Case Study #1
Mary is the manager of a medical-surgical unit in a not-for-profit acute care hospital. During the budget preparation process for the upcoming fiscal year, the healthcare system leadership mandated 5% cost reductions from the previous fiscal year budget. Labor costs must be evaluated thoroughly for potential cost savings. Mary feels strongly that eliminating nursing positions is inappropriate in this budget reduction initiative.
Mary has a $1 million dollar per year budget that includes personnel (including benefits), equipment, and supplies. The 5% reduction totals $50,000.
How can Mary justify that her current nurse staffing is appropriate to ensure cost-effective, high-quality care for her patients? What strategies can she use?
How can Mary meet the budget reduction mandate without cutting nursing staff? Generate your ideas and select the most viable option under the circumstances.
Case Study #2
In Table 1 is a 20-bed nursing unit expense budget for June 2020. The average census in June 2020 was the same as budgeted (18 patients/day average). The columns show the budget for June, the actual expenses for June and the variance (the difference between the expected and actual budget expenses). In the last two columns, you see the expenses YTD (year to date; Jan – June) for the current year and the final column shows the YTD expenses (Jan – Jun) for the prior year.
Please note that the numbers provided are in the “thousands”. Example: The productive budget for June is actually $200,000 (not $200).
Study the columns and rows in this budget report.
Identify where the unit is over budget or under budget.
As the nurse manager, brainstorm how to explain this budget variance and write your answer as you would present to the Chief Nursing Officer.
Grading Rubric for Case Study Assignment
NURS 424
Excellent (20) Proficient (18) Adequate (16) Poor (14) Missing (0)
Introduction The topic of the paper is clearly defined with detailed
discussion of what will be presented in the paper. The topic of the paper is defined, with discussion of what will be presented in the paper. Either the definition of the topic or discussion of what will presented in the paper is incomplete. Both the definition of the topic and discussion of what will presented in the paper are incomplete. Absent
Details of the subject of the paper presented. Comprehensive details of the subject of the paper are presented and pertinent facts are included. Acceptable details of the subject of the paper are presented with some pertinent facts. Adequate details of the subject of the paper are presented, but minimal pertinent facts. Less than adequate details of the subject of the paper are presented and nor pertinent facts. Absent
Summary of a paper or evidence-based findings presented. Comprehensive
summary of paper or evidence-based findings presented. Summary of paper or evidence-based findings presented. Either the summary of the paper or evidence-based findings is incomplete. Both the summary of the paper and evidence-based findings is incomplete. Absent
Describe a summary of findings/ conclusions outlined in the paper.
Comprehensive
summary provided of findings and conclusions outlined in the paper.
Summary provided of findings and conclusions outlined in the paper.
Either the summary of findings or conclusions outlined in the paper is incomplete. Both the summary of findings or conclusions outlined in the paper is incomplete. Absent
Writing Mechanics and APA Four(4) or less Spelling, Grammar, sentence structure, or APA errors. Five (5) to seven (7) Spelling, Grammar, sentence structure, or APA errors. Eight (8) to Ten (10) Spelling, Grammar, sentence structure, or APA errors. Eleven (11) to Fifteen (15) Spelling, Grammar, sentence structure, or APA errors. More than 15 Spelling, Grammar, sentence structure, or APA errors.
Grading Rubric for Case Study Assignment
NURS 424
Excellent (20) Proficient (18) Adequate (16) Poor (14) Missing (0)
Introduction The topic of the paper is clearly defined with detailed
discussion of what will be presented in the paper. The topic of the paper is defined, with discussion of what will be presented in the paper. Either the definition of the topic or discussion of what will presented in the paper is incomplete. Both the definition of the topic and discussion of what will presented in the paper are incomplete. Absent
Details of the subject of the paper presented. Comprehensive details of the subject of the paper are presented and pertinent facts are included. Acceptable details of the subject of the paper are presented with some pertinent facts. Adequate details of the subject of the paper are presented, but minimal pertinent facts. Less than adequate details of the subject of the paper are presented and nor pertinent facts. Absent
Summary of a paper or evidence-based findings presented. Comprehensive
summary of paper or evidence-based findings presented. Summary of paper or evidence-based findings presented. Either the summary of the paper or evidence-based findings is incomplete. Both the summary of the paper and evidence-based findings is incomplete. Absent
Describe a summary of findings/ conclusions outlined in the paper.
Comprehensive
summary provided of findings and conclusions outlined in the paper.
Summary provided of findings and conclusions outlined in the paper.
Either the summary of findings or conclusions outlined in the paper is incomplete. Both the summary of findings or conclusions outlined in the paper is incomplete. Absent
Writing Mechanics and APA Four(4) or less Spelling, Grammar, sentence structure, or APA errors. Five (5) to seven (7) Spelling, Grammar, sentence structure, or APA errors. Eight (8) to Ten (10) Spelling, Grammar, sentence structure, or APA errors. Eleven (11) to Fifteen (15) Spelling, Grammar, sentence structure, or APA errors. More than 15 Spelling, Grammar, sentence structure, or APA errors.
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