NURS FPX 6216 Assessment 2 Preparing and Managing an Operating Budget

Student Name

Capella University

NURS-FPX 6216 Advanced Finance and Operations Management

Prof. Name:


Preparing and Managing an Operating Budget

Navigating the complexities of hospital unit management demands more than just expertise. It requires strategic planning and effective budgeting to thrive in the ever-evolving healthcare landscape. Our 35-bed hospital unit recognizes the critical role of a robust financial blueprint in guiding operations. Budgets transcend mere financial monitoring; they serve as guiding lights, illuminating priorities and driving decision-making processes across all levels of the organization.

This assessment delves into the strategies for crafting budgets, initiating strategic planning, and maintaining budget management within our unit. Our overarching objective is to ensure that these financial resources align seamlessly with our mission: to cultivate an environment that fosters optimal patient care, staff satisfaction, and operational efficiency. Through this lens, we explore how the budget functions not merely as a fiscal plan but as a strategic instrument propelling our unit toward its vision.

Preparing an Operating Budget: An In-depth Approach

In response to the financial challenges of our 35-bed hospital unit, the operating budget has been meticulously crafted to address the recent staff turnover, overtime expenses, and the specialized care required for our aging patient population. This budget spans one year, aligning with standard fiscal cycles and aiming to achieve financial stability while ensuring high-quality patient care. Several critical knowledge gaps and uncertainties have been identified, including accurately predicting patient volume and acuity levels, as well as effectively managing overtime expenses.

Detailed analysis of historical data is essential to forecast staffing needs accurately while exploring cost-saving strategies in procurement and resource allocation to optimize expenditure without compromising patient care (MBA, 2023). Furthermore, identifying revenue enhancement opportunities, such as expanding services or forging partnerships, is crucial for financial sustainability. The proposed operating budget for the 35-bed hospital is as follows: 

Expense Component 

Expense Category
Expense per Year (USD)

Staff Salaries (20 FTE)


Medical Supplies & Utilities


Prescription Drugs


Patient Care Programs


Staff Training & Development


Miscellaneous Expenses


Total Expenses

Revenue Component

Revenue Source
Revenue per Year (USD)

Patient Services




Charitable Contributions


Medicaid/Medicare Reimbursements


Total Revenue


NURS FPX 6216 Assessment 2 Preparing and Managing an Operating Budget

The operating budget is structured into major sections, covering personnel expenses, operating expenses, patient care expenses, staff training & development, and miscellaneous expenses. Personnel expenses encompass salaries, benefits, and training costs for our staff, ensuring a well-supported workforce. Operating expenses include essential supplies, utilities, and medication costs, as well as maintaining quality standards in daily operations (Basu et al., 2020). Patient care expenses focus on tailored programs and services to meet the healthcare needs of our patients efficiently and compassionately. Revenue generation details income sources like patient services, reimbursements, grants, and donations, which are critical for sustaining operations and supporting growth initiatives (Jetty et al., 2021).

The budget adheres to standard formatting conventions used in healthcare settings, with precise categorization of expenses and revenues. Figures and totals are presented concisely for easy reference and analysis. This proposed operating budget for our hospital unit addresses current financial challenges. It lays a foundation for sustainable growth and improved patient outcomes. By identifying knowledge gaps, adhering to standard formatting conventions, and integrating comprehensive data tables, we aim to achieve fiscal responsibility while upholding our commitment to providing exceptional healthcare services to our community (Cleverley et al., 2023).

Designing and Creating a Budget: An Analytical Examination

Designing and creating a budget in healthcare involves a systematic approach to ensure the effective allocation of resources while meeting patient care needs and organizational objectives. This process begins by establishing clear goals and objectives aligned with the healthcare organization’s mission and strategic priorities. A multidisciplinary team, including finance professionals, clinicians, and administrators, collaborates to develop the budget. This collaboration is essential for considering diverse perspectives and expertise in the budgeting process.

