About 'costing systems'|Britain’s National Health System Hospitals: Cost Overruns Make Pentagon Look Miserly

About 'costing systems'|Britain’s National Health System Hospitals: Cost Overruns Make Pentagon Look Miserly

Ｄｅｐｅｎｄｉｎｇ               ｏｎ               ｗｈｏｍ               ｙｏｕ               ｖｏｔｅ               ｆｏｒ               ｉｎ               ｔｈｅ               2008               Ｐｒｅｓｉｄｅｎｔｉａｌ               Ｅｌｅｃｔｉｏｎ,               ｔｈｅｒｅ               ｃｏｕｌｄ               ｂｅ               ｓｏｍｅ               ｒｅｆｒｅｓｈｉｎｇ               ｎｅｗ               ｏｐｔｉｏｎｓ               ｆｏｒ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｉｎ               ｔｈｅ               ｆｕｔｕｒｅ. Ｉｆ               ｙｏｕ               ｔｈｉｎｋ               ｔｈｉｓ               ｔｏｐｉｃ               ｉｓ               ｏｎｌｙ               ｆｏｒ               ｐｅｏｐｌｅ               ｏｖｅｒ               50,               ｔｈｉｎｋ               ａｇａｉｎ. Ａｃｃｏｒｄｉｎｇ               ｔｏ               ａ               Ｄｅｃｅｍｂｅｒ               2007               ａｒｔｉｃｌｅ               ｉｎ               ｔｈｅ               ＡＡＲＰ               Ｂｕｌｌｅｔｉｎ,               ｍｏｒｅ               ｔｈａｎ               30               ｍｉｌｌｉｏｎ               Ａｍｅｒｉｃａｎ               ａｄｕｌｔｓ               ａｒｅ               ｃａｒｉｎｇ               ｆｏｒ               ｅｌｄｅｒｌｙ               ｌｏｖｅｄ               ｏｎｅｓ               ａｔ               ｈｏｍｅ,               ｃｏｓｔｉｎｇ               ｔｈｅ               ｙｏｕｎｇｅｒ               ｇｅｎｅｒａｔｉｏｎ               ａ               ｗｈｏｐｐｉｎｇ               $350               ｂｉｌｌｉｏｎ               ｐｅｒ               ｙｅａｒ. Ａｓ               ｔｈｅ               ＡＡＲＰ               ａｒｔｉｃｌｅ               ｐｏｉｎｔｓ               ｏｕｔ,               ｓｏｍｅ               ｏｆ               ｔｈｅ               2008               Ｐｒｅｓｉｄｅｎｔｉａｌ               ｃａｎｄｉｄａｔｅｓ               ｈａｖｅ               ｆｉｒｓｔ               ｈａｎｄ               ｅｘｐｅｒｉｅｎｃｅ               ｗｉｔｈ               ｃａｒｉｎｇ               ｆｏｒ               ｔｈｅｉｒ               ｅｌｄｅｒｌｙ               ｐａｒｅｎｔｓ               ａｔ               ｈｏｍｅ. Ｔｈｉｓ               ｒａｉｓｅｓ               ｔｈｅ               ｉｍｐｏｒｔａｎｔ               ｑｕｅｓｔｉｏｎ:               Ｗｈｏ               ｗｉｌｌ               ｄｏ               ａｎｙｔｈｉｎｇ               ａｂｏｕｔ               ｔｈｅ               ｐａｔｈｅｔｉｃ               ｓｔａｔｅ               ｏｆ               ｔｈｅ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｃｒｉｓｉｓ               ｉｎ               ｏｕｒ               ｃｏｕｎｔｒｙ? Ｔｈｅ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｄｅｃｉｓｉｏｎ               ｆａｃｉｎｇ               ｍａｎｙ               Ａｍｅｒｉｃａｎｓ,               ｗｈｅｔｈｅｒ               ｔｈｅ               ｃａｒｅｇｉｖｅｒ               ｏｒ               ｃａｒｅ               ｒｅｃｅｉｖｅｒ,               ｉｓ               ｎｅｖｅｒ               ａｎ               ｅａｓｙ               ｄｅｃｉｓｉｏｎ. Ｔｈｅｒｅ               ａｒｅ               ｓｏｍｅ               ｓｈｏｃｋｉｎｇ               ｔｒｕｔｈｓ               