×




The Normalization of Deviance in Healthcare Delivery Net Present Value (NPV) / MBA Resources

Introduction to Net Present Value (NPV) - What is Net Present Value (NPV) ? How it impacts financial decisions regarding project management?

NPV solution for The Normalization of Deviance in Healthcare Delivery case study


At Oak Spring University, we provide corporate level professional Net Present Value (NPV) case study solution. The Normalization of Deviance in Healthcare Delivery case study is a Harvard Business School (HBR) case study written by John Banja. The The Normalization of Deviance in Healthcare Delivery (referred as “Normalized Normalization” from here on) case study provides evaluation & decision scenario in field of Leadership & Managing People. It also touches upon business topics such as - Value proposition, Personnel policies.

The net present value (NPV) of an investment proposal is the present value of the proposal’s net cash flows less the proposal’s initial cash outflow. If a project’s NPV is greater than or equal to zero, the project should be accepted.

NPV = Present Value of Future Cash Flows LESS Project’s Initial Investment






Case Description of The Normalization of Deviance in Healthcare Delivery Case Study


Many serious medical errors result from violations of recognized standards of practice. Over time, even egregious violations of standards of practice may become "normalized" in healthcare delivery systems. This article describes what leads to this normalization and explains why flagrant practice deviations can persist for years, despite the importance of the standards at issue. This article also provides recommendations to aid healthcare organizations in identifying and managing unsafe practice deviations before they become normalized and pose genuine risks to patient safety, quality care, and employee morale.


Case Authors : John Banja

Topic : Leadership & Managing People

Related Areas : Personnel policies




Calculating Net Present Value (NPV) at 6% for The Normalization of Deviance in Healthcare Delivery Case Study


Years              Cash Flow     Net Cash Flow     Cumulative    
Cash Flow
Discount Rate
@ 6 %
Discounted
Cash Flows
Year 0 (10023564) -10023564 - -
Year 1 3469866 -6553698 3469866 0.9434 3273458
Year 2 3955292 -2598406 7425158 0.89 3520196
Year 3 3941671 1343265 11366829 0.8396 3309503
Year 4 3248924 4592189 14615753 0.7921 2573452
TOTAL 14615753 12676609




The Net Present Value at 6% discount rate is 2653045

In isolation the NPV number doesn't mean much but put in right context then it is one of the best method to evaluate project returns. In this article we will cover -

Different methods of capital budgeting


What is NPV & Formula of NPV,
How it is calculated,
How to use NPV number for project evaluation, and
Scenario Planning given risks and management priorities.




Capital Budgeting Approaches

Methods of Capital Budgeting


There are four types of capital budgeting techniques that are widely used in the corporate world –

1. Net Present Value
2. Internal Rate of Return
3. Payback Period
4. Profitability Index

Apart from the Payback period method which is an additive method, rest of the methods are based on Discounted Cash Flow technique. Even though cash flow can be calculated based on the nature of the project, for the simplicity of the article we are assuming that all the expected cash flows are realized at the end of the year.

Discounted Cash Flow approaches provide a more objective basis for evaluating and selecting investment projects. They take into consideration both –

1. Magnitude of both incoming and outgoing cash flows – Projects can be capital intensive, time intensive, or both. Normalized Normalization shareholders have preference for diversified projects investment rather than prospective high income from a single capital intensive project.
2. Timing of the expected cash flows – stockholders of Normalized Normalization have higher preference for cash returns over 4-5 years rather than 10-15 years given the nature of the volatility in the industry.






Formula and Steps to Calculate Net Present Value (NPV) of The Normalization of Deviance in Healthcare Delivery

NPV = Net Cash In Flowt1 / (1+r)t1 + Net Cash In Flowt2 / (1+r)t2 + … Net Cash In Flowtn / (1+r)tn
Less Net Cash Out Flowt0 / (1+r)t0

Where t = time period, in this case year 1, year 2 and so on.
r = discount rate or return that could be earned using other safe proposition such as fixed deposit or treasury bond rate. Net Cash In Flow – What the firm will get each year.
Net Cash Out Flow – What the firm needs to invest initially in the project.

Step 1 – Understand the nature of the project and calculate cash flow for each year.
Step 2 – Discount those cash flow based on the discount rate.
Step 3 – Add all the discounted cash flow.
Step 4 – Selection of the project

Why Leadership & Managing People Managers need to know Financial Tools such as Net Present Value (NPV)?

In our daily workplace we often come across people and colleagues who are just focused on their core competency and targets they have to deliver. For example marketing managers at Normalized Normalization often design programs whose objective is to drive brand awareness and customer reach. But how that 30 point increase in brand awareness or 10 point increase in customer touch points will result into shareholders’ value is not specified.