The budgeting process typically includes analyzing historical financial data, projecting future revenue streams, and estimating expenses based on anticipated patient volumes, medical inflation rates, and regulatory changes (Khajavi et al., 2024). Assumptions form the foundation of the healthcare budget, encompassing factors such as patient demographics, reimbursement rates, and healthcare utilization trends. These assumptions are meticulously documented and periodically reviewed to ensure their accuracy and relevance to the budgeting process. For example, local wage rates are researched, and historical salary data are analyzed to determine labor cost assumptions (Amiri et al., 2021).

Determining line items and cost center codes is a critical step in budget creation. Line items encompass various expenses, including personnel costs, medical supplies, pharmaceuticals, facility maintenance, and administrative overhead. The process involves analyzing historical expenditure patterns, conducting needs assessments, and soliciting input from departmental leaders and subject matter experts. Cost center codes are assigned based on departmental structures and organizational hierarchy, ensuring accurate tracking and reporting of expenses (Hanson et al., 2022).

NURS FPX 6216 Assessment 2 Preparing and Managing an Operating Budget

Allocation for labor and equipment costs is essential for delivering high-quality patient care. Labor costs include salaries, benefits, and training expenses for both clinical and non-clinical staff. Equipment costs cover purchases, leases, maintenance, and upgrades of medical devices, diagnostic equipment, and IT infrastructure (Etges et al., 2020). Funding allocation for labor and equipment costs is based on projected staffing needs, patient care requirements, technological advancements, and industry benchmarks. For instance, staffing requirements are determined based on patient acuity levels, care delivery models, and regulatory guidelines. At the same time, equipment needs are assessed through equipment inventories, technology assessments, and input from clinical stakeholders (Niaz & Nwagwu, 2023).

Staffing requirements and workload calculations are meticulously determined to ensure optimal resource utilization and quality of care delivery. This involves analyzing factors such as patient census, acuity mix, case complexity, and care delivery standards to establish appropriate staffing levels across different shifts and clinical areas. Workload calculations are conducted to ensure a balanced nurse-to-patient ratio, considering peak hours and patient acuity levels. For example, workload calculations may involve assessing the number of patients per nurse per shift, taking into account patient acuity and care requirements (Yinusa & Faezipour, 2023).

NURS FPX 6216 Assessment 2 Preparing and Managing an Operating Budget

Equipment needs and ongoing expenses are carefully evaluated to ensure alignment with patient care priorities and organizational goals. This involves assessing clinical demand, technological advancements, regulatory requirements, and safety considerations. Ongoing expenses associated with equipment maintenance, repair services, calibration, and consumables are meticulously budgeted to ensure uninterrupted operations and optimal performance of medical equipment. For instance, ongoing expenses for equipment maintenance are estimated based on historical data and maintenance contracts with vendors (Zamzam et al., 2021).

Primary sources of budget information in healthcare include financial statements, operational reports, patient data analytics, regulatory guidelines, and input from clinical and administrative leaders. Data reliability is ensured through robust data governance practices, including validation, quality assurance, and periodic audits. For example, financial statements are reviewed monthly, and any discrepancies are investigated promptly to maintain data integrity. Additionally, external benchmarking data and industry reports may be utilized to validate budget assumptions and projections (Cleverley et al., 2023). 

Developing a Strategic Plan and Proposing Evaluation Metrics

In developing our strategic plan, we’ve meticulously crafted a roadmap tailored to align every action with the core mission and vision of our organization. Our plan focuses explicitly on initiatives aimed at enhancing patient outcomes, streamlining operational processes, and fostering innovation within healthcare delivery. These efforts are all directed towards upholding our mission to provide exceptional patient care, drive advancements in medical research, and promote overall community health and well-being. To ensure the effectiveness of our strategic plan, we’ve set forth clear and measurable strategic initiatives that are following.

Employee Empowerment and Retention

 Our workforce is our greatest asset, and empowering and retaining our talented staff is paramount. We’ve devised a multifaceted program that includes tailored training and development, enhancements to the work environment, and a performance appraisal system with merit-based bonuses. By investing in our team’s growth and well-being, we cultivate a culture of excellence, reduce turnover rates, and elevate patient care outcomes (Xuecheng et al., 2022).

