Fiscal Success Research Articles

Enhancing Regional Revenue through Restaurant Taxes by Implementing Tapping Boxes

This research aims to explore the contribution of tapping boxes in enhancing Regional Revenue through restaurant taxes. This research uses an inductive qualitative analysis. Inductive analysis is an approach that begins with field facts, analyzes them based on relevant theories and arguments, and ultimately yields a conclusion. The results show that implementing tapping boxes in Kolaka Regency has effectively increased Regional Revenue through restaurant taxes. However, there are shortcomings in the distribution of the devices, resulting in not all qualified restaurants being equipped with tapping boxes. A significant challenge arises from customers adjusting to price changes due to tax transparency, leading to a decrease in customer numbers by up to 30% in some restaurants. Ultimately, although the contribution of restaurant taxes to Regional Revenue has increased significantly, customer satisfaction and the effectiveness of tapping box distribution require further attention to balance fiscal success with the sustainability of restaurant businesses. Therefore, it is recommended that the Local Government and the Regional Revenue Agency of Kolaka Regency improve the effectiveness of tapping box distribution by ensuring that all restaurants meeting the criteria are equipped with the devices while also conducting evaluations and adjusting the installation criteria to avoid discrepancies. Restaurant owners are advised to adopt innovative business strategies to counteract the decline in customer numbers, such as by enhancing service quality or implementing customer loyalty programs. Meanwhile, as customers, the public must be educated about the importance of tax transparency and its contribution to regional development to understand better and accept price changes. Through a collaborative approach among the government, restaurant owners, and the public, a balance between increasing Regional Revenue and the sustainability of restaurant businesses and long-term customer satisfaction is expected to be achieved.

Modernizing payment to critical access hospitals: A proposal for the next iteration of the Flex Program.

Modernizing payment to critical access hospitals: A proposal for the next iteration of the Flex Program.

Driving Utah's Rivers: Working Water in the West

Driving Utah's Rivers: Working Water in the West

Fiscal Success: Creating Quality Infrastructure in a Post-COVID World

Governments are engaged in unprecedented fiscal support, particularly regarding public infrastructure, as stimulus to economic recovery from the COVID-19 pandemic. It is a necessary response to increased unemployment and the collateral damage to consumer confidence and spending. Keeping people employed via nation-building projects, especially involving transport infrastructure, and their supply chains is a key objective and has the potential to deliver assets that support long-term productive capacity. Nevertheless, it is critical that public infrastructure is of appropriate quality to ensure projects are progressive, governments manage long-term benefits realization and critical resources are not wasted through hidden future liabilities. This research explores and discusses the extent of agreement between the G20 policy framework on quality infrastructure investment (process theory) against a leading project success evaluation method (process practice) by mapping both artefacts using qualitative content analysis. It is found that project success evaluation offers a ‘high’ thematic match against G20 policy ideals and therefore provides an opportunity for project managers to ensure investments in quality infrastructure are indeed realized. This contributes to progressive infrastructure outcomes that take into consideration financial, social, ethical and environmental consequences. Fiscal success is equated to project success in this context.

Socioeconomic Determinants of Local Fiscal Success – The Case of Montenegrin Municipalities

The aim of this paper is to determine the direction and scope of the impact of socio-economic determinants on the fiscal success of Montenegrin municipalities. The research model is conducted in a panel data framework, using traditional methods. The study covers the period 2009-2018. The model considers the correlation of fiscal success in 23 Montenegrin municipalities (from the Northern, Central and Southern regions) with social (number of citizens or population, number of pensioners) and economic (unemployment, taxes, grants, level of public debt) determinants. According to the results of the analysis, almost all determinants have a significant impact on fiscal success. Tax revenues, as a measure of fiscal decentralization, have a statistically significant positive impact on fiscal success, while the unemployment rate, the number of citizens and the number of retired persons have demonstrated a negative impact.

