Question
The primary initiative or goal for the 2014-2015 fiscal year is the establishment of a 15-bed Psychiatric Unit. This new unit will be infused into
The primary initiative or goal for the 2014-2015 fiscal year is the establishment of a 15-bed Psychiatric Unit. This new unit will be infused into the current bed complement with no increase in the 175 bed count expected. This unit is expected to occupy space for 15 beds currently not set up and staffed at the hospital.
It is expected that during the year there will be a slight increase in inpatient services as a result of the Psychiatric Unit.The hospital laboratory is buying two new pieces of equipment at a cost of $400,000 that will allow them to do 35% more tests in house rather than send these tests out to a reference lab. It is also expected that the Radiology Department is purchasing a new CT scanner that is expected to increase current radiology volumes by 3.25%.
The budget calendar and target dates for budget completion are the same in this year's budget as in years past.
In the new fiscal year, the hospital plans to:
- Establish a separate distinct 15-bed inpatient psychiatric unit.
- Install new equipment in the laboratory to enable the hospital to do 35% more tests in-house rather than send them to a reference lab.
- Recruit a general surgeon and a Internist.
- Purchase an additional CT scanner which is expected to increase current radiology volumes by 3.25%.
THREE DEPARTMENTS ARE INVOLVED IN OUR BUDGET.THEY ARE NURSING, LABORATORY, PHARMACY AND OUTPATIENT/AMBULATORY SERVICES.
STATISTICAL DATA
2012201320142015
Admissions In Pt (Nursing)7,3957,4007,370
Laboratory Test399,330411,810421,564
Pharmacy Rx99,832100,01199,642
Radiology Exams68,22269,12468,950
Laboratory spent $79,866 on supplies in 2012.They spent $86,480 in 2013 and $96,959 in 2014.These figures represent the cost of supplies to do tests at the hospital. The hospital spent $122,000 to perform tests outside the hospital last year.The cost of lab supplies is expected to increase 10% in the next budget year as a result of inflation. The hospital also had supplies costs in Radiology of $ 395,205 in 2012, $405,222 in 2013 and 410,100 in 2014. There is expected to be an industry wide increase in radiology supplies costs of 6.5% in the next budget year.
LABORATORYEXPENSES
201220132014
Supplies$79,866$86,480$96,959
RADIOLOGY EXPENSES
Supplies$395,205$405,222$410,100
NURSING JOB CLASSIFICATION LISTING
POSITION TITLEAUTHORIZED POSITIONS
Director of Nursing1 ft
Assistant Director2 ft
Nurse Supervisors4 ft
Head Nurse8 ft
Staff Nurses RN80 ft
15 pt
LPN25 ft
10 pt
Nurses Aides10 ft
Orderlies6 ft
Unit Desk Clerks6 ft
4 pt
Secretary1 ft
LABORATORY
Department Head1 ft
Med Technologist12 ft
2 pt
Lab Tech4 ft
Lab Assistant2 ft
Secretary1 ft
PARIENT REVENUE
Gross Revenue Projected for the 2014-2015 budget year is as follows:
In Patient$30,675,000
Out Patient$36,878,000
Total$67,553,000
Current Reimbursement Formulas:
In PatientOut Patient
Medicare$5760/case38% of Charge
HMO$1215.00/pat day31% of Charge
Other Insurance$7655.00/discharge42.5% of Charge
Expected length of stay (LOS) in 2015 is 3.4
INSTRUCTIONS:
- Describe the mission, assumptions and objectives for the upcoming budget year for the departments involved. (Nursing, Laboratory, Pharmacy & Radiology)
- Establish statistics volume projections for the budget year 2015 for all four (4) departments.
- Establish a position control plan for the new Psychiatric Unit. (Part of Nursing)
- Establish a position control plan for nursing and laboratory.
- Complete expense item for laboratory & radiology for 2015.
- Project the expected net revenue for all Medicare, HMO, and all Other Insurance patients.
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