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Taking last years expenses and adding for the cost of inflation. Behooves manager to use the money in the budget. End of year-extra money --> what do I do with it. Could lose it. |
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start with zero and justify money that is spent. (Best-> starting new unit) |
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justified, in-lined with goals, r/r, supported |
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cost or price of activity undertaken |
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income or amounts received for purchased services or goods |
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result of multiplying the services provided by the charge for services |
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the excess of revenue over expense |
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expense incurred in the delivery of a service or the making of a product; consist of fixed, variable, sunk, direct, and indirect costs |
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Not related to volume-a cost that does not change with the level of volume (#of pts) such as mortgage, loan, bond, payments, certain departments such as medical records, admitting, business office, administration |
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Related to volume and censuscost associated with specific activity such as supply cost; dressing supply only a cost is a patient is being treated. Variable costs go up and down with census shifts and are first to be analyzed when operations are reviewed |
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fixed expense that cannot be recovered even if program is canceled -such as advertising |
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cost that can be allocated directly to making or delivery of an item or service (nursing care hours in ICU)-can be identified with the product of a specific product or service |
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those associated with provision of services but which cannot be directly linked to one specific area of service Generally these cost are spread over the entire organization or areas of the organization based on some approved allocation method; such as security costs, utilities, maintenance costs,- lights administrative cost, building maintenance, books and supplies used by the staff |
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direct cost plus allocated indirect cost- full cost used in setting rates and negotiating with third party payers |
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Explain variance of >5% either way Volume -- Efficiency -- Rate |
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Pt days (cencus is down, less pts less need for nurses) |
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Salary (pay more for experience as opposed to new people) |
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