Details
Develop a budget for a project, ward, unit or service using a budget template, in an environment of scarce resources. Consider alternative options using opportunity cost analysis. Annotate the document to show the sources of data used for forecasting the expenditure for the budget period.
I am working in a rehabilitation hospital (Shatin Hospital), which is run by the Hospital Authority, the main provider of public health care in Hong Kong. There is increasing of hospital service demand in HK, due to aging population, lack of hospital bed, shortage of manpower etc. Moreover, the rehabilitation hospital works with a regional acute hospital as a partner in the same territory. The patients will be transferred from the acute hospital and the acute hospital always asks for more bed from my hospital due to their bed crisis. However, Shatin hospital also faces the insufficient manpower and one doctor resigned recently. The opportunity cost for add two extra beds to each wards may not be succed. Therefore, I would like to propose the project to reform one pair of medical and geriatric wards to nurse-led wards.
Background:
Each ward: 25 beds. There are 5 female wards and 5 male wards in M&G department. Each pair of wards has one ward manager, each wards has one doctor, one advance practice nurse and 9 nurses (RN & EN). The aim of the nurse-led ward to manage chronic health problem, chronic wound care, feeding management and end-of-life care.
Financial implications;
Salary of doctor: $56,440/month, registered nurse: $26,960 and 43,383,
The expenditure of one acute bed: $4,680 per day, the fee of A&E is $990
Due to front line nurses are not confident on nurse round and service change, the training sessions need to provide for nurses.
The cost for manpower is same, and it is needed to buy more heel protectors and dressing materials, because there are more patients are bedbound, and the patients who need more wound care.
Marking criteria:
1. Introduction (15/60)
?Budget presentation on appropriate tenplate (5)
Budget period clearly stated(5)
Describes setting in which budget is to be applied (5)
2 Budget (35/60)
? Budget is detailed and correct (20)
? Alternative options using opportunity cost analysis are discussed (10)
? Document shows sources of data used for forecasting expenditure (5)
3 Presentation (10/60)
? Uses correct grammer, spelling & punctuation
? Correct application of APA used for in-text citation and for the reference list
For High Distinction:
-The template or design appropriate for recording the budget is uded.
-The budget period including start and completion dates are stated.
-The setting in which the budget is decribed clearly and accurately.
-The budget is detailed with all relevant and important content included and correct
-Sources of data used for forecasting evpenditure are annotated on the budget. The sources are highly relevant to the budget.
-All references should be recently and updated. (not more than 5 years)
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