EXERCISE 5: Productivity measurement The PERFORMSBETTER 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 5 were gathered for each of the three locations. Table 5 Measurements/Sites Location Location Location 1 2 3 Annual Visits 135,000 94,000 101,000 Annual Paid Hours 115,000 112,000 125,000 Patient Classification (Based on CPT Coding) Initial Visit (.55)* 30 10 .15 Low-Level Decision Making (.50) 40 20 .15 Medium-Level Decision Making (.75) 20 40 .35 High-Level Decision Making (1.40) 10 .30 35 Skill-Mix Distribution Specialists ((110/hr) + .50 30 .70 General Practitioners (685/hr) .30 .50 30 Nurse Practitioners ((45/hr) 20 .20 .00 * Represents total hours of direct care required per patient visit within the category. + Represents hourly compensation including fringe benefits for the skill level