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Est1 Task 3
Devonne Slade, RN

Fiscal Concerns in the Health Care Setting- Case Study 4

Nursing Leadership and Management

Dr. Susan Quinn

November 20, 2011

In establishing the budget the first determination that was made was the amount of money necessary for each of the designated areas of spending per month. This was determined by dividing the amount of money currently allotted annually by the months in the year (12) to determine if the budgeted amount was on or off target. The amount of expenditure in each category was also considered. For example, the annual budget for personnel is 250,000. If this number is divided by 12 months the amount of money allotted to spend for personnel during each month of the fiscal year is 20,833. The amount of money expended during the month of March was 20,000. (P. Slimmer, personal communication, November 17, 2011).

When considering the expenditure for the month of March the amount seems to be on target. However, when compared to the amount of money spent year to date there is a discrepancy. The amount spent year to date is $150,000. If
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Wound care is a recognized area in which the staff needs more education, and has shown an interest in learning. Due to CME guidelines related to wounds and pressure ulcers it is a priority for the nurses to be educated regarding treatment and management of wounds. The remaining$400.00 of the education budget and the remaining $700.00 of the travel budget will be combined to pay for the cost of the conference for a total of $1100.00. Each of the nurses that would like to attend will be responsible for paying $25.00 towards there conference registration which will make up the difference of the final $100.00 to be paid towards the conference. This will be a great asset to the facility. Upon their return the nurses that attended the conference will be able to in-service staff that was not in

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