Exercises: 7.2 and 7.6
The following exercises are required and cover topics in
this week's required reading. Review the instructions carefully before
completing and submitting the exercises. Complete Exercises 7.2 and 7.6 on
pages 183 and 185 in Quantitative Methods in Health Care Management.
Use the Excel document below to record your answers. Save
the template to your desktop before using. Excel template for Exercises 7.2 and
7.6 Exercise 7.2: Utilize the information from exercise 6.2, where pre-and
post-examination processing of patients in an outpatient clinic involves
various tasks performed by clerks and nurses.
a. Excluding the wait times by patients, recalculate the
standard time.
b. If there were an average of 1,800 patient visits to the
outpatient clinic, what would be the standard hours per month?
c. If the target utilization rate of the facility is 80
percent; the indirect support time per visit is 0.10 hour, and the total
administrative time by all staff in a given day is five hours, what is the
target FTE level for the clinic?
d. If fringe benefits account for 9 percent of the target
FTEs, what are the required FTEs?
For 7.6 c, Use the following: Calculation of "Coverage
Factor" for 10/40 plan Required coverege day per year 365 Weekend day per
year 156 Holidays 10 Sick day 6 Vacation day 15 Exercise 7.6: Table Ex. 7.6
depicts the average RN minutes needed on a daily basis in various units.
TABLE EX. 7.6
ICU CCU SURG MED PED OB/GYN 7,000 8,000 8,500 9,000 7,500
6,500
a. Assuming an 85 percent utilization level and that
everything else is constant, how many RN FTEs should be hired to satisfy the
patient care demand in each unit?
b. The FTEs hired for SURG, MED, PED, and OB/GYN are
scheduled for eight-hour shifts on 5/40 plan, and they will get ten holidays,
six sick days, and fifteen paid vacation days per year. How does this
information affect your FTEs?
c. The FTEs hired for the ICU and CCU are to be scheduled
for ten-hour shifts on a 4/40 plan, and ICU and CCU nurses get the same
benefits as do other unit nurses. How does this information affect your FTEs?
• Week 4 Exercise Assistance Exercises can be found in the
reading. All page numbers refer to Quantitative Methods in Health Care Management:
Exercise 7.2 a: Formula 6.6, p. 130, using 12% as allowance level, as shown on
p. 131. Exercise 7.2c: Use Table 7.6, p. 174 Exercise 7.6 a: Formula 7.1, p.
175 Exercise 7.6 b: Formula 7.4, p. 176 Exercise 7.6 c: same as 7.6b. Refer to
Table 7.7, p, 177 as model For 7.6b, use the following: Calculation of
"Coverage Factor" for 5/40 plan Required coverage day per year 365
Weekend day per year 104 Holidays 10 Sick day 6 Vacation day 15 Exercise 6.2
Exercise 6.2: Pre- and post- examination processing of patients in an
outpatient clinic involves various tasks performed by clerks and nurses. A time
study conducted by the decision support department is shown in Table EX 6.2.
a. Determine the observed time for the pre-post exam
process.
b. Determine the normal time for the pre-post exam process.
c. Determine the standard time for the pre-post exam
process, using the basic-moderate allowance for the job.
d. Calculate the standard time for the exam process. Do you
think the time spent in the outpatient clinic, without including the exam time,
is reasonable? If not, what improvements would you recommend?
TABLE EX 6.2 Observations (in Minutes)
Performance Activity
Rating 1 2 3 4 5 6 7 8 9 10 11 Registration 1.15 3 6 4 8 4 5 4 6 4 6 4
Copayment 0.95 7 9 11 8 12 9 6 11 9 12 10 Wait for nurse 1.00 17 15 17 12 11 17
12 19 12 20 18 Vital signs 0.96 9 8 11 12 9 8 10 12 8 12 11 Wait for exam room
1.00 12 15 12 14 21 18 11 16 9 14 18 Placement to exam room 0.98 3 5 4 6 3 5 3
6 5 4 7 Wait for physician 1.00 10 17 21 11 13 15 14 12 19 15 9 Examination
1.00 18 15 19 22 18 12 19 21 16 21 17 Test order entry 1.02 4 7 3 5 4 11 9 12
11 14 9 Referral requests 1.11 11 10 16 9 8 9 7 7 9 7 6 Follow-up appointment
scheduling 1.08 3 5 3 4 3 4 4 5 3 3 5
Exercise 6.2 Assistance • Class, for assignment due in week
3, you may refer to these formulas and/or examples that can be found in the
reading. All page numbers refer to Quantitative Methods in Health Care
Management: Exercise 6.2a: Formula 6.3, p. 129 Exercise 6.2b: Formula 6.4, p.
129a Exercise 6.2c: Formula 6.6, p. 130, using 12% as allowance level, as shown
on p. 131 Exercise 6.2d: The formula is the same for 6.2c but factor number is
XXXXX Exercise 6.2 a. Formula 6.3, p. 129 To compute a time standard, three
times must be calculated – observed time, normal time, and standard time. The
observed time is the average of the ob
