Question
Review the attached ROI budget report for FY 2017. XYZ hospital has been given the 2018 set budget for the ROI Unit, and your role
Review the attached ROI budget report for FY 2017. XYZ hospital has been given the 2018 set budget for the ROI Unit, and your role as the HIM director is to review the FY2017 budget year report and determine what needs to be done to operate within the new budget in 2018. This includes identifying any budget variances from 2017, correlating any impact factors or department changes that took place in 2017, and assessing for how to best operate within the new budget parameters. After assessing the budget reports and key indicators, answer the following questions in your initial response:
- Did the ROI Unit operate within budget for the FY 2017?
- What Months did the ROI Unit meet budget?
- What months did the ROI Unit exceed Budget?
- What was the budget variance for the months that exceeded the budget?
- The 2018 ROI budget has been set at $950/month. What could be done differently in 2018 to close the budget variance from 2017?
ROI Cost Analysis
The following two charts indicate the FY2017 expenses and revenue for the Release of Information Unit:
ROI Expenses FY2017 | ||||||||||||
Expenses: | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
Staff | 1650 | 1650 | 1650 | 1650 | 2,500 | 2,500 | 2,500 | 2,500 | 2,500 | 2,500 | 2,500 | 2,500 |
ROI Tracking System | 745 | 745 | 745 | 745 | 745 | 745 | 745 | 745 | 745 | 745 | 745 | 745 |
Paper Office Supplies | 215 | 215 | 185 | 175 | 170 | 175 | 160 | 118 | 125 | 110 | 115 | 110 |
Copier/Fax | 45 | 45 | 45 | 45 | 45 | 45 | 45 | 45 | 45 | 45 | 45 | 45 |
Total | 2,655 | 2,655 | 2,625 | 2,615 | 3,460 | 3,465 | 3,450 | 3,408 | 3,415 | 3,400 | 3,405 | 3,400 |
ROI Revenues FY2017 | ||||||||||||
Revenues: | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
Disability Requests | 800 | 765 | 715 | 660 | 660 | 615 | 585 | 610 | 590 | 640 | 575 | 590 |
Attorney Requests | 1900 | 995 | 875 | 820 | 780 | 755 | 770 | 740 | 745 | 680 | 595 | 630 |
Personal Requests | 375 | 210 | 175 | 115 | 110 | 130 | 95 | 105 | 90 | 95 | 80 | 85 |
Total | 2,375 | 1,970 | 1,765 | 1,595 | 1,550 | 1,500 | 1,450 | 1,455 | 1,425 | 1,415 | 1,250 | 1,305 |
KeKey Factors of 2017 ROI Cost Analysis
- Facility went live with an EHR and Patient Portal in January 2017
- In May 2017, ROI increased by 0.5 FTE to assist with oversight of ROI review rooms
- E-fax was implemented for use with external requestors in Jan 2017,
- ROI Monthly Budget for 2017 was $975.00
- ROI uses a standalone ROI system through a vendor. The new EHR does have an ROI management/tracking system built in that could be used
- Cost for external copies is set below the state regulated cap
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