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Case study: strategic financial planning in long-term care neil r.

Essay Service & Study Help Writing Services – Term Paper Examples, Research Papers, Thesis & Dissertation Topics Ideas Samples: – Please use the case study in Chapter 27: Strategic Financial Planning in Long-Term Care.  The paper must be 4 pages of content, not including title page and works cited page.  This assignment will allow you to practice and apply critical analysis skills you are acquiring in the class.  The assignment must utilize appropriate APA standards, incorporate a minimum of four to six (3-4) scholarly references for both Analysis with in-text citations (textbook does not apply) and include a title page [with running head], an introduction, a conclusion and reference page(s).Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-  Need Assignment Help Online, Homework Solutions & Case Study Answers? 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Dworkin, PhDNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- BACKGROUNDNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- John Maxwell, CEO of Seabury Nursing Center, a not-for-profit long-term care organization located in suburban Connecticut, had just emerged from a board of directors meeting. He was contemplating the instructions he had received from the board’s executive committee to assess the financial feasibility of adding a home care program to the Center’s array of services.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Seabury’s current services consist of two levels of inpatient care, chronic care, and subacute units, and a senior citizens’ apartment complex financed in part by the Federal Department of Housing and Urban Development. In keeping with its mission, Seabury has a reputation of providing personalized, high-quality, and compassionate care across all levels of its continuum.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- The CEO and his executive team agreed to meet the following week to plan the next steps.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- FRAMEWORK OF THE BOARD’S MANDATENeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- At its last retreat, the board made clear that, reimbursement and payment systems notwithstanding, Seabury must establish realistic and achievable financial plans that are consistent with their strategic plans. Accordingly, three points relative to integrating strategic planning and financial planning should hold sway:Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 1.            Both are the primary responsibility of the boardNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 2.            Strategic planning should precede financial planningNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 3.            The board should play an active role in the financial planning processNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Ultimately, every important investment decision involves three general principles:Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 1.            Does it make sense financially?Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 2.            Does it make sense operationally?Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 3.            Does it make sense politically?Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- The board’s interest in a possible home initiative was guided by these stipulations, particularly as they relate to Seabury’s growth rate in assets and profitability objectives. As a result of the financial downturn, the organization is experiencing declining inpatient volumes, a deteriorating payer mix, and a higher cost of capital, all of which have the potential to weaken its liquidity position.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Taking the strategic service line path to a home care program would be less capital intensive and should appeal broadly to the significant baby boomer population residing in its service area, whose preference would undoubtedly be to be treated in their homes.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- INDUSTRY PROFILENeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- When John Maxwell convened his executive team the following week, he had already decided to present an overview of the home health industry as gleaned by Seabury’s Planning Department. He prefaced his comments by drawing on recent research by the federal Agency for Healthcare Research and Quality that detailed why home health care in the 21st century is different from that which has existed in the past. He cited four reasons:Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 1.            We’re living longer and more of us want to “age in place” with dignity.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 2.            We have more chronic, complex conditions.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 3.            We’re leaving the hospital earlier and thus need more intensive care.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 4.            Sophisticated medical technology has moved into our homes. Devices that were used only in medical offices are now in our living rooms and bedrooms. For example, home caregivers regularly manage dialysis treatments, infuse strong medications via central lines, and use computer-based equipment to monitor the health of loved ones.1Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- The CEO presented a profile of national home care data as compiled by the National Association for Home Care and Hospice as follows:Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   Approximately 12 million people in the United States require some form of home health care.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   More than 33,000 home healthcare providers exist today.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   Almost two-thirds (63.8%) of home healthcare recipients are women.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   More than two-thirds (69.1%) of home healthcare recipients are over age 65.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   Conditions requiring home health care most frequently include diabetes, heart failure, chronic ulcer of the skin, osteoarthritis, and hypertension.