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Budget Case Study

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Fiscal Concerns Case Study: Unit Budget Analysis
Mindy Cashman
Thomas Edison State College

Abstract
A budget is the most basic financial document needed to manage and plan for income and expenses throughout the year. The process of planning the budget is an ongoing process that requires adjustments throughout the year as needed to meet the goals of the organization it supports. When preparing a budget for an acute care unit in a hospital, there are many different reasons that the budget needs to be adjusted in order to meet the needs of the staff, patients and organization. This case study looks at the budget of a cardiac care unit with a variable budget. Several different factors have led to variances in the budget for the current fiscal year. Solutions are suggested to address the positive variances, that will fulfill the needs of staff and patients in the most beneficial and economic way possible.

Due to a change in patient acuity on the unit, there has been a change in the staffing needs to adequately care for the needs of the increase in the number of very sick patients. Staff is requesting a permanent change in the staffing pattern to address these needs. There has been $275,000 expended year to date from the personnel budget. $30,000 of that was expended in the month of March. For the previous 9 months, that leaves an average of over $30,000 per month expended to the personnel budget. To address this negative variance in the budget, I would approach administration to request that the staffing grid be adjusted to allow for at least 1 extra-licensed personnel for shift, as well as 1 extra non licensed nurses aid per shift. In order to justify the need for the extra staff I would provide supporting documentation such as the average daily census and patient acuity over the past 9 months to justify the need for increased personnel. It is

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