NURS 6241 Week 7 Resource Plan Example

Resource Plan for Five Strategic Objectives, Fiscal Year 2027

Student Name

College of Nursing, Walden University

NURS 6241: Strategic Planning in Healthcare Organizations

Instructor Name

Month Day, Year

Resource Plan for Five Strategic Objectives, Fiscal Year 2027

Summary

Table 1 gives the annual cost of each objective at full operation. The total is $1,649,800 a year; the first-year cost is lower, $1,343,600, because most positions start after recruitment.

Table 1

Annual Cost at Full Operation by Objective

Detail by Objective

Objective 1 adds 1.0 full-time equivalent (FTE) registered nurse navigator to prepare patients and homes before same-day surgery, at $111,800 loaded. The Fort Wayne area's mean registered nurse wage was $86,030 in May 2025 (U.S. Bureau of Labor Statistics [BLS], 2026), and the loaded figure adds 30%. Capital of $180,000 buys four recovery recliners, two monitors and cold-therapy units for the suite. The largest line, $240,000 a year, is an anesthesia call stipend for the suite; it assumes $20,000 a month, which the anesthesia group has not yet accepted.

Objective 2 adds 3.0 FTE licensed therapists at $98,000 loaded each and 0.5 FTE psychiatric nurse practitioner at $95,000 for the half position, plus $60,000 to fit out three offices and $12,000 for telehealth licenses. The largest line, therapist staffing, assumes each therapist fills 28 slots a week after a three-month panel build, adding 84 slots toward the target wait.

Objective 3 adds 2.0 FTE financial counselors at $62,000 loaded each, $40,000 to build the cohort report the objective requires, and $18,000 for a text reminder service that prompts patients before Medicaid renewal and work-reporting dates.

Objective 4 adds 1.0 FTE nurse residency educator at $120,000 and $300,000 in retention incentives. The incentive line assumes that it prevents at least five departures a year; at an average turnover cost of $60,090 per bedside registered nurse (NSI Nursing Solutions, 2026), five retained nurses would repay it.

Objective 5 adds 0.5 FTE cost analyst at $55,000. It has no capital or operating lines, consistent with Kaplan and Norton's (2008) point that each strategic objective needs a funded initiative, however small, behind it.

Phasing

Table 2 spreads the first-year cost across four quarters.

Table 2

First-Year Spending by Quarter, Fiscal Year 2027

Behavioral health staffing is back-loaded because therapists and the nurse practitioner need recruitment, credentialing and time to build panels. No revenue from Objective 2 is assumed before the fourth quarter.

If the Request Is Halved

At half the first-year request, $671,800, the plan makes these choices. Objective 3 continues in full ($182,000), because the Medicaid rules take effect in early 2027 regardless of the budget. Objective 5 continues ($55,000). Objective 1 continues without the navigator, with case managers covering preoperative calls ($360,000). Objective 4 continues at reduced scope: the residency educator starts in Q3 ($60,000), incentives are dropped, and the target moves from 4% to 6% agency hours. Objective 2 slips a year. Spending totals $657,000. The cost of this choice falls on behavioral health, where the community's need is greatest, and the plan states that directly rather than hiding it in a smaller number.

References

Kaplan, R. S., & Norton, D. P. (2008). The execution premium: Linking strategy to operations for competitive advantage. Harvard Business Press.

NSI Nursing Solutions. (2026). 2026 NSI national health care retention & RN staffing report. https://www.nsinursingsolutions.com/documents/library/nsi_national_health_care_retention_report.pdf

U.S. Bureau of Labor Statistics. (2026). Occupational employment and wage statistics: Registered nurses, Fort Wayne, IN metropolitan statistical area, May 2025 [Data set]. https://www.bls.gov/oes/