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Complete a proposal for a scenario where you need to develop a strategy to reduce the overall budget by 10 percent.
INTRODUCTION: Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.
In this assessment, you will put your newly acquired skills to work as you dissect an actual budget and make decisions on where cuts can and must be made. You will use the information that you’ve gathered over the previously to make informed and empathetic decisions about how your limited resources will be spent. You will take into account the information you have from your department heads as well as the information your gathered about current wage scales in your area in an attempt to bring your budget back into line while not sacrificing quality, regulatory compliance, or the welfare of your staff both personally and professionally.
This will be a challenging assessment, but one that healthcare leaders are facing every day and one that you will no doubt face in your career. Try to be as realistic as possible in your recommendations, keeping in mind not only the well-being of your organization and customers, but also that most budget cuts in healthcare come from the payroll and there are real-life consequences in those decisions for everyone in your charge.
You will delve into the various financial reports that you might see in your work as a healthcare leader. You will take them apart and examine the different parts of each report and when and why it would be appropriate. You’ll also look at the different types of financial ratios that you will work with and what important information is gleaned from those ratios as you make decisions about the operations and future of the organization that you are charged with leading.
Finally, you will wrap up this course with the opportunity to learn about investments and financing in healthcare. Oftentimes, healthcare operations are financed by outside entities as our revenue cycle can be very long and accounts payable are not usually collected within 30 days. As a result, we often need to look to outside financing for short-term cash needs. Additionally, our expenses, such as radiology equipment or upgrades to buildings and plant operations, can be much more than we can carry and outside financing is needed. You will have the opportunity for a high-level look at financing those endeavors through business loans and investments.
OVERVIEW: You will develop a 10-percent budget reduction proposal for the scenario in the Staffing and Budgeting Dilemmas in Health Care media.
PREPARATION: Complete the Staffing and Budgeting Dilemmas in Health Care media activity using the Financial Statement [XLSX] document. The scenario in this media introduces you to your department heads and what their specific needs and concerns are regarding the budget. This should influence your decision about priorities and what you may want to avoid when cutting back. In addition, conduct individual research to see what the literature suggests to address this problem.
INSTRUCTION: Use the Budget Reduction Proposal Template [DOCX[ to complete your recommendations.
Be sure to include references to at least two scholarly and/or authoritative sources in your operating budget proposal. Follow current APA guidelines for in-text citations and references.
ADDITIONAL REQUIREMENTS: Your assessment should also meet the following requirements:
COMPETENCIES MESURED: By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and rubric criteria:

Budget Reduction Proposal: Strategic Approach to a 10 Percent Cut
Your Name
Course Title
Date
Introduction
Reducing every price range line item uniformly through 10 percent is a straightforward technique; but, it is not the maximum strategic one. This method fails to keep in mind the critical nature of sure fees, in particular fixed and non-discretionary prices. Fixed expenses along with lease, application contracts, and certain staff salaries cannot be easily adjusted without lengthy-time period negotiations or felony ramifications. As such, applying a blanket reduction might disproportionately have an effect on discretionary or variable expenses, potentially harming vital service delivery areas.
A more feasible strategy is to selectively goal unique line gadgets for reduction based totally on usage, impact on patient care, and organizational priorities. By engaging in a radical evaluation of departmental fees, benchmarking internal performance, and reading fee-effectiveness, we are able to pick out low-impact regions suitable for discounts. This technique now not simplest achieves the economic aim however additionally aligns with the overarching project to hold high-quality patient care.
Additionally, freezing all non-critical hiring, tour, schooling, and purchasing represents a brief-time period fee containment measure that may contribute notably to instant savings. However, this should be carried out judiciously, with exemptions for positions or programs without delay impacting regulatory compliance or medical consequences.
This proposal outlines 3 distinct techniques to lessen the working price range by way of 10 percentage even as minimizing poor impacts on care transport, organizational morale, and regulatory adherence. Each strategy is supported by using scholarly evidence and rooted in financial exceptional practices.
Recommendation 1: Targeted Departmental Cuts and Administrative Cost Reductions
Line Item Reductions:
Reducing every price range line item uniformly through 10 percent is a straightforward technique; but, it is not the maximum strategic one. This method fails to keep in mind the critical nature of sure fees, in particular fixed and non-discretionary prices. Fixed expenses along with lease, application contracts, and certain staff salaries cannot be easily adjusted without lengthy-time period negotiations or felony ramifications. As such, applying a blanket reduction might disproportionately have an effect on discretionary or variable expenses, potentially harming vital service delivery areas.