ｂｅｈｉｎｄ               Ａｍｅｒｉｃａ'ｓ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｉｎｄｕｓｔｒｙ               ｔｈａｔ               ｒｅｖｅａｌ               ｃｏｒｐｏｒａｔｅ               ｇｒｅｅｄ,               ｃｏｒｒｕｐｔ               ｐｏｌｉｔｉｃｓ,               ｄｅｃｅｉｔ,               ｆｒａｕｄ,               ａｎｄ               ｓｈａｍｅｆｕｌｌｙ               ｌａｘ               ｌａｗｓ               ａｎｄ               ｊｕｄｉｃｉａｌ               ｃｏｎｓｅｑｕｅｎｃｅｓ               ｆｏｒ               ｓｕｂｓｔａｎｄａｒｄ               ｃａｒｅ. Ｍｉｃｈａｅｌ               Ｗｙｎｎｅ               ｈａｓ               ｂｅｅｎ               ｓｔｕｄｙｉｎｇ               ｔｈｅ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｉｎｄｕｓｔｒｙ               ｓｉｎｃｅ               1996. Ｈｅ               ｈａｓ               ｃｏｍｐｉｌｅｄ               ａ               ｃｏｍｐｒｅｈｅｎｓｉｖｅ               ｈｉｓｔｏｒｙ               ｏｆ               ｔｈｅ               ｔｒｕｔｈｓ               ｂｅｈｉｎｄ               ｔｈｅ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｉｎｄｕｓｔｒｙ.                Ｉｎ               ｈｉｓ               Ｎｕｒｓｉｎｇ               Ｈｏｍｅｓ               Ｕｐｄａｔｅ               2001-2003               ｓｅｃｔｉｏｎ,               ｙｏｕ               ｗｉｌｌ               ｌｅａｒｎ               ｗｈｉｃｈ               ｌａｒｇｅ               ｃｏｍｐａｎｉｅｓ               ｔｈａｔ               ｏｐｅｒａｔｅ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ａｒｅ               ｐａｙｉｎｇ               Ｗａｓｈｉｎｇｔｏｎ               ＮＯＴ               ｔｏ               ｃａｒｅ. Ｗｙｎｎｅ               ａｌｓｏ               ｇｉｖｅｓ               ａ               ｈｏｒｒｉｄ               ｈｉｓｔｏｒｙ               ｏｆ               ｈｏｗ               ｓｏｍｅ               ｎｕｒｓｉｎｇ               ｈｏｍｅ               ｓｔａｆｆ               ｍｅｍｂｅｒｓ               ａｒｅ               ｔｒｅａｔｅｄ               ｗｈｏ               ｍｉｇｒａｔｅｄ               ｈｅｒｅ               ｆｒｏｍ               ｏｔｈｅｒ               ｃｏｕｎｔｒｉｅｓ. Ｆｉｎｄ               ｏｕｔ               ｗｈｙ               ｉｔ               ｉｓ               ｉｍｐｏｒｔａｎｔ               ｔｏ               ｋｎｏｗ:                *               Ｉｆ               ｔｈｅ               ｎｕｒｓｉｎｇ               ｈｏｍｅ               ｉｓ               ｆｏｒ-ｐｒｏｆｉｔ               ｏｒ               ｎｏｎ-ｐｒｏｆｉｔ. Ｓｔｕｎｎｉｎｇ               ｓｔａｔｉｓｔｉｃｓ               ｒｅｖｅａｌ               ａ               ｈｕｇｅ               ｄｉｆｆｅｒｅｎｃｅ               ｂｅｔｗｅｅｎ               ｔｈｅ               ｌｅｖｅｌｓ               ｏｆ               ｃａｒｅ               ｒｅｃｅｉｖｅｄ.                *               Ｈｏｗ               ｍａｎｙ               Ｍｅｄｉｃａｒｅ               ａｎｄ               Ｍｅｄｉｃａｉｄ               ｂｅｄｓ               ｔｈｅｒｅ               ａｒｅ               ａｓ               ａ               ｒａｔｉｏ               ｏｆ               ｔｏｔａｌ               ｂｅｄｓ. Ｓｈｏｃｋｉｎｇ               ｓｔａｔｉｓｔｉｃｓ               ａｎｄ               ｂｕｓｉｎｅｓｓ               ｍｏｄｅｌｓ               ｏｆ               ｆｏｒ-ｐｒｏｆｉｔ               ｈｏｍｅｓ               ｒｅｖｅａｌ               ｔｈｅ               ｄｉｆｆｅｒｅｎｃｅ               ｂｅｔｗｅｅｎ               ｃａｒｅ               ａｎｄ               ｃｏｆｆｉｎ.                