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1. Calculate the total costs per patient and price per patient at each level of

ID: 2327978 • Letter: 1

Question

1. Calculate the total costs per patient and price per patient at each level of care.

Position Total Hours Davs off Hours Training Hours Available Hours Avalilable Minutes OB/GYN (3 employees in a team) Pediatrician Midwife/Nurse Resident Registration Clerk Practical Nurse 210 210 210 220 210 210 130 130 130 130 130 130 10 10 10 10 10 10 70 70 70 80 70 70 4200 4200 4200 4800 4200 4200 Position Cost Per Employee Cost With Benefits Total Minutes Cost per Minute OB/GYN Pediatrician Midwife/Nurse $ Resident Registration Clerl $ Practical Nurse $ 35,403,451$43,546,245 23,477,139 28,876,881 140,905 285,164 11,183 8,760 114,557$ 231,841$ 9,092 $ 7,122 $ 4200 $ 10,368.15 4200 $6,875.45 33.55 59.41 2.66 2.09 4200 S 4800 $ 4200 S 4200 S

Explanation / Answer

1. Total cost of employees with benefit = 43,546,245 + 28,876,881 + 140,905 + 285,164 + 11,183 + 8,760 = 46,879,938

2. Total Salaries of employees = 35,403,451 + 23,477,139 + 114,557 + 231,841 + 9,092 + 7,122

= 59,510,202

3. Total Annual Maternity Ward Overhead = 314,622 + 7,454,026 + 16,195,458 + 206,241 + 395,295 + 6,119,349 + 856,684 + 302,076 + 898,940 + 105,412

= 27,340,103

Calculation of employee costs with benefit:

Level 2 minute

159.6

Productive work days

52*5= 260-(8+6+12) = 234 days

Productive work hours

234*42 = 9828 hours

Total Annual ccost

46,879,938 + 27,340,103 + 59,510,202 = 13,37,30,243

Total cost per patient

13,37,30,243/11975 = 11,167.45

Cost/day

13,37,30,243/234 = 5,71,496.76

Price per patient at each level

Workings

Total cost excluding employee benefit = 59,510,202 + 27,340,103 = 8,68,50,305

Total cost excluding employee benefit per patient = 8,68,50,305/11975 = 7252.64

Position Cost/minute Level 1 minute Level 1 amount

Level 2 minute

Level 2 amount Level 3 minute Level 3 amount OB/GYN 10,368.15 30 311,044.5 37 383,621.55 80 829,452 Paediatrician 6875.45 43 295,644.35 55 378,149.75 71 488,156.95 Medwife/Nurse 33.55 1422 47,708.10 1422 47,708.10 1600 53,680 Resident 59.41 225 13,367.25 240 14,258.40 412 24,476.92 Registration Clerk 2.66 43 114.38 43 114.38 60

159.6

Total 667878.58 823852.18 1395925.47