Surgeon ASR RN CA

Personnel process times (minutes) Plagiocephaly 18.0 8.0 23.0 5.0

Neoplasm skin excision 22.0 55.5 20.0 5.0

Craniosynostosis 40.0 10.5 23.0 10.0

Personnel availability Weeks per year 52.0 52.0 52.0 52.0

Less. vacation and holidays 6.0 4.0 4.0 4.0

Less: Training and leave 2.0 2.0 2.0 2.0

Available weeks per year 44.0 46.0 46.0 46.0

Hours per day 10.0 8.0 8.0 8.0

Less: Breaks, training, meetings 1.2 1.5 1.5 1.5

Available hours 8.8 6.5 6.5 6.5

Clinical minutes available per day* ______ ______ ______ ______

Clinical minutes available per year* _____ ______ ______ ______

Annual cost per person $696,960 $89,700 $134,550 $71,760

Capacity cost rate ($ per minute)* _______ ______ ______ ______

* To be computed

c.) Suppose the office implements a process change by using an RN to perform some of the surgeon's work. Specifically, for a plagiocephaly exam, the surgeon's time decreases from 18 to 10 minutes, while the RN's time increases from 23 to 35 minutes. In addition, for a craniosynostosis exam, the surgeon's time decreases from 40 to 22 minutes, while the RN's time increases from 23 to 40 minutes. Assuming only the numbers of surgeons and RNs are adjusted in response to the process changes, how will this change the staffing levels and total cost for the outpatient office?