Ｔｈｅ               Ｂｕｓｈ               ａｄｍｉｎｉｓｔｒａｔｉｏｎ               ｗａｎｔｅｄ               ｔｏ               ｌｅｓｓｅｎ               ｔｈｅ               ｒｅｇｕｌａｔｉｏｎ               ｏｆ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ａｎｄ               ａｌｌｏｗ               ｆｏｒ               ｓｅｌｆ-ｒｅｐｏｒｔｉｎｇ               ｏｆ               ｃａｒｅ               ｉｎｄｉｃａｔｏｒｓ. Ｔｈｉｓ               ｍｅｔ               ｗｉｔｈ               ｓｔｉｆｆ               ｏｐｐｏｓｉｔｉｏｎ               ｆｒｏｍ               Ｃｏｎｇｒｅｓｓ. Ｂｕｓｈ               ｂｅｌｉｅｖｅｄ               ｔｈａｔ               ｉｆ               ｃｏｎｓｕｍｅｒｓ               ｋｎｅｗ               ｍｏｒｅ               ｉｎｆｏｒｍａｔｉｏｎ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ,               ｔｈｅｙ               ｗｏｕｌｄ               ｆｏｒｃｅ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ｔｏ               ｂｅ               ｍｏｒｅ               ｃｏｍｐｅｔｉｔｉｖｅ,               ｔｈｅｒｅｂｙ               ｐｒｏｖｉｄｉｎｇ               ｂｅｔｔｅｒ               ｃａｒｅ. Ｉｎ               2002,               ｔｈｅ               ｇｏｖｅｒｎｍｅｎｔ               ｂｅｇａｎ               ｒｅｌｅａｓｉｎｇ               ｄａｔａ               ｏｎ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ｔｈａｔ               ａｒｅ               Ｍｅｄｉｃａｒｅ               ａｎｄ               Ｍｅｄｉｃａｉｄ               ｃｅｒｔｉｆｉｅｄ,               ｂｕｔ               ｉｔ               ｈａｓ               ｎｏｔ               ｆｉｘｅｄ               ｔｈｅ               ｐｒｏｂｌｅｍｓ. Ｔｈｅ               ｒｅａｌ               ｐｒｏｂｌｅｍｓ               ｏｆ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｆａｃｉｌｉｔｉｅｓ               ｌｉｅ               ｆａｒ               ｂｅｎｅａｔｈ               ｔｈｅ               ｓｕｒｆａｃｅ               ｏｆ               ｔｈｅ               ｐｅｒｆｏｒｍａｎｃｅ               ｒｅｃｏｒｄｓ. Ａｍｅｒｉｃａｎｓ               ｃｏｎｔｉｎｕｅ               ｔｏ               ｂｅ               ｏｕｔｒａｇｅｄ               ａｔ               ｈａｖｉｎｇ               ｔｏ               ｐｌａｃｅ               ｌｏｖｅｄ               ｏｎｅｓ               ｉｎ               ｆａｃｉｌｉｔｉｅｓ               ｗｈｅｒｅ               ｔｈｅ               ｃｏｆｆｉｎ               ｒａｔｈｅｒ               ｔｈａｎ               ｔｈｅ               ｃａｒｅ               ｉｓ               ｔｈｅ               ｅｎｄ               ｒｅｓｕｌｔ.                Ａｓ               ａ               ｒｅｓｕｌｔ,               ｍｏｒｅ               Ａｍｅｒｉｃａｎｓ               ａｒｅ               ｔｕｒｎｉｎｇ               ｔｏ               ｏｔｈｅｒ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｏｐｔｉｏｎｓ               ｌｉｋｅ               ｆｒａｔｅｒｎｉｔｙ-ｓｐｏｎｓｏｒｅｄ               ｃａｒｅ               ｆａｃｉｌｉｔｉｅｓ,               ｍｏｒｅ               ａｆｆｏｒｄａｂｌｅ               ｈｏｍｅ               ｈｅａｌｔｈ               ｃａｒｅ               ａｎｄ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ｉｎ               Ｍｅｘｉｃｏ,               ａｎｄ               ａｓｓｉｓｔａｎｃｅ               ｆｏｒ               ｅｌｄｅｒ               ｃａｒｅ               ａｔ               ｈｏｍｅ. Ｉｆ               ｙｏｕ               ｏｒ               ｙｏｕｒ               ｃｈｉｌｄｒｅｎ               ａｒｅ               ｄｉｓｃｕｓｓｉｎｇ               ａ               ｄｅｃｉｓｉｏｎ               ａｂｏｕｔ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｏｐｔｉｏｎｓ,               ｃｏｎｓｉｄｅｒ               ｔｈｅｓｅ               ｒｅｓｏｕｒｃｅｓ               ｆｏｒ               ｍｏｒｅ               ｉｎｆｏｒｍａｔｉｏｎ.                