NR511 FINAL EXAM STUDY GUIDE WITH VERIFIED ANSWERS RATED A+ DOWNLOAD TO SCORE A.2023.Quali, Exams of Nursing

Download NR511 FINAL EXAM STUDY GUIDE WITH VERIFIED ANSWERS RATED A+ DOWNLOAD TO SCORE A.2023.Quali and more Exams Nursing in PDF only on Docsity! 1 STAFFING BUDGETS/FTES/ VARIANCE ANALYSIS ASSIGNMENT GUIDELINES WITH SCORING RUBRIC Q & A.Qualified Virginia State University PURPOSE Week 4: Staffing Budgets/FTEs/ Variance Analysis Assignment Guidelines with Scoring Rubric.2023 This assignment provides learners with the opportunity to apply budgeting knowledge and skills by calculating full-time equivalents for a nursing unit, projecting FTE needs related to census changes, and analyzing a variance scenario. DUE DATE: Sunday 11:59 p.m. MT at the end of Week 4 TOTAL POINTS POSSIBLE: 150 REQUIREMENTS Description of the Assignment This assignment is in two scenario-based sections each related to staffing budgets. In the first, the student will perform multistep calculations of FTEs and projection of future FTE needs for a selected nursing unit. The second section involves calculation of budget variance and its analysis. Each section requires supported written interpretation of findings. Criteria for Content Answer the questions and complete the calculations required for the two sections of the assignment. 2 STAFFING BUDGETS/FTES/ VARIANCE ANALYSIS ASSIGNMENT GUIDELINES WITH SCORING RUBRIC Q & A.Qualified Virginia State University Key points related to Calculations: 1. When performing calculations, standard rounding rules apply. If the number to the right of the decimal is less than 5, round down to the nearest whole number, e.g., 33.4 = 33 If the number to the right of the decimal is 5 or greater, round up to the nearest whole number, e.g. 33.5 =34. 2. Read the question carefully. Pay close attention to the units be asked and keep them consistent. For example, hours vs FTEs; days vs months vs years. 3. Provide ALL formulas with references. Designate which formula associates with which source. It is not sufficient to simply list the source at the beginning of the section. Write out the formula used BEFORE filling in the numbers. 3 Uni t Bed s 1 2 3 4 5 6 7 8 9 1 0 11 1 2 1 3 1415 16 1 7 1 8 19 2 0 21 2 2 23 24 25 26 2 7 28 29 3 0 3 1 Total Patie nt Days A 35 3 1 3 0 31 3 0 2 9 3031 30 3 1 2 9 29 3 2 3 1 3331 31 3 3 3 4 34 3 4 34 3 2 30 32 31 30 3 0 33 31 3 4 0 941 B 15 1 5 1 4 11 9 7 1212 15 1 3 1 3 16 1 5 1 5 1516 16 1 5 1 4 15 1 6 15 1 3 13 17 16 15 1 6 16 14 1 5 0 424 C 13 1 0 1 2 11 1 1 1 1 1313 13 1 2 1 3 12 1 2 1 2 1313 13 1 3 1 3 13 1 3 13 1 3 13 12 12 12 1 2 13 13 1 3 0 372 D 32 3 0 2 7 27 2 4 2 6 2327 29 2 8 2 8 25 2 7 3 0 2631 31 3 0 3 0 30 3 2 32 3 2 26 25 25 25 2 3 31 31 3 0 0 841 E 6 6 3 3 3 3 5 5 5 2 2 2 2 4 4 3 3 0 0 0 6 5 5 3 3 3 2 5 4 3 3 0 97 (adapted from…..Healthcare Financial Management Association (2012). Managing fiscal resources: A budget and productivity case study. Retrieved from hfmamd.org TOTAL INPATIENT SERVICE DAY TOAL NUMBER OF DAYS IN THE PERIOD TOTAL SERVICE DAY PER PERIOD x100 TOAL BED COUNT DAYS IN PERIOD (BED COUNT X # DAYS) Average Daily Census/Occupancy Rate Unit ADC Occupancy (%) A (941/30) = 31 (941X100/35X30) = 89.6% 4 B (424/30) = 14 (424X100/15X30) = 94.2% C (372/30) = 12 (372X100/13X30) = 95.4$ D (841/30) = 28 (840X100/32X30) = 87.6% E (97/30) = 3 (97X100/6X30) = 83.4% The Unit with an 88% occupancy rate is _D . 3. Using data contained in the first questions, complete the table below and determine the Average Length of Stay (ALOS) for the following three units. Show your work. TOTAL LENGTH OF STAY (DISCHARGE DAYS) TOTAL DISCHARGES (INCLUDING DEATHS) Unit # Beds Patient Days # Discharges Average Length of Stay (ALOS) A 3 5 94 1 11 0 (941/110) = 9 5 C 1 3 37 2 96 (372/96) = 4 D 3 2 84 1 85 (841/85) = 10 What is the ALOS for the unit you identified earlier at an 88% occupancy rate? 10 You have determined the Unit for which Sandra must make FTE projections. For the remaining questions in this section, refer to the figures used and or obtained related to the Unit identified in Question 1. Additional information includes • the budgeted hours of care per patient day (HPPD-budgeted) is 8.0 • each employee receives 300 paid non-productive hours/year. 4. Calculate the number of FTEs needed for the Unit. Show the formulas used and all calculations. Include the reference used for your calculations at the beginning of your work. 8hr/day, 5dy/wk, 52wk/yr (8x5x52)=2080 5. Calculate the TOTAL FTEs needed accounting for nonproductive time. Include the reference used for your calculations at the beginning of your work. 6. Sharon now knows how many total FTEs are currently needed on the unit to provide safe, quality care to the patients on the unit. However, with a 20% projected increase in occupancy rate and average length of stay remaining steady on the unit, how will the required FTEs be affected? 7. Calculate the TOTAL FTEs required to reflect an increased patient volume of 20% (don’t forget to account for nonproductive time). Include the reference 8 a. Volume (efficiency) variance: b. Quantity (volume) variance: c. Cost (price) variance: 3. What is the total variance in personnel budget for this month? 4. Analyze all the factors that made the differences and why the variances occurred. How can this variance be justified? 