Sunteți pe pagina 1din 5

Running head: ZERO BASED BUDGET PROPOSAL

Zero Based Budget Proposal


Vera Nixon
Bon Secours Memorial School of Nursing
Business of Healthcare in Complex Systems
NUR 4240
Ms. Mazzoccoli & Ms. Mikelaites
June 19, 2016
Honor Code, I pledge
Zero Based Budget Proposal
Process
When the Alaris system was being integrated into Bon Secours Richmond for the patient
controlled analgesia (PCA) system, I was a super user. As a super user, I was able to obtain
hands on training with the new system, in which it was discussed that there were other modules
for the syringe pump and regular intravenous (IV) infusions. When deciding on the proposal, I
remembered the discussion from the training session. I then attempted to try to remember the
information provided through the course in order to find information on the Alaris system,
without success. I then used the Google search engine, under shopping, in order to discover

different medical vendors. Unfortunately, I was very disappointed at how difficult it was in
general to obtain medical prices, let alone for IV pumps and systems. I eventually was able to
narrow it down to five different vendors. The deciding factor was that only one company
consistently had every module and the main computer unit available and priced.
Before taking the information from the website that I ultimately used, I attempted to
contact BD, the company that made the pump system. Unfortunately it took a while for someone
to get back to me, and once they did, they required a hospital administration contact person in
order to obtain an official estimation on the system. I attempted to explain my situation, not
needing an official estimate, as this is related to a school project, and therefore wasnt going to
be actually presented to an administrator within my hospital. In the end, I was unable to get an
estimation, and so utilized the website I had found earlier, which listed costs for refurbished
items (Careforde Healthcare, 2016a, Careforde Healthcare, 2016b, Careforde Healthcare, 2016c,
Careforde Healthcare, 2016d).
Presentation
When developing the presentation for my administrative director (AD) and the Chief
Nursing Officer (CNO), certain aspects were kept throughout the presentation. First, the
presentation was more formal. Compared to a presentation for my manager or co-workers, this
presentation used more formal terms, as well as being more business, as opposed to nursing,
focused. As the intended audience werent individuals at the bedside daily, but more in control
of the overall budget and nursing for the hospital, I attempted to maintain an overall business feel
to the presentation. There is a barrier between hierarchies, especially with interacting with those
further up the hierarchy, that arent commonly interacted with.

ZERO BASED BUDGET PROPOSAL

Secondly, while I am lucky enough to know the CNO, as she was previously the AD for
Womens and Childrens at St. Marys Hospital, I am overall unaware of the experience of the
administrative staff with bedside nursing, and so attempted to provide items that may not be
common knowledge for the administrative staff. Items, such as pictures of each of the pumps, as
well as pictures of the proposed modules and main computer unit, were included in order to
further support my proposal. Discussion was also brought up, related to drug libraries, as
engagement of drug libraries is a hospital dashboard, and with the current system having three
different drug libraries, that work in three different ways, the possibility of better engagement of
drug libraries increase when just one system could replace all three.
Lastly, the focus was more on finances instead of direct nursing care, as the major
disadvantage for the proposal would include a massive purchase of equipment. For example,
instead of discussing how the new system could decrease frustrations with proper drug library
engagement, unfamiliarity with different pumps, and increase time with the patients, I focused on
the business side of cost of the pumps, cost of nurses, and consists of training for the hospitals. I
further suggested ways to ease the financial burden, with the possibility of spreading out the
implementation over months, and possibly years, so it wouldnt be contained within one fiscal
year.
Reflection
This overall proposal actually got me excited about the possibility of implemented this
entire pump system, even though I know that it isnt something that will actually be proposed to
the CNO and AD. I felt that this proposal was something that I was able to apply to issues that
arise on my own unit consistently. We have several nurses that have difficulty getting the regular
IV pumps engaged, let alone the syringe pump and/or the PCA. The issue arises that it is hard

ZERO BASED BUDGET PROPOSAL

enough to wade through everything with the pump that is used consistently. Attempting to then
engage the drug library on a pump that is not regularly used, is then almost impossible to obtain.
Frustrations then arise, and ends up with the original IV pump not being engaged because it is
too difficult to remember the process for each of the pumps.
Attempting to put a process through that will impact issues that I see in direct care
nursing is tedious and frustrating. I realize that there is always red-tape to go through in order
to obtain items that will benefit nursing and ultimately the patient, in the long run. The issue is
the immediate and/or short term disadvantages have to be heavily outweighed by the long-term
advantages. Stressing the potential for less errors, due to one main pump utilizing the same drug
library for each pump, decreasing direct care nursing time away from direct patient care, as well
as decreasing frustrations with equipment by the staff, in the long run could outweighs the heavy
primary out of pocket cost in the beginning.
Another area that was surprising was the cost. While I constantly hear parents and family
discuss how hospitals charge exorbitant amounts for everyday items, it is now easy to understand
why. I feel that medical supplies are inflated before the hospital even purchases them, which in
turn inflates the price to the consumer, in order for some kind of profit for the hospital, in order
to continue to provide care. Inflation of costs always affects the consumer in the long run, which
then affects the potential for return business.

ZERO BASED BUDGET PROPOSAL

5
References

Careforde Healthcare. (2016a). Monet Medical Alaris Medley 8100 Large Volume Pump
(Reconditioned) # 8100R1 - Pump Module (LVP), 1 Year Warranty, ea. Retrieved June
19, 2016, from http://careforde.com/monet-medical-alaris-medley-8100-large-volumepump-reconditioned-8100r1-pump-module-lvp-1-year-warranty-ea/
Careforde Healthcare. (2016b). Monet Medical Alaris Medley 8110 Syringe Pump Module
(Reconditioned) # 8110R1 - Syringe Pump, 1 Year Warranty, ea. Retrieved June19, 2016,
from http://careforde.com/monet-medical-alaris-medley-8110-syringe-pump-modulereconditioned-8110r1-syringe-pump-1-year-warranty-ea/
Careforde Healthcare. (2016c). Monet Medical Alaris 8120 Medley Pca Infusion Device
(Reconditioned) # 8120R1 - PCA Pump Module, 1 Year Warranty, ea. Retrieved June 19,
2016, from http://careforde.com/monet-medical-alaris-8120-medley-pca-infusion-devicereconditioned-8120r1-pca-pump-module-1-year-warranty-ea/
Careforde Healthcare. (2016d). Monet Medical Alaris Medley 8015 Point-Of-Care Unit
(Reconditioned) # 8015R1 - Color Core IV Pump, 1 Year Warranty, ea. Retrieved June
19, 2016, from http://careforde.com/monet-medical-alaris-medley-8015-point-of-careunit-reconditioned-8015r1-color-core-iv-pump-1-year-warranty-ea/

S-ar putea să vă placă și