# NSG 6620 Week 5 Discussion Assignment: The Average Daily Census (ADC) and the Target Budget

NSG 6620 Week 5 Assignment 1 Discussion

Discussion Question 1: The Average Daily Census (ADC) and the Target Budget

One of the greatest challenges unit managers and CNOs face is predicting and working with the average daily census (ADC), particularly as it relates to the target budget.

The average daily inpatient census refers to the number of patients present at the official census-taking time each day.For example, a patient admitted to the coronary care unit at 1:00 pm and who dies at 4:00 pm the same day is a patient admitted and discharged the same day.The ADC is typically calculated each night at midnight.It is a challenge to predict what the ADC will be on any given day.

The target budget is targeted or predicted in the zero-based operating budget based on the previous years’ ADC.The target budget is typically projected at least one year in advance.A lot of information goes into the computation of a target budget, and there are many variances once the budget is formulated and approved.

Using the readings for the week, the South University Online Library, and the Internet, respond to the following:

Explain how the ADC contributes to the target budget.

Describe two major challenges in determining the actual target budget and ADC.

Identify two major challenges for unit managers and CNOs due to the variances between the actual target budget and the ADC.

Comment on the postings of at least two peers.

Evaluation Criteria:

Explained how the ADC contributes to the target budget.

Described two major challenges with the actual target budget and ADC.

Identified two major challenges for unit managers and CNOs due to the variances between the actual target budget and the ADC.

Commented on the postings of at least two peers.

NSG 6620  Week 5 Discussion 2

Discussion Question 2: Return on Investment

Return on investment (ROI) is a financial performance measure used to evaluate and determine the efficiency of an investment on a number of different measures.The ROI is calculated by examining the benefit (return) of an investment divided by the cost of the investment.The result of this calculation is a percentage or a ratio.For example, the formula for ROI is as follows:

ROI = (Gain from the investment – Cost of the investment) / Cost of the investment

It should be noted that there is more than one way healthcare organizations may compute and calculate the ROI for a new service or product line.The ROI is not always calculated in direct dollars, but it may be calculated as the ability to contribute to the organizational mission and philosophy.For example, a nonprofit healthcare organization may want to partner with a local community endeavor and establish a free clinic with low-dollar ROI but with a tremendous feeder of new patients to primary care services within the organization.

Using the readings for the week, the South University Online Library, and the Internet, respond to the following:

Develop an ROI for a new project (such as the implementation of a new Level 3 neonatal intensive care unit [NICU]).

Summarize the issues and challenges in formulating an accurate ROI for a new product or service line.

Identify two major challenges and two major barriers for unit managers or the CNO accountable for ensuring ROI on a new product or service line.

Comment on the postings of at least two peers.

Evaluation Criteria:

Developed an ROI for a new project (such as the implementation of a new Level 3 neonatal intensive care unit [NICU]).

Summarized the issues and challenges in formulating an accurate ROI for a new product or service line.

Identified two major challenges and two major barriers for unit managers or the CNO accountable for ensuring ROI on a new product or service line.

Commented on the postings of at least two peers.

NSG 6620 Week 6 Assignment 1 Discussion

Discussion Question 1: Role of the Nurse Executive

There are numerous definitions of what it means to be a nurse executive.The definition may change according to the work environment in your healthcare organization.Some literature refers to the nurse executive as a nurse administrator.The nurse executive must have knowledge, skills, and competencies that foster and promote nursing leadership within the healthcare organization.Nurse executives are in a key leadership role in healthcare organizations and have the capacity to effect positive change and promote a culture of community and excellence.

Using the readings for the week, the South University Online Library, and the Internet, respond to the following:

Examine the role of the nurse executive in a clinical area with staff, patients, and providers.Explain why this role is important.

Explain why the nurse executive needs to delegate.What are some of the challenges nurses face during delegation?

Evaluate the role of the nurse executive in succession planning for the healthcare organization.

Examine the educational preparation and national certification requirements for a nurse executive.

Comment on the postings of at least two peers.

Evaluation Criteria:

Examined the role of the nurse executive in a clinical area with staff, patients, and providers, and explained why this role is important.

Explained why the nurse executive needs to delegate.What are some of the challenges nurses face during delegation?

Evaluated the role of the nurse executive in succession planning for the healthcare organization.

Examined the educational preparation and national certification requirements for a nurse executive.

Commented on the postings of at least two peers.

NSG 6620  Week 6 Discussion 2

Discussion Question 2: Characteristics of an Effective Team

As the saying goes, “There is no I in team.” There is another saying, “The whole world is a team.” These two sayings support the fact that everyone in healthcare organizations must work together for the good of patients.There is much in healthcare literature focusing on the role of high-performance teams and their impact on patient quality, patient safety, and healthcare worker satisfaction.One of the greatest “value-added” benefits of high-performance teams is the collaboration and sharing of essential information to enhance quality and patient outcomes.In modern healthcare organizations, effective teams are critical to providing patient and healthcare worker satisfaction.

Using the readings for the week, the South University Online Library, and the Internet, respond to the following:

Describe at least three characteristics of an effective team.

Identify two challenges with interprofessional healthcare teams with respect to the various roles.

Describe one high-performing team in which you are currently engaged or have engaged in the past.What are the reasons for the success or failure of this team?

Examine how education models created for interprofessional healthcare students may develop high-performing healthcare teams.

Comment on the postings of at least two peers.

Evaluation Criteria:

Described at least three characteristics of an effective team.

Identified two challenges with interprofessional healthcare teams with respect to the various roles.

Described one high-performing team in which you are currently engaged or have engaged in the past, and explained the reasons for the success or failure of this team.

Examined how education models created for interprofessional healthcare students may develop high-performing healthcare teams.