TEXT BOOK - QUANTITATIVE METHODS IN HEALTH CARE MANAGEMENT TECHNIQUES AND APPLICATIONS, Second Edition by Yasar A . Ozcan
Exercise 5.2 - A relationship diagram among nine equal - size sections of a small clinic was developed by the building committee of the organization, as shown in Figure EX 5.2.
Arrange the clinic 's sections so they satisfy the rating conditions. The final layout should be arranged as three - by - three equal - size sections where the mechanical room is at the lower right corner of the building, as shown below:
Exercise 7.1 - A mammography center performs ten different procedures. The volume of each procedure during an eight - month period and the standard hours per procedure are shown in Table EX 7.1.
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TABLE EX 7.1
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Procedure Description
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Volume
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Standard Hours
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SC BX Breast IM Guide
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220
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.20
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SC PLC CLIP Breast
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195
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.25
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SC PLC Wire Breast
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121
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.50
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SC PLC Wire Breast Add
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24
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.60
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Mammo Spec Board
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103
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.75
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Mammogm DIAG UNI
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1,494
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.25
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Mammogm DIAG BI
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1,505
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.33
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Mammogm SCR BI
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8,924
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.33
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XR NDL/WIRE Breast LOC
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136
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.45
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XR Surgical Specimen
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318
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.75
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XR STERO Breast BIOP
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226
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.75
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The target utilization rate for the center is 85 percent. Indirect support time is 0.20 hour per procedure, and total administrative hours by all staff average ten hours per day. The fringe benefits comprising vacation/holiday/sick compensation amount to 10 percent of required FTEs.
a. Calculate the standard hours per month.
b. Determine the indirect support hours per month.
c. Determine the variable hours per month.
d. Normalize the variable hours per month.
e. Determine the total required hours.
f. Determine the target FTE level.
g. Determine the required FTEs with fringe benefits.
Exercise 7.7 - For Famous Health care System (FHS), consultants from O & A determined the average daily patient demand for various nursing professionals. Table EX 7.7depicts the average number of minutes for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Nursing Aides (NAs) needed daily in various patient care departments of FHS.
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TABLE EX 7.7
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Departments
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RN Minutes
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LPN Minutes
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NA Minutes
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ICU
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7,000
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3,500
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1,500
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CCU
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8,000
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4,750
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2,500
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Surgical
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10,500
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6,500
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4,000
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Medical
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12,500
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7,500
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4,500
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Pediatric
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9,500
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3,500
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2,500
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OB/GYN
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10,500
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7,500
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4,000
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FHS decided that utilization targets for RNs, LPNs and NAs should be 85 percent, 80 percent, and 80 percent, respectively. FHSs' human resources benefit plan for RNs has seven holidays, five sick days, and eighteen paid vacation days per year. The benefit package for LPNs has seven holidays, five sick days, and fourteen paid vacation days per year. The NA benefit package has seven holidays, five sick days, and ten paid vacation days per year. FHS wants to reevaluate staffing levels according to the patient demand measurements provided by O & A, as follows:
a. Determine the core level of FTEs for each department.
b. Determine the final core levels of FTEs for the Surgical, Medical, Pediatric, and OB/GYN departments if all staff are scheduled for eight - hour shifts using a 5/40 scheduling plan.
c. Determine the final core levels of FTEs for the ICU and CCU departments if RNs and LPNs work on a 4/40 and NAs work on a 5/40 scheduling plan.