Fiscal Success During COVID-19 Says Believe the Good News

Too much blood in terms of unemployment and sweat in terms of intellectual effort has been spent on trying to determine the amount of fiscal space that economies have — our policy focus instead should be on what to do with the fiscal space that almost all advanced economies (and a surprising number of emerging market economies) actually have.

Austerity Regimes at the Local Level: Examining Fiscal Effects of Austerity Commissioners Using a Time-Series Synthetic Control Method

From a democratic perspective, the replacement of government or parliament by a public manager to enforce budget discipline marks a serious intervention. Transferred to the local level, the replacement of the mayor and the council in three German municipalities by a state official (a so-called state commissioner) in recent years has raised questions about the legitimacy and adequacy of such a strong interventionist instrument. One crucial answer to be given to this legitimacy issue concerns effectiveness, in other words whether the instrument can fulfill its designated task by improving the local fiscal situation since the fiscal success of the commissioner is a basic prerequisite for legitimacy. By using a time-series approach of the synthetic control method (SCM) and constructing a synthetic comparison case to the town of Altena, an answer regarding the commissioner’s potential to reduce the short-term debt can be given. The commissioner was successful in limiting the debt increase and seems to have reversed the debt trend. This finding supports the effectiveness of rather hierarchical instruments for ensuring fiscal discipline at the local level and thereby adds to broadening the international public management literature on municipal takeovers.

Bankruptcy in Turkey: A Comparative Study of Turkey’s Adjournment of Bankruptcy and the United States’ Chapter 11 Reorganization

To build and maintain economic fortitude, the paradigm of fiscal success remains steadfast for both developed and developing nations in one specific area: bankruptcy law. History shows that robust economies incorporate reliable bankruptcy codes into their legal schemes so that small and large businesses thrive. However, because of the influences of varied stimuli including worldviews, cultural values, and politics, not all bankruptcy laws are created equal in their respective effectiveness, fairness, and influence. For example, the current United States Bankruptcy Code, ratified after nearly one hundred years of Congressional repeals and re-enactments is today a comprehensive, well-established legal scheme that efficiently permits debtors of varied status to file under its assorted Chapters. The United States’ Code seeks to successfully balance the rights of all parties involved in a bankruptcy, while further reassuring that the honest debtor receives a ‘fresh start.’ To compare, the Turkish Execution and Bankruptcy Code is still evolving in its structure to better equalize the treatment of debtors and creditors. This comparative paper first looks to the Turkish Bankruptcy Code and how it evolved, specifically in the area of adjournment of bankruptcy. To compare and contrast these two diverse legal structures, the study first analyzes the impacts of the 2003 and 2016 amendments of Article 179 in the area of adjournment, then proceeds to assess the requirements an entity must adhere to when seeking adjournment, and finally concludes with an in-depth analysis and comparison of United States’ Chapter 11 with the Turkish adjournment of bankruptcy. Following the analysis of the two Codes, the study closes with the authors’ recommendations of how to improve Turkey’s adjournment of bankruptcy.

What determines the fiscal success at a local level? The case of Croatian local government units

The paper investigates the relationship between Croatian local government budget outturns (i.e., fiscal success) and a chosen set of economic and non-economic determinants. The determinants are divided into four groups: (i) economic, (ii) political, (iii) transparency and (iv) socio-historical. Three main goals are set in the paper. The first is to determine whether there are differences in fiscal success at the different levels of administrative governance (counties, cities and municipalities) in Croatia. Subsequently, the second goal is determining whether such differences are of an economic or non-economic origin and third, whether such differences are robust, meaning do they persist at all three administrative levels. If the differences are not persistent, the question remains as towards what determinants (economic or non-economic) do they diverge. The analysis is conducted on the entire population, i.e. 428 municipalities, 128 cities and 20 counties for the period 2012–2014. Panel data and regression analysis are applied to study the differences and signs of independent variables. The obtained results indicate that differences between local government units in Croatia stem are of an economic and political origin.

