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istration, , , , , Management and Admini., , Principles and Practice of Nursing, , nd make adjustments: Program and, continually evaluated, and, , * Evaluate performance a, financial performance should be, adjustments made, to encourage, , goals., , Steps in Budgetary Process, , The following steps are followed in bud, * Budget estimate preparation, , ¢ Budget approval, , * Budget allocation and appropriation, ¢ Budget monitoring, , progress toward achieving, , getary process:, , Budget Estimate Preparation, , , , , , Usually the finances and budget preparation is dealt by account, section of the Institute/hospital. The record of revenue/income, and expenditure is usually centralized (Figure). They keep the, record of cash deposited or the money sanctioned from the, Ministry; even to the head of Department is usually under the, head of Institution. Each department is also keeping a record of, money received/sanctioned and expense. The external and, internal sources of revenue are shown in Figures 63.2 to 63.4., , Budget Approval, , Extra mural approval system, , The approving authority is the same for all government funded, hospitals i.e. through joint Secretary, Health Secretary, and Health, Minister. It is then presented in the Parliament and final approval, is signed by Prime Minister who is the chairman of Planning, , Commission as shown in Figure 63.5., Intra mural approval system, , The intra mural approval system, i.e. within the organization, approval system is as shown in Figure 63.6, it has to go in two, steps: firstly by the head of hospital and then by the head of, , Institute., , Budget Allocation and Appropriation, , After the final approval the budget is voted on account of, maintenance and then allocated to organizations. The finance is, sanctioned in installment based on hospital funding,, management policy, performance, actual expenditure of last year, , and future plans (Fig. 63.7)., , _ Buaget Monitoring, , ; Budget monitoring is usually made by the budget reports. There, is budget monitoring committee comprising of representatives, of each department, financial advisor to review budget prepared, in terms of forecasting, expense, cash position and deviation, , , , , , , , , , , , , , , their, , Department, A, , Centralized revenue, collection, (ole As, , , , , , , , , , , , Internal sources, , Fee section, , , , , , , , , , , , | Bank, Centralized >, Name, of, institute |, : ee |, Account section, , , , Teaching/other, departments, , AE |, , a(n MeL), , , , , , States, donations, ministries, , , , , , , |, e, , , , Figure 63.3: Sources of institute revenue, , responsibility for framing the budget. The finance minister is the, , steward of the nation’s purse. In the preparation of budget, estimates for ensuring financial year in the India., , The financial year in India is from 1 April to the 31 March of, the following year. The annual financial statement of receipts, and expenditure of the Government is required to be placed, before the Parliament/State Legislature which, in each case,, confers specific authority for raising revenue through taxation, and incurring expenditure.