According to Buchbinder, Shanks & Thompson (2010) the definition of is the process with technical and social activities and functions, which occur within organizations for the purpose of completing predetermined objectives through humans and other resources. More specifically, financial management is the subset of management that focuses on creating financial information that can be used to improve decision making (Calabrese et al. 2013). With this definition, healthcare managers should be responsible for organizational tasks to maximize the best possible way to achieve organizational goals and appropriate resources with financial and human resources, considering the reason for the organization's existence in supporting the organization through decision-making processes (Buchbinder, Shanks, and Thompson 2010; Daft and Marcic 2013). In this essay, therefore, the importance of a correct understanding of management in achieving financial objectives will be discussed along with an understanding of the concepts of quality and safety within healthcare organizations. To help better understand the role of healthcare managers in decision making, managers are appointed to authority positions in which they shape the organization by making essential decisions. Managers must consider two domains, external domains that indicate influences, resources and activities, and internal domains that focus on a day-to-day basis, ensuring the appropriate number and type of staff, financial performance and quality of care, while managing with various tasks and make decisions (Buchbinder, Shanks & Thompson 2010). Decisions made by healthcare managers focus on ensuring adequate patient care and effective services are possible, as well as addressing outcomes or... middle of paper... ....exempt from insurance policies due to “conditions pre-existing”; 3) employers, believing they cannot afford to continue providing health insurance as a benefit, have reduced their benefits or eliminated them altogether by hiring part-time rather than full-time workers; 4) due to budgetary constraints, the federal government and states have tightened Medicaid eligibility criteria, typically too far below the official federal poverty level for most families to qualify; and 5) people have learned that they will be treated by providers, especially community hospitals, if they show up at the door, even if they can't pay. Some low-risk people may avoid insurance altogether and assume they will take care of it at any time. Most hospitals are legally obligated to accept these individuals once they enter the premises (Glick et al. 2004).