| NU 613 Quality Improvement Paper Budget Worksheet |
| Title of the project: |
| Aim of the project: |
| Enter narrative descriptions (as needed) in the column (below): | Enter project values (numbers) in the column (below): |
| Revenue (income or savings from the project) for 12 months |
| Describe the source of revenue or savings on the line below: |
| Revenue subtotal: | 0 |
| Expense (12 months) |
| Salaries for new staff(s) |
| Indirect expense for new staff (health insurance, social security, unemployment tax, vacation and holiday pay) |
| Salary cost of team to develop investigate concern, plan intervention and evaluate outcomes |
| Supplies (you do not need to complete all lines, only those needed for your project) |
| Enter name of expense |
| Enter name of expense |
| Enter name of expense |
| Enter name of expense |
| Enter name of expense |
| Enter name of expense |
| Cost of any software changes or additions |
| Cost for space construction or leasing |
| Other expense (describe below) |
| Expense Subtotal: | 0 |
| Project earnings (Revenuesor savings minus expense) | 0 |
| Project Return on Investment (ROI) (Revenue minus expenses/expenses) | ERROR:#DIV/0! |