The importance of direct taxation to the Fiscal-military state in Early Modern Britain

Two taxes, introduced in 1643, became cornerstones of early modern English supply. Whereas that bureaucratic indirect tax, the excise, seems a natural part of a centralised and institutional Fiscal-military state, the Assessment appears mired in ancient practice. Yet this new tax was far heavier and more successful than any predecessor. This study attempts to explain that success, which continued as the eighteenth-century Land Tax, and proposes it was founded on well-designed administrative process and routine, engineered to tap rent-flows from an increasingly commercialised real estate sector. It was facilitated by effective and well-established local governors who had appropriate authority, capabilities and experience to operate that process, not always perfectly or fairly, but remarkably effectively for the state’s purposes. Members of Parliament bore a significant administrative burden as centre came to locality in a most direct way to ensure national coordination and shared ownership of fiscal success between London and locality.

Impact of religion on the effectiveness of the promotional aspect of product packages in Muslim countries

Purpose– The purpose of this paper is to investigate the influence of religion on the effectiveness of product packages in attracting customers’ attention, and forming their attitudes, preferences, and buying decisions. In other words, the study aims at finding out how do Muslims respond to product packages including elements believed to disagree with the Islamic values, in this study referred to as “contentious packages.”Design/methodology/approach– To test the five hypotheses, the study recruited 300 young Muslims in Bahrain, chosen from the population of 14,000 students of the University of Bahrain aged between 20 and 25, 26 percent male and 74 percent female. The primary data were collected through personal interviews with the selected sample, using a specially designed questionnaire. The questionnaire included ten questions covering two personal questions for age and gender and eight other questions attempting to find out Muslims’ responses to contentious packages in terms of attention, attitudes, buying intention, company image, and word-of-mouth.Findings– Findings indicate that use of contentious packaging runs a high risk of tarnishing a company’s reputation and appeal. Muslims who live by Shari’a and the dictates of the Kuran will consider such companies to be promoters of fornication, and will therefore boycott such companies in order to prevent them from corrupting the purity and piety of the community. If advertising firms continue to fail in recognizing the profundity of these beliefs within Muslim communities, both their fiscal success and reputation run the risk of suffering substantial damage.Practical implications– The findings of this study send six important messages to multinational companies doing business in Islamic countries. First, Islam governs all aspects of Muslim life, including consumer behavior. Second, to prosper in Islamic countries, choose packaging that does not contradict or offend the principles and values of Islam. Third, recognize that much packaging that has proven to be effective in Western countries will not be successful in Islamic countries due to vastly different cultural environments. Fourth, a contentious package may result in a steep drop in the sales. Fifth, using contentious packages may damage the reputation. Sixth, you can attract more Muslims by using non-contentious packages.Originality/value– This paper is of great value to companies who wish to expand their practice in Muslim countries. Its findings promise to improve advertising standards and to increase both company profits and customer satisfaction.