Technological Advancements for Enhanced Patient Care

 Innovation drives progress in healthcare, and we’re committed to leading the charge. From state-of-the-art medical devices to cutting-edge data analytics solutions, our strategic plan prioritizes investments that enhance care quality, efficiency, and safety. By embracing the latest technologies, we not only meet the evolving needs of our patients but also position ourselves as industry leaders (Ikhtiyorovna, 2023).

Tailored Resource Allocation for Patient-Centric Care

Every patient is unique, and our resource allocation strategies reflect this understanding. We’ve tailored our resources to meet the specific needs of our diverse patient population, particularly the elderly. This includes ensuring ample supplies of essential medical equipment, medications, and personalized care resources such as rehabilitation services and home health care programs. By customizing our resources, we enhance patient experiences while staying true to our mission of compassionate care (Aminabee et al., 2024).

To rigorously assess the outcomes of our strategic plan and ensure alignment with our mission, we’ve established specific evaluation criteria. Firstly, we will evaluate the effectiveness of our employee retention efforts by monitoring staff turnover rates and employee satisfaction scores and gathering qualitative feedback (Qathmi & Zedan, 2021). Secondly, we’ll closely track the impact of our technological investments by analyzing key performance indicators such as patient outcomes, operational efficiency metrics, and staff productivity.

NURS FPX 6216 Assessment 2 Preparing and Managing an Operating Budget

Lastly, we’ll assess patient-centered outcomes by utilizing patient satisfaction surveys, clinical quality indicators, and patient-reported outcomes. These comprehensive evaluation criteria will allow us to measure the success of our strategic initiatives and ensure that they are in line with our organizational mission of providing exceptional patient care (Davidson et al., 2021). We anticipate a positive response from our executive leaders to our strategic plan and budget proposal. By clearly demonstrating how each initiative supports our mission and organizational goals, we instill confidence in our strategic direction.

Our budget is meticulously aligned with our mission, with every allocation serving a strategic purpose and contributing to our overarching objectives. Furthermore, our budget has been meticulously crafted to exclude “nice-to-have” items or non-essential expenditures. Instead, we have prioritized initiatives that have a direct and meaningful impact on advancing our strategic goals and fulfilling our mission. This strategic approach ensures that every allocation serves a purpose and contributes to achieving our organizational objectives (Youn et al., 2022).

Framework for Ongoing Budget Management

Our approach to ongoing budget management is meticulously designed to address the multifaceted factors that influence our financial health, including organizational objectives, policies, and competition for funding. To effectively manage our budget, we have outlined specific strategies for limiting staff overtime, managing non-productive time and expenses, and controlling ongoing costs related to supplies and equipment. To account for variances and ensure proactive financial management, we will conduct monthly budget reviews.

During these reviews, we will analyze expenditure trends and assess budget performance against organizational goals. Adjustments to the budget will be made quarterly, allowing for timely responses to emerging financial challenges and opportunities (Raghupathi & Raghupathi, 2020). Our approach to managing staff overtime involves implementing efficient scheduling practices and workload distribution strategies. By closely monitoring staffing levels and workload demands, we aim to minimize the need for overtime hours while maintaining high standards of patient care. Additionally, we will incentivize adherence to scheduled hours through performance-based bonuses, promoting accountability and efficiency among our workforce (Chatrath et al., 2021).

Non-productive time and expenses, such as education and certification programs, will be integrated into our staff development initiatives. We will offer flexible learning opportunities, including online courses and workshops, to minimize disruptions to workflow while enabling staff to enhance their skills and qualifications. By aligning educational activities with organizational objectives, we can ensure that non-productive time contributes to the overall advancement of our workforce and the delivery of quality patient care (Koukourikos et al., 2021).

NURS FPX 6216 Assessment 2 Preparing and Managing an Operating Budget

Strategic procurement practices will guide our management of ongoing expenses related to supplies and equipment. Through comprehensive inventory management and vendor negotiations, we will optimize resource utilization and minimize unnecessary expenditures. Additionally, we will prioritize investments in cost-effective, high-quality equipment and supplies that align with our organizational objectives and patient care priorities (Ayer et al., 2023).

