May 17, 2020

What it means to be a hospital CFO in Latin America

Hospital Finance
Hospital Leadership
Latin America
3 min
To be a CFO in Latin America, new economic laws and increased demand in various global markets must be taken into account.
The CFO, or Chief Financial Officer, seeks to manage financial risks, optimize company performance, and ensure adequate cash flow (to say the least).


The CFO, or Chief Financial Officer, seeks to manage financial risks, optimize company performance, and ensure adequate cash flow (to say the least).

But to be a CFO in Latin America, there are other aspects that need to be taken into account: new economic laws and increased demand in various global markets. These variables have made financial executives across Latin America integrate new aspects to their positions with the experience and knowledge needed to keep their businesses afloat.

Recently, many Latin American economies have boosted their processes to the forefront of international trade, the health care sector being no exception. One example is a new market developing in Brazil, as well as various reforms and policies and international treaties. These events have turned Latin America into a global appeal with great potential for investment. The region lends itself to acquiring quality raw materials, the establishment of global manufacturing and positioning of strategic centers for the export and import of products.

RELATED TOPIC: Will Puerto Rico become the next medical tourism hub?

More than a numbers game

CFOs have a hand in every element of contract negotiations. Transaction processes, such as payments to subcontractors or suppliers, employees and others, fall under the duty of a CFO. However, with changing markets, the CFO should maintain close relations with sales representatives from other companies, as well as internal stakeholders.

For some companies in Latin America, the CFO not only handles financial sheets and aggregation numbers, he is also involved in each aspect of creating and maintaining the business, financial strategy, and plans in the short- and long-term to maintain a profitable business.

Even small businesses have to think big. For example, Tara Minerals Corp., which generates the cash from the sale of silver, zinc and lead concentrates from its mine and mill at Choix, Mexico, chose David Bizzaro as CFO in 2010. Bizzaro had been the founder and managing partner of the IFC Group, a company that provides outsourced international controllership.

RELATED TOPIC: How hospitals can financially assist patients and increase revenue

As CFO, Bizzaro helped lead business efficiency, ensuring a solid foundation that allowed the company to conquer their prospects for sustained growth.

Bizzaro is a good example of the requirements of the new CFO in Latin America. Based on the performance of international markets, Bizzaro is no stranger to working with strategies for long- and short-term. He also feels comfortable with international relations and has helped in the development of financial institutions in the U.S., Asia, Europe and Latin America, working for companies such as NCR, Sprint, AVAYA and ICT Group.

The digitization of corporate finance

Besides being comfortable with international markets around the world, a CFO must be able to incorporate several technological concepts into business strategies. With new technologies come new savings, but only if the CFO is wise enough to know which ones to invest in.

RELATED TOPIC: 4 ways to save money while running a hospital

This balance is crucial. If a company is not upgrading its technologies and products, it becomes irrelevant to clients. However, if too much is spent on technology, the company may have to look to outsourcing and maintenance of new systems to balance costs.

While having vast financial experience is important for a CFO, having entrepreneurial monetary management strategies is vital in today’s modern industry.

Analysts of international markets agree that to be a CFO today, you need to know more than numbers. The CFO is the main financial leader of a hospital who in turn feels at home in front of the board, exchanging information about the company to the media and elsewhere. If a major shareholder or potential partner is interested in knowing about the company's assets and financial position, it should be the CFO that submits information quickly, while giving supporting context. 

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[This article was originally published by our sister brand, Business Review America Latina, and can be found here.]

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Jul 22, 2021

COVID-19 "causing mass trauma among world’s nurses"

5 min
COVID-19 "causing mass trauma among world’s nurses"
Two nurses tell us about COVID-19, nurse burnout, and how to address it

Healthcare providers are facing ongoing nursing shortages, and hospitals are reporting high rates of staff turnover and burnout as a result of the COVID-19 pandemic. In June a report found that levels of burnout among staff in England had reached "emergency" levels

Registered nurses Molly Rindt and Erika Haywood are nurse mentors on US recruitment platform Incredible Health. In this joint Q&A they tell Healthcare Global about their own experiences of burnout and what can be done to tackle it. 

What does it mean to be suffering from burnout? 
Some of the most common reasons for nurse burnout include long work hours, sleep deprivation, a high-stress work environment, lack of support, and emotional strain from patient care. 

