This week’s clinical experience initiated several objection goals for me. I spent the first two hours with the DON in her office (I'll refer to her as LB from now on). She compiled a stack of useful information for my review. This included budgeting reports, a corporate specific manual titled "A Managers Guide to Understanding Financial Reports", and literature regarding the effects of Medicare and Medicaid on LTC services and funding. She allowed be to explore the corporate budgeting software and explained to me how the information demonstrates and calculates departmental reports to manage department finances. I studied how overtime is tracked and monitored and discussed with LB how overtime effects the nursing budget. She allowed me to review the "Key Indicator Report" which is a measurement of overall performance of the facility. This information includes results from family and staff surveys, targeted budget dollars for specific outside expenses such as lab and pharmacy, as well as comparisons of actual vs. target patient care issues such as dehydration, falls, UTIs, weight loss, etc. I also attended a leadership meeting and learned how facility information is distributed throughout all departments.
This was just a dent in the information I hope to learn from this experience. I'm very impressed with how our company manages both patient and financial issues. It's much more complicated than I ever imagined, but it is reassuring to know our company keeps such a close account of what goes on in the facility.
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