Article Source: Carr, L. P. (1993). Unbundling the cost of hospitalization. Strategic Finance, 75, 43-48.
Carr defines the need for a balanced budget management a vital source of relative success especially for those operating in the healthcare industry. Organizations in the said industry are expected to provide service to patient based on a 24/7 operation. Nurses, being the front-liners of the said industry, are considered to have a strong relative role in defining the budget-system that hospital care providers are supposed to give attention to. Basically, the ABC budget systems provide a great impact on how the nurses take their role especially in defining the new financial schedule of the organization. Stressing out that the healthcare industry operates under a mixture of several professionals including registered nurses and doctors who are specifically involved with the connection they have with the patients that the institutions serve.
The rate of admission cost for patients are usually dependent on how much the assumed services are to be dedicated to each individual. With these particular assumptions, the administration sets a differential set of budgeted services that are likely to be used by the patients during their stay in the facility. Most of these services include the basics, which also involves nursing attention. Some other services include food allowances and regular electric bill shares of each patient during their stay in the establishment. Nevertheless, it has been realized that such division of accounts to be paid between patients cannot be considered as justifiable especially that the health cases defining a patient from another actually have a great point of difference. This particular situation indicates that the attention that each patient needs differ accordingly. In this case, it is assumed that the rate of payment of each patient based on nursing services should actually be refurbished especially when it comes to balancing out the budget systems and the breakdown of scheduled bills that need to be given attention to.
In relation to nursing services, it is a usual culture in the healthcare industry to make a specific indication on how the nursing services are supposed to be divided. This particular division of services ought to be dependent on the healthcare issue a particular patient undergoes. The severity of a health issue that a person is involved with specifically creates a distinctive condition by which the nurses are supposed to give attention to each patient. There of course exist some protocol checkups that nurses need to regularly handle with each patient especially related to checking the vitals of each individual admitted in the facility. However, when it comes to providing special attention, the health case of each patient defines the rate of assistance each patient receives.
This is the reason why in the article of Carr, another aspect of patient billing breakdown has been explored. To make sure that the assumption of the new approach is backed up with proper evidences, the article introduces a series of testing that gives a specific condition by which the nurses’ labor is measured accordingly to make sure that each patient is paying for the right amount of attention given to them by each healthcare assistant. In the study, the claim of patients regarding being served differently by the healthcare practitioners while having the need to pay with equal share in comparison with those receiving longer times of assistance have been given particular focus. The assumption of healthcare attention each individual gets is then programmed to be based on the nurses’ reports regarding the time they spend within a specific unit assisting a particular patient admitted in the hospital. Not only will this system of reporting enhance the manner by which each patient is billed based on the services provided to him, but this also improves the allocation of labor in the institution based on the cases that the patients are supposed to content with while they are admitted in the establishment.
In connection to this particular issue, the EHR system could better help. EHR or the Electronic Health Recording system ought to provide a real time update regarding the condition of patients in a hospital. Not only that, EHR system also includes a complete record on the health history of each individual. Nurses and doctors would then be able to immediately define the kind of care and the rate of attention that a patient needs once he is admitted in their facility. Given this information, the healthcare providers would be able to classify each patient based on the care that he requires from the establishment and its personnel.
Balancing out the human resources and the schedule of duty that the nurses have in relation to the attention that they ought to give to a specific patient redefines the manner of billing that patients shall receive at the end of the term that they were admitted in the hospital. Braintree Hospital, which was the base facility where the new culture of billing was practiced, provided good results that other healthcare establishments could basically depend upon. The results of the experimental observations show that the number of patients served `had a more defined course of development. The nursing attention that the patients received based on the healthcare problems they were dealing with allowed them to acquire recovery faster. From this particular assumption of patient care operation, nurses were given better protocol of service towards patients based on the health situations that they are undergoing. The chart of operations that each patient should receive based on the category of health issue they are suffering from makes the process of nursing assistance more reliable and the medical operations more reliable. Recovery has become much easier to contend with and the patients grew to become even more satisfied with the services they receive from their attendees.
True, several adjustments had to be made and accepted especially by the personnel involved in the situation. Nurses had to follow protocols and the record keepers needed to become more specific especially in categorizing the situation that the patients are involved with. However, at the end of the continuous course of changes and adjustments, the yielding results of the experimentation proved to be beneficial not only to the administration of the hospital and the patients they serve but also towards the system of operation and culture of performance that each nursing assistant responds to while at duty. The proper scheduling of activities to create a more definite scheduling of billing system proved to be a great source of performance competence for healthcare institutions such as the Braintree Hospital. Other healthcare facilities like Braintree could best benefit when they adapt the same system of billing. True, it requires tedious attention at first, however, with the conclusive adaptation of everyone involved into the new system, good results are expected to come out from the operation.