With current constraints on health care budgets in hospitals, medical centers, and long term care facilities, administration may call for tighter control as noted in this case study.Explain

Use references for assistance in completing the assignment. Use your text readings for support. Do not include the case study scenario paragraphs in your paper. The questions are to be answered in a narrative text using APA (6th edition) guidelines for both the text and the references. The maximum number of pages is six double-spaced, excluding the title page and reference page. Case Study: You are the manager of medical unit in a nursing home. 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. Several factors that you must consider include: A changing staffing pattern as a result of high acuity on your unit. Another RN is requested on day shift. There is a new type of patient lift that would help nurses with heavy patients. The cost is $3000 per lift. Two lifts, one for each hall would be helpful. Your quality assurance reports indicate that the staff needs more training in wound care. There is a conference available at a cost of $300 a nurse. Four nurses have requested to go. It has been suggested that more snacks be kept on the unit for patients who need to eat more frequently. 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. What budgeting area was your previous projections most accurate What budgeting area was your previous projections most inaccurate. 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. Grading criteria for Assignment 2 Fiscal Concerns in the Health Care Setting Answer the above questions by writing a narrative. The following points are awarded for these areas: Content Points Addressing requests 20 Deferred expenses 20 Accuracy of projections and rationale 20 Calculating variance 10 Adjusting the budget 10 APA format; minimum of two professional references 10 Grammar 10 Total 100 Mentor’s tips: There may be several plausible explanations or answers. The most important thing is that your answers are consistent within your paper, and that your numbers add up. Tables may be helpful in this paper

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