NURS 4455 Module 3 Assignment 1 Financial Management Case Study vfa20(1)

NURS 4455 Module 3 Assignment 1 Financial Management Case Study vfa20(1)

NURS 4455 Module 3 Assignment 1 Financial Management Case Study vfa20(1)

NURS 4455

Module 3 Assignment 1

Financial Management Case Study vfa20(1)

Name:                  Date:

Overview: Financial Management Case Study

One of the important duties of a nurse leader is to manage personnel and personnel budgets. In this assignment, you will assume the role of a nurse manager. You will use given data to make important decisions regarding budgets and staffing.

Some nurse managers have computer spreadsheets or software applications to help them make decisions regarding budgets and staffing. You will only need simple mathematical operations* to perform the needed calculations in this assignment because the scenario has been simplified. Furthermore,some data have been provided for you that a nurse leader might need to gather or compute in a real setting. Still, you will get a glimpse of the complexity of responsibilities nurse leaders shoulder regarding financial management.

•             To calculate the percent of the whole a given number represents, follow these steps:

Change the percentage to a decimal number by moving the decimal twice to the left (or dividing by 100).

Multiply the new decimal number by the whole.

Example: What is 30% of 70?

30%= .30; (.30) × 70 = 21

•             To find out what percentage a number represents in relation to the whole, follow these steps:

Divide the number by the whole (usually the small number by the large number).

Change the decimal answer to percent by moving the decimal twice to the right (or multiplying by 100).

Example: What percent of 45 is 10?

10 ÷ 45 = .222; so, 10 is 22% of 45.

* You will only need addition, subtraction, multiplication, and division.

Case Study

You are the manager for 3 West, a medical/surgical unit. You have been given the following data to assist you in preparing your budget for the upcoming fiscal year.

Patient Data

Average Daily Census (ADC): 55

Budget based on 6.2Avg.Hours per patient day (HPPD)

(6.2HPPD excludesNurse Manager and unit secretaries)

Staff Data

Total FTEs                            40.0 Variable FTEs

1.0 Nurse Manager

2.5 Unit Secretaries

43.5Total FTEs

Staffing Mix

RN          75%

LVN        10%

NA          15%

Average Salary Scale per Employee

Benefits are 35% of annual salaries

Nurse Manager                $75,000.00 per year

Registered Nurses (RN)                $34.00 per hour

Licensed Vocational Nurses (LVN)            $20.00 per hour

Nurse Aides (NA)             $14.50 per hour

Unit Secretary (US)         $12.00 per hour


1.            How many RNs, LVNs, and NAs, by category, are on the staff of 3 West? (Round FTEsto the nearest tenth.)Compute totals for each column.

Positions              Variable FTEs     % by Position     FTEs by Position

RN          40           0.75        30

LVN        40

NA          40


2.            Compute the annual salary budget for 3 West.

Compute totals for appropriate columns.

Positions              FTEs       Salary    Hours    Salary Subtotals                Amount of Benefits        Total

MANAGER          1.0          $75,000 XXXX     $75,000 $26,250

RN          30           $34         2080       $2,121,600

LVN                                        2080

NA                                          2080

Sec                                         2080

Totals                    XXXXX   XXXXXX

3.            Your hospital unit, 3 West, is a 60-bed general medical-surgical unit. Over the past year, the ADC (Ave. Daily Census) was 55 patients.

Use the following data on 3 West during the last year to perform these calculations and answer these questions.

A.            Complete this table to calculate the actualaverage hours of care required per patient day (HPPD) for the patients in 3 West.Round to the nearest tenth

Acuity Mix           Average Hours of Care Required               Average Daily Census

(ADC)    Total Hours of Care Per Day

I               1.4          8              11.2

II             3.9          21

III            5.6          19

IV            8.8          7


Hours per patient day (HPPD)

B.            Remember that your established personnel budget for 3 West assumes a HPPD of 6.2. If your calculated HPPD is different, explain the significance of the variance. (If your calculated HPPD is different than 6.2, you must write more than, “We need more/less nurses.”)

What is the Significance of the variance?  If you believe you need more staff, what will be your                 rationale for making this requires?  If you have too much staff, what would your proposal be for         bringing your staffing into a better balance?

C.            What are the implications for the Nurse Manager?  As an example, based on your conclusions in Section B, what other observations would you make as you review your total budget and what would you expect to see as a result?  (Ex: supply costs; overtime hours, average census of 50 on a 60 bed unit, etc.)

4.            Youhave set two new goals for your unit for the next year related to personnel:

•             Provide stronger unit management support on evening and night shifts and inthe absence of the manager.

•             Correct unfavorable efficiency variances due to overtime.

To accomplish these goals, you plan to make these changes:

•             Add 1.0 RN FTE position

•             Eliminate 1.5 LVN positions

•             Add 1.5 FTEs NA positions

•             Add 1.0 Assistant HN position at $62,000/year

Calculate ONLY the costof the proposed recommendations for 3 West.Compute totals for each column. If the change represents a reduction in the budget for that category, record the total as a negative number. If it represents an increase in the budget for that category, record the total as a positive number.

Positions              FTEs       Salary    Hours    Salary Subtotals                Benefits               Total

RN          1

LVN        -1.5

NA          1.5

AHN       1              62,000   XXXXX

Totals    2              XXXXX   XXXXX

5.            Assume your proposal was approved.  Calculate the new personnel budget (You will use your budget from question 2 and account for the changes you requested in question 4). Compute totals for each column.

Positions              FTEs       Salary    Hours    Salary Subtotals                Benefits               Total

NURS 4455 Module 3 Assignment 1 Financial Management Case Study vfa20(1)
NURS 4455 Module 3 Assignment 1 Financial Management Case Study vfa20(1)

Manager              1              $75,000 XXXXX

AHN       1              $62,000 XXXXX

RN          31




Totals                    XXXXX   XXXXX

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Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Also Check Out: NURS 4455 Nursing Leadership and Management Module 1 Assignment 4

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.


Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.