Fiscal Concerns in the Healthcare Setting – Case Study

 

Case Study:

You are the manager of a medical- surgical unit. Today is April 1st, and the fiscal year began on July 1st. You work with a variable budget and have the opportunity to make changes to the current budget based on variance. You cannot go over the total budgeted amount assigned to you. Your budget is presented below.

Annual Expended Expended Amount
Budget in March Year to Date Remaining
Personnel $500,000 $25,000 $375,000 $125,000
Overtime $50,000 $20,000 $40,000 $10,000
Supplies $18,000 $1,800 $16,500 $1,500
Travel $1,000 $0 $300 $700
Equipment $5,000 $0 $5,000 $0
Staff Edu $1,000 $200 $600 $400
Several factors that you must consider include:
You have been told to decrease your overtime expenditure.
Your unit has been designated as the unit to accept nursing home patients which will increase the cost of supplies
Your full-time night nurse has resigned and needs to be replaced
You would like two nurses to attend a train the trainer workshop for a cost of $1000 each

 

Case Study Questions:
In a paper format determine the following:
How you will address these requests based on the budget print out.
What expenses can be deferred to the new fiscal year.
Accuracy of projections:
What budgeting area was your previous projections most accurate.
What budgeting area was your previous projections most inaccurate.
Calculate year to date variance for each category.
Factors that may have contributed to situations of being over budget as determined by variance.
Steps that could be taken in the 4th quarter to adjust the budget.

 

Sample Solution

 

 

The Jaguar Poem

Puma is about an excursion to the zoo to the wire. In this stanza he portrays the creatures in the zoo and their conduct. It thinks about Jaguar, a creature unique in relation to other creature’s way of life, primates, parrots, tigers, lions and pythons. This sonnet initially clarifies “Yawn” and “their love”, and the way that they are under the sun builds sluggishness. I feel that this line was purposely picked to pass on the fatigue of the zoo’s day by day life and set laziness.

Panther is a sonnet about the savage creatures Ted Hughes discovered something about human instinct. By all accounts, this sonnet is a creature’s sonnet suggestive of Jaguar’s outrage and viciousness. This is an emblematic sonnet about the vitality of creatures. Here, the writer uncovers his idea through seeing the zoo. Mandrills, parrots, just as creatures, for example, snakes, tigers and lions appear to be extremely happy with the current circumstance. These creatures were fretful on the grounds that they were detained. For instance, the priests yawn and thunder when they revere bugs under the sun. Parrots are yelling or gladly moving to stand out for spectators. Tigers and lions are as yet lying under the sun so they look drained and look sluggish. Indeed, every one of these creatures are lethargic and depleted. Indeed, even Python appears to lose its capacity and speed like antiquated fossils.

How successfully do Jaguar Hughes of Ted Hughes pass on the intensity of Jaguar? Ted Hughes’ sonnet “Panther” clarifies the creatures in the zoo and their method of living. Additionally contrast them and Jaguars not quite the same as other creature’s way of life. The panther delineated in this sonnet is ground-breaking, how? The principal line of Ted Hughes verse is Jaguar. “The monkey will yawn under the sun and respect their bugs.” Starting with the initial three words … Get him so as to lie (Golman) Ted Bundy said that this current nation’s history It is one of the most well known mental patients among (Nordheimer). Appealing (Bointon 25). His casualties are not terrified of him in light of the fact that Bondi and individuals believe that the sequential executioner resembles the inverse (“Ted Bondi”). Sequential executioner master Robert Kappel said. It would be ideal if you reveal to me a sequential executioner can

 

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