A more feasible strategy is to selectively goal unique line gadgets for reduction based totally on usage, impact on patient care, and organizational priorities. By engaging in a radical evaluation of departmental fees, benchmarking internal performance, and reading fee-effectiveness, we are able to pick out low-impact regions suitable for discounts. This technique now not simplest achieves the economic aim however additionally aligns with the overarching project to hold high-quality patient care.
Additionally, freezing all non-critical hiring, tour, schooling, and purchasing represents a brief-time period fee containment measure that may contribute notably to instant savings. However, this should be carried out judiciously, with exemptions for positions or programs without delay impacting regulatory compliance or medical consequences.
This proposal outlines 3 distinct techniques to lessen the working price range by way of 10 percentage even as minimizing poor impacts on care transport, organizational morale, and regulatory adherence. Each strategy is supported by using scholarly evidence and rooted in financial exceptional practices.
Scorecard Alignment:
The hospital’s balanced scorecard will reflect improvements in economic stewardship and operational efficiency metrics. Tracking KPIs together with “fee consistent with affected person day” and “non-medical FTE consistent with occupied mattress” will validate this strategy’s achievement.
Profit Margin Consideration:
These discounts will make a contribution to preserving the organization’s five% goal profit margin by means of optimizing operational expenses with out decreasing service pleasant.
Recommendation 2: Freeze Non-Essential Activities and Reassess Capital Expenditures
Cost Containment Actions:
Hiring Freeze: Immediate pause on non-scientific and administrative hires.
Training Budget: Reduce by way of 50% with the aid of limiting to compliance and vital clinical certifications only.
Travel
Rationale:
A short-term freeze in these areas preserves the organization’s cash flow and allows leadership to reassess long-term financial commitments. Research shows that temporary freezes, when communicated effectively, do not necessarily reduce employee satisfaction if care standards are maintained (Turner & Strong, 2020).
Scorecard Alignment:
Track “non-essential expenditure as a percentage of total operating budget” and “clinical vs. administrative FTE ratio.”
Fixed Costs Management:
Fixed costs remain untouched in this recommendation. Focus is instead placed on variable or deferrable expenses, ensuring compliance and maintaining a lean operation during budget constraints.
Profit Margin Consideration:
Through operational tightening, the health center can lessen coins outflows and realign with target income expectations with out compromising strategic tasks.
Recommendation three: Workforce Realignment and Efficiency Improvements
Operational Adjustments:
Voluntary Early Retirement Packages: Offer to senior administrative group of workers to reduce lengthy-term earnings obligations.
Staff Redistribution: Cross-train existing workforce to fill multiple roles, reducing dependency on external contracts and additional time.
Telehealth Optimization: Expand digital visits to decrease facility operation prices while retaining affected person throughput.
Supply Chain Consolidation: Centralize shopping across departments to gain from extent reductions.
Rationale:
This technique leverages workforce optimization and generation to lessen costs whilst improving patient comfort and operational performance.
According to Johnson & Taylor (2022), cross-functional staffing can reduce labor costs by up to 18% while increasing staff satisfaction.
Scorecard Alignment:
Monitor “labor cost per adjusted patient day,” “staff engagement scores,” and “telehealth visit ratio.”
Care Standards and Morale:
While this method does contain human useful resource modifications, it emphasizes voluntary exits, retraining, and process redefinition in place of layoffs, keeping morale and continuity.
Profit Margin Consideration:
Reduces hard work and working prices while increasing operational potential and flexibility to meet evolving patient needs.
Conclusion
The proposed finances reduction strategies include informed decisions derived from financial records, branch feedback, and evidence-based practices. By averting throughout-the-board cuts and targeted on regions with lower clinical impact, the business enterprise can maintain splendid care and financial balance. These tips provide a roadmap for control to choose cost-saving measures that align with institutional dreams and stakeholder expectations.
References
Johnson, R., & Taylor, M. (2022). Healthcare Workforce Optimization Strategies. Journal of Healthcare Management, 67(2), 102–114. https://doi.org/10.1097/JHM-D-21-00010
Smith, A., Lee, J., & Patel, R. (2021). Reducing Administrative Costs in Health Care: Lessons from the Field. Health Affairs, 40(4), 495–503. https://doi.org/10.1377/hlthaff.2020.01789
Turner, B., & Strong, C. (2020). Cost Containment Without Compromise: Freezes and Financial Ethics. Journal of Health Services Research, 55(3), 215–227.
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