Discuss decision-making processes in creating a budget.

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Part 1 – 2010 Operating Budget
Review the “2009 Budget Issues – Nurses” file in the Patton-Fuller Community Hospital Virtual Organization (accessed via the University Library). This document can be found on the Chief Financial Officer’s web page under Special Projects.
Decide which of the two highlighted options you will implement from the Nursing Statistics memo of the “2009 Budget Issues – Nurses” document.
Discuss decision-making processes in creating a budget.
Create a new 2010 Operating Budget based on the labor decision you select from the Nursing Statistics memo.Use your Week Five Health Care Budget assignment as the foundation to develop your new projected budget.

compare the pros and cons of continuing nursing education related to the .Impact on competency

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1)As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.
First, refer to the “How a Bill Becomes a Law” media.
http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs440v_how-a-bill-becomes-a-law-v2.1.php
Then, view the “Bill to Law Process” to watch the scenario.
After viewing the scenario, refer to the “Legislative Assignment.” You will need to save the document first in order to use it.
Submit the assignment to the instructor. You also reserve the right to submit your completed proposal to the respective government official. However, this is optional. If you select to submit your proposal as a part of the legislative process, refer to “Find Your Representative” or research the contact information on your own.
APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to Turnitin
2)compare the pros and cons of continuing nursing education related to the .Impact on competency (in 300 words)

What leadership positions would be a part of your strategic management team? Why? What would each of their responsibilities entail?•

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S.W.O.T. (Strengths, Weaknesses, Opportunities, Threats)
Paper , Order, or Assignment Requirements
For this assignment, using the situation given below, apply the S.W.O.T. Situational Planning Strategy which was described in Chapters 4 and 7 of your course text:
Situation: You are the C.E.O. of Community South Medical Center, a large, urban for-profit healthcare facility. This institution has comprehensive health services including acute care, residential care, independent living, in-home nursing, hospice, neonatal, and pediatric services, advanced cardiac services, a major trauma center, a center of excellence for pulmonary services, and a neurosurgery center.
Community South Medical Center has a positive bottom line and is striving to enhance health services for the population it serves. The patient care mix has shifted in the last three years and its reimbursement source is currently: 25% Medicaid (up 20%); 35% Medicare (down 12 %); 25% employer sponsored health insurance (unchanged), 8% managed care (down 20 percent), 4% private pay (unchanged) and 4% no-pay (up 25%).
The Medical Center is in an older urban area. Businesses with well-paying jobs have gradually been replaced by smaller shops and other small businesses. Overall, the community is trending towards a predominantly elderly population.
The Medical Center has an excellent reputation and has been recognized in the past by receiving a Baldrige Center of Excellence evaluation and a The Joint Commission (T.J.C.) approval for their quality of services; however, recent self-inspections indicated a slight decline in compliance with T.J.C. standards. Patient satisfaction survey results have an overall mean of 95 percent. The medical staff strongly supports new program development and there is an abundant supply of physicians.
Currently, the major issues confronting the Community South Medical Center are: an identified shortage of clinical staff including registered nurses, respiratory therapists, and medical technologists; non-interfacing information technology systems; antiquated facilities and infrastructure; decline in T.J.C. compliance on internal audits; and a shift to its financial mix.
Action: As the C.E.O., it is time to embark on the annual updating of the organization’s strategic plan. The last major revision to the strategic direction was completed three years ago.
In a four- to six-page (excluding title and reference pages) double-spaced paper, consider and respond to the following points:• Select one of the needs of Community South Medical Center and identify at least one strength, one weakness, one opportunity, and one threat (S.W.O.T.) for that need. How do each of these (e.g., the strength, the weakness, the opportunity, and the threat) correlate to the overarching issues confronting Community South Medical Center?• Is it time to revise the strategic mission and plan of the organization from three years ago or continue as originally planned with a yearly assessment? Should the C.E.O. address the issues confronting Community South Medical Center or wait another year? If so, what should the strategic plan be? If not, why?
• What leadership positions would be a part of your strategic management team? Why? What would each of their responsibilities entail?• What are some of the market trends you can identify in this area? How might they affect Community South Medical Center? How would you prepare for them?
You must use a minimum of four scholarly sources, excluding the course text, cited according to APA format as outlined in the Ashford Writing Center. Your paper and all sources must be formatted according to APA style.