UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES MEDICAL CENTER AND CLINICAL PROGRAMS
PROFESSIONAL NURSING ORGANIZATION
POLICY STANDARDS

I.        MAINTENANCE OF PROFESSIONAL PRACTICE SYSTEM

1. BUDGET

1. Inpatient

1. The budget is divided into separate cost centers for each patient care area. The Clinical Services Managers and Directors are responsible for expenditures. H:\Job Descriptions\Nursing   (Job Description for CSM and Director)
2. The fiscal year begins July 1 and ends June 30. The budget is normally prepared in February and March preceding the beginning of the fiscal year. The budget preparation is based upon the recommendation of the Clinical Services Manager and Nursing Director. Budget considerations include the following elements:

                         Identified patient requirements for nursing care.

·        The area’s ability to recruit and retain the numbers and types of personnel required in the staffing plan

·         Data and information generated from ongoing staffing reports that indicate the plan’s adequacy/inadequacy to meet patient requirements for nursing care, with special attention to patterns or trends

·         Information from quality improvement, risk management, utilization review, and other Clinical Programs’ evaluation activities that relate to the staffing plan

·         Delivery of nursing care needs as directed by defined nursing standards of patient care and standards of nursing practice that are consistent between units, areas, or departments The nursing staff’s ability to maintain competency and implement changes to improve patient care including attendance at educational updates. http://www.uams.edu/nursingmanual/Policy-addenda/addendum-H.13.htm    {Nursing policy for Continuing Education}

2.      Capital equipment requests are submitted by the Clinical Services Manager  and Director and coordinated with the Nursing Business Manager and the Chief Nursing Officer.  Purchases are made based on monies available.

2. Outpatient

The Outpatient Budget is divided into separate cost centers for specific clinic areas and is developed to maintain ongoing financial viability. The Clinic Manager and director coordinate budget development and allocate funding, evaluate effectiveness of fiscal operations and direct changes. The budget is created on the basis of clinic volume as well as growth in an effort to provide adequate patient care as well as cost effectiveness. Once a budget has been prepared, it is submitted to the Outpatient Services Financial Administrator.

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