Why do nurses/health care professionals need to understand and be involved in fiscal planning? How involved are you in your organization with this process. Discuss the impact of DRG’s, PPS, pay for performance, and the managed care movement on fiscal planning. Consider the reimbursement methodologies that penalize facilities for readmissions, infections, pressure ulcer development etc…What is the impetus of these types of reimbursement methodologies. Do you agree or disagree and why?

3. Describe the impact of a career development program on employee attrition, equal employment opportunity, quality of work life and competitiveness of the organization. Rate your organization’s career development program and describe its weaknesses/strengths and the subsequent impact on its workforce.