The PERFORMSBETTER MEDICAL CENTER (PMC), a three - site urology group practice, requires productivity monitoring. To create a benchmark for future years and to be able to compare performance to similar peer practices, the data in Table EX 9.7were gathered for each of the three locations.

Assume that 1 general practitioner = .75 specialists, and 1 nurse practitioner = .35 specialists for economic measure of skill substitution. Calculate:

a. Work hours/visits

b. Adjusted work hours/visits

c. Work hours/adjusted visits

d. Adjusted work hours/adjusted visits ‡

e. Total salary expense/visits

f. Total salary expense/adjusted visits ‡

g. Percent of work hours in direct patient care

h. Percent of adjusted work hours in direct patient care ‡

i. Total salary expense/hours of direct patient care ‡ ‡

Use these measures for the final comparison among the three sites, and discuss potential problems at each site or overall for the company. What are your recommendations to correct them?