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Capital Request Business Case Template

This capital request business case seeks funding for a new/replacement/additional item costing €/£____________ with estimated annual operating costs of €/£__________. It would be purchased in month of ____________ to address a business/patient care need by providing anticipated quality benefits and potentially increasing revenue or decreasing costs. Alternatives were considered but this equipment is needed to meet regulatory requirements, improve quality of care, or for other strategic reasons. Consequences of not purchasing include issues/limitations outlined.

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Tom Burgess
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75 views1 page

Capital Request Business Case Template

This capital request business case seeks funding for a new/replacement/additional item costing €/£____________ with estimated annual operating costs of €/£__________. It would be purchased in month of ____________ to address a business/patient care need by providing anticipated quality benefits and potentially increasing revenue or decreasing costs. Alternatives were considered but this equipment is needed to meet regulatory requirements, improve quality of care, or for other strategic reasons. Consequences of not purchasing include issues/limitations outlined.

Uploaded by

Tom Burgess
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Capital Request Business Case

Budget FY ________
Requested Item: __________________________
Requesting Manager/Unit: _______________/________
Capital Requested: /_______________________ Annual Operating Costs: /_______________ (if any)
Check one: New Item ______ Replacement ______ Additional _______
Anticipated month of purchase: __________________

Rationale for Purchase:


A. Business/patient care need: (problem statement)

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
B. Anticipated quality benefits to patients/organization:

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
B.1. Does this purchase increase revenue or decrease operating costs? Please explain:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Estimated /: __________________________
C. Alternatives considered: (pros and cons of each)

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
D. This equipment is needed for (check all that are appropriate)
____ life/safety imperative
____ replacement of non-repairable equipment
____ required by law or regulation
____ improve quality of care
____ standard
____ improve productivity
Explanation for needs checked above:

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
E. Consequences / issues if item not purchased:

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

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