Acute care surgery practice model: Targeted growth for fiscal success

Acute care surgery (ACS) remains in its infancy as a defined surgical specialty within hospital systems. Little has been published regarding the financial impact of this method of care delivery to hospital systems and departments when combining trauma, surgical critical care, emergent, and elective general surgery into a single practice model. We sought to compare hospital net income and divisional clinical productivity measures of a newly formed, university division of ACS based on patient type-trauma, emergency general surgery, and elective surgery-to determine the best avenues by which to focus on programmatic growth. Single calendar year, retrospective review of hospital system income and divisional fiscal productivity of specific patient visits by patient type (trauma, emergent, or elective) admitted to or discharged by the acute care surgeons. Demographic data, payor mix, patient volumes, and operative rates were determined for each patient type. Fiscal contribution by patient type to both hospital and clinical productivity were measured by hospital net income and divisional work relative value units (wRVU) production respectively. The Chi-square test for independence compared payor mix and analysis of variance was used for comparison of fiscal performance between patient types. We included 1,492 patients in the analysis of calendar year 2010; 1,056 trauma (67% male; mean age, 41.9; range, 0-102), 346 emergent (53% male; mean age, 44.6; range, 15-91), and 90 elective (51% male; mean age, 46; range, 16-87) patient encounters met criteria for analysis. There were no differences in payor mix between patient types. Significant differences were seen in average per patient encounter hospital net income, divisional wRVU production and duration of stay. The ACS team (n = 3) operated on 12% of trauma patients compared with 52% of emergent and 100% of elective surgery encounters. Hospital net income per patient was greatest for trauma encounters, whereas divisional clinical productivity per patient encounter was greatest for emergent patients. Elective encounters contributed negatively to hospital margins. Per-patient hospital system income and a majority of clinical wRVU productivity remains greatest for the care of injured patients in our ACS practice model; emergent general surgical encounters demonstrate the greatest per-patient rates of divisional clinical productivity.

New Medicare Models of Care and the LTC Physician

New Medicare Models of Care and the LTC Physician

RISING WITH THE TIDE WITHOUT FLIPPING THE BOAT — ANALYZING THE SUCCESSES AND CHALLENGES OF FISCAL CAPACITY BUILDING IN CHINA

SUMMARYWhile many developing countries experience a short period of economic boom and then spiral quickly into periods of deficit, currency fluctuation, and indebtedness, China has been able to sustain rapid economic growth and maintain solid fiscal capacity for the past 30 years, even during the Asian financial crisis in the late 1990s and the global recession in the beginning of the 21st century. This article examines three key strategies behind China's fiscal success — its flexibility in adapting tax policies to the changing economic and social conditions, its success in realigning the intergovernmental fiscal relationship in 1994 and forcing subnational governments to become more entrepreneurial in revenue generation, and its pursuit of institutional reforms since the mid‐1990s to improve the government's capacity in budgeting and financial management. The article evaluates the implications of the Chinese experience for other developing countries and discusses the future challenges of fiscal reforms in China. Copyright © 2012 John Wiley & Sons, Ltd.

Employee savvy is the key to fiscal success

PurposeThe purpose of this paper is to clarify employee financial prowess at every level as a key to good library management beyond the responsibilities of directors.Design/methodology/approachThe paper presents a general review.FindingsThe paper finds that all employees of a library must possess and exemplify a general sense of fiscal savvy.Research limitations/implicationsThis paper has implications for non‐library directors thinking about their role involving their library's finances.Practical implicationsLibrary leaders are looking for motivational strategies to expand beyond their own financial networking prowess.Originality/valueThe paper goes against the prototypical assumption that library managers are the only staff members who need to possess financial strategic skill.

The Innovative Anesthesiology Curriculum

The Innovative Anesthesiology Curriculum

In Google we trust: Information integrity in the digital age

This paper considers information safety and accuracy in the digital age using Google as an entry point. In doing so, it explores the role media play in shaping the relationship of information, privacy, and trust between Google and the public. This inquiry is undertaken using framing theory to guide a content analysis of the way Google is presented in New York Times articles from a two–year period ending in November, 2005. Analysis of the extensive coverage of Google’s share price and earnings reports leads to the conclusion that trust in Google is fostered in part simply by reports of its fiscal success. To the extent that this is true, meaningful public debate about information policies is inhibited.