Several vital assumptions underpin our approach to ongoing budget management. We will conduct monthly budget reviews and quarterly adjustments to ensure proactive monitoring and decision-making regarding financial performance. This process will provide timely insights into our budget’s health and enable us to make necessary adjustments to stay on track with our financial goals. By implementing efficient scheduling practices, we aim to minimize the need for staff overtime while maintaining optimal staffing levels. This will not only help control labor costs but also ensure that our workforce remains well-balanced to meet patient care demands effectively (Schoenfelder et al., 2020). We will adopt strategic procurement practices to optimize resource utilization and minimize unnecessary expenditures on supplies and equipment.

By carefully managing our procurement processes, we can ensure that we obtain the necessary resources efficiently while controlling costs and maintaining budgetary discipline. Together, these assumptions form the foundation of our approach to ongoing budget management, aligning with our organizational objectives and ensuring financial sustainability. Through proactive monitoring, efficient scheduling, integrated staff development, and strategic procurement, we are confident in our ability to manage our budget and achieve our financial goals effectively (Cleverley et al.,2023).


In conclusion, the meticulously crafted operating budget for the 35-bed hospital unit addresses critical financial challenges while prioritizing high-quality patient care. By accurately forecasting staffing needs, managing expenses, and maximizing revenue streams, the budget aims to achieve economic stability and sustainability. The strategic plan outlines clear initiatives focused on employee empowerment, technological advancements, and patient-centered care, all aligned with the organization’s mission and vision. With a framework for ongoing budget management emphasizing proactive monitoring, efficient resource allocation, and strategic procurement, the hospital unit is poised to achieve its financial goals while upholding its commitment to exceptional healthcare delivery.


Aminabee, S. (2024). The future of healthcare and patient-centric Care: Digital Innovations, Trends, and Predictions. Www.igi-Global.com; IGI Global. https://www.igi-global.com/chapter/the-future-of-healthcare-and-patient-centric-care/339355 

Amiri, M. M., Kazemian, M., Motaghed, Z., & Abdi, Z. (2021). Systematic review of factors determining health care expenditures. Health Policy and Technology10(2), 100498. https://doi.org/10.1016/j.hlpt.2021.01.004 

Ayer, T., Iii, C. C. W., & Zhang, C. (2023). Healthcare inventory management. Www.elgaronline.com; Edward Elgar Publishing. https://www.elgaronline.com/edcollchap/book/9781800377103/book-part-9781800377103-27.xml 

Basu, S., Phillips, R. S., Phillips, R., Peterson, L. E., & Landon, B. E. (2020). Primary care practice finances in the United States amid the COVID-19 pandemic. Health Affairs39(9), 10.1377/hlthaff. https://doi.org/10.1377/hlthaff.2020.00794 

Chatrath, D. S., Kaur, A., & Singh, H. (2021). Effect of overtime and work load balance on the well–being of nurses. PalArch’s Journal of Archaeology of Egypt / Egyptology18(7), 550–571. https://archives.palarch.nl/index.php/jae/article/view/7768 

Cleverley, W. O., Cleverley, J. O., & Parks, A. V. (2023). Essentials of health care finance. In Google Books. Jones & Bartlett Learning. https://books.google.com/books?hl=en&lr=&id=CI7hEAAAQBAJ&oi=fnd&pg=PP1&dq=The+budget+adheres+to+standard+formatting+conventions+used+in+healthcare+settings 

Davidson, G. H., Haukoos, J. S., & Feldman, L. S. (2020). Practical guide to assessment of patient-reported outcomes. JAMA Surgery155(5), 432. https://doi.org/10.1001/jamasurg.2019.4526 

NURS FPX 6216 Assessment 2 Preparing and Managing an Operating Budget

Etges, A. P. B. da S., Ruschel, K. B., Polanczyk, C. A., & Urman, R. D. (2020). Advances in value-based healthcare by the application of time-driven activity-based costing for inpatient management: A systematic review. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research23(6), 812–823. https://doi.org/10.1016/j.jval.2020.02.004 

