question archive A Pediatrics Department became concerned about low morale and productivity of nursing staff after the chair of its General Pediatrics division left the organization due to retirement

A Pediatrics Department became concerned about low morale and productivity of nursing staff after the chair of its General Pediatrics division left the organization due to retirement

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A Pediatrics Department became concerned about low morale and productivity of nursing staff after the chair of its General Pediatrics division left the organization due to retirement. After a nine-month search, the Pediatrics Department was able to hire a specialized pediatrician chair for the General Pediatrics division and would like to evaluate the effect of the new leadership on productivity. Measurements before and after the new leadership took over are displayed in table below.

 

Measurement

Before New Leadership

After New Leadership

Total Worked Hours

16,062

14,813

Patient Visits

11,826

12,113

Reimbursement Per Visit($)

33

30.87

Overhead Costs($)

28,546

29,831

Materials Costs($)

94,421

58,447

Skill Mix Distribution

RN($28.85/Hour)

0.6

0.61

LPN($17.60/Hour)

0.21

0.26

Other ($11.8/Hour)

0.19

0.13

Assume That 1 LPN = .6 RN And 1 Other Nursing Staff = 0.4 RN.

 

Solve using excel

a) Calculate the total worked hours/unadjusted patient visits before and after the new leadership.

b) Calculate the skill-mix-adjusted hours/unadjusted patient visits Before and After  new leadership

c) Calculate the standardized labor costs of care/unadjusted patient visits before and after new leadership.

d) Calculate the multifactor productivity measure before and after new leadership.

 

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Answer:

             
a) Particulars Before New
Leadership
After New
Leadership
     
  Total Worked Hours            16,062            14,813      
  Patient visits            11,826            12,113      
  Total worked hours/
unadjusted patient
visits
                1.36                 1.22      
             
b) Assumption to compute skill mix adjusted hours      
  1 LPN = 0.6 RN          
  1 Other = 0.4.RN          
             
  Skill mix adjusted hours before new leadership      
             
  1*(16062*0.60) + 0.6*(16062*0.21)+0.4*(16062*0.19)      
= 1*9637.20 + 0.60*3373.02 + 0.40*3051.78      
= 9637.20+2023.81+1220.71          
= 12881.72          
             
  Skill mix adjusted hours before new leadership      
  1*(14813*0.61) + 0.6*(14813*0.26)+0.4*(14813*0.13)      
= (1*9035.93) + (0.6*3851.38) +0.4*(1925.69)      
= 9035.93+1001.36+250.34          
= 10287.63          
             
  Skill mix adjusted hours/unadjusted patient visit      
             
  Particulars Before New
Leadership
After New
Leadership
     
  Skill mix adjustment
hours(a)
     12,881.72      10,287.63      
  Unadjusted patient
visits(b)
     11,826.00      12,113.00      
  (a)/(b)                 1.09                 0.85      
             
             
c) Standardized labor cost of care        
             
= (RN Wages * RN hours)+(LPN Wages * LPN hours)+(Other Wages*Other hours)
             
  Standardized labor cost of care before new leadership    
             
= $28.85*(16062*0.60)+$17.60*(16062*0.21) +$11.80*(16062*0.19)  
= ($28.85*9637.20) +( $17.60*3373.02) + ($11.80*3051.78)    
= $ 278,033.22 + $ 59,365.15 + $ 36,011        
= $373,409.40    

 

 

   
             
             
  Standardized labor cost of care before after leadership    
             
= $28.85*(14813*0.61) + $17.60*(14813*0.26)+$11.80*(14813*0.13)  
= ($28.85*9035.93) +( $17.60*3851.38) + ($11.80*1925.69)    
= $ 260,686.58 + $ 67,784.29 + $ 22,723.14        
= $ 351194.01          
             
  Particulars Before New
Leadership
After New
Leadership
     
  Standardized labor cost of care(a)    373,409.40    351,194.01      
  Unadjusted patient
visits(b)
     11,826.00      12,113.00      
  (a)/(b)              31.58              28.99      
             
d) Multifactor productivity          
             
= (Patient visit * Reimbursement per visit)/(Labor+Material+Overhead)  
             
  Particulars Before New
Leadership
After New
Leadership
     
  Patient visit(a)      11,826.00      12,113.00      
  Reimbursement per
visit(b)
             33.00              30.87      
  Material Cost('c)      94,421.00      58,447.00      
  Overhead Costs(d)      28,546.00      29,831.00      
  Labor Cost ('e)    373,409.40    351,194.01      
  Multifactor productivity
(a*b)/(c+d+e)
                0.79                 0.85