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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

Submit your answers on a Word document, with the heading of Week 5 Assignment. For the questions requiring a written response, answer directly on the assignment and adhere to proper grammar and syntax, and provide references. For the questions requiring calculations, show all of your work and follow the format that has been provided for the calculations in the lesson for Week 5. In addition, further explanations and formulas on the break-even analysis are contained in the required reading resources. Key points for calculations When performing calculations, standard rounding rules apply. If the number to the right of the decimal is less than 0.5, round down to the nearest whole number, e.g., 33.4 = 33 If the number to the right of the decimal is 0.5 or greater, round up to the nearest whole number, e.g. 33.5 =34. Read the question carefully. Pay close attention to the units be asked and keep them consistent. For example, days vs months vs years; charges vs contribution margin; dollars vs percentage 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. Formulas used should be taken from one of the required resources for this course.

Week 5: Break-even Analysis

Assignment Guidelineswith Scoring Rubric

Purpose

The purpose of this assignment is to:

To provide learners with the opportunity todevelop break-even-analysisskills.

Total Points Possible:  100

Requirements:

Answer the questions and complete the calculations required for the assignment.

Submit your answers on a Word document,with the heading of Week 5Assignment.  For the questions requiring a written response, please adhere to proper grammar and syntax, and provide references.  For the questions requiring calculations, show all your work and follow the format that has been provided for the calculations in the lesson for Week 5.

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.Formulas used should be taken from one of the required resources for this course.

Example: Total Contribution Margin (CM) = (CM) category 1 + CM cat 2 + CM 3

Leger, J.M. & Dunham-Taylor, J. (2018). Financial management for nurse managers: Merging the heart with the dollar, 4th Ed. Burlington, MA: Jones-Bartlett.

 

Preparing the paper

Break-Even Analysis Case Study

You and several of your colleague business partners have decided to establish an outpatient fertility clinic in your service area. All of you are very familiar with this patient population base, have completed an extensive market analysis thatdemonstrated a great need for the service, and are comfortable with setting up a business and the costs associated with this special group of patients.

As part of the business plan, you and your partners will need to convince stakeholders that this new service endeavor will be viable. They will want to know how many patients visits annually will need to occur and how long it will take for the service to be at least cost neutral or profitable. To provide them with this information you will perform a break-even analysis. Use the following data, conduct the analysis accounting for the contribution margin of each patient acuity category.

  • Fixed Costs: $9,788,000 (start-costs, specialty physicians, anesthesiologists, APNs, staff

 nurses and other staff salaries, specialty equipment, other miscellaneous)

  • Variable costs: $500/patient visit (specialty equipment, oxygen supplies, other

 miscellaneous)

  • Clinic days: Monday-Saturday- 312 days/year
  • Projected patient visits per year: 7488
  • Patient charges by patient acuity category:
    • Simple (15%)————$2000/visit
    • Moderate (60%)——–$6500/visit
    • Complex (25%)———$10,000/visit
Break-even Analysis Data Table
Acuity CategoryPercentage %Charge per VisitVisits per YearCharges per YearVisits per DayCharges per DayContribution Margin
Simple15%$2000     
Moderate60%$6500     
Complex25%$10,000     
Expected Total Daily Charges  
ExpectedTotal Daily Revenue 
Break Even point in days 
Break Even point in visits 
  1. Describe your approach to this case study. In addition to the numbers given, what do you need to know before you can calculate the break-even analysis?
  • Perform the calculations needed for the break-even analysis. Show your work, formulas used, and reference the formula. When calculating the patient visits per day, round to the nearest whole. After you’ve completed the calculations, record your results in the appropriate place in the table.
  • How many patient visits are expected per day?
  • What is the contribution margin of each category of patient?
CategoryPoints%Description
Approach to Break-Even Analysis55%Approach to Break-even analysis is clearly articulated and contains elements needed to address the scenario
Calculate the number of patients/category served per year and day.1515%Number of patients served by the fertility clinic is correctly calculated per year and day for each type/category. Formulas are correctly shown, used, and referenced. Calculations are shown
Calculate the contribution margin for each patient category3030%For each of the three patient/categories the contribution margin is correctly calculated. Formulas are correctly shown, used, and referenced. Calculations are shown.
Calculate the number of days to break-even.1010%Time to break-even in days is correctly calculated. Formulas are correctly shown, used, and referenced. Calculations are shown
Calculate the break-even quantity (number of visits).1515%The break-even quantity (number of visits) is correctly calculated. Formulas are correctly shown, used, and referenced. Calculations are shown.
Analysis of break-even analysis2020%Break-even analysis is clearly articulated. Includes elements potential for viability and profitability of service, recommendation for continuing the business. Specific data from the analysis is used to support your interpretation.
Writing conventions, format, and reference citations55%Writing is clear concise without grammatical and spelling errors. All references are correctly cited (if applicable) and written.
  100100A quality assignment will meet or exceed all of the above requirements.