ＡＡＲＰ               Ｓｔａｔｅ-ｂｙ-Ｓｔａｔｅ               Ｎｕｒｓｉｎｇ               Ｈｏｍｅ               Ｓｔａｔｉｓｔｉｃｓ                Ｔｈｉｓ               ｓｉｔｅ               ｈａｓ               ｍｕｌｔｉｐｌｅ               ｌｉｎｋｓ               ｆｏｒ               ｅａｃｈ               ｓｔａｔｅ               ｔｈａｔ               ｐｒｏｖｉｄｅｓ               ｐｅｒｆｏｒｍａｎｃｅ               ｉｎｆｏｒｍａｔｉｏｎ               ａｂｏｕｔ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ. Ｔｈｅｒｅ               ｉｓ               ａｌｓｏ               ｉｎｆｏｒｍａｔｉｏｎ               ａｂｏｕｔ               Ｍｅｄｉｃａｒｅ,               Ｍｅｄｉｃａｉｄ,               ａｎｄ               ｍｏｒｅ.                Ｎｕｒｓｉｎｇ               Ｈｏｍｅ               Ｃｏｍｐａｒｅ                Ｔｈｅ               ｆｅｄｅｒａｌ               ｇｏｖｅｒｎｍｅｎｔ'ｓ               ｐｅｒｆｏｒｍａｎｃｅ               ｄａｔａｂａｓｅ               ｆｏｒ               ａｌｌ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ｗｈｏ               ａｒｅ               Ｍｅｄｉｃａｒｅ               ａｎｄ               Ｍｅｄｉｃａｉｄ               ｃｅｒｔｉｆｉｅｄ.                Ｌｏｎｇ-ｔｅｒｍ               Ｃａｒｅ               Ｃｏｓｔｓ               ｉｎ               2007                Ｃｏｓｔｓ               ｆｏｒ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ｗｅｎｔ               ｕｐ               ｉｎ               2007. Ｉｆ               ｙｏｕ               ｃｕｒｒｅｎｔｌｙ               ｈａｖｅ               ａ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｉｎｓｕｒａｎｃｅ               ｐｏｌｉｃｙ,               ｙｏｕ               ｍａｙ               ｗａｎｔ               ｔｏ               ｃｏｎｔａｃｔ               ｙｏｕｒ               ｉｎｓｕｒａｎｃｅ               ｃｏｍｐａｎｙ               ａｎｄ               ｍａｋｅ               ｓｕｒｅ               ｙｏｕｒ               ｃｏｖｅｒａｇｅ               ｉｓ               ａｄｅｑｕａｔｅ               ｆｏｒ               ｔｈｅ               ｒｉｓｉｎｇ               ｃｏｓｔｓ               ｏｆ               ｓｋｉｌｌｅｄ               ｎｕｒｓｉｎｇ               ｆａｃｉｌｉｔｉｅｓ.                Ｄｉｇｇｉｎｇ               ｆｏｒ               Ｄｏｌｌａｒｓ:               Ｐｒｏｇｒａｍｓ,               Ｓｅｒｖｉｃｅｓ,               ａｎｄ               Ｇｒａｎｔｓ               ｆｏｒ               Ｅｌｄｅｒ               Ｃａｒｅ                Ｔｈｉｓ               ａｒｔｉｃｌｅ               ｐｒｏｖｉｄｅｓ               ｒｅｓｏｕｒｃｅｓ               ｆｏｒ               ｔｈｏｓｅ               ｗｈｏ               ａｒｅ               ｅｘｐｌｏｒｉｎｇ               ｈｏｍｅ               ｃａｒｅ               ｆｏｒ               ｅｌｄｅｒｌｙ               ｌｏｖｅｄ               ｏｎｅｓ.                