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NR 630 Week 5 Capstone Preview Assignment Summative Assessment: Capstone Project: Part 3 – Program Finances Shalini Prasad MHA/599 University of Phoenix Julie Hayek August 22, 2022 Summative Assessment: Capstone Project: Part 3 – Program Finances Part 3: Program Finances Staffing and Salaries To start the new hospice department. The following positions need to be filled. Staff Position Number of Positions Average Salary Total Salaries Executive Director 1 100000 100000 Medical Director 1 60000 60000 Director of nursing services 1 90000 90000 Visiting nurses 1 80000 80000 Certified nursing aide 1 30000 30000 Social workers 1 42000 42000 chaplain 1 48000 48000 Community liaison 1 45200 45200 Office manager 1 54000 54000 Total 10 549200 There would be enough staff to care for 20 patients. 12 patients will be seen by the visiting RN, and 8 by the DON. Additional RNs and other staff members will be employed when the census rises. Fringe Benefits Expense and Total Salary Expense Factors Dollar Amount Total Salaries 549200 Fringe Benefit Expense 25% of Salaries 137300 Cost 686500 Overhead Cost Cost Factors Dollar Amount Overhead Costs 40% of Total Salary Expense 219680 Total Salaries Expense 549200 Total Hospice Cost 768880 Equipment Cost Cost Factors Dollar Amount Computer 3500 Printer 500 Copier/Fax 2000 Phone system 1000 Office furniture 2000 Alarm system kit 200 Internet routers 300 Filling cabinet 500 Drawers 600 Conference Table 400 Conference LEDs 1000 Total Equipment Cost 12000 Total clinic cost: 768880+12000 =780,880 RVU and Reimbursement Calculation Category RVU GCI Total RVU 651 199.5 2 399 651 200 1 200 652 300 2 600 655 150 2 300 Total 1499 Variable Costs and Net Reimbursement Cost Factors Dollar Amount Reimbursement per visit 180.25 Variable cost per patient 10% 18.025 Net Reimbursement per patient: 162.225 Breakeven Analysis Total Annual Practice Cost: $768880 Daily Net Reimbursement: $162.225 Hospice is billed per day per patient that is active. Based on the annual total practice cost, an average Daily patient census of 13 would be needed to breakeven.

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