1. Budgeting and financial management.

2. Management Functions Planning Organizing Staffing Directing
Controlling

3. Planning
Deciding in advance what needs to be done for the day, month, years ahead
Charts the course for future action
Facilitate use of time, activities and resources

4. Reasons for planning To focus attention on objectives
To offset uncertainty and chance
To gain economical operation
To facilitate control

5. Types of Planning Standing Plan List of daily or standard activities
Nursing care plan
Used as a way of organizing time and activities

6. Types of Planning (continued)
Strategic Planning
Market and future oriented
Provide a plan for the life of the entire organization
Occurs at an administrative level or top management
Includes in-depth analysis of factors within and outside the organization
Involves:
Methods to increase revenue
Consolidate services
Reduce loss of profit
Provide income-producing services

7. Types of Planning (continued)
Long-range Planning
Provides direction for organizational growth
Involves 1, 5, 10, 15, 20 year goals
Administration meet to continually develop goals for the future
SEE THE HANDOUNT

8. What is a budget?
It is a tool for planning and controlling organizational funds. It is a formal written guideline describing organization’s future goals expressed in financial terms within a set period of time. It is a detailed statement of estimated income and expenses. It is a historical record of the organization’s activities during a given period.

9. Purpose of a Budget Planning document
Incorporates financial data used by a department/organization
Forecasts both receipts and expenditures.
Financial data are used to keep system functioning.

10. Budgeting Concepts: The budget is integral to planning
Budgeting Concepts: The budget is integral to planning. It provides an orderly and rational framework for organizing effort; it serves as management tool for both directing and controlling effort. Financial management: Is defined as "a series of activities designed to allocate resources and plan for the efficient operation of the organization".

11. Factors influencing Budget planning:
Economic environment, financial means
Changing demands
Availability of human resources
Capacity of facilities
Service costs/market price
Other factors include consideration of organizational mission goals and strategic direction as well as the economic environment and the plans and objectives of other segments of the organization.

12. Nursing Budget
Generating and controlling a divisional budget is a major responsibility of the nurse executive.
To predict budget expenses for any anticipated period of time, the nurse executive needs to identify clearly three elements:
The present activities of the nursing division
The activities that the division plans to institute during the projected financial period
Those activities the division plans to delete during the projected period.

13. . Systems of budget development 1. Centralized budgets:
Are developed and imposed by the controller, administrator of the hospital, and the director of nursing services, with little or no consultation with lower-level managers.
This is “top-down approach leaves the implementers of the budget without autonomy or the right to appropriate or control expenses.

14. 2. Decentralized budget:
More and more health agencies are recognizing the value of having budgets prepared by those who must implement them. With decen­tralization the first-level manager (head nurse) becomes actively involved in the plan­ning and budgeting process; autonomy, ac­countability, and authority are placed at the practitioner level.

15. Types of budgets Operational Budget:
Includes services to be provided and goods the unit expects to consume or utilize during the budget period. For a nursing unit this covers the cost of salaries, fringe benefits, supplies, small equipment, and other miscellaneous items.

16. The Capital Budget
This represents the projection of costs for major purchases or projects. Each institution has its own definition of what qualifies as a capital expense.
Capital items usually include major architectural renovations, major technological equipment's, and fixed assets (furniture, buildings).
Capital budgets are forecasted over a 3-year period; however they are reviewed and revised annually and as needs change.
In preparing a capital budget, the nurse executive is required to document the need for most major items.

17. The budgetary process:
Preparation of the budget begins several months before the end of each fiscal year to al­low time for careful preparation.
First: those involved with budget preparation review agency policies, standards, and objectives
Second: the agency con­troller and director of nursing services prepare guidelines for the budget.
Third: The first-level managers (head nurses) prepare the budget for their units based on past expenditures and pre­dictions for the coming year.

18. Managing Financial Resources
Financial management has a large scope, and has many interrelated activities.
Preparing the budget is one of the last steps in handling finances.
In health care institutions, the financial department coordinates financial operations throughout the entire organization or network.

19. Objectives of Financial Management
Ensure the organization has an efficient and effective financial management structure supporting strategic objectives
Establish a uniform set of internal financial controls throughout the organization
Provide appropriate financial information to make timely decisions

20. Accounting Records and reports all financial transactions
Generates the data for the budget
Standard accounting
Reports financial performance on a monthly, quarterly, or yearly basis
Uses income statements, balance sheets, or cash-flow statements

21. Thanks