Rittenhouse Medical

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Question 1) Dr. Booth has worked on and perfected surgical and non-surgical aspects of his procedure over many years of arduous, detailed oriented and incremental improvements. Looking at Exhibit 7 (Distribution of procedure time), we can notice that he has more or less reduced the procedure down to a predictable science, with most procedures falling between 30-100 minutes. When you compare Exhibit 7 to Exhibit 5 (Distribution of procedure times by RMC), you can clearly see the advantage of efficiency that Dr. Booth’s methods and the rest of his compatriots and highlights the efficiencies he has achieved in the operating room. While we can explain his efficiency by the many interrelated efforts, over the course of time, he has taken to…show more content…
Separate Anesthesia induction room He also worked with Central supply to review every piece in each set of instrumentation. Dr Booth’s procedure required a member of central supply to watch the procedure and learn how the tools were used. He also incentivized them by providing free professional sports tickets to make it interesting for them. His resulting efficiency was only possible because he was able to influence the hospital to grant him his requests. The hospital on its part had a lot to gain from this. RMC was rated highly in the business main due to Dr. Booth’s and his colleague’s efforts. Unit 3B ortho was responsible for 22% of net patient revenue. The resource utilization was also dominated by Dr. Booth’s practice. Dr. Booth’s reputation was also profound. In short the hospital had several things to gain politically due to Dr. Booth’s activities and it made sense to support his productivity efforts. Question 2) There are several advantages of Dr. Booth’s methods are very well documented by (Refer Exhibit 1). He is able to achieve economies of scale. 593 cases in the year 2001-2002 and 2500 plus knee replacements per year in 2006, resulting in higher net patient revenue and lowest contributions per discharge to the hospital (Refer Exhibit 3). For example for Medicare patients in the year 2006, orthopedics (unilateral and bi lateral) in total resulted only in a net contribution of 760, which is much lower than most specialties.
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