Operational Plan and Correlating Budget
The 4 West is an organization that delivers health care for the community. Recently, the organization has decided to replace the existing medical-surgical unit into a new acute care oncology unit. The oncology is a specialty in medicine that deals with cancer. The CNO (Chief Nursing Officer) has informed the nurse director that 4 west is to become a specialized oncology unit. Since the hospital is planning the transition from the medical-surgical unit to the oncology unit, the hospital will need a new operational plan and correlating budget to assist the hospital to deliver high quality healthcare at lower costs.
Objective of this project is to develop an operational plan and correlating budget for the hospital to assist in effective transition from the medical-surgical unit to the oncology unit,
Project Details and Data
To start the budget plan, it is critical to use the organizational previous salary expenses as a guide. The paper employs market adjustments and wage increases in the industry to prepare the staff budget. The following are the data used to prepare the budget:
4 West is a medical unit with 28 bed surgical unit.
Acuity is equated with 5.5 hours of nursing care for patients per patient day.
The new oncologist is projected a 25% increase in volume.
The project prepares the staffing plan and the rational for changing the unit from medical/surgical to oncology staffing.
Rational for Staffing Plan
Zhang et al. (2006) argue that personnel plan is very critical for the quality of healthcare delivery. The importance of medical staffing plan for the quality of healthcare delivery makes the staffing plan to receive a great deal of attention. Major benefits of staffing plan are the ability to control costs, which consequently enhances efficiency. Our organization will be able to control costs as well as improving efficiency with effective staffing plan. With staffing plan, our organization will be able to estimate the minimum level of staff needed for healthcare operations. However, the difficulty that we are going to face is to establish an evidence-based minimum staffing ratio with patients.
Clarke, & Donaldson, (2010) also support this argument by pointing out that effective staffing enhances quality of care delivered to patients. Typically, effective staffing plan enhances organizational competitive advantages because staffing plan will reduce the waiting time of patients, which will assist our organization to deliver high quality care for patients. Evidently, the high quality services that we will deliver in the community will attract patients to our oncology unit, which will assist our organization to enhance competitive advantages.
A report by the Nurse World (2010) reveals that there is a strong relationship between effective staff planning and safe patient outcome. Typically, organization will enjoy the following benefits from the implementation of effective staff planning:
Reduce medication and medical errors,
Decrease patients’ complications,
Decrease patients’ mortality,
Improve patients’ satisfaction,
Reduce staff fatigue,
Decrease nurse burnout,
Improve job satisfaction and staff retention. (Nursing. 2010).
Evidence has shown that safe staff planning nearly eliminate one-fifth of all hospital deaths, which consequently reduce the risk of adverse patients events. (Kane, 2007). Reducing medical errors is very critical in the light of preventable hospital-acquired illness or injuries. Evidence has shown that mandatory staffing plan saves cost of operations and reduces the amount hospitals spend on staff recruitment and training. Typically, the costs of recruiting and retaining medical are estimated reaching between 1.1 and 1.6 times of a registered nurse annual salary, which is estimated to reach $71,344 according to Bureau of Health Profession. Effective staff planning can assist organization to yield cost saving reaching nearly $3 billion because the plan will eliminate extra days patients stay at hospitals which will consequently eliminate infection at hospitals.
Apart from enhancing quality of healthcare, our organization will also abide to medical law through effective staff planning. The law requires medical participation hospitals to include at least 55% of direct care nurses in a staffing plan. With staffing plan, our organization will be able to eliminate almost one-fifth of hospital death, which will consequently reduce relative risks of adverse events within our hospitals. (Nursing, 2010)
Preparing a Staffing Plan
This section prepares the staff budget for the 4 West and incorporates transition from medical/surgical to oncology staffing. The transition will require the hospital to incorporate the following:
The transition to the use of Patient Care Technicians,
The staffing plan with related full time employee and salary cost.
Supply cost changes included in budget ($300/patient per day to $900/patient per day),
Educational costs (staff),
Base of the project is 80% on the medical-surgical unit to 100% census as an oncology unit.
The transition to the use of Patient Care Technicians
The 4 West hospital will require a number of Patient Care Technicians for effective transition. A patient care technician is very critical for the transition because the patient care technician will be responsible for the technical management of blood filtering for the treatment of cancer disease. However, registered nurses will supervise the hospital patient care technicians. Moreover, the patient care technician will be responsible for the machine operation, which will be used to treat cancer patients. The patient care technicians will also be responsible for:
disinfecting the 4 West equipment,
Starting the equipment as well as monitoring the patients,
Disconnect cancer patients from equipments
Assisting nurses to inject needles into patients veins,
Preparing accurate report regarding our patients.
Our organization will need to organize specialized training programs for our in-house staff since the in-house staff has already understood the culture of our organization. The training program will assist our prospective patient care technicians to understand medical procedures. The training program will assist the patient care technicians to achieve full certification to become a CNA (certified nursing assistant).
Salary for Patient Care Technicians
Our patient care technicians will be earning an average salary of $30,550 yearly. The salary estimate is calculated based on the salary category of Bureau of Labor Statistics. According to Bureau of Labor Statistics, a patient care technician earns at least $30,000 annually in 2012. Our staff budget plan will be based on the official release of Bureau of Labor Statistics. (Bureau of Labor Statistics.2014).
The general assumption is that the current and long-term interest rates will not be more than 10%. Moreover, the tax rates will not be more than 25%. The generally assumption is presented in the Table 1.
Table 1: General Assumptions
Current Interest Rate
Long-term Interest Rate
Apart from the general assumption, the important assumption is that our oncology unit will be between 90% and 95% full. The projecting capacity for the 4 West medical unit is 24 bed surgical unit. Each patient is assumed to be billed between $300 per day and $900 per day depending on the patient’s health complication. However, private patients will be billed slightly higher.