Hanson, K., Brikci, N., Erlangga, D., Alebachew, A., Allegri, M. D., Balabanova, D., Blecher, M., Cashin, C., Esperato, A., Hipgrave, D., Kalisa, I., Kurowski, C., Meng, Q., Morgan, D., Mtei, G., Nolte, E., Onoka, C., Jackson, T. P., Roland, M., & Sadanandan, R. (2022). The Lancet Global Health Commission on financing primary health care: Putting people at the centre. The Lancet Global Health10(5), e715–e772. https://doi.org/10.1016/s2214-109x(22)00005-5 

Ikhtiyorovna, K. G. (2023). Embracing technological changes for a better future. American Journal of Language, Literacy and Learning in STEM Education (2993-2769)1(9), 339–344. http://grnjournal.us/index.php/STEM/article/view/1510 

Jetty, A., Jabbarpour, Y., Pollack, J., Huerto, R., Woo, S., & Petterson, S. (2021). Patient-physician racial concordance associated with improved healthcare use and lower healthcare expenditures in minority populations. Journal of Racial and Ethnic Health Disparities9https://doi.org/10.1007/s40615-020-00930-4 

Khajavi, S. H., Jooriaby, M. E., & Kermani, E. (2024). Budgeting in healthcare. Studies in Systems, Decision and Control, 213–255. https://doi.org/10.1007/978-3-031-46735-6_9 

Koukourikos, K., Tsaloglidou, A., Kourkouta, L., Papathanasiou, I., Iliadis, C., Fratzana, A., & Panagiotou, A. (2021). Simulation in clinical nursing education. Acta Informatica Medica29(1), 15–20. https://doi.org/10.5455/aim.2021.29.15-20

MBA, C. R. H., DPA. (2023). Healthcare financial management: A applied concepts and practical analyses. In Google Books. Springer Publishing Company. https://books.google.com/books?hl=en&lr=&id=OpWkEAAAQBAJ&oi=fnd&pg=PP1&dq=This+budget+spans+one+year 

NURS FPX 6216 Assessment 2 Preparing and Managing an Operating Budget

Niaz, M., & Nwagwu, U. (2023). Managing healthcare product demand effectively in the post-covid-19 environment: Navigating demand variability and forecasting complexities. Managing Healthcare Product Demand Effectively in the Post-Covid-19 Environment: Navigating Demand Variability and Forecasting Complexities2(8), 316–330. https://doi.org/10.58631/ajemb.v2i8.55 

Qathmi, A. A., & Zedan, H. (2021). The effect of incentive management system on turnover rate, job satisfaction and motivation of medical laboratory technologists. Health Services Research and Managerial Epidemiology8, 233339282098840. NCBI. https://doi.org/10.1177/2333392820988404 

Raghupathi, V., & Raghupathi, W. (2020). Healthcare expenditure and economic performance: Insights from the United States data. Frontiers in Public Health8(156). NCBI. https://doi.org/10.3389/fpubh.2020.00156 

Schoenfelder, J., Bretthauer, K. M., Wright, P. D., & Coe, E. (2020). Nurse scheduling with quick-response methods: Improving hospital performance, nurse workload, and patient experience. European Journal of Operational Research283(1), 390–403. https://doi.org/10.1016/j.ejor.2019.10.047 

Xuecheng, W., Iqbal, Q., & Saina, B. (2022). Factors affecting employee’s retention: Integration of situational leadership with social exchange theory. Frontiers in Psychology13(872105). https://doi.org/10.3389/fpsyg.2022.872105 

Yinusa, A., & Faezipour, M. (2023). Optimizing healthcare delivery: a model for staffing, patient assignment, and resource allocation. Applied System Innovation6(5), 78. https://doi.org/10.3390/asi6050078 

Youn, S., Geismar, H. N., & Pinedo, M. (2022). Planning and scheduling in healthcare for better care coordination: Current understanding, trending topics, and future opportunities. Production and Operations Management31(12), 4407–4423. https://doi.org/10.1111/poms.13867 

Zamzam, A. H., Wahab, A. K. A., Azizan, M. M., Satapathy, S. C., Lai, K. W., & Hasikin, K. (2021). A systematic review of medical equipment reliability assessment in improving the quality of healthcare services. Frontiers in Public Health9https://doi.org/10.3389/fpubh.2021.753951 

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