Health Medical Homework Help

I’m working on a Nursing exercise and need support.

Numbers 1 & 2:

Month	Actual Patient Days	Budgeted Patient Days	Actual Nursing Hours	Budgeted Nursing Hours	Productivity Measures	Variance
January	1,116	1,116	10,965	10,044	9.825	0
February	1,030	1,008	10,209	9,074	9.911	0.001984
March	974	896	8,060	8,064	8.275	0
April	876	960	8,560	8,640	9.772	0
May	930	868	7,739	7,812	8.322	0
June	864	840	7,553	7,560	8.742	0
July	942	868	7,840	7,812	8.323	0
August	831	868	7,993	7,812	9.619	0
September	888	840	7,868	7,560	8.860	0
October	967	868	8,013	7,812	8.286	0
November	996	960	8,642	8,640	8.677	0
December	1,091	896	10,238	8,064	9.384	0
Total	11,505	100,988	103,680	98,894	107.995	0.001984

Number 3: The trends from month to month indicate that in March, May, June, July, September, October, November, and December (highlighted in bright yellow) the Medical-Surgical unit has gone over budget for the above listed months for budgeted patient days. For the months of January, February, and July through December, the Medical Surgical unit has also gone over budget for the budgeted nursing hours given (highlighted in teal).

Number 3 Continued…Quarterly Trends for Budgeted Patient Days: The First quarter trends for budgeted patient days indicates only one month when the budget went over budget (in March). The second quarter indicates that the Medical Surgical unit went over budget in two out of the three of the second quarter months (in May and June). The third quarter trends indicate that the Medical Surgical unit went over budget yet again two out of the three months in the third quarter (in July and September). The fourth quarter trends indicate that the unit went over budget for patient care days in every month of the fourth quarter (in October, November, and December).

Number 3 Continued…Trends for the Overall Year for Budgeted Patient Days: The Medical Surgical unit has gone over budget for the budgeted patient days eight times out of the twelve months in the calendar year.

Number 3 Continued…Trends for Quarterly Data for Budgeted Nursing Hours: First quarter trends indicate that the unit has gone over budget in two out of the three months for this quarter (in January and February). The second quarter trends indicate that the unit has been within the budget for the entire quarter of April, May, and June. The third and fourth quarter trends have indicated that the unit has gone over budget for the budgeted nursing hours every month for both the third and fourth quarters (July-December).

Number 4: The above data can be used to notify the financing department about the need for an increase in the nursing hourly budget, and the need for an increase in the budgeted patient days. The information provided to the financing department should also include data on any new services that are needed. This author’s suggestion for changes include – conducting meetings twice a week with the budget manager (Rundio, 2020). The meetings should include reviewing the finance reports, providing updates on activities, and budget planning (Rundio, 2020).

Number 5: This author would provide the following Additional information for the financing department: the services offered in comparison to what will be offered in the future (i.e., Increased amounts of beds in the unit), indicate the complexity of care and reimbursement needed (case-mix index), indicate the insurance plans that cover the typical costs of care (payer mix), and include the amount of staff needed based on computerized data, and the manager should also include plans for changes to meet the needs of the unit (Rundio, 2020).

References

Rundio, A. (2020, November 16). Budget development for nurse managers. https://nursingcentered.sigmanursing.org/features/top-stories/budget-development-for-the-nurse-manager