given her mandate to reduce cost overruns, how much should Dr. Flaysakier request in her budget for the upcoming year? what narrative should she send to the Undersecretary to accompany her budget request?

CLINIQUE NOSRAL Exhibit 2. Budgeted and Actual Visits and Medical Supply Costs Type of Visit Immunization Nutrition Counseling Prenatal Care - NP Prenatal Care - MD Major Visit Minor Visit Total Budget Medical Visits Supplies 12,000 $0.50 6,000 $0.10 8,000 800 3,000 $1.00 8,000 $0.20 37,800 Actual Medical Visits Supplies 13,000 $0.60 5,000 $0.12 6,500 650 4,500 $1.30 8,000 $0.25 37,650 Drugs, dressings, etc. per visit. In US dollar equivalents per visit. Exhibit 3. Estimated and Actual Visit Time Requirements Time in Minutes Pysician Nurse Practitioner Estimated Actual Estimated Actual Type of Visit Immunization Nutriton Counseling Prenatal Care Major Visit Minor Visit *8 About 10% of patients need to be seen by a physician Exhibit 4. Budget for the Current Year (In US. Dollar Equivalents) Last Year's This Year's Item Actual Budget Salaries: Physician $6,500 $7,140 Nurse Practitioners 9,000 12,000 Records Clerk 2.000 2,500 Other 1,200 1,200 Supplies & Miscellaneous: Medical Supplies 9,300 11,200 Other 1,250 1,500 Total $29,250 $35,540 Number Visits 31,350 37,800 An additional NP was included in this year's budget. The salary per NP remained the same in the budget as in last year's actual