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Psychiatric R ehabilitation Public Finance 101

Presentation to: The New Jersey Psychiatric Rehabilitation Annual Conference November 21, 2013, Pines Manor, Edison, NJ By Tom Pyle MBA, MS, CPRP. Psychiatric R ehabilitation Public Finance 101. Budgetting. Budgetting. Budgetting. Budgetting.

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Psychiatric R ehabilitation Public Finance 101

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  1. Presentation to: The New Jersey Psychiatric Rehabilitation Annual Conference November 21, 2013, Pines Manor, Edison, NJ By Tom Pyle MBA, MS, CPRP Psychiatric RehabilitationPublic Finance 101

  2. Budgetting

  3. Budgetting

  4. Budgetting

  5. Budgetting • Mental Health Association Essex County Audit Report • (Agency Financials) • Community Mental Health Block Grant • (System and programs description) • NJ State Budget • (State specific funding for DMHAS, others)

  6. Today’s Objectives • Determine info sources Form 990s, Block Grant Apps, Gov’s Budget... • Differentiate info types Revenues, expenses, assets, liabilities • Inspect particular info “Line items”, funding for programs • Evaluate overall info

  7. The Question...

  8. The Answer...

  9. The Problem (Kaplan & Porter, 2011) “…almost complete lack of understanding of how much it costs to deliver patient care, much less how those costs compare with the outcomes achieved.” Robert Kaplan & Michael Porter

  10. The Goal? • Access? • Availability? • Equity? • Cost containment?

  11. The Goal? • Access? • Availability? • Equity? • Cost containment? VALUE for the Consumer

  12. What Is Value? (Oxford English Dictionary) The regard that something is held to deserve; the importance, worth, or usefulness of something: your support is of great value • the material or monetary worth of something... • ... compared to its price.

  13. Value: A Calculation (Porter, 2010) Value =

  14. Presentation Outline • Intro Balance Sheet Income Statement • Agency • Block Grant • Governor’s Budget

  15. Intro: Balance Sheet • What I Have = What I Own

  16. Balance Sheet • What I Have = What I Own • What I Have = What I Own + What I Owe

  17. Balance Sheet • What I Have = What I Own • What I Have = What I Own + What I Owe • Assets = Equity + Liabilities

  18. Balance Sheet • What I Have = What I Own • What I Have = What I Own + What I Owe • Assets = Liabilities + Equity

  19. Balance Sheet • What I Have = What I Own • What I Have = What I Own + What I Owe • Assets = Liabilities + Equity

  20. Balance Sheet • What I Have = What I Own • What I Have = What I Own + What I Owe • Assets = Liabilities + Equity

  21. Intro: Income Statement • Revenues – Expenses = Profit

  22. Income Statement • Revenues – Expenses = Profit (or, Surplus)

  23. Agency • Balance Sheet

  24. Agency • Balance Sheet

  25. Agency • Income Statement

  26. Sidebar: Form 990

  27. Sidebar: Form 990 “501(c)3”

  28. Form 990

  29. Let’s Take A Closer Look...

  30. Block Grants http://www.samhsa.gov/grants/blockgrant/ To states for behavioral health issues 1) Substance Abuse, 2) Mental Health

  31. Block Grants

  32. NJ Mental Health Planning Council http://www.state.nj.us/humanservices/dmhs/boards/planning_council.html

  33. Bi Yearly Application Process

  34. …Which Produces This Document… http://www.state.nj.us/humanservices/divisions/dmhas/Final%202012-2013%20Joint%20Block%20Grant%20Application.pdf

  35. …Found on the DMHAS site… http://www.state.nj.us/humanservices/divisions/dmhas/

  36. A Look At The Application... http://www.state.nj.us/humanservices/divisions/dmhas/Final%202012-2013%20Joint%20Block%20Grant%20Application.pdf

  37. Let’s Take A Closer Look...

  38. NJ State Budget http://www.nj.gov/treasury/omb/

  39. …Which leads to… http://www.nj.gov/treasury/omb/publications/14budget/index.shtml#budget

  40. …Which leads to… http://www.nj.gov/treasury/omb/publications/14budget/pdf/FY14BudgetBook.pdf

  41. Revs & Exps • Expenditures

  42. Let’s Take A Closer Look...

  43. What Have We Learned?

  44. What To Do?

  45. References Also: Slides available at www.psychodyssey.net.

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