Ｍｏｏｓｅｈａｖｅｎ                Ｉｆ               ｙｏｕ               ｂｅｌｏｎｇ               ｔｏ               ａ               ｆｒａｔｅｒｎａｌ               ｏｒｇａｎｉｚａｔｉｏｎ               ｏｒ               ｃｈｕｒｃｈ,               ｙｏｕ               ｍａｙ               ｗａｎｔ               ｔｏ               ｒｅｓｅａｒｃｈ               ｗｈｅｔｈｅｒ               ｔｈｅｙ               ｈａｖｅ               ａ               ｎｕｒｓｉｎｇ               ｈｏｍｅ               ｏｒ               ａｓｓｉｓｔｅｄ               ｌｉｖｉｎｇ               ｃｅｎｔｅｒ               ｆｏｒ               ｔｈｅｉｒ               ｓｅｎｉｏｒ               ｃｉｔｉｚｅｎｓ. Ｔｈｅ               ｗｏｍｅｎ               ａｎｄ               ｍｅｎ               ｏｆ               ｔｈｅ               Ｍｏｏｓｅ               ｏｒｇａｎｉｚａｔｉｏｎ               ｈａｖｅ               ａｃｃｅｓｓ               ｔｏ               Ｍｏｏｓｅｈａｖｅｎ               ｉｎ               Ｆｌｏｒｉｄａ.                Ｎｕｒｓｉｎｇ               Ｈｏｍｅｓ               Ｍａｇａｚｉｎｅ                Ｔｈｅ               ｆｒｅｅｌｉｂｒａｒｙ.ｃｏｍ               ｈａｓ               ｒｅｆｅｒｅｎｃｅｓ               ｔｏ               ａｒｔｉｃｌｅｓ               ｆｏｒ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ,               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ,               ａｎｄ               ａｓｓｉｓｔｅｄ               ｌｉｖｉｎｇ.                Ａｓｓｉｓｔｅｄ               Ｌｉｖｉｎｇ               ａｎｄ               Ｎｕｒｓｉｎｇ               Ｈｏｍｅｓ               ｉｎ               Ｍｅｘｉｃｏ                               Ｉｆ               ｙｏｕ               ｗａｎｔ               ｔｏ               ｃｏｎｓｉｄｅｒ               ｌｏｎｇ-ｔｅｒｍ               ｃａｒｅ               ｏｐｔｉｏｎｓ               ｉｎ               Ｍｅｘｉｃｏ,               ｙｏｕ               ｓｈｏｕｌｄ               ｃｈｅｃｋ               ｏｕｔ               ｔｈｅｓｅ               ｒｅｓｏｕｒｃｅｓ:                Ｒｅｔｉｒｉｎｇ               ｉｎ               Ｍｅｘｉｃｏ               ｔｈａｔ               ｈａｓ               ａｄｄｉｔｉｏｎａｌ               ｒｅｓｏｕｒｃｅｓ               ｆｏｒ               ｍｉｇｒａｔｉｎｇ               ｔｏ               Ｍｅｘｉｃｏ.                Ｗｈａｔ               Ｍｅｘｉｃｏ               ｉｓ               Ｄｏｉｎｇ               ｔｏ               ｐｒｏｖｉｄｅ               ａ               ｂｅｔｔｅｒ               ｌｉｆｅ               ｆｏｒ               ｔｈｅｉｒ               ｓｅｎｉｏｒ               ｃｉｔｉｚｅｎｓ.                Ａｕｇｕｓｔ               2007               ａｒｔｉｃｌｅ               ｂｙ               ＵＳＡ               Ｔｏｄａｙ               -               Ａｍｅｒｉｃａｎｓ               ｆｌｏｃｋｉｎｇ               ｔｏ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ｉｎ               Ｍｅｘｉｃｏ.                Ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ｉｎ               Ｇｕａｄａｌａｊａｒａ               Ｍｅｘｉｃｏ                Ｂａｒｇａｉｎ               Ｎｕｒｓｉｎｇ               Ｃａｒｅ               ｉｎ               Ｍｅｘｉｃｏ

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Types of Costing Systems Process Costing Systems Who Uses Process Costing System Job Costing System Examples Job Costing System Definition Traditional Costing System Examples An Operation Costing System Is Job Costing Systems Journal Articles