Zero-Based
Operational FTE Budget Draft

Typically, healthcare organizations already have a budget
worksheet or spreadsheet for preparing the operational budget. The budget
worksheet or spreadsheet contains information identified with an account number
or a subcode depicting the cost center. This worksheet or spreadsheet is
generally provided when the nurse leader begins to work on the next operational
budget.

This week, you will begin preparing a zero-based
operational FTE budget based on the results of targeted HPPD and the previous
year’s average daily census (ADC). For this assignment, you will use the
operating worksheet or spreadsheet from the organization in which you are
completing your Practicum I experience. Then, you will create a zero-based FTE
operational budget for one year. The year may be a calendar year or fiscal year
depending on your practicum setting.

Week 7
Tasks

Begin this assignment by having a
discussion with your practicum preceptor. Make sure you complete the following
based on your discussion:

• Select one nursing unit you
  will use for this assignment. This can be your own nursing unit in your
  practicum setting.
• Make sure you have access to
  the data required to complete this assignment.
• If the healthcare organization
  of your practicum setting does not have or will not share its budget
  worksheet or spreadsheet, then you should create your own worksheet or
  spreadsheet in a Microsoft Excel format.

Then, write a draft budget for the
nursing unit (I work in a hospital in Miami Florida). Your final version of the
FTE budget, which is due in Week 10, should include all of the
components listed below.

• Prepare a draft of a zero-based
  operational budget that includes the following based on your selected
  nursing unit:
• Operating expenses with
  subcodes
• Description of subcodes
• Prior-year expenses of
  subcodes
• Original budget allocations
  for subcodes
• Annualized expense for
  subcodes
• Budget adjustments for
  subcodes
• Approved budget for subcodes
• Personnel costs for one
  nursing unit

• Personnel Costs for One Nursing
  Unit—Components

The nursing personnel budget is
based on the total number of hours of care needed, which is determined by
patient-acuity levels. Complete the following budget calculations using the
information given and add these to the zero-based operational budget as a line
item and subcode.

NOTE: You do not need anything from
anywhere.

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