Essay Topic:

Planing of the hospital budget in the Black Memorial Hospital.

Essay Questions:

How is it possible to maintain the health service in Black Memorial Hospital at a decent level?

Why are paying patients so important for the general budgeting of the hospital?

In what way can the hospital cut its expenses?

Thesis Statement:

The high-quality medical care is possible only under the condition of concentrating all the changes and founds in the hospital itself, otherwise neither the hospitals, nor the clinics will improve the financial status

Hospital Budgeting Research Paper

Introduction: In order to maintain the health service in Black Memorial Hospital at a decent level and attract more paying patients, Reid should in the first place think about raising the quality of medicine in the hospital. The high-quality medical care is possible only under the condition of concentrating all the changes and founds in the hospital itself, otherwise neither the hospitals, nor the clinics will improve the financial status. As the data presented by Russell was not evident enough to prove the necessity to have a networks of clinics. Therefore Reid needs to concentrate the possible savings into the improvement of the Black Memorial Hospitals and eliminate all the referrals, which exist without any real need. It is better to create one hospital with good performance than to lavish all the funding and to know that people still do not get medical aid.

Reid’s cuts:

• Elimination of the referrals, as the inpatients referrals from the clinics rise in the last few years baseless.

• Elimination of all off-site clinics, leaving referral leading to the hospital itself instead of them (this would save $200,000 on the physician fee only).

• Eliminate weekly in-house clinics (saving $100,000).

• Cut 3% from the nursing stuff (this will make $510,000).

• Cut 3 % from support and ancillary staff (it saves $435,000).

• Cut only 1 % of the business office stuff (saves around $20,000).

• Not let the wages go 5% up than the 1991 level (saves $1,4 million).

Reid should keep:

• Keep the same amount of full-time specialists and even add one.

• Prenatal outreach funding as it is more than 60% of the clinic’s business.

• Keep the amount of beds in the hospital.

• Get a share in an MRI unit operated by a private medical practice.

• Getting an operative theatre for the surgeon.

• Early detection of cancer and cataracts.

• Special attention for HIV positive patients.

Conclusion: The high-quality medical care is possible only under the condition of concentrating all the changes and founds in the hospital itself, otherwise neither the hospitals, nor the clinics will improve the financial status. As the data presented by Russell was not evident enough to prove the necessity to have a networks of clinics. Therefore Reid needs to concentrate the possible savings into the improvement of the Black Memorial Hospitals and eliminate all the referrals, which exist without any real need. It is better to create one hospital with good performance than to lavish all the founding and to know that people still do not get medical aid.