CNML (Certified Nurse Manager and Leader)
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Updated Study Guide with complete
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solutions. __.,
Keys to Communication
__., __., Sender and receiver who both need to feel __.,__., __., __., __., __., __., __., __., __., __.,
safe; seek to understand first and listen more than you speak
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Employee Satisfaction Good facility; clear expectations; supplies to do
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job; right fit for talents; recognition; someone who cares; someone who
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encourages; opinions count; mission makes work important; quality work
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from peers; BFAW; opportunities for growth
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Cost of Nursing Services Calculation
__., __., Nurse Time X (Avg. RN Hourly
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Rate + Benefits + Indirects) = Total Nursing Cost per DRG
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General Nurse Staffing Calculation
__., __., __., __.,__., __., # of RNs needed X days open / #
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days worked per RN
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FTE Definition & Calculation
__., __., __., __.,__., __., Full-time equivalent = full- __., __., __.,
time employee paid for 1 year
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FTE = (Hours per shift X # of days worked) / 40 hours
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DRGs Diagnostic-
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Related Groups: payment rate based on specific diagnoses
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,Prospective Payment System Used by Medicare-
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participating hospitals: pretreatment diagnosis billings based on DRGs; rate
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decided ahead of time between insurance companies and hospitals
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Exclusive Provider Used by HMO's: insurance coverage for contracted
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providers or institutions
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HMOs Health maintenance organizations: comprehensive healthcare to
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people who pay a fee for a fixed period of time
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Capitation Fixed rate paid to provider per member per month for
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healthcare services; set fee paid by insurance company per month for all
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the patient needs
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PPOs Preferred provider organizations: special reduced rate for
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services when customers use certain providers approved by the insurance
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company; usually fee-for-service __., __.,
IPAs Individual provider arrangements: provide care in their offices
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for prepaid plans; coalition of physicians who serve HMO patients and
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third-party patients
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Fulltime FTE Hours __., __., __.,__., __., 2080 hours (1.0 @ 40 hours per week)
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Capital Expenses Long-
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term equipment or physical purchases: usually over $500-
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$1000 that will last years and depreciate over time and be used multiple
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times
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, Zero-Based Budget With each new budget (i.e. fiscal year), it is
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determined which programs/areas get money; no historical context is used;
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may rank packages and then only fund top-ranked ones; can be time-
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consuming way to create a budget __., __., __., __., __.,
Variance Calculation & Reminders
__., Variance $ /Budgeted $ X 100 = % __., __., __.,__., __., __., __., __., __., __., __., __.,
difference; contract staff on separate line of budget; many staff sick cost
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s more than a few staff on LOA
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Fixed Costs Stay the same no matter the census: manager salaries,
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keeping phones on, rent, etc.
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Variable Costs __., __.,__., __.,Change with census and how much staffing is used
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Net Revenue Calculation
__., Gross Revenue - __., __.,__., __., __., __.,
Deductions from Revenue (DRGs and the Contractual allowances paid by
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insurance companies) __.,
UAP __.,__., __., Unlicensed assistive personnel (CNA's) __., __., __.,
ADC __.,__., __., Average daily census (patients in a bed at midnight)
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Total Patient Days Calculation
__., __., __., __.,__., __.,ADC X Days open per year (for SCH -
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ADC X 365)
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