Financial Risk Assessment in Healthcare Organizations
Sağlık İşletmelerinde Finansal Risklerin Değerlendirmesi

Murat TÜRK [1] , İlhan EROĞLU [2]


Aim: Risk assessment is one of the important processes of risk management. This study aims to show how the financial risks encountered in hospitals are evaluated according to the risk management approach. Material and Methods: We used risk assessment tables for identifying the financial activities of healthcare organizations, L-type decision matrix for risk assessment, and financial risk ratio methods for enterprise performance indication. In compliance with the enterprise risk management guidelines, we collected qualitative data through an interview with the risk manager of a hospital and quantitative data was created and adapted by the authors. Results: According to the study sample, among the risks identified in the procurement process, the risk score of the risk 1 is 3, the risk score of the risk 3 is 4, and the risk score of risk number 4 is 2 points, and was found to be acceptable. The risk score for risk 2 is 10 points and was found to be remarkable. The financial risk ratio of the hospital is 0.10. Conclusion: In the financial risk assessment, the risks in the hospital’s procurement activities were determined as occurrence of public loss (No. 1), failure to procure the need (No. 2) and late procurement of the need (No. 4), which are all assessed as controllable risks. No. 4 is noteworthy enough to be distinguished from the other risks. Calculated financial risk ratios showed there were no risks for corporate performance of the healthcare organization in fulfilling the short-run obligations through its liquid assets.
Amaç: Risk değerlendirme risk yönetim sürecinin önemli bir adımıdır. Bu çalışma sağlık kuruluşlarında kurumsal risk yönetiminin önemini vurgulamak ve finansal faaliyetlere ait risklerin nasıl değerlendirilmesi gerektiğini bir örnekle göstermeyi amaçlamaktadır. Gereç ve Yöntemler: Sağlık kuruluşlarının finansal faaliyetlerinin tanımlanmasında risk değerlendirme tablosu, risklerinin değerlendirilmesinde L tipi karar matrisi ve kurumsal performans göstergesi olarak finansal risk oranı yöntemi kullanılmıştır. Çalışmada kurumsal risk yönetimi yönergelerine göre finansal faaliyetlerin risk değerlendirmesi için gerekli olan nitel veriler bir hastanenin risk yöneticisinden görüşme yöntemiyle elde edilmiş, nicel veriler ise yazarlar tarafından türetilerek örnek oluşturacak biçimde uyarlanmıştır. Bulgular: Çalışmada tedarik süreci ile ilgili tanımlanan risklerden 1 nolu riske ait risk puanı 3, 3 nolu riskin risk puanı 4 ve 4 nolu riskin risk puanı 2 puan olarak kabul edilebilir düzeyde bulunmuştur. 2 nolu riske ait risk puanı 10 puan olarak dikkate değer bulunmuştur. Hastanenin finansal risk oranı ise 0,10’dur. Sonuç: Hastanenin tedarik faaliyetlerinin finansal risk değerlendirmesine göre, 1 nolu kamu zararı oluşması riski, 2 nolu ihtiyaca uygun mal alınamaması riski, 4 nolu ihtiyacın geç tedarik edilmesi riski kontrol edilebilir riskler olarak değerlendirilmiştir. 4 nolu ihtiyacın tedarik edilememesi riski ise dikkat edilmesi gereken risk olarak değerlendirilerek diğer risklerden ayrışmıştır. Ayrıca hesaplanan finansal risk oranına göre sağlık kuruluşunun kurumsal performansı finansal açıdan likit varlıkları ile kısa vadeli yükümlülüklerini karşılama riskinin bulunmadığı şeklinde değerlendirilmiştir.
  • Kubar Y. Relationship between economic growth and development indicators of less developed and developing countries: a panel data analysis (1995-2010). Ardahan University J. Faculty of Economics and Administrative Sciences. 2016;(4):65-99.
  • Türk M, Ertaş FC. Fuzzy time driven activity based costing system: an implementation in a hospital. Journal of Accounting and Taxation Studies. 2018;11(Special Issue):272-97.
  • Türk M, Çil Kocyigit S. Risk assessment process in hospitals. In: Aslan Ü, Bozkus Kahyaoglu S, editors. Selected topics in audit: internal audit internal control sectoral practices. 1th ed. Ankara: Gazi Kitabevi; 2020. p.69-86.
  • Özcan N. Risk management in health institutions. J Health Services and Education. 2018;2(1):15-24.
  • Ceylan H, Başhelvacı VS. Risk by risk assessment table method analysis: an application. International Journal of Engineering Research and Development. 2011;3(2):25-33.
  • Republic of Turkey Ministry of Health. Healthcare Quality Systems (SKS) - Hospital (Version 6). Ankara; Ministry of Health; 2020.
  • Republic of Turkey Ministry of Health. Efficiency On-Site Assessment Guide (Version 2019). Ankara; Ministry of Health; 2019.
  • Aksoy T. An applied 3x5 risk analysis survey proposal for defining & scoring of operational risks in risk-based internal audit process. Mali Çözüm. 2018;28(147):37-77.
  • Public Procurement Law No:4734. Public Procurement Law No:4734.
  • Alam AY. Steps in the process of risk management in healthcare. J Epid Prev Med. 2016;2(2):13000118.
  • Akdoğan N, Tenker N. Financial statement analysis and financial analysis techniques. 13th ed. Ankara: Gazi Kitabevi; 2007.
  • American Society for Healthcare Risk Management (ASHRM). Enterprise risk management: A framework for success. 2014;6:53-73.
  • Etges APBDS, Grenon V, Lu M, Cardoso RB, de Souza JS, Kliemann Neto FJ, et al. Development of an enterprise risk inventory for healthcare. BMC Health Serv Res. 2018;18(1):578.
  • ISO. ISO 31000:2018 Risk management-Guidelines. 2018.
  • COSO. Enterprise risk management-Integrated framework. 2004.
  • WA Health Risk Management Policy and local risk management policy and related documents. Department of Health. 2019.
  • Fenn P, Egan T. Risk management in the NHS: governance, finance and clinical risk. Clin Med (Lond). 2012;12(1):25-8.
  • Public Internal Audit Guide. 2013. Public Internal Audit Guide. 2013.
  • Kantarcioglu H, Kantarcıoğlu A, Dinç H. Occupational health and safety in health institutions: An investigation on risk assessment methods in public hospitals. Health Care Acad J. 2020;7(1):61-7.
  • Tuten P. Building an ERM framework for value-focused health care. [Cited: 2021, Feb 1]. Available from: https://www.hfma.org/topics/hfm/2018/april/60218.html
  • Eaton G. Enterprise risk management & the EMHS experience, 2017. [Cited: 2021, Feb 1]. Available from: http://www.mainehfma.org/site/files/263/163409/539537/775986/Enterprise_Risk_Management.pdf
Primary Language en
Subjects Medicine
Journal Section Research Article
Authors

