OS-20 5/21/2016 1:00:00 PM - 5/21/2016 5:00:00 PM Update Nuts and Bolts for Hospital and Ambulatory Managers Endoscopy is a constantly changing field and many opportunities lie in the ability to budget and present needs to administrative personnel. This session will focus on budgeting, change theories, replacing inventory, and gaining approval for new procedures. Objective State the difference between operating, capital, and productivity budgets and the processes to develop each. Content I. Operating Budget 15 minutes Betty McGinty slides/lecture A. Definition B. Examples C. Process to prepare D. Parts of budget 1. Revenue 2. Expense E. Models 1. Historic 2. Zero-based 3. Hybrid model F. Terms and calculations 1. Total direct expense 2. Gross margin 3. Benefits 4. Depreciation 5. Adjusted gross margin II. Capital Budget 10 minutes Betty McGinty slides, lecture A. Definition B. Examples C. Evaluatory techniques 1. Accounting rate of return 2. Payback period 3. Net Present Value 4. Profitability index D. Investment Analysis E. Preparation III. Productivity Budget 15 minutes Betty McGinty slides, lecture A. Definition B. Relative Value Units C. Full time Equivalent Budget 1. Fixed 2. Flexible D. Reports E. Departmental Statistics F. Productivity Standards G. Variances 1. Paid 2. Productive IV. Budget Steps/ Compared to Irish dance steps 10 minutes Betty McGinty slides, lecture, video A. Beat/time and team Time Frame Presenter 1 hour Betty McGinty GI Not GI Describe the process of applying change theories to practice. Identify data driven elements of a basic business case for justifying acquisition of endoscopes. List steps involved in gaining approval for new procedures. B. Cut/direction C. Over/trade-offs D. Lift/Gantt chart guidance E. Sevens/monthly analyses F. Celebration V. Questions/ 10 minutes Betty McGinty/group interaction Change Theories 15 minutes Karen Connick Steps of Change 15 minutes Linda Dupree Examples of 20 minutes implementation of 10 minutes change Questions Karen Connick Linda Dupree Endoscope Aging Analysis v. available technology Case start delays Endoscope availability Endoscope repair history Reprocessing capacity and resources End user satisfaction Working with vendor Approach to board presentation 50 minutes Research New Procedure 15 mins Definition of New Procedure Benefits of Procedure to Patients and Facility 5 mins Insurance Issues 5 mins What is ROI 10 mins Codes, CPT, CDM 20 mins Examples of a New Procedure 10 mins 1 hour Karen Connick/Linda Dupree 50 minutes Nancy Schlossberg, 1 hour Angie Pound Total