Sigma Publications: Book Excerpts

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Chapter 1: Financial stewardship: Framing the "why"

Abstract

This item record pertains to an excerpt from Nursing-Led Savings, which is provided free of charge by the publisher.

About this book: The quest for cost savings in hospitals and health systems too often prompts leaders to rush to make major cuts in the largest budget line item: staffing and labor costs. Evidence shows, though, that cutting labor expenses, especially in nursing, negatively impacts both quality of care and overall profitability.

Faced with cutting costs while continuing to provide extraordinary patient care, nurses at Children’s Hospi-tal of Philadelphia (CHOP) decided to pave a different path. In the process, they created a new model of bedside-driven fiscal responsibility.

Nursing-Led Savings shows organizational leaders at all levels how to develop and implement a robust, sustainable plan that eliminates waste and stream-lines processes in everyday clinical work. This strategy involves:

  • Educating frontline staff on the importance of financial stewardship
  • Using a structured improvement approach to execute cost savings at the bedside
  • Engaging Nursing Shared Governance councils in implementation and oversight
  • Prioritizing nonlabor expense reduction

To purchase the entire book from the publisher click here.

To order additional books, buy in bulk, or order for corporate use, contact Sigma Marketplace at 888.654.4968 (US and Canada) or +1.317.634.8171 (outside US and Canada).

To request a review copy for course adoption, email solutions@sigmamarketplace.org or call 888.654.4968 (US and Canada) or +1.317.634.8171 (outside US and Canada).

To request author information, or for speaker or other media requests, contact Sigma Marketing at 888.634.7575 (US and Canada) or +1.317.634.8171 (outside US and Canada).

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Description

This item record contains the following file attachments: Chapter 1; a Questions Handout; Author Bios; the Forward; the Introduction; and the Table of Contents

Author Details

Paula Agosto, MHA, RN, is the Chief Nurse Officer at Children's Hospital of Philadelphia (CHOP). Megan Bernstein, BSN, RN, CPN, CCRN, is a Clinical Nurse Expert in the PICU at CHOP. Cheryl Gebeline-Myers, MS, is the Senior Director of Clinical Services and Programs in the Office of Safety & Medical Operations at CHOP. Jackie Noll, MSN, RN, CEN, is a Senior Director of Nursing at CHOP. Jessica Steck, BSN, RN, CPN, is a Clinical Nurse at CHOP.

Sigma Membership

Alpha Nu

Lead Author Affiliation

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

Type

Book Chapter

Format Type

Text-based Document

Study Design/Type

Expert Opinion (nationally/internationally recognized)

Research Approach

N/A

Keywords:

Cost-saving Solutions, Bedside Financial Stewardship, Healthcare Finance, CHOP Improvement Framework, Improvement Methodologies, Nonlabor Expense Reduction, Shared Governance, Children’s Hospital of Philadelphia

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Publisher

Sigma Theta Tau International

Version

Publisher's Version

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Professionally Edited Material

Acquisition

Publisher-submission

Date of Issue

2019

Full Text of Presentation

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[Excerpt and supplemental materials for] Nursing-led savings

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