Employees leave organizations for reasons; oftentimes these reasons are unknown to their employers”. Mental Health America has to strategize to recruiting staff as well as retaining methods to maintain development and competency. Evolving practices such as changing delivery cause stakeholders to assess the cost effectiveness and advances in technology. Strategies for Recruiting According to Longest Jr. & Darr (2008), “as noted recruiting involves attracting internal or external applicants” (pp. 448). Recruiting begins with the selection process, management must understand the overall cultures mission, and vision to recruit potential staff that will fit with the values or the organization to retain employment and minimize staff turnovers. Once, the recruitment process is complete management the...
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...successful in college. Personal responsibility is the responsibilities and obligations people have to themselves and others. Personal responsibility is the ability for a student to make a positive impact on lives. Personal responsibilities include; physical and mental health awareness, stress management, and maintaining financial obligations. It takes a high level of fitness and determination to succeed in an ever-changing academic world. The students will experience many stressors that will influence their academic outcome. The students need to make financial arrangements to ensure a degree completion. In a recent study published in The Journal of College Admission scholars suggested: Students drop out of college for a variety of reasons, such as academic failures, personal problems, or changes in career plan. Those who fail to attain a college degree have fewer career opportunities, earn less money and achieve lower financial stability than their peers who completed a degree program (Prevatt, Li, Welles, Festa-Dreher, Yelland, & Lee, 2011, p. 29). Physical health can play an important part on a student’s ability to be successful in college. Students will become exhausted if they are not in proper physical health. “During the first year of college, students...
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...Health Care Spending Ninnette Paulino HCS/440 Economics: The Financing of Health Care August 25, 2013 Michele Burka America’s national health care spending grew by 3.9% each year from 2009 to 2011, the lowest since the federal government began keeping these records in 1960. That slow growth appears to have continued into 2012, when expenditures totaled an estimated $2.8 trillion. The biggest reason for this slowdown is that people have spent less on health care in weak economic times. As people were losing their jobs they were losing their health coverage and then hold off on seeing a physician. Even workers that are employed with company-sponsored plans they face large-out-of-pocket costs that they’d rather avoid unless it is truly necessary (Luhby, 2013). According to the Kaiser Family and Foundation and Altarum Institute, they predict that this dampened spending pattern is unlikely to last much longer. As the economy picks up, health care spending is expected to increase, rising to an annual growth rate of more than 7% annually by the end of the decade (Luhby, 2013). When President Obama released his fiscal 2014 budget he proposed a chained CPI- to shrink cost-of-living adjustments for retirees. The use of chained CPI in Social Security and elsewhere in the budget would reduce deficits by $230 billion over a decade. It is also includes $392 billion in savings from Medicare and other health programs by raising Medicare premiums for wealthy retirees and negotiating...
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...The reason why someone decides to take their own life still remains a mystery, the community are still disturbingly unaware of the prevalence of youth suicide until they experience it themselves. Although something can be done, with the introduction of suicide prevention programs to the Australian Curriculum, the education departments and its bodies would be seen as doing more towards the prevention of suicide. Youth suicide is the most concerning area of suicide and its destruction of young life has implications for the long-term affairs of our community. The Australian government identified this and in the 1995/96 commonwealth budget provided substantial funding, $13 million dollars with a combined total of $31 million by 1999. This initial funding lead to the creation of the National Youth Prevention Strategy administered by Department of Health with emphasis on promotion, prevention and early intervention. (Living is for everyone, 2008, p. 7) Since then many agencies have been proactively targeting youth suicide. In 2000 the National Youth Prevention Strategy expanded into Life is for Everyone (LIFE). LIFE is a world-class suicide and self-harm prevention resource. Dedicated to providing the best available evidence and resources to guide activities aimed at reducing the rate at which people take their lives in Australia, LIFE is specifically designed for people across the community who are involved in suicide and self-harm prevention activities. (Living is for everyone...
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...relationship of excess body weight and health-related quality of life: evidence from a population study in Taiwan I-C Huang, C Frangakis, and AW Wu Abstract Objective: Excess body weight is related to significant morbidity and mortality. However, less is known about the relationship of body weight to health-related quality of life (HRQOL), especially for Asian populations. We examined the relationship of excess weight and HRQOL in a general population sample from Taiwan. Research methods and procedures: This cross-sectional study used a national representative sample (n=14221) from the 2001 Taiwan National Health Interview Survey. Body weight was categorized using body mass index (BMI in kg/m2) as normal (18.5–24.9), overweight (25–29.9), and obese (>=30). HRQOL was measured using the Taiwan version of the SF-36. We compared the body weight–HRQOL relationships by age, gender, and status of chronic condition, respectively. We especially used the Generalized Estimating Equations (GEE) to examine the relationships of BMI and HRQOL by taking into account the correlations of HRQOL within households. Four models were developed to adjust sequentially for sets of covariates: Model 1 with no adjustment; Model 2 adjusting for socio-demographic variables; Model 3 adding chronic conditions; Model 4 further adding smoking status. Results: Unadjusted physical HRQOL was best for normal weight, worse for overweight, and worst for obese individuals. For unadjusted mental HRQOL, overweight subjects had...
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...Pakistan sixth among the populous countries in the world,with a projected 188 million populations and 1.95 percent growth rate, which is higher than the average growth rate of South Asian courtiers.Moreover, in Muslim courtiers, overall 97% is Muslim population, more than 60% population lives in rural areas and below the poverty line. The maternal mortality rate (MMR) of Pakistan is 260/100,000 live births, and only 35% of the women use family planning contraceptives for birth spacing. The literacy rate is around 60% for males and 40% for females. In Pakistan 3.73 million people are unemployed. The women’s employment share is only 10%. The annual budget for health is less than 1% with no separate budget for mental health ( Malik,...
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...Budgetary Analysis Angel Lowe HCS/550 March 2, 2015 John Dean Budgetary Analysis Medicaid counts as one of the largest sources of public health insurance in the United States, and also in the whole world. It provides essential medical cover to vulnerable population within the United States. This population includes elderly individuals, expectant mothers, children, low income families and individuals with different physical disabilities and the disadvantaged in the American society. In 1965 President Johnson signed into law under the Social Security Act to improve the health care of the elderly with Medicare. Medicaid would provide improved health care for the poor, unwed mothers, children, and the disabled. The program involves a joint initiative between the states government and the federal government hence the two governments jointly fund the program and ensuring its success through putting up laws to guide its implementation. President Obama’s legacy will be protecting the health of the individual American. The health care policy rules, regulations, and legislations are the consequence of the policy procedure which involves legislators, all the decision-making branch leaders, and public also. The budget for Illinois starts when the Governor submits a bill each January to the House of Representatives. After the bill has been submitted by the Governor then the house is responsible for ways and means review then they budget and develop their own recommendations...
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