HSA 535 WEEK 6 148 CHAPTER 13 Common Sizing, Trend Analysis and Forecasted Data Exhibit 13-1 Capacity Level Checkpoints for an Outpatient Infusion Center Outpatient Infusion Center Capacity Level Checkpoints # infusion chairs 3 chairs # staff 1 RN # weekly operating hours 40 hours # of hours per patient infusion average 2 hours (for purposes of this example) Work Flow Description For each infusion the nurse must perform the following steps (generalized for this purpose; actual protocol is more specific): 1) Obtain and review the patient’s chart 2) Obtain and prepare the appropriate drug for infusion 3) Interview the patient 4) Prepare the patient and commence the infusion 5) Monitor and record progress throughout the ongoing infusion 6) Observe the patient upon completion of the infusion 7) Complete charting Work Flow Comments It is impossible for one nurse to start patients’ infusions in all three chairs simultaneously. Thus the theoretical treatment sequence might be as follows. â€¢ Assume one-half-hour for patient number one’s steps (1) through (4). â€¢ Once patient number one is at step (5), the nurse can begin the protocol for patient number two. â€¢ Assume another one-half-hour for patient number two’s steps (1) through (4). â€¢ Once patient number two is at step (5), theoretically the nurse can begin the protocol for patient number three. This sequence should work, assuming all factors work smoothly; that is, the appropriate drugs in the proper amounts are at hand, the patients show up on time, and no one patient demands an unusual amount of the nurse’s attention. (For example, a new patient will require more attention.) Daily Infusion Center Capacity Level Assumption Patient scheduling is never entirely smooth, and patient reactions during infusions are never predictable. Therefore, we realistically assume the following: Chair #1 = 3 patients per day; Chair #2 = 2 patients per day, and Chair #3 = 2 patients per day, for a daily total of 7 patients infused. Chapter 13 383 Hospital A Current Assets Property, Plant, &Equipment Other Assets Total Assets Year 1 $1,600,000 6,000,000 400,000 $8,000,000 Year 2 $ 2,000,000 7,500,000 500,000 $10,000,000 Assignment Exercise 13-2: Trend Analysis Refer to the Metropolis Health System (MHS) comparative financial statements at the back of the Examples and Exercises section. Required Perform trend analysis on the MHS statement of revenue and expenses. Practice Exercise 13-ID: Contractual Allowance Assumptions: L Your unit’s gross charges for the period to date amount to $200,000. 2. The uniform gross charge for each procedure in your unit is $100.00. 3. The unit receives revenue from four major payers. For purposes of this exercise, assume the revenue volume from each represents 25% of the total. (The equal proportion is unrealistic, but serves the purpose for this exercise.) 4. The following contractual payment arrangements are in effect for the current period. The percentage of the gross charge that is currently paid by each payer is as follows: Payer 1 = 90% Payer 2 = 80% Payer 3 = 70% Payer 4 =50% Q: How many procedures has your unit recorded for the period to date? Q: Of these, how many procedures are attributed to each payer? Q: How much is the net revenue per procedure for each payer, and how much is the contractual allowance per procedure for each payer? ~ Assignment Exercise 13-3 As a follow-up to the Practice Exercise above, new assumptions are as follows: 1. Your unit’s gross charges for the period to date amount to $200,000. 2. The uniform gross charge for each procedure in your unit is $100.00. 384 EXAMPLES AND EXERCISES, SUPPLEMENTAL MATERIALS, Al”lD SOLUTIONS 3. The unit receives revenue from four major payers. The number of procedures performed for the period totals 2,000. Of that total, the number of procedures per payer (stated as a percentage) is as follows: Payer 1 =
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