25. Variable labor budget: efficiency. If the assumed efficiency of the provider
ID: 2476649 • Letter: 2
Question
25. Variable labor budget: efficiency. If the assumed efficiency of the providers changed to 85% (see Exhibit I.5c.), what would be the productive capacity for January?
Exhibit 1.5c Calculation of RVU Productivity Capacity in January
Given Physician Productivity
A
Number of physician I
12
B
Number of physician II
8
C
Shifts per year per full-time physician
204
D
Hours per shift per physician
10
E
Minutes per RUV
15
F
RVUs per hour
4
G
Physician efficiency
87 %
H
Days in month
31
PA or NP Productivity
I
Number physician assistants
1
J
Number nurse practitioners
1
K
Shifts per year full-time PA or NP
230
L
Hours per day per Pa or NP
8
M
RVUs per hour
4
N
PA or No productivity
87%
O
Days in this month
31
Calculations
Physician I
Physician II
Total
P
Number
And (B)
12
8
Q
RVUs per physician per year (365 days)
(C x D x F x G)
7,099
7,099
R
RVUs per day per physician
(Q/365)
19.4
19.4
S
Days in month
(H)
31
31
T
RVU capacity
(P x R x S)
7,235
4,824
12,059
Physicians Assistants
Nurse Practitioners
U
Number
And (J)
1
1
V
RVUs per PA or NP per year
(K x L x M x N)
6,403
6,403
W
RVUs per day PA or NP
(V/365)
17.5
17.5
X
Days in this month
(O)
31
31
Y
RVU capacity this month
(U x W x X)
544
544
1,088
Z
Total RVU capacity this month
(T + Y)
Assume three weeks of vacation, 1 week of sick leave, and 2 weeks of holidays
Given Physician Productivity
A
Number of physician I
12
B
Number of physician II
8
C
Shifts per year per full-time physician
204
D
Hours per shift per physician
10
E
Minutes per RUV
15
F
RVUs per hour
4
G
Physician efficiency
87 %
H
Days in month
31
PA or NP Productivity
I
Number physician assistants
1
J
Number nurse practitioners
1
K
Shifts per year full-time PA or NP
230
L
Hours per day per Pa or NP
8
M
RVUs per hour
4
N
PA or No productivity
87%
O
Days in this month
31
Calculations
Physician I
Physician II
Total
P
Number
And (B)
12
8
Q
RVUs per physician per year (365 days)
(C x D x F x G)
7,099
7,099
R
RVUs per day per physician
(Q/365)
19.4
19.4
S
Days in month
(H)
31
31
T
RVU capacity
(P x R x S)
7,235
4,824
12,059
Physicians Assistants
Nurse Practitioners
U
Number
And (J)
1
1
V
RVUs per PA or NP per year
(K x L x M x N)
6,403
6,403
W
RVUs per day PA or NP
(V/365)
17.5
17.5
X
Days in this month
(O)
31
31
Y
RVU capacity this month
(U x W x X)
544
544
1,088
Z
Total RVU capacity this month
(T + Y)
Explanation / Answer
Given Physician Productivity A Number of physician I 12 No Of days to be considerd B Number of physician II 8 C Shifts per year per full-time physician 204 Total Days 365 D Hours per shift per physician 10 3 Weeks of Vacation 21 E Minutes per RUV 15 1 Week of sick Leave 7 F RVUs per hour 4 2 Weeks of Holidays 14 G Physician efficiency 85% H Days in month 31 Total Working Days 323 PA or NP Productivity I Number physician assistants 1 J Number nurse practitioners 1 K Shifts per year full-time PA or NP 230 L Hours per day per Pa or NP 8 M RVUs per hour 4 N PA or No productivity 85% O Days in this month 31 Calculations Physician I Physician II Total P Number And (B) 12 8 Q RVUs per physician per year (323 days) (C x D x F x G) 6,936 6,936 R RVUs per day per physician (Q/323) 21 21 S Days in month (H) 31 31 T RVU capacity (P x R x S) 7,988 5,325 13,314 Physicians Assistants Nurse Practitioners U Number And (J) 1 1 V RVUs per PA or NP per year (K x L x M x N) 6256 6256 W RVUs per day PA or NP (V/323) 19.36842 19.36842 X Days in this month (O) 31 31 Y RVU capacity this month (U x W x X) 600.4211 600.4211 1,201 Z Total RVU capacity this month (T + Y) 8,589 5,926 14,515 Based on the assumption of 85% utilisation of Capacity Considered 323 days ( after removing 2 Vacation, sick leave and Holidays)
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