Describe the mission, assumptions and objectives for the upcoming budget year for the departments involved. (Nursing, Laboratory, Pharmacy & Radiology)

You are a community public health nurse (C/PHN) working in your setting of choice. You have analyzed the data collected from your windshield survey and assessment and diagnosis assignments (the first two milestones) and identified one community health nursing problem. You have decided on one nursing intervention and need your organization’s approval for funding of this intervention. Your leadership team has agreed to listen to your proposal. 
October 10, 2018
American Nurses Association Nursing World. (2016). Patient safety: Rights of registered nurses when considering a patient assignment
October 10, 2018

Describe the mission, assumptions and objectives for the upcoming budget year for the departments involved. (Nursing, Laboratory, Pharmacy & Radiology)

INSTRUCTIONS:

1 Describe the mission, assumptions and objectives for the upcoming budget year for the departments involved. (Nursing, Laboratory, Pharmacy & Radiology)

2 Establish statistics volume projections for the budget year 2015 for all four (4) departments.

3 Establish a position control plan for the new Psychiatric Unit. (Part of Nursing)

4 Establish a position control plan for nursing and laboratory.

5 Complete expense item for laboratory & radiology for 2015.

6 Project the expected net revenue for all Medicare, HMO, and all Other Insurance patients.

The percentage breakdown of patients by payor mix is as follows:

Medicare  51%

Blue Cross  16%

Medical Asst  08%

HMO  10%

Commercial INS  07%

Other  05%

Self Pay  03%

Total    100%

In the new fiscal year, the hospital plans to:

1  Establish a separate distinct 15-bed inpatient psychiatric unit.

2  Install new equipment in the laboratory to enable the hospital to do 35% more tests in-house rather than send them to a reference lab.

3  Recruit a general surgeon and a Internist.

4  Purchase an additional CT scanner which is expected to increase current radiology volumes by 3.25%.

THREE DEPARTMENTS ARE INVOLVED IN OUR BUDGET EXERCISE.  THEY ARE NURSING, LABORATORY, PHARMACY AND OUTPATIENT/AMBULATORY SERVICES.

STATISTICAL DATA

      2012 – 2013        2013-  2014        2014- 2015

Admissions In Pt (Nursing)                      7,395                7,400                7,370

Laboratory Test                                      399,330              411,810            421,564

Pharmacy Rx                                         99,832                100,011            99,642

Radiology Exams                                   68,222                69,124               68,950

LABORATORY  EXPENSES

2012                   2013               2014

Supplies                                           $79,866               $86,480           $96,959

RADIOLOGY EXPENSES

Supplies                                          $395,205              $405,222         $410,100

 

PARIENT REVENUE

Gross Revenue Projected for the 2014-2015 budget year is as follows:

In Patient            $30,675,000

Out Patient         $36,878,000

Total                  $67,553,000

Current Reimbursement Formulas:

In Patient                          Out Patient

Medicare                              $5760/case                    38% of Charge

HMO                                    $1215.00/pat day           31% of Charge

Other Insurance                     $7655.00/discharge     42.5% of Charge

 

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