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Health, Medicine, Nursing
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Medicine Essay: Healthcare Budgeting

Essay Instructions:

Healthcare budgets are often classified by their managerial approach and their design characteristics. This Module’s Case will examine your understanding of the central types of healthcare budgets, and how they are used in the current setting. Production units, as specifically measured units of work volume in a given department or setting of service provision, will also be examined.
Case Assignment
Using the information in the required readings, as well as some additional research in peer-reviewed sources, complete your Case assignment by answering the following:
Summarize both the benefits and the drawbacks of top-down vs. bottom-up budgeting. Which works best in your current or future setting?
Concisely describe the eight design characteristics of budgeting. Which do you feel would be most effective in running a for-profit hospital, and why?
Choose any department in the healthcare setting, and explain how their production units would be effectively measured. How do these production units tie into the larger budgeting process?
Assignment Expectations

Conduct additional research to gather sufficient information to support your analysis.
Provide a response of 3-5 pages, not including title page and references
As we have multiple required items to be addressed herein, please use subheadings to show where you’re responding to each required item and to ensure that none are omitted.
Support your paper with peer-reviewed articles and reliable sources. Use at least three references, and a minimum of two of these from peer-reviewed sources. For additional information on how to recognize peer-reviewed journals, see http://www(dot)angelo(dot)edu/services/library/handouts/peerrev.php and for evaluating internet sources:
https://www(dot)library(dot)georgetown(dot)edu/tutorials/research-guides/evaluating-internet-content
You may use the following source to assist in your formatting your assignment: https://owl(dot)english(dot)purdue(dot)edu/owl/resource/560/01/. Paraphrase all source information into your own words carefully, and use in-text citations.
Mukherjee, T., Al Rahahleh, N., Lane, W., & Dunn, J. (2016). The capital budgeting process of healthcare organizations: A review of surveys. Journal of Healthcare Management, 61(1), 58-77. Available in the Trident Online Library.
Nowicki, M. (2018). Introduction to the Financial Management of Healthcare Organizations (Vol. Seventh edition). Chicago, Illinois: Health Administration Press. Part 4, pages 295-351. Available in the Trident Online Library.

Essay Sample Content Preview:

Healthcare Budgeting
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Healthcare Budgeting
Top-down budgeting
A top-down budget is a type of budgeting process whereby the top management prepares the budget. The budgeting process is majorly based on organizational goals. Once it is ready, it is passed to departmental heads to implement. Upon creating the budget, the top management allocates funding to various departments, and each department is required to develop its budget allocation and objectives (Chapko et al., 2009). When preparing this budget, current market conditions and past experiences are taken into consideration. The management uses the previous year's financial statements and budget to allocate to different departments as a yardstick. They may also consider departmental heads' proposals to acknowledge subordinates' concerns before they implement the budget.
Benefits
The top-down budget incorporates the entire corporate functional methodology because the top management's concern is business growth. Therefore, it will enable top management to allocate resources, starting with critical to boost organization growth properly.
It saves time because the time spent preparing the budget from its initial stages is saved. After all, department managers are given an already prepared budget for implementation, thus saving resources and time that could have been used by the middle-level manager to formulate the budget.
It creates one budget at a time because lower management is not allowed to prepare their budget, which will be combined into one; hence the process becomes less tiresome as one budget is formulated, followed by all departments (King et al., 2010). The departmental heads will only be required to prepare their departmental budgets based on allocations of the budget formulated by senior management hence making the budget efficient than the bottom-up budget.
Drawbacks
The level of inspiration reduces because those mandated to implement the overall budget are not fully involved in formulating the budget. Since the departmental managers are not involved in the process, they may lack the motivation to implement it, affecting the organizational growth and budget success.
Top management is not involved in each departmental operations; hence, they may not fully understand each department's required resources; therefore, their allocation may be biased (Mukherjee et al., 2016). The target sets may be unrealistic and inaccurate, giving more pressure to middle-level managers as they may not understand how the allocations and targets were arrived at.
Bottom-up budgeting
It is a budgeting process technique whereby the budget formulation is done at the departmental level and then forwarded to senior management for approval. Under this method, every department is required to compile all the resources they require, their targets, cost estimates, and projects they plan to undertake in the next financial year. Once each department has finalized, their estimates are combined to develop one organization's overall budget (King et al., 2010). The departmental heads are engaged because they must contribute since they are the ones to implement and are aware of each ...
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