Guidelines With Scoring Rubric
Purpose
The purposes of this assignment are to (a) identify and articulate key concepts of forecasting and budgeting strategies for your cardiac unit at Saint Louis Medical Center (SLMC), which includes evaluating variance analyses as they apply to nursing budgets within healthcare organizations (CO 2); and (b) formulate a revenue and expense budget for a nursing unit within a healthcare organization (CO 1) and communicate the information in a clear, succinct, and scholarly manner.
Course Outcomes
Through this assignment, the student will demonstrate the ability to
(CO 1) Formulate a revenue and expense budget for a nursing unit within a healthcare organization. (PO 2 and PO 8)
(CO 2) Evaluate variance analyses as they apply to nursing budgets within healthcare organizations. (PO 4)
Due Date: Sunday 11:59 p.m. MT at the end of Week 3 into the CCN Dropbox
Total Points Possible: 200
REQUIREMENTS:
1. This paper will be graded on quality of paper information, use of citations, use of standard English grammar, sentence structure, and organization based on the required components.
2. Create this assignment using Microsoft Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as an MS Word document because it will end in.docx.
3. Submit the paper to the appropriate CCN Dropbox by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A Discussion topic.
4. The length of the paper is to be no greater than three pages, excluding title page and reference page. Extra pages will not be read by the instructor and will not count toward your grade.
5. APA format (6th edition) is required in this assignment, including a title page and reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See the APA manual for details. See the resource in Doc Sharing called Guidelines for Writing Professional Papers. Use the suggested format and headings to organize your assignment:
a. Include an introduction (do not label it as a heading in APA format)
b. Key concepts of forecasting budget
c. Supporting evidence
d. Budget strategies
e. Conclusion
PREPARING THE PAPER
Note: Use the resources in Doc Sharing related to SLMC to assist in completion of this assignment; Week 3 Forecasting Background and SLMC information as needed.
1. Clear introduction of your forecasting assignment is in the introduction paragraph, including a sentence that states the purpose of your paper.
2. Clearly articulate key concepts of your forecasting budget for the cardiac unit at SLMC.
3. Include of a minimum of three sources of scholarly, empirical evidence that supports your budget strategies for the cardiac unit at SLMC. See resources under Doc Sharing related to SLMC.
4. Identify budget strategies to keep your forecast for the cardiac unit at SLMC within budget.
5. Provide concluding statements that should summarize your overall forecasting assignment content.
6. The paper will be three pages maximum, excluding title and reference page(s).
Note: If you go over the paper length, the information will not be graded by the instructor.
7. Title and reference page(s) must be in APA format (6th edition).
8. Use 12-point Times New Roman font and one-inch margins on all sides of the paper.
Category Points % Description
Introduction 30 15% Introduction clearly introduces your forecasting assignment and purpose of assignment.
Forecasting Budget Concepts 45 22.5% Identification of key concepts of your forecasting budget for the cardiac unit at SLMC is clearly articulated.
Evidence 30 15% Minimum of three scholarly, empirical evidence sources supporting your budget strategies for the cardiac care unit at SLMC.
Budget Strategies 40 20% Identify budget strategies to keep your forecast for the cardiac unit at SLMC within budget.
Conclusion 30 15% Concluding statements summarizing content are present.
Text, title page, and references are consistent with APA format 10 5% Text, title page, and references are consistent with APA format.
Ideas and information from other sources are cited correctly 10 5% Ideas and information from other sources are cited correctly.
Rules of grammar, word usage, and punctuation are followed 5 2.5% Rules of grammar, word usage, and punctuation are followed.
Total 200 100
A quality assignment will meet or exceed all of the above requirements.
Week 3 Forecasting Assignment Background
The Flexible-Budget Variance Analysis
The initial measure in flexible budgeting is to establish the flexible budget for the actual workload level. It must be determined what the cost should have been given the workload level that actually occurred. For example, consider the supplies budget for the cardiac unit at Saint Louis Medical Center (SLMC) during the month of July:
Actual Budget Variance
Supplies $12,000 $10,000 $2,000 U
Suppose that the budget assumed that there would be 400 patient days for this unit for July, but there actually turned out to be 500 patient days.
1. The first step is to establish the flexible budget for the actual patient volume.
The cardiac unit of SLMC budgeted $10,000 for supplies for the month of July—and the actual supply consumption was $12,000. The unit encountered a $2,000 supply variance. Suppose that July’s budget was built on 400 patient days but there actually was an increase in the number of patients admitted to the unit, which equaled 500 patients days. The planned supply cost was $25 for each patient ($10,000 / 400 patients = $25). The flexible budget demonstrates that $25 was actually spent on each patient even though there was an increase in the number of patients seen: $25 X 500 = $12,500. This is what the unit would have expected to spend if the actual number of patient days would have been known.
For the cardiac unit, the total variance = $2,500. However, this volume variance is considered unfavorable because more spending occurred than was expected. Even though the increased number of patients admitted to the cardiac unit may represent more patient revenues, the excess cost is viewed as unfavorable. At this point, the variance in supplies has been explained by the fact that there was a different (higher) volume of patients than had been anticipated.
Actual Flexible Original
Budget Budget Budget
Supplies $12,000 $12,500 $10,000
Flexible Volume
Budget Variance
Variance
$500 $2,000 U
Total Variance
$2,500 U
2. The next step entails reviewing nursing labor costs to note whether there is a differences in the amount that was budgeted for in the month of July and the amount that actually occurred.
Actual Budget Variance
Salaries $110,000 $92,000 $18,000 U
Flexible Budget
$115,000
First, determine the flexible-budget salaries. The nursing salaries should vary in direct proportion to patient days. As more patients are admitted to the unit, more nursing care hours will be delivered to care for these extra patients. For example, nursing salaries had been budgeted at $92,000 for the 400 patient days. This was a cost of $230 per patient. Instead, 500 patients were admitted to the unit during the month of March, which should equal $115,000 (500 X $230 = $115,000).
Next, determine if there is a variance between the flexible-budget salary and actual budget amount that occurred. When the flexible salary costs are subtracted from the actual salary costs, it turns out that there is a $5,000 favorable variance ($115,000 – $110,000 = $5,000). The actual amount spent was less than the flexible budget. In fact, the manager should have expected to spend $5,000 more on nursing salaries than was in the original budget, given the 100 extra patient days. The cardiac unit actually spent $5,000 less than should have been expected.
