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files (3)IHP670OutcomeMeasureTableTemplate.pdf
IHP670ProposedProgramBudgetTemplate.xlsx
- Project9finalproject.pdf
IHP670OutcomeMeasureTableTemplate.pdf
IHP 670 Outcome Measure Table Template Use this template to help you identify the outcome measures for your program plan presentation. Fill in the information identified in the table’s bracketed text, and then delete the bracketed text before adding the completed table to your project submission. If you need additional rows for outcome measures, copy and paste the last row of the table as many times as needed.
Outcome Measure Success Target Time to Achieve Success Target
Tool for Documenting Data
[Insert outcome measure here.] [Insert success target information here.]
[Insert time to achieve success target information here.]
[Insert the tool used for document data here.]
[Insert outcome measure here.] [Insert success target information here.]
[Insert time to achieve success target information here.]
[Insert the tool used for document data here.]
[Insert outcome measure here.] [Insert success target information here.]
[Insert time to achieve success target information here.]
[Insert the tool used for document data here.]
[Insert outcome measure here.] [Insert success target information here.]
[Insert time to achieve success target information here.]
[Insert the tool used for document data here.]
- IHP 670 Outcome Measure Table Template
IHP670ProposedProgramBudgetTemplate.xlsx
IHP 670 Proposed Program Budget
| IHP 670 Proposed Program Budget Template | |||||||||
| Complete this template by replacing the bracketed text with the relevant information. | |||||||||
| Course | [Insert text.] | ||||||||
| Program Name | [Insert text.] | ||||||||
| Program Planner | [Insert text.] | ||||||||
| Volume Projections | |||||||||
| Year | Total visits | Increase | Average increase/year | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| Projected Total Visits for 2021 | [Insert text.] | ||||||||
| Projected total is Total visits for prior year (2020) increased by Average increase/year | |||||||||
| Expenses | |||||||||
| People | |||||||||
| Staff by position (RN, Biller, Coder, etc.) | Cost/hour | Hours/day | Hours/year | Total annual cost | Benefits | Benefit cost | Total Cost For One Position | Number of Positions Needed | Total Cost |
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | $0.00 | [Insert text.] | [Insert text.] |
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | $0.00 | [Insert text.] | [Insert text.] |
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | $0.00 | [Insert text.] | [Insert text.] |
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | $0.00 | [Insert text.] | [Insert text.] |
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | $0.00 | [Insert text.] | [Insert text.] |
| Equipment | |||||||||
| Equipment | Cost per item | One-time cost (Yes/No) | Annual cost to operate/maintain equipment | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| Total Cost | $0.00 | ||||||||
| Space | |||||||||
| Rental cost per year | Renovation cost | ||||||||
| [Insert text.] | [Insert text.] | ||||||||
| Supplies | |||||||||
| Item | Annual cost | ||||||||
| [Insert text.] | [Insert text.] | ||||||||
| [Insert text.] | [Insert text.] | ||||||||
| [Insert text.] | [Insert text.] | ||||||||
| [Insert text.] | [Insert text.] | ||||||||
| [Insert text.] | [Insert text.] | ||||||||
| Program Expenses | |||||||||
| Total one-time expenses for equipment | Total annual operating expenses (people, space, annual equipment costs, supplies) | ||||||||
| [Insert text.] | [Insert text.] | ||||||||
| Revenue | |||||||||
| Annual earned revenue from billing | Annual saved revenue | Expected donations for equipment, space renovation | Expected grant income (please note available grants and sponsoring organizations) | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| [Insert text.] | [Insert text.] | [Insert text.] | [Insert text.] | ||||||
| Profitability | |||||||||
| Note revenue and income total not including donations | Subtract all operating expenses | Is this program sustainable? | |||||||
| [Insert text.] | [Insert text.] | [Insert text.] | |||||||
| Note: Donations are money or gifts of things, donated by an individual, family, or trust, that are intended to be used for a charitable purpose. Per the donation regulations applied to healthcare organizations, only 5% of a donation may be used to fund operating expenses on an annual basis. For example, if the Smith family donated $100,000 to a nonprofit healthcare organization, only $5,000 of that donation could be spent annually on whatever purpose the Smith family designated for the gift. However, the full amount of a donation can be used to purchase equipment or to purchase or renovate space, with the donor's consent. Equipment maintenance is an ongoing cost and cannot be funded by donations, except via the 5% rule. People, staff, supplies, and rental costs cannot be funded by donations except through the 5% rule. The rules regarding the use of donations are much more limiting for for-profit organizations vs. nonprofit organizations. Grants are very specific about what will and will not be covered. They require a written grant request or proposal that specifically states how the money will be used. Once a grant is awarded, the receiving organization must show proof that the money was used as directed by the grantor and as stated in the grant application. Grants are usually time sensitive and often nonrenewable. Most are designed to help initiate a program, not to sustain a program. | |||||||||
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