While every profession has its stressors, the nursing industry has some of the highest burnout rates. The massive influence on patients’ lives, the long hours, and many other factors put nurses at risk of severe burnout. And with the rise of COVID-19, many healthcare professionals feel the strain more than ever.

Burnout in nurses affects everyone — individual nurses suffer, patients are impacted, and employers struggle with enormous turnover. This is why it’s crucial for healthcare systems and management to watch for signs of nurse burnout and take steps to provide a healthier workplace. Employers should be careful to watch for burnout symptoms in their healthcare staff — and not ignore them. 

Symptoms include constant tiredness, constant anxiety related to work, emotional detachment and unexplained sickness. 

How widespread is this problem?     
Unfortunately, burnout affects approximately 38% of nurses per year and even the WHO recently labelled burnout as an official medical diagnosis. To put this statistic into perspective, nearly 4 out of 10 nurses will drive to work dreading their shift. Burnout is a reason nurses leave their positions. 

Other top reasons for leaving included a stressful work environment, lack of good management or leadership, inadequate staffing, and finding better pay or benefits elsewhere.

Even before the pandemic, demanding workloads and aspects of the work environment such as poor staffing ratios, lack of communication between physicians and nurses, and lack of organisational leadership were known to be associated with burnout in nurses. 

Have either of you experienced burnout? 
Rindt: I have experienced burnout as an RN. I was constantly fatigued,  never felt like I was off work, and would frequently dream I was still at work taking care of patients. In my particular situation, I needed to take a step back and restructure my work schedule to allow for more time off. After doing this, I was able to reduce burnout by deciding to work two shifts back-to-back and then have 2-3 days off.

Haywood: I definitely experienced constant anxiety related to work - so much so it would impact the days I wasn’t at work. At one point, I was even on medication to help combat the anxiety and stress I was facing on the job. 

I had heart palpitations, chest pain, and wouldn’t be able to sleep before working the next day, which slowly started to impact other aspects of my life. I knew I couldn’t continue to live this way, it wasn’t sustainable. Because of this, I began to focus on my needs and prioritising self-care, especially during the beginning of the pandemic. Putting my needs first and not feeling guilty were necessary for me to overcome burnout.

What impact is COVID-19 having on nurses' wellbeing? 
Some nurses have suffered devastating health consequences. Many nurses have dealt with excessive on-the-job stress, fears of becoming infected, and grief over seeing patients succumb to COVID-19 while isolated from their families.

New evidence gathered by the International Council of Nurses (ICN) suggests COVID-19 is causing mass trauma among the world’s nurses. The number of confirmed nurse deaths now exceeds 2,200, and with high levels of infections in the nursing workforce continuing, overstretched staff are experiencing increasing psychological distress in the face of ever-increasing workloads, continued abuse and protests by anti-vaccinators. 

However, other small silver linings that came from the pandemic include increased professional autonomy, leadership opportunities and career growth potential.

How much of the cause of burnout is due to the hospitals or healthcare providers, and what can they do to address it?

Nurse fatigue poses serious problems for healthcare organisations, and a recent survey from Kronos found 63% of nurses say their job has caused burnout. The survey also found that more than 4 out of 5 nurses think hospitals today are losing good staff because other employers offer a better work/life balance.

Nurse burnout  not only contributes to staff turnover, but it can impact the facility’s quality of care, patient satisfaction, and even medical outcomes. 

Strategies to address burnout include training improving  nurse-to-patient ratios, include nurses in policy discussions, and prioritise fostering a healthy work culture in hospitals. 

What does your role mentoring nurses on the Incredible Health platform involve?
Rindt: My role can vary based on the needs of the nurses. The nurses love knowing they have someone in their corner who can give interview preparation advice or provide suggestions on how to improve their resume. Knowing that there is someone who is well-versed in the job process and can help set expectations on what to anticipate, really helps to remove a layer of uncertainty.

Haywood: When screening nurses, it is customised to what their individual RN or nurse practitioner needs, and at a time that is most convenient for them. Nurses are busy and often aren’t thought of first. Being able to provide support from the very beginning of their career advancement journey helps tremendously.  We also provide resources such as resume templates and tips that can help nurses be successful and feel supported.

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