Relative value units correlate with pediatric surgeons' operating time: when perceived myth becomes reality

Purpose In 1992, the Congress implemented a Medicare payment system based on relative value units (RVUs). Today, RVUs are increasingly used to determine surgeon reimbursement from Medicare, Medicaid, and private third-party payers. We questioned whether current RVU assignments accurately reflect the quantity of time that surgeons spend operating. Methods Over a 12-month period, 59 common pediatric operations were identified and classified as general surgery (n = 34), urology (n = 13), or minimally invasive (n = 10). Only operations performed as an outpatient or requiring less than one inpatient day of direct surgeon involvement were included. By regression analysis, correlation coefficients were generated comparing average operating time per procedure to the corresponding RVU generated. Results Of 59 specific operations, a total of 744 general surgery cases, 1155 urological cases, and 370 minimally invasive cases were performed. RVU efficiency was greatest in general surgery (1 RVU = 5.18 operating minutes), followed by minimally invasive operations (1 RVU = 6.80 minutes) and urological operations (1 RVU = 8.59 minutes). Regression analysis proved minimally invasive operations to correlate best with RVUs with R 2 = 0.8376, followed by urology at R 2 = 0.6753, and then general surgery at R 2 = 0.649. Conclusions The RVU has emerged as the most dominant factor influencing reimbursement of practicing pediatric surgeons. Despite common surgeon bias, RVUs do correlate with current operating times. These data prove important as surgeons analyze cost, negotiate contracts, and strategically plan for fiscal success.

Financial Considerations Insurance and Coverage Issues in Intestinal Transplantation

To increase healthcare workers' knowledge of reimbursement concerns. Chronological survey of transplants reimbursed at the University of Nebraska Medical Center from December 1997 to October 2003, which include accounts of 30 patients who received intestine transplants. Gross billed hospital charges for the past 30 transplantations ranged from dollars 112094 to dollars 667597. Length of stay ranged from 18 to 119 days. Charges include organ procurement fees. All 30 intestine transplants were reimbursed by third-party healthcare coverage; combination of coverage; and/or patient and family payments, which resulted in adherence to financial guidelines prearranged by the hospital. Financial guidelines are usually cost plus a percentage. Thirteen transplantations occurred after April 2001, when Medicare made a national coverage decision to reimburse this form of transplantation. Since then, obtaining surgical authorization and reimbursement is easier. Most insurance companies and state public health agencies accept intestinal transplantations as a form of treatment. Researching transplant coverage before evaluation is essential to be compensated adequately. Financial guidelines will secure the fiscal success of the program. Educating patients to insurance and entitlements may reduce the out-of-pocket cost to patients. Transplant financial coordinators coordinate these efforts for the facility. The best coverage option for the patient and transplant programs is a combination of commercial healthcare coverage, secondary entitlement program, and fund-raising. With length of stay ranging up to 119 days and a lifetime of posttransplant outpatient follow-up care, it is beneficial for the facility to also have a fundraising program to assist patients.

Financial considerations insurance and coverage issues in intestinal transplantation

To increase healthcare workers' knowledge of reimbursement concerns. Chronological survey of transplants reimbursed at the University of Nebraska Medical Center from December 1997 to October 2003, which include accounts of 30 patients who received intestine transplants. Gross billed hospital charges for the past 30 transplantations ranged from dollars 112094 to dollars 667597. Length of stay ranged from 18 to 119 days. Charges include organ procurement fees. All 30 intestine transplants were reimbursed by third-party healthcare coverage; combination of coverage; and/or patient and family payments, which resulted in adherence to financial guidelines prearranged by the hospital. Financial guidelines are usually cost plus a percentage. Thirteen transplantations occurred after April 2001, when Medicare made a national coverage decision to reimburse this form of transplantation. Since then, obtaining surgical authorization and reimbursement is easier. Most insurance companies and state public health agencies accept intestinal transplantations as a form of treatment. Researching transplant coverage before evaluation is essential to be compensated adequately. Financial guidelines will secure the fiscal success of the program. Educating patients to insurance and entitlements may reduce the out-of-pocket cost to patients. Transplant financial coordinators coordinate these efforts for the facility. The best coverage option for the patient and transplant programs is a combination of commercial healthcare coverage, secondary entitlement program, and fund-raising. With length of stay ranging up to 119 days and a lifetime of posttransplant outpatient follow-up care, it is beneficial for the facility to also have a fundraising program to assist patients.