Grading Rubric

Assignment Criteria  Outstanding or highest level of performance  Very good or high level of performance  Competent or satisfactory level of performancePoor or failing level of performance  Unsatisfactory level of performance
Content Possible Points = 100 Points           
Approach to Break-Even Analysis5 Points 0 Points
  
Calculate the number of patients per category served at the fertility clinic per year and per day.15 Points105 0 Points
Number of patients served per year and per day is correctly calculated for each patient category served at the fertility clinic.2/3 categories correctly calculated1/3 of categories correctly calculatedAll categories incorrectly calculated
Calculate the contribution margin for each type of patient served at the fertility clinic.30 Points2010 0 Points
Contribution margin for all category types are correctly calculatedContribution margin for 2/3 category types are correctly calculatedContribution margin for 1/3 category types are correctly calculatedContribution margins for all category types are incorrectly  calculated
Calculate the number of days to break-even point.15 Points 0 Points
Number of days to break-even is correct.Number of days to break even is incorrect
Calculate the break-even quantity (number of visits)10 Points 0 Points
Number of visits to break even is correctNumber of visits to break even is incorrect.
Analysis of break-even analysis20 Points15 Points10 Points5 Points0 Points
Break-even analysis is clearly articulated. Includes elements potential for viability and profitability of service, recommendation for continuing the business. Specific data from the analysis is used to support your interpretation.3/4 of all elements of break-even analysis are present and correct.1/2 of all elements of break-even analysis are present and correct.1/4 of all elements of break-even analysis is present and correct.All elements of break-even analysis are missing or incorrect.
Writing conventions, format, references5 Points3 points1 point 0 points
Writing is clear and concise, contains no grammatical and spelling errors. All references are correctly cited (if applicable) and written.2/3 of elements are present and correct1/3 of elements is present and correctAll elements of writing conventions  are missing or incorrect.
Content Subtotal  of 100 points
Total Points  _____of  points
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Writers Solution

Hourly rounding by Nursing staff decrease falls on inpatient medical surgical units as compared to inpatient medical surgical

PICOT Question: Will hourly rounding by nursing staff decrease falls on inpatient medical surgical units as compared to inpatient medical surgical units that do not utilize hourly rounding.

Week 6 attached

This discussion relates to the qualitative research study you proposed in Module 6.

Briefly describe the purpose of your study and study design. Describe the analytical methods and processes you would use, including methods to describe the participants. Provide rationale for each method.

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Qualitative Research Design for the Study of Impact of Hourly Rounding by Nursing Staff on Patient Falls

Name of Student

University Affiliation

The Study Purpose

            The purpose of the study is to determine whether use hourly rounding among the nursing staff in the inpatient medical surgical units can lead to reduction in patient falls. The study will employ a retrospective qualitative study design, where existing patient medical records will be examined to determine how hourly rounds influences the patient falls. In doing so, the study will provide research findings and draw conclusions on how hourly rounds influences patients falls and determine whether its use is associated with the reduction in inpatient falls in surgical units.

The Analytical Methods and Processes

            The study will use the hospital available medical data that involved patients who experienced falls and those who did not fall during their hospital stay. The data will be drawn from a 2-year period involving participants aged 18 years or older. In order to ensure the study achieves external and internal validity, a systematic random sampling technique will be used and the number of participants (n) that will be used in the study will also be determined. Since the study will involve the patients who experienced falls and non-fallers, the study will employ the statistical data analysis methods. One of the methods that will be used for analysis is the independent sample t-tests. According to (Main & Ogaz, 2016) t-tests statistical analysis is employed in determining whether there is significant difference in mean of two groups. The method will be appropriate since study will evaluate the mean number of falls and compare them with the mean of the non-fallers to determine whether there is a significant difference. The other data analysis method that will be used is the variance. The rationale for using the va………………………inpatient medical surgical units……………………………………………………………………………

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