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Observation (in minutes) Activity Performance Rating 1 2 3 4 5 6 7 9 10 11 12 Ob

ID: 458257 • Letter: O

Question

Observation (in minutes) Activity Performance Rating 1 2 3 4 5 6 7 9 10 11 12 Observed Time Normal Time Registration 1.15 3 6 4 8 4 5 4 6 4 6 4 4.91 5.65 Co-Payment 0.95 7 9 11 8 12 9 6 11 9 12 10 9.45 8.98 vital signs 0.96 9 8 11 12 9 8 10 12 8 12 11 10.00 9.60 Placement to exam room 0.98 3 5 4 6 3 5 3 6 5 4 7 4.64 4.54 Examination 1 18 15 19 22 18 12 19 21 16 21 17 18.00 18.00 Test order entry 1.02 4 7 3 5 4 11 9 12 11 14 9 8.09 8.25 Referral requests 1.11 11 10 16 9 8 9 7 7 9 7 6 9.00 9.99 Follow up 1.08 3 5 3 4 3 4 4 5 3 3 5 3.82 4.12 appointment scheduling Job OT Job NT a. Excluding the wait times, recalculate the standard times.   b. If there were an average of 1,800 patient visits to the outpatient clinic, what would be the standard hours per month? c. If the target utilization rate is 80%; the indirect support time per visit is 0.10 hour; and total admin time is 5 hours per day, what is target FTE level? d. If fringe benefits account for 9% of the target FTEs, what are the required FTEs? (That is, what are the FTEs required per year, based on 52 weeks, 40 hours/week?) Observation (in minutes) Activity Performance Rating 1 2 3 4 5 6 7 9 10 11 12 Observed Time Normal Time Registration 1.15 3 6 4 8 4 5 4 6 4 6 4 4.91 5.65 Co-Payment 0.95 7 9 11 8 12 9 6 11 9 12 10 9.45 8.98 vital signs 0.96 9 8 11 12 9 8 10 12 8 12 11 10.00 9.60 Placement to exam room 0.98 3 5 4 6 3 5 3 6 5 4 7 4.64 4.54 Examination 1 18 15 19 22 18 12 19 21 16 21 17 18.00 18.00 Test order entry 1.02 4 7 3 5 4 11 9 12 11 14 9 8.09 8.25 Referral requests 1.11 11 10 16 9 8 9 7 7 9 7 6 9.00 9.99 Follow up 1.08 3 5 3 4 3 4 4 5 3 3 5 3.82 4.12 appointment scheduling Job OT Job NT a. Excluding the wait times, recalculate the standard times.   b. If there were an average of 1,800 patient visits to the outpatient clinic, what would be the standard hours per month? c. If the target utilization rate is 80%; the indirect support time per visit is 0.10 hour; and total admin time is 5 hours per day, what is target FTE level? d. If fringe benefits account for 9% of the target FTEs, what are the required FTEs? (That is, what are the FTEs required per year, based on 52 weeks, 40 hours/week?)

Explanation / Answer

Sum up the NT to get the Job Normal time = 69.13 minutes

Considering the allowance factor = 16% for medium – low strain activity

a.

Recalculation of the standard times:

Standard time = Normal time ÷ (1 – Allowance factor)

ST = 69.13 ÷ (1- 0.16) = 69.13 ÷ 0.84 = 82.3 minutes

b.

If there are 1800 patients visits, the standard hours per month is:

Total time by 1800 patients = 1800 X 82.3 = 148140 minutes or                                                         148140 ÷ 60 = 2469 hours

c.

If target utilization = 80%, the target level FTE is:

Indirect time per visit = 0.10 hour, Admin time = 5 hours per day

ST of 1800 patients visit = 2469 per month

Indirect time for 1800 visits = 0.1 × 1800 = 180 hours

Admin time per month = 30 × 5 = 150 hours per month

Actual time remaining = 2469 – 180 – 150 = 2139 hours

Thus, the FTE = 0.80 × 2139 = 1711 hours

d.

Total Target FTEs required (v = t ÷ u) 18.92

Fringe benefits (w) 9%

Required FTE [(x = v × (1+w)] = 20.62