# Assume that a clinic expects to have 5000 visits next year.

#### Assume that a clinic expects to have 5000 visits next year. It expects the visits to be divided equally among each of four general types of patients.

Assume that a clinic expects to have 5000 visits next year. It expects the visits to be divided equally among each of four general types of patients. The required care for the four types of patients is 0.5 hours, 0.8 hours, 1.2 hours, and 2 hours, respectively. What is the total workload in care hours, and what are the expected average care hours per clinic visit?
2. Assume that a home health agency required 6000 nursing care hours. If a full-time equivalent (FTE) is paid for 2080 hours, and if the average nonproductive hours is 382 per FTE, how many FTEs will be required to provide the required care hours?

3. Assume that you are the Nurse Manager planning the staffing for a 20-bed, short-term surgical unit that will be open from noon on Monday to Friday evening (including holidays) and closed on weekends. You have calculated the average variable staff hours required for each day of the week:

Monday 64.0
Tuesday 86.4
Wednesday 86.4
Thursday 86.4
Friday 48.8

If the anticipated paid nonproductive rate is 280 hours per 2080-hour FTE, how many FTEs will need to be budgeted to provide coverage for this unit?

4. Your employer allows staff members to have 3 weeks of vacation per year. Employees also get off 10 holidays (New Year’s, Christmas, July 4th, etc.), 2 weeks of sick leave, and 4 personal days. In addition, on average, employees get one paid day each year for other uses, such as jury duty. Assuming that a full-time employee is paid for 5 days a week, 52 weeks a year, what percent of paid time is actually worked?

5. Prepare a revenue budget for Saunders Home Health Agency. Blue Cross members can only be charged \$60 for a nurse visit by the agency, even though the agency normally charges \$75. Aetna Insurance Company has agreed to pay 80% of the agency’s normal charge. Medicaid regulations call for it to pay the cost of care, and that the cost of each visit is \$45. Suppose further that Medicare has a fee schedule that calls for it to pay \$50 for this type of patient. The agency gives a \$50 discount to poor uninsured patients, charging them only \$25. Saunders expects 40 Blue Cross, 15 Aetna, 20 Medicaid, 50 Medicare, 25 uninsured and 20 self-pay visits. Of the self-pay patients, three-quarters pay their full charge, but one-quarter never pay any of their bill. Prepare a revenue budget for Saunders Home Health Agency. Will Saunders have a profit or loss? You may want to use Excel for this one.