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Business case plan
- Question
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I-In your two clear paragraphs how does your proposed BCP(bussiness case plan) align with the organizational goals and objectives of your clinical site?
II-St Elsewhere is preparing to open a 30-bed med/surg unit later this year. The established cost center will be 1001, with a designated internal name “In-Patient.”
Anticipated average daily census (ADC) based on data from comparative units in the hospital will be 24. The staffing will be based on 12 hour shifts and the unit will operate 24 hours a day, 7 days a week. The organizational standard for the nurse-to-patient ratio will be 1:6 on the 7a shift and 1:8 on the 7p shift for RN’s, 1:8 on the 7a shift and 1:10 on the 7p shift for patient care assistants (PCA), and 1 unit clerk on the 7a shift and 1 unit clerk on the 7p shift. The organization pays RNs a base rate of $72,800, PCAs $31,200 a year, and unit clerks are paid a base rate of $27,040 a year. Nurse managers are exempt employees. The manager will be paid an annual salary of $81,120. Based on hospital policy and years of service for the anticipated staff, human resources has allotted 1.13 FTEs (90 hours) of nonproductive time for every productive FTE.
Based upon the information that we have we will be able to build the personnel budget for the unit.
- Calculate the number of productive FTEs and annual salary dollars that will be required to staff the “In-Patient Unit.” Provide data for each skill level and a total productive FTE count for the 7p shift.
- Calculate FTEs by skill level using the NHPPD methodology.
- Total productive FTEs for 7p shift.
- Calculate direct and indirect care FTEs and worked hours for 7p shift
- Calculate total worked hours by skill level for the 7p shift.
- Calculate total worked (productive) hours for the 7p shift.
- Calculate hourly pay rates by skill level.
- Calculate annual personnel salaries by skill level.
- Calculate annual direct and indirect salary dollars.
- Total productive annual salaries for the 7p shift.
- Based on hospital policy and average years of service, human resources have allotted 1.13 FTEs (90 hrs) per FTE for nonproductive time.
- How many total FTEs will be budgeted to account for productive and nonproductive time?
- How many nonproductive FTEs will be budgeted for the unit?
- Based on the nonproductive FTEs, how many nonproductive hours will be reflected on the budget?
- Combine 7a shift totals and 7p shift totals to complete the Personnel Budget. You may use the table below in Microsoft word for a reference to merge the two budgets.
Subject | Business | Pages | 6 | Style | APA |
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Answer
The proposed business plan will align with the goals and objectives of the organization in the clinical site because it will save on the costs expedited on the workers. In specific, one of the goals of the organization is to save costs while at the same time providing quality care. As such, via the budget for the organization, huge amounts of money will be saved whereas the quality of care will be maintained based on the business case plan.
Personal Budget for The Unit
In the calculation of the total personal budgets, various items were collated. In specific, the Nursing Hours per Patient Day (NHPPD) methodology was deployed to establish the number of nurses required for the provision of services in the “In-Patient” unit. Additionally, the total salaries required by the organization in the provision of quality services to the unit were calculated. The FTE was calculated via multiplication of the hours the different professionals worked a day by the 7 days a week and then by 52 weeks a year. The results of the various calculations were reported in the table below which demonstrates the total amounts that the healthcare organization would incur in providing services to the “In-Patient” unit.
ADC 24 Non-productive Factor 1.13 |
FTE |
Total FTE |
Worked Hours |
Total Worked Hours |
Annualized Salary Worked Hours |
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Total Salaries |
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7a |
7p |
7a |
7p |
7a |
7p |
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Direct Hrs |
13.26 |
17.68 |
30.94 |
144 |
192 |
336 |
105.58 |
79.18 |
184.76 |
Indirect Hrs |
17.68 |
22.1 |
39.78 |
192 |
240 |
432 |
79.18 |
103.38 |
182.56 |
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NM |
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RN |
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PCA |
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Clerk |
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Total Wk Hr |
30.94 |
39.78 |
70.72 |
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Totals |
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Productive Time |
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Nonproductive Time |
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Total FTEs |
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Total Worked Hours |
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Total Annualized Salaries by Worked Hrs |
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184.76 |
182.18 |
367.32 |
References
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