To overcome such scenarios managers at Normalized Normalization needs to not only know the financial aspect of project management but also needs to have tools to integrate them into part of the project development and monitoring plan.

Calculating Net Present Value (NPV) at 15%

After working through various assumptions we reached a conclusion that risk is far higher than 6%. In a reasonably stable industry with weak competition - 15% discount rate can be a good benchmark.



Years              Cash Flow     Net Cash Flow     Cumulative    
Cash Flow
Discount Rate
@ 15 %
Discounted
Cash Flows
Year 0 (10023564) -10023564 - -
Year 1 3469866 -6553698 3469866 0.8696 3017275
Year 2 3955292 -2598406 7425158 0.7561 2990769
Year 3 3941671 1343265 11366829 0.6575 2591713
Year 4 3248924 4592189 14615753 0.5718 1857583
TOTAL 10457339


The Net NPV after 4 years is 433775

(10457339 - 10023564 )








Calculating Net Present Value (NPV) at 20%


If the risk component is high in the industry then we should go for a higher hurdle rate / discount rate of 20%.

Years              Cash Flow     Net Cash Flow     Cumulative    
Cash Flow
Discount Rate
@ 20 %
Discounted
Cash Flows
Year 0 (10023564) -10023564 - -
Year 1 3469866 -6553698 3469866 0.8333 2891555
Year 2 3955292 -2598406 7425158 0.6944 2746731
Year 3 3941671 1343265 11366829 0.5787 2281060
Year 4 3248924 4592189 14615753 0.4823 1566804
TOTAL 9486149


The Net NPV after 4 years is -537415

At 20% discount rate the NPV is negative (9486149 - 10023564 ) so ideally we can't select the project if macro and micro factors don't allow financial managers of Normalized Normalization to discount cash flow at lower discount rates such as 15%.





Acceptance Criteria of a Project based on NPV

Simplest Approach – If the investment project of Normalized Normalization has a NPV value higher than Zero then finance managers at Normalized Normalization can ACCEPT the project, otherwise they can reject the project. This means that project will deliver higher returns over the period of time than any alternate investment strategy.

In theory if the required rate of return or discount rate is chosen correctly by finance managers at Normalized Normalization, then the stock price of the Normalized Normalization should change by same amount of the NPV. In real world we know that share price also reflects various other factors that can be related to both macro and micro environment.

In the same vein – accepting the project with zero NPV should result in stagnant share price. Finance managers use discount rates as a measure of risk components in the project execution process.

Sensitivity Analysis

Project selection is often a far more complex decision than just choosing it based on the NPV number. Finance managers at Normalized Normalization should conduct a sensitivity analysis to better understand not only the inherent risk of the projects but also how those risks can be either factored in or mitigated during the project execution. Sensitivity analysis helps in –

What will be a multi year spillover effect of various taxation regulations.

What are the uncertainties surrounding the project Initial Cash Outlay (ICO’s). ICO’s often have several different components such as land, machinery, building, and other equipment.

What can impact the cash flow of the project.

What are the key aspects of the projects that need to be monitored, refined, and retuned for continuous delivery of projected cash flows.

Understanding of risks involved in the project.

Some of the assumptions while using the Discounted Cash Flow Methods –

Projects are assumed to be Mutually Exclusive – This is seldom the came in modern day giant organizations where projects are often inter-related and rejecting a project solely based on NPV can result in sunk cost from a related project.

Independent projects have independent cash flows – As explained in the marketing project – though the project may look independent but in reality it is not as the brand awareness project can be closely associated with the spending on sales promotions and product specific advertising.






Negotiation Strategy of The Normalization of Deviance in Healthcare Delivery

References & Further Readings

John Banja (2018), "The Normalization of Deviance in Healthcare Delivery Harvard Business Review Case Study. Published by HBR Publications.


Centaur SWOT Analysis / TOWS Matrix

Services , Printing & Publishing


Integrity SWOT Analysis / TOWS Matrix

Healthcare , Biotechnology & Drugs


Anhui Water Resources SWOT Analysis / TOWS Matrix

Capital Goods , Construction Services


E-Future SWOT Analysis / TOWS Matrix

Services , Printing & Publishing


HeunguOil SWOT Analysis / TOWS Matrix

Energy , Oil & Gas Operations


Southern Packaging SWOT Analysis / TOWS Matrix

Basic Materials , Containers & Packaging


CMG Pharmaceutical SWOT Analysis / TOWS Matrix

Healthcare , Biotechnology & Drugs


OneSmart SWOT Analysis / TOWS Matrix

Services , Business Services


Oriental Tech SWOT Analysis / TOWS Matrix

Financial , Misc. Financial Services