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Health, Medicine, Nursing
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English (U.S.)
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Topic:

Management Process of the Operating and Capital Budget

Coursework Instructions:

You are the nurse manager of a new urgent care clinic, and one of your first tasks is to prepare next year's operating budget. Like many nurses, you have had little or no direct experience with the budgeting process and realize that financial management is not one of your strengths as a leader. Consequently, you have decided that you need to reach out for help from someone in the facility with budgeting experience and financial management expertise who can offer you help and insight.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Capital and operating budgets each play a major role in the financial expenditures of nursing units.

  • What is the purpose of each type of budget?
  • How does managing these two types of budgets differ?
  • What financial management techniques are common to both types?

Reflect on your experience with either type of budget.

  • How have one or the other of these two budgets affected the provision of care in your organization or unit?
Coursework Sample Content Preview:

Advanced Finance Mentor Interview Analysis
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Nurse leaders in any healthcare organization ought to understand effective budget management. While there is a lot to budget management, engaging mentor nurse leaders or healthcare site supervisors is vital to gain more insights. This analysis will compare the management process of the operating budget and capital budget, pointing out knowledge gaps, missing information, areas of uncertainty, unknowns, and unanswered questions. Moreover, it will discuss the allocation process of resources, services, and equipment while considering the underlying assumptions. Furthermore, it will analyze a suitable approach for financial success and profitability planning while focusing on the possible merits of other techniques. Lastly, the paper will evaluate a practical approach for a nurse leader to manage a budget.
Comparison of Operating Budgets and Capital Budgets Management Process
The management of an operating budget and that of managing a capital budget differs a great deal in terms of timeframes, processes, and objectives. An operating budget deals with daily expenses and revenue generation within a certain period, typically annually. It entails forecasting and allocating resources for supplies, maintenance, utilities, and salaries. Although nurse leaders do not fully participate in planning and developing budgets, they contribute at certain management levels. Nurse leaders' involvement in budgeting relies on the inputs offered in operational plans and procurement plans given by other nursing departments (Naranjee et al., 2019). Managing an operating budget involves historical data analysis, patient volume projection, cost estimation, and evaluation of revenue sources like grants and reimbursements.
On the other hand, capital budgeting entails investing long-term in significant assets such as technology, buildings, and equipment. Managing this budget needs critical assessment of the proposed projects, long-term financial planning, and strategic decision-making. When managing capital budget, nurse leaders should consider such aspects as equipment replacement cycle, technological advancement, and facility expansion. The capital budget process entails evaluating returns on investment, cost-benefit analysis, and getting such stakeholders' approval as board members and executive management of the institution. Also, it takes several years, and there is a need for an accurate forecast of unforeseen costs and requirements. Consequently, the evaluation process of the capital budget ensures that the project creates value through its direct cash flows, not exceeding its investment cost (Holcomb & Smith, 2020). Thence, nurse leaders ought to understand the dynamics of managing capital budget.
Although they differ significantly, operating and capital budgets have similar financial management techniques like financial reporting, variance analysis, budgeting, cost containment measures, and forecasting. Foundational business competence is fundamental to nurse leaders and other clinicians since it ensures effective care delivery in the modern health system and enhances cost-effectiveness (Raftery et al., 2021). However, nurse leaders encounter significant challenges in the management of budgets. One such challenge in managing the operating budget is the unpredictable nature of patient acuity and volumes. Nurse leaders should progressively evaluate patient volumes, change staffing levels and allocate enough resources to enhance care provision effectiveness and efficiency. Also, they experience the challenge of containing costs by reducing the quality of care. This challenge requires strategic decision-making and cooperation with stakeholders. When managing capital budgets, nurse leaders encounter the challenge of limited financial resources to invest in capital projects. Nurse leaders in such situations must explore other funding options like loans and grants. Also, nurses encounter the challenge of high patient demands during health crises, and thus they have to plan for their hospitals' long-term and short-term success (Holcomb & Smith, 2020). However, they should evaluate variances, point out underlying causes, and establish the necessary action to address them.
The Process of Allocating Resources for Labor, Equipment, and Services
Resource allocation for equipment, services, and labor involves collecting appropriate data and information from different sources. The applicable data and information sources include budget reports, staffing data, financial statements, and productivity metrics. Nurse leaders must consult departmental heads, financial experts, and staff members to obtain insights and inputs. In this context, decisions to allocate resources are critically sophisticated; thus, networks provide various procedures (Bravo et al., 2021). Financial experts offer expertise and insights concerning financial forecasting and analysis, while staff members and departmental heads provide significant perspectives about resource utilization and needs.
However, nurse leaders should put various significant factors into consideration. Patient understanding and demand significantly contribute to ascertaining the right skill mix and staffing levels. Nurse leaders shoul...
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