capital budgets, 172–173 controllable costs, 171 cost of goods sold, 171 depreciation, 170 expense budget, 174 financial management, 185, 186f fiscal calendar and budget cycle’s timeline, 182


fiscal year, 170 fixed asset, 170 fixed budget, 170 fixed costs, 169 flexible budget, 170 gross patient revenue, 169 income statement, 170 incremental budgeting, 175 inpatient day of care, 170 justification process, 180–181 manage labor effectively, 181–182 net operating income, 170 net patient revenue, 169 noncontrollable costs, 171 nonproductive time, 170 nutrition manager. See nutrition manager responsibilities


operating revenue, 169 overview, 168 patient days, 170 payer, 168–169 payer mix, 169 productive time, 170 pro formas, 182, 183f revenue budget, 174 semifixed (or semivariable) costs, 169


statistics budget, 173 variable costs, 169 variance analysis, 180–181, 181f zero-based budgeting, 174


budget justification process, 180–181, 185 business plan company/department description, 317, 320


executive summary, 315, 318–319 financial analysis, 317–318, 321– 322t


financial summary, 323 implementation, 317, 320–321 market analysis, 315–316, 319 marketing and sales management, 317


organization and management, 317, 320


service or product line, 317, 320 strategy, 317, 320–321


C


CDSS. See clinical decision support systems (CDSS)


Center for Improvement in Healthcare Quality (CIHQ), 190


Centers for Medicare & Medicaid Services (CMS), 188–189, 290


Certified Diabetes Care and Education Specialist (CDCES), 76, 230


Certified Nutrition Support Clinician (CNSC), 89, 230


CfC. See Conditions for Coverage (CfC) CFR. See Code of Federal Regulations (CFR)


change management and innovation ADKAR model, 32 design thinking, 37 innovation, 37–38 Kotter model, 34–35, 36–37b Kübler-Ross change model, 33 Lewin phases of change model, 33, 34b


Nudge theory, 32–33 change management, health care acceptance/commitment, 267 anger/skepticism, 266–267 denial/uncertainty, 266 exploration/curiosity, 267 stages of, 266b


CIHQ. See Center for Improvement in Healthcare Quality (CIHQ)


Civil Rights Act of 1964, 220 CliftonStrengths Assessment, 47 clinical decision support systems (CDSS), 303, 306


clinical nutrition managers (CNMs), 148, 187, 214 clinical productivity, 80–81 competency assessment, 75–77, 77f, 78f


daily time log clinicians, 84, 85f data collection, 84–85 direct vs. indirect patient activities, 81, 82b


evaluation of time study, 86 identify specific tasks/activities, 83–84


nutrition acuity prioritization model, 72, 73b


nutrition delivery and practices, 88–92


nutrition policies and regulatory standards, 70–71


nutrition risk levels, 73t outpatient nutrition services, 92–99


patient population, 72–73 performance and productivity metrics, 80b


326 EFFECTIVE LEADERSHIP & MANAGEMENT IN NUTRITION & DIETETICS


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