6216 A4  Preparing and Managing a Capital Budget

6216 A4 Instructions

5 sources 4 pages

6216 A4 Preparing and Managing a Capital Budget

Prepare a 4-5 page capital budget for a major capital acquisition.

Introduction

Note: Complete the assessments in this course in the order in which they are presented.

In today’s health care environment, the focus on major purchases, as part of the capital budget, has emphasized the need for newer and better technology. Although the need to invest in capital equipment and technology has been ongoing, the nursing workforce must also have a safe and pleasant work environment.

This assessment provides an opportunity for you develop a capital budget for a major facility improvement that will benefit patients, nurses, and the organization.

Most nurse leaders work with operating budgets, but will also have input into capital budgets. A capital budget is typically developed separately from the operating budget and is usually developed to purchase items that are often referred to as big-ticket items that will enhance the capacity or services of an organization.

For example, capital budgets may cover land purchase for the future site of a new outpatient surgical center, construction of a new building or build-out for renovation of an already existing building, or replacement of old equipment.

It is important to remember that health care is also a major business. While for health care providers, patient care and safety are priorities, health care institutions must operate from a business model in order to survive financially. As nurse leaders or executives, you often have a role to play in developing a capital budget to improve care at some level. In addition, a rapidly changing health care environment requires nurse leaders who have the financial management and budgeting skills to ensure that large capital expenditures further the mission and goals of the organization.

Note: Complete the assessments in this course in the order in which they are presented.

Preparation

You are the unit manager of a 50-bed, step-down unit, and it is time for you to prepare your annual capital budget. You have seen a significant turnover in your nursing staff in the past three years; a review of exit interviews and patient surveys indicates low nurse satisfaction, poor morale, and complaints of an antiquated and depressing work environment.

You have researched the impact of a positive working environment on staff productivity and morale and decided to request a renovation of the nurses’ lounge as the main purchase in your capital budget. You will present your request as a quality improvement investment.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

• How would you approach the process of designing a capital budget? For example:

• • What steps would you need to take?
  • What resources would you access?
  • Will you collaborate with other executives or staff?
  • How will you tie the vision for the capital expenditure to the organization’s mission and goals?
• What challenges do you anticipate in justifying a capital budget to administrative leaders in an organization?
• What criteria might a particular health care organization or service provider apply to evaluate the return on a capital investment?

MSN PROGRAM JOURNEY

Please review this guide for your degree program. It can help you stay on track for your practicum experience, so you may wish to bookmark it for later reference.

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The following resources are required to complete the assessment.

• APA Style Paper Tutorial [DOCX]. Use this tutorial for the written portion of your capital budget.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the assessment scoring guide. Be sure that your budget addresses each point, at a minimum. You may also want to read the Guiding Questions: Preparing and Managing a Capital Budget [DOCX] to better understand how each criterion will be assessed.

Prepare a capital budget for a facility renovation. Assemble your budget figures in a table, using a format of your choice. You may use either Microsoft Word or Excel to create your budget table.

Note: You may use the budget in the Vila Health: Preparing a Capital Budget multimedia exercise as an example of how you might format your table. You may also use a budget format used in your organization or a format you find in any of the course resources or on the Internet.

• Describe the capital acquisition.
• Justify the need for the capital acquisition.
• Prepare the capital budget.
• Describe the process for calculating costs.
• Present a plan for budget management.
• Explain how the capital acquisition will affect the financial health of the organization.
• Present budget data and information clearly and accurately.
• Integrate relevant and credible sources of evidence to support your budget data and information, correctly formatting citations and references using current APA style.

Additional Requirements

If you used Microsoft Excel to create your budget table, submit the Excel file along with your budget narrative. You may also add the Excel file to your Word document as an embedded object.

Format your budget using APA style.

• Use the APA Style Paper Template [DOCX], linked above, to help you in writing and formatting your budget. Be sure to include:

• • An APA-formatted title page and reference page. An abstract is not required.
  • A minimum of five properly formatted citations and references.
• Your budget should be 4–5 pages in length, not including the title page and reference page.

Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 3: Develop a capital budget.

• • Describe a capital acquisition.
  • Prepare a capital budget.
  • Describe the process for calculating costs.
• Competency 4: Determine the equipment and services needed to maintain seamless patient or client care.

• • Justify the need for a capital acquisition.
• Competency 5: Apply financial principles to a strategic plan for achieving organizational goals and fiscal success.

• • Present a plan for budget management.
  • Explain how a capital acquisition will affect the financial health of the organization.
• Competency 6: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

• • Present budget data and information clearly and accurately.
  • Integrate relevant and credible sources of evidence to support your budget data and information, correctly formatting citations and references using APA style.

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Guiding Questions

Preparing and Managing a Capital Budget

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Preparing and Managing a Capital Budget assessment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.

