Based on the determination of the excess or deficiency of reimbursement to activity cost, indicate which procedure cost is too high.   Hospital management has decided to further investigate the nursing effort. Determine the weighted care units per patient days for each procedure. Round to one decimal place. Procedure A __________ weighted care units per patient day Procedure B __________  weighted care units per patient day Procedure C __________  weighted care units per patient day

Practical Management Science
6th Edition
ISBN:9781337406659
Author:WINSTON, Wayne L.
Publisher:WINSTON, Wayne L.
Chapter4: Linear Programming Models
Section4.8: Data Envelopment Analysis (dea)
Problem 42P
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Pleasant Stay Medical Inc. wishes to determine its product costs. Pleasant Stay offers a variety of medical procedures (operations) that are considered its “products.” The overhead has been separated into three major activities. The annual estimated activity costs and activity bases follow:

Activity

Budgeted Activity Cost

Activity Base

Scheduling and admitting

$432,000             

Number of patients

Housekeeping

4,212,000             

Number of patient days

Nursing

5,376,000             

Weighted care unit

    Total costs

$10,020,000             

 

Total “patient days” are determined by multiplying the number of patients by the average length of stay in the hospital. A weighted care unit (wcu) is a measure of nursing effort used to care for patients. There were 192,000 weighted care units estimated for the year. In addition, Pleasant Stay estimated 6,000 patients and 27,000 patient days for the year. (The average patient is expected to have a a little more than a four-day stay in the hospital.)

During a portion of the year, Pleasant Stay collected patient information for three selected procedures, as follows:

 

Activity-Base Usage

 

Procedure A

   

Number of patients

280

 

Average length of stay

x 6

days

Patient days

1,680

 

Weighted care units

19,200

 

Procedure B

   

Number of patients

650

 

Average length of stay

x 5

days

Patient days

3,250

 

Weighted care units

6,000

 

Procedure C

   

Number of patients

1,200

 

Average length of stay

x 4

days

Patient days

4,800

 

Weighted care units

24,000

 

Private insurance reimburses the hospital for these activities at a fixed daily rate of $406 per patient day for all three procedures.

Required:

  1.  Determine the activity rates.

Activity

Activity Rate

Scheduling and admitting

$

 per patient

Housekeeping

$

 per pd

Nursing

$

 per wcu

  1.  Determine the activity cost for each procedure.

Activity

Total Activity
Cost by Procedure

Procedure A

$

Procedure B

$

Procedure C

$

  1. Determine the excess or deficiency of reimbursements to activity cost.

Activity

Excess (deficiency) of
reimbursement over
activity cost

Procedure A

$

Procedure B

$

Procedure C

$

  1. Based on the determination of the excess or deficiency of reimbursement to activity cost, indicate which procedure cost is too high.

 

Hospital management has decided to further investigate the nursing effort. Determine the weighted care units per patient days for each procedure. Round to one decimal place.

Procedure A __________ weighted care units per patient day

Procedure B __________  weighted care units per patient day

Procedure C __________  weighted care units per patient day

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ISBN:
9781337406659
Author:
WINSTON, Wayne L.
Publisher:
Cengage,