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 Hospital 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 streamlines 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

Files

Download

Download Free Chapter or Excerpt (7.1 MB)

Download Questions_Handout.pdf (315 KB)

Download Author_Bios.pdf (707 KB)

Download Forward.pdf (302 KB)

Download Introduction.pdf (926 KB)

Download Table_of_Contents.pdf (1.2 MB)

Description

This item record contains the following file attachments:

  • Chapter 1 (main file);
  • Questions Handout;
  • Author Bios;
  • Forward;
  • Introduction; and
  • Table of Contents

Notes

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).

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

ISBN

9781948057165

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

City

Indianapolis, Indiana, USA

Publisher

Sigma Theta Tau International

Version

Publisher's Version

Rights Holder

Copyright © 2025 by Sigma Theta Tau International Honor Society of Nursing - All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Any trademarks, service marks, design rights, or similar rights that are mentioned, used, or cited in this book are the property of their respective owners. Their use here does not imply that you may use them for a similar or any other purpose.

Review Type

None: Professionally Edited Material

Acquisition

Publisher-submission

Date of Issue

2019-03-29

Full Text of Presentation

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[Excerpt from] Nursing-Led Savings

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