Available time maximum after weekends 261 261 261

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Available TimeMaximum, after weekends261 261 261 Vacation, holidays, leave, etc41 30 30 Available Days per year220 231 231 Maximum hours per day 12.0 7.5 7.5 Less: research, teaching, and other4.5 - - Less: breaks- 1.50 1.50 Available hours per day7.5 6.0 6.0 Available hours per year1,650 1,386 1,386 Available minutes per year99,000 83,160 83,160 Cost per minute$ 7.00 $ 1.00 $ 0.75 ProcedureMinutes Long leg cast application, cotton padding0.25 60.00 0.00Long leg cast removal, cotton padding- 13.0 - Long leg cast application, Gore-Tex padding0.25 60.00 11.00 Long leg cast removal, Gore-Tex padding- 13.0 - Petrie long leg cast application0.25 103.50 0.00Petrie long leg cast removal- 17.0 - Clubfoot cast (hospital; initial visit)13.0 17.0 - Clubfoot cast (hospital; replacement visit)13.0 22.0 - Clubfoot cast (hospital; final visit)- 8.0 - ProcedureLaborDirect MaterialsTotal CostsChargeLong leg cast, cotton padding61.75 44.70 1.60 108 $ 57.40 165 $ 523.00 $ 366.10 201 Long leg cast, Gore-Tex padding70.00 156.10 1.60 228 $ 122.01 350 $ 584.00 $ 408.80 59 Petrie long leg cast105.25 94.40 1.60 201 $ 107.73 309 $ 181.00 $ 126.70 (182)Clubfoot cast (initial visit)108.00 10.40 1.60 120 $ 15.66 136 - - (136)Clubfoot cast (4x replacement visits)113.00 10.40 1.60 125 $ 18.36 143 - - (143)Clubfoot cast (final visit)8.00 - - 8 $ 4.32 12 $ - $ - (12)Clubfoot cast (6 total visits, incl. initial & final)466 $ 52.00 $ 8.00 790 $ 93.42 1,115 $ 1,690.00 $ 1,183.00 (214)Cast Room DataNumber of different club foot casts5 $ 1.60 Indirect hospital costs are given using Alliance System's overhead factor of approxiamately 50% of total non-physician direct costs.Explanation 1:The personnel time in minutes for each procedure is extracted from Exhibit 14 on page no. 27 of the case study.Explanation 2:The labor costs are calculated by using the labor time per procedure and the labor cost per minute.Explanation 3:The total direct costs and indirects are summation of the labor, material and indirect costs.Explanation 4:The Average Profit is calculated as the difference between the average reimbursement and total cost incurred by the department.Orthopedic Surgeon Plaster/Cast Technician Ambulatory Service Representative Indirect Supplies (Part of Direct Costs)Total Direct CostsIndirect Hospital Costs (Given for case purposes)Average ReimbursementAverage Profit/ ProcedureIndirect Supplies (cost per procedure, Alliance calculates only for billed events)

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