Orcid: 0000-0002-7415-8965
Author: Murat TÜRK (Primary Author)
Institution: GÜLHANE SAĞLIK BİLİMLERİ FAKÜLTESİ
Country: Turkey


Orcid: 0000-0003-4711-1165
Author: İlhan EROĞLU
Institution: Tokat Gazi Osmanpaşa Üniversitesi İİBF
Country: Turkey


Dates

Publication Date : March 30, 2021

Bibtex @research article { dtfd862323, journal = {Duzce Medical Journal}, issn = {}, eissn = {1307-671X}, address = {}, publisher = {Duzce University}, year = {2021}, volume = {23}, pages = {113 - 121}, doi = {10.18678/dtfd.862323}, title = {Financial Risk Assessment in Healthcare Organizations}, key = {cite}, author = {Türk, Murat and Eroğlu, İlhan} }
APA Türk, M , Eroğlu, İ . (2021). Financial Risk Assessment in Healthcare Organizations . Duzce Medical Journal , 23 (Special Issue) , 113-121 . DOI: 10.18678/dtfd.862323
MLA Türk, M , Eroğlu, İ . "Financial Risk Assessment in Healthcare Organizations" . Duzce Medical Journal 23 (2021 ): 113-121 <https://dergipark.org.tr/en/pub/dtfd/issue/60535/862323>
Chicago Türk, M , Eroğlu, İ . "Financial Risk Assessment in Healthcare Organizations". Duzce Medical Journal 23 (2021 ): 113-121
RIS TY - JOUR T1 - Financial Risk Assessment in Healthcare Organizations AU - Murat Türk , İlhan Eroğlu Y1 - 2021 PY - 2021 N1 - doi: 10.18678/dtfd.862323 DO - 10.18678/dtfd.862323 T2 - Duzce Medical Journal JF - Journal JO - JOR SP - 113 EP - 121 VL - 23 IS - Special Issue SN - -1307-671X M3 - doi: 10.18678/dtfd.862323 UR - https://doi.org/10.18678/dtfd.862323 Y2 - 2021 ER -
EndNote %0 Düzce Tıp Fakültesi Dergisi Financial Risk Assessment in Healthcare Organizations %A Murat Türk , İlhan Eroğlu %T Financial Risk Assessment in Healthcare Organizations %D 2021 %J Duzce Medical Journal %P -1307-671X %V 23 %N Special Issue %R doi: 10.18678/dtfd.862323 %U 10.18678/dtfd.862323
ISNAD Türk, Murat , Eroğlu, İlhan . "Financial Risk Assessment in Healthcare Organizations". Duzce Medical Journal 23 / Special Issue (March 2021): 113-121 . https://doi.org/10.18678/dtfd.862323
AMA Türk M , Eroğlu İ . Financial Risk Assessment in Healthcare Organizations. Duzce Medical Journal. 2021; 23(Special Issue): 113-121.
Vancouver Türk M , Eroğlu İ . Financial Risk Assessment in Healthcare Organizations. Duzce Medical Journal. 2021; 23(Special Issue): 113-121.
IEEE M. Türk and İ. Eroğlu , "Financial Risk Assessment in Healthcare Organizations", Duzce Medical Journal, vol. 23, no. Special Issue, pp. 113-121, Mar. 2021, doi:10.18678/dtfd.862323