The performs better medical center (PMC), a three-site urology group practice, requires productivity monitoring. To create a benchmark for future years and to be able to compare performance to similar peer practices, the data in Table EX 9.7 were gathered for each of the three locations.

Assume that 1 general practitioner .75 specialists, and 1 nurse practitioner .35 specialists for economic measure of skill substitution.
Calculate:
a. Work hours/visits
b. Adjusted work hours/visits
c. Work hours/adjusted visits
d. Adjusted work hours/adjusted visits
e. Total salary expense/visits
f. Total salary expense/adjusted visits
g. Percent of work hours in direct patient care
h. Percent of adjusted work hours in direct patient care
i, Total salary expense/hours of direct patient care
Use these measures for the final comparison among the three sites, and discuss potential problems at each site or overall for the company. What are your recommendations to correct them?

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Initial Investment Year 1 Cash Flow Project A 500,000 500,000 125,000 120,000