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   Medicare is the largest single payer of home care services. In 2009, Medicare spending was approximately 41% of the total home healthcare and hospice expenditure.2Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- According to the U.S. Census Bureau, he continued, in 2010 – Essay Writing Service: Write My Essay by Top-Notch Writer Connecticut’s population was 3,574,097 of which 14.4% were age 65 or older.3 A Visiting Nurse Association (VNA) analysis of revenue by payer source in the state indicated that 60% of revenue was derived from Medicare.4Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- FEASIBILITY DETERMINATIONNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- The CEO went on to explain that the feasibility determination would be based on initially setting the home care program’s capacity at 50 clients because that was the minimum required for Certificate-of-Need (CON) approval in Connecticut. He distributed a model developed by healthcare finance expert William O. Cleverly (Figure 27–1), which presents the logic behind the integration of strategic and financial planning.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- In essence, he said, financial planning is influenced by the definition of programs and services in consort with the mission and goals. The next step entails financial feasibility of the proposed homecare program. Among the components that should be considered in determining financial feasibility are the following:Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   The configuration and cost of staffNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   The prevailing Medicare and Medicaid reimbursement ratesNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Figure 27–1    Integration of Strategic and Financial Planning.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-  Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Reproduced from W.O. Cleverley, Essentials of Health Care Finance, 7th ed. (Sudbury, MA: Jones & Bartlett), 289.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   A projection of visit frequency by provider category based on the most prevalent clinical conditionsNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   The physical location of the program and its attendant costs (e.g., rent, new construction)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   A projection of cash flowsNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Direct care staff associated with the home care program includes:Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   Medical Social Worker (MSW)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   Physical Therapist (PT)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   Home Health Aide (HHA)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   Registered Nurse (RN)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-   Registered Dietitian (RD)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Maxwell indicated that it would be useful to create a scenario depicting a home health visit abstract incorporating prevailing Medicare and Medicaid reimbursement rates for a 70-year-old male with heart failure and no comorbidities in order to gain traction and project potential cash flow. As previously noted, heart failure is a condition frequently requiring home healthcare services. Productivity in the home is typically based on the average number of visits per day by provider category. The visit scenario is depicted in Table 27–1.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Table 27–1        A Home Health Visit ScenarioNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-  Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-             Mc = MedicareNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-             MA = MedicaidNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-             * 4.2 = The state′s formula for the #wks/per monthNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-             Total monthly Medicaid budget = $826.95Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-             Total monthly Medicare budget = $2,394.21Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Figure 27–2       Seabury Nursing Center’s Home Healthcare-Related Organization Chart.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-  Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Once the board decides to move ahead with the home care program and it is approved by the state, implementation and ongoing operations becomes a management control issue (see the Cleverly model in Figure 27–1). The CEO refers to a proposed table of organization as illustrated in Figure 27–2.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Given the paucity of other home care programs in its service area, Maxwell knows that Seabury is likely to be accorded a green light.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- As he and his team reflect on this, the looming question will be where will the clients come from? He knows that likely referral sources will include Seabury’s subacute inpatient population and residents from its senior citizens’ apartment complex who areNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- “aging in place.” Other likely sources will be recently discharged patients from the region’s two community hospitals, both bereft of home care programs. A premium will be placed on effective case management, and direct marketing to the community will also be necessary.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- NOTESNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 1.            U.S. Department of Health and Human Services, “Human Factors Challenges in Home Health Care,” Research Activities, no. 376 (December 2011).Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 2.            National Association for Home Care and Hospice, Basic Statistics about Home Care (Updated 2010 – Essay Writing Service: Write My Essay by Top-Notch Writer).Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 3.            Department of Commerce, U.S. Census Bureau, 2010 – Essay Writing Service: Write My Essay by Top-Notch Writer Demographic Profile.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- 4.            Visiting Nurse Association, VNA Healthcare Annual Report (Hartford, CT: Hartford Healthcare, 2014: 2024 – Essay Writing Service. Custom Essay Services Cheap).Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-  (Baker 387)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- Baker, Judith J. Health Care Finance, 4th Edition. Jones & Bartlett Learning, 08/2013. VitalBook file.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.- The citation provided is a guideline. Please check each citation for accuracy before use.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-  Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.-  Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service. – Get top-rated homework assistance online by professional writers. Free of AI and Plagiarism.

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