Our Oncology unit of the 4 West will rely on the specialist oncologists, skilled nurses, and patient care technicians. We will also provide special training for the staff to deliver a holistic medical care. Our commitment is to deliver fair wages in our personnel plan. To enhance effective and efficient patient’s care, all our full-time staff will enjoy the following benefits:
full health benefits, sick leave, two-week paid vacation per year, and Two-week paid vacation per year for senior staff. (Goodman, 2012).
We will include all the benefits in the personnel monthly payments.
Our part-time positions are as follows:
1 Medicare Billing / Holistic/Specialist.
Our organization will require the following medical and caretaking staff to meet our staffing goals:
A full-time Medical Director,
2 full-time oncologist working between 35 and 40-hour week from 9pm to 7am, (switching between 4 and 3 days/week). Will start training when hired,
1 part time oncologist working 35 hrs/week, between 5-10pm.
5 Patient Care Technicians and 5 registered nurses.
Apart from the services of medical staff, our organization will also require the service of development and administrative personnel who will include:
One full-time Financial Manager,
One part-time Medicare Billing Specialist ( To work 20 hours/week) and One part-time Development officer.
Our personnel plan is delivered in the table 2.
Table 2: Personnel Plan
Oncologists ( Full-time working 35-40 hrs, night)
Register Nurses – swing shift, 30 hours per day
Medicare Liason and Billing Specialist
Part-time- Development Officer
Based on the personnel plan for our organization, the paper presents the budget plan for the oncology unit.
Non-reusable Medical Equipment
Total Direct Cost
Gross Surplus %
Other Caretaking Expenses
Total Caretaking Expenses
Other Expense Account
Grounds & Building Upkeep
Total Administrative Expenses
Total Fundraising Expenses
Total Operating Expenses
Surplus Before Interest & Taxes
Our organization will provide training for our new and old staff to meet our organizational goal. We will provide training programs for all our newly hired and old staff to be more competent. We will provide in-house training for all our oncologists, registered nurses and patient care technicians. On the job, training will also be delivered for all our staff. The training will be based on the following program:
Standards of care
Professional performance standards.
However, the training program for our oncologist will be as follows:
Types of cancer
Principles of management
Importance of follow-up. (International Atomic Energy Agency, 2009).
To enhance our organizational performances and our managers will be responsible in monitoring the budget and care quality. One of the strategies that we will use to monitor our budget is by calculating our ability to meet the budget target at the end of every quarter. The manager will use budget variance to evaluate our budget performances. The budget variance is the difference between the budget and actual budget. The budget variance will monitor:
The extent we have been able to reduce costs
The sale increase or decrease
Net surplus, and Percentage of staff retentions.
Our management will also use the pro-formal cash flow as being revealed in the Appendix 1 to evaluate our budget performances. After each fiscal year, we will prepare the actual cash flow and compare with the pro-formal cash flow, the strategy will assist in evaluating our budget. Our management will also have the obligation to monitor the quality of care using the feedback response from customer. The increase or decrease in the number of patients will also be used to evaluate the standard of quality of care we deliver. Moreover, we will calculate the number of patients who have been cured from cancer from our hospital vs. The number of patients not able to receive total cure. All these strategies will be used to evaluate the quality of care we deliver. Our aggregate scores will be used to improve our budget performances.
Bureau of Labor Statistics.(2014). Healthcare Occupations. Occupational Outlook Handbook. USA.
Clarke, S.P. & Donaldson, N.E. (2010). Chapter 25. Nurse Staffing and Patient Care Quality
Goodman, A.(2012). Oncology Nurse Staffing Is Variable and Multifactorial. Nursing News.
International Atomic Energy Agency (2009). A Syllabus for the Education and Training of Radiation Oncology Nurses. Austria, IAEA.
Nursing (2010). Nurse Staffing. American Nurse Association. Department of Government Affairs.
Nursing. (2010).Safe Staffing The Registered Nurse Safe Staffing Act H.R. 1821. American Nurses Association, Department of Government Affairs.
Zhang, N, J. Unruh, L. Liu, R. et al. (2010). Minimum Nurse Staffing Ratios for Nursing Homes. Nursing Economics,; 24(2):78-85.
Pro Forma Cash Flow
Cash from Operations
Cash from Receivables
Cash from Operations (Subtotal)
Additional Cash Received
Sales Tax, Received
New Current Borrowing
Sales of Current Assets
Sales of the Long-term Assets
New Investment Received
Subtotal Cash Received
Expenditures from Operations
Spent on Operations (Subtotal)
Additional Cash Spent
Sales Tax, Paid Out
Repayment of Current Borrowing
Liabilities Principal Repayment
Principal Repayment of Long-term Liabilities
Purchase of Current Assets
Purchase of Long-term Assets
Subtotal Cash Spent
Net Cash Flow
Get Professional Assignment Help Cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Why Choose Our Academic Writing Service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Online Academic Help With Different Subjects
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
What discipline/subjects do you deal in?
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Are your writers competent enough to handle my paper?
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
What if I don’t like the paper?
There is a very low likelihood that you won’t like the paper.
- When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
- We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.
In the event that you don’t like your paper:
- The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
- We will have a different writer write the paper from scratch.
- Last resort, if the above does not work, we will refund your money.
Will the professor find out I didn’t write the paper myself?
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
What if the paper is plagiarized?
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
When will I get my paper?
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
Will anyone find out that I used your services?
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
How our Assignment Help Service Works
1. Place an order
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
2. Pay for the order
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
3. Track the progress
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
4. Download the paper
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!