Completing the Budget

Describe the capital acquisition.

• What is the scope of the renovation?
• What will the renovated lounge look like?
  • Consider such factors as comfort, amenities, aesthetics, and capacity.
• What is the timeline for the project?
• Is your description of the renovation complete and accurate?

Justify the need for the capital acquisition.

• In what ways will the renovation benefit the nursing staff?
  • How will those benefits affect patient care?
• Examine the mission of your organization or unit.
  • How does the nurse’s lounge renovation support the mission and goals?
• How are executive leaders likely to react to your budget?

Prepare the capital budget.

• Does your budget have a minimum dollar amount?
• Does the renovation include both direct and indirect expenses?
• Have you included a budget line item for contingencies?

Describe the process for calculating costs.

• What are your primary sources of cost information?
• How current and reliable are your cost data?
• What teams or individuals would you consult with in order to determine costs?
• What are your methods of cost calculation?

Present a plan for budget management.

• Who can you collaborate with to manage the budget?
  • Examples include financial or administrative staff or budget committees.
• What cost control methods would you employ?
• How will you manage budget variances?

Explain how the renovation will affect the financial health of the organization.

• Will the renovation yield a return on investment?
• How long will it take for to recover the cost of the renovation?
• Have you considered depreciation value?

Present budget data and information clearly and accurately.

• Express your main points succinctly, using correct grammar and mechanics.
• Proofread your budget to eliminate errors in your data and information.

Integrate relevant and credible sources of evidence to support your budget data and information, correctly formatting citations and references using APA style.

• Is your supporting evidence clear and explicit?
• Integrate relevant evidence from at least five scholarly or professional sources.

Submission Reminders

• Do you have a complete and accurate description of the renovation?
• Have you provided solid justification for the renovation?
• Is your budget complete and accurate?
• Have you explained how you determined costs?
• Have you presented your plan for managing the budget?
• Have you explained how the renovation will affect the financial health of the organization?
• Have you presented your budget data and information clearly and accurately?
• Are your claims and conclusions well-supported by at least five sources of credible evidence?

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• Preparing and Managing a Capital Budget Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
Describe a capital acquisition.	Does not describe a capital acquisition.	Attempts to describe a capital acquisition, but omits relevant details about the scope or timeline.	Describes a capital acquisition.	Describes a capital acquisition, and identifies assumptions on which the plan is based.
Justify the need for a capital acquisition.	Does not justify the need for a capital acquisition.	Attempts to justify the need, but omits benefits related to nursing staff, patient care, or organizational or unit mission, or fails to consider executive perspectives.	Justifies the need for a capital acquisition.	Justifies the need for a capital acquisition, and impartially explains pros and cons or alternative perspectives on the proposed improvements.
Prepare a capital budget.	Does not prepare a capital budget.	Attempts to prepare a capital budget, but omits the minimum dollar amount, direct or indirect expenses, or a line item for contingencies.	Prepares a capital budget.	Prepares a capital budget, and suggests areas of uncertainty, knowledge gaps, and/ or additional information that could improve the plan.
Describe the process for calculating costs.	Does not describe the process for calculating costs.	Attempts to describe the process for calculating costs, but omits information about sources, currency, reliability, or methods.	Describes the process for calculating costs.	Describes the process for calculating costs, highlighting any data that are questionable and explaining how discrepancies could affect calculations.
Present a plan for budget management.	Does not present a plan for budget management.	Attempts to present a plan for budget management, but fails to consider collaborative partners, cost control methods, or management of budget variances.	Presents a plan for budget management.	Presents a plan for budget management, including assumptions underlying the plan.
Explain how a capital acquisition will affect the financial health of an organization.	Does not explain how a capital acquisition will affect the financial health of an organization.	Attempts to explain how a capital acquisition will affect the financial health of an organization, but fails to consider ROI, cost recovery, or depreciation value.	Explains a capital acquisition will affect the financial health of an organization.	Explains how a capital acquisition will affect the financial health of an organization, and identifies areas of uncertainty or knowledge gaps.
Present budget data and information clearly and accurately.	Does not present budget data and information clearly and accurately.	The budget data and information presented is not consistently clear or includes errors.	Presents budget data and information clearly and accurately.	Presents budget data and information clearly and accurately. Expresses main points succinctly, using correct grammar and mechanics.
Integrate relevant and credible sources of evidence to support budget data and information, correctly formatting citations and references using current APA style.	Does not integrate relevant and credible sources of evidence to support budget data and information, correctly formatting citations and references using current APA style.	Sources lack relevance or credibility, are poorly integrated, or are incorrectly formatted.	Integrates relevant and credible sources of evidence to support budget data and information, correctly formatting citations and references using current APA style.	Integrates relevant, credible, and convincing sources of evidence to support budget data and information. Sources are current, and citations and references are error-free.

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