5. In what ways might these variances inform the current or future budgets? DIRECTIONS AND ASSIGNMENT CRITERIA 9 Category Points % Description Section One: Staffing Budget and FTEs Backgroun d Informatio n 10 10% Approach to Personnel Case Study is clearly articulated and contains the elements needed to address the situation presented in the scenario. ADC and Occupanc y Rate 10 10% ADC/Occupancy Rate table completed with reference for formulas included, formulas and work shown, correct unit calculations, correct unit identified. Averag e LOS 10 10% ALOS table completed with reference for formulas, formula and work shown, correct calculations, ALOS of identified unit correct. Current FTE 15 15% Current FTEs of identified unit calculated correctly and includes reference for formulas used, formula and work shown, calculations correct. Total FTE (Current ) 15 15% Total FTEs (accounts for nonproductive time) of identified unit calculated correctly and includes reference for formulas used, formula and work shown, calculations correct. Effect of Volume Increase on FTE 10 10% Describes effect of increase of patient volume on FTEs over the next year. Describes what effect an increased length of stay would have on FTEs. Total FTE (Projecte d) 15 15% Total FTEs (accounts for nonproductive time) for projected volume increase of identified unit calculated correctly and includes reference for formulas used, formula and work shown, calculations correct. FTE Difference Explanatio n 10 10% Explains potential causes for being under budget and explicitly describes its effect on the budget request for next year. Uses data from given and calculated elements to support explanations. Section Two: Variance Analysis Calculatio n of Total Variance 35 35% Calculations that lead to the total variance of the unit are present and include volume efficiency, volume (quantity), and cost variances. References for formulas used, formulas and all work are shown, calculations are correct. Analysis of 15 15% All elements of variances explained, variance 1 0 Variances justification present and supported with evidence, effect on current and future budges explicit and clearly articulated. Writing conventio ns, format, and reference citations 5 5% Writing is clear and concise without grammatical and spelling errors. All references are correctly cited (if applicable) and written. 150 150% A quality assignment will meet or exceed all of the above requirements. with correct calculations, and correct unit identified. Average Length of Stay (ALOS) 10 Points 8 Points 3 Points 0 Points ALOS table completed with formulas referenced and shown, work shown with correct calculations, ALOS of identified unit correct. All but one element are present and correct. All but two elements are present and correct. No elements are present or they are present and incorrect. Current FTE 15 Points 10 Points 5 Points 0 Points Current FTEs of identified unit All but one element are All but two elements are No elements are present or calculated correctly and includes reference for formulas used, formula and work shown, calculations correct. present and correct. present and correct. they are present and incorrect. Total FTE (Accounts for nonproductive time-current) 15 Points 10 Points 5 Points 0 Points Total FTEs (accounts for nonproductive time) of identified unit calculated correctly and includes reference for formulas used, All but one element are present and correct. All but two elements are present and correct. No elements are present or they are present and incorrect. formula and work shown, calculations correct. Effect of Volume Increase on FTE 10 Points 5 Points 0 Points Describes effect of increase of patient volume on FTEs over the next year. Describes what effect an increased length of stay would have on FTEs. Only one element present or is answered correctly. Both elements are missing or no elements are answered correctly. Total FTE (Projected) 15 Points 10 Points 5 Points 0 Points Total FTEs (accounts for nonproductive All but one element are present and All but two elements are present and No elements are present or they are next year. Uses data from given and calculated elements to support explanations. Section 2: Variance Analysis Personnel Budget table 5 Points 0 Points Table completed with correct calculations. Table incomplete or complete with incorrect calculations. Volume (Efficiency) Variance Calculated 10 Points 8 Points 3 Points 0 Points Calculated correctly and includes reference for formulas used, All but one element are present and correct. All but two elements are present and correct. No elements are present or they are present and incorrect. formula and work shown, calculations correct. Volume Quantity Variance Calculated 15 Points 10 Points 5 Points 0 Points Calculated correctly and includes reference for formulas used, formula and work shown, calculations correct. All but one element are present and correct. All but two elements are present and correct. No elements are present or they are present and incorrect. Cost (price) Variance 15 Points 10 Points 5 Points 0 Points calculated Calculated correctly and includes reference for formulas used, formula and work shown, calculations correct. All but one element are present and correct. All but two elements are present and correct. No elements are present or they are present and incorrect. Calculation of Total Variance 5 Points 0 Points Calculation of Total Variance is correct. Calculation of Total Variance is incorrect. Analysis of Variances 15 Points 10 Points 5 Points 0 Points Analysis of Variances thoroughly explained; variance justification Analysis of Variances generally explained; or variance justification is Analysis of Variances contains only one of the required elements: Analysis of variances is missing or is inaccurate.