Asante-Teaching-Hospital-Case Study

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Total emloyees 1652

Total patients Annually 22000

Total Bed 274

ANNUAL SALARIES FOR MATERNITY WARD STAFF BY


POSITION
Total Working
Position Salary Team
Minutes
EXHIBIT 4

OB/GYN 35,403,451 3 123480


Paediartiation 23,477,139 4 123480
Midwife 114,557 1 123480
Resident 231,841 1 235200
Registration clerk 9,092 1 123480
Practical Nurse 7,122 1 123480

BREAKDOWN OF MATERNITY STAFF TIME PER DELIVERY(MINUTES)


Level 1 Level 2 Level 3
EXHIBIT 5

OB/GYN 30 37 80
Paediartiation 43 55 71
Midwife 1422 1422 1600
Resident 225 240 412
Registration clerk 43 43 60
practical Nurse 99 99 110

Annual overhead cost allocation


Level1 Level2 Level3
OB/GYN 2,867.14 3,536.14 7,645.71
Paediartiation 2,043.89 2,614.27 3,374.79
Midwife 1,319.24 1,319.24 1,484.38
Resident 221.79 236.57 406.12
Registration clerk 3.17 3.17 4.42
practical Nurse 5.71 5.71 6.34
Staff Cost per delivery 6,460.93 7,715.11 12,921.76

Total Salary for Natural Birth is 40% of annual s


Total annual maternity ward overhead
Overhead Cost
Overhead item Total
(40%)
Equiment depreciation 363,672.00 145,468.80
General and Administrative 314,622.00 125,848.80
Exhibit 2
Insurance 233,991.00 93,596.40
Exhibit 2 Utilities 7,454,026.00 2,981,610.40
Rent 16,195,458.00 6,478,183.20
Houekeeping 206,241.00 82,496.40
Laundry 395,295.00 158,118.00
Infortaion Technology 6,119,349.00 2,447,739.60
Dining Hall 856,684.00 342,673.60
Security 302,076.00 120,830.40
Groundskeeping 898,940.00 359,576.00
Marketing 105,412.00 42,164.80
Total cost 33,445,766.00 13,378,306.40

Aggregation of Overhead Costs b


Activity data
Overhead item Cost driver
Level 1 Level 2
Equiment depreciation OB/GYN mins 30 37
General and Administrative Reg clerk mins 43 43
Insurance Day in MW 3 3
Utilities Day in MW 3 3
Rent Day in MW 3 3
Houekeeping Day in MW 3 3
Laundry Day in MW 3 3
Infortaion Technology Day in MW 3 3
Dining Hall Day in MW 3 3
Security Day in MW 3 3
Groundskeeping Day in MW 3 3
Marketing No. of patients 1 1
Hours per
week

Other employees 42
Residents 80

Per Minute
Earnings
95.5714
47.5323
0.9277
0.9857
0.0736
0.0577

Birth is 40% of annual salary


n of Overhead Costs birth in different level
data Allocation Aggregation of Overhead Costs birth in different level
Level 3 rate Level 1 Level 2
80 0.88 26.47 32.64
60 0.59 25.45 25.45
4 6.34 19.02 19.02
4 202.01 606.02 606.02
4 438.90 1316.70 1316.70
4 5.59 16.77 16.77
4 10.71 32.14 32.14
4 165.84 497.51 497.51
4 23.22 69.65 69.65
4 8.19 24.56 24.56
4 24.36 73.08 73.08
1 8.80 8.80 8.80
2716.18 2722.35
Total minutes
Total weeks annually(After deducting
Minutes in hour they had work
holidays)
annualy
49 60 123480
49 60 235200

Level 1 Level 2 Level 3


Average days in Maternity Ward 3 3 4
Total natural birth in MW patients 4160 240 390
Overhead Costs birth in different level
Level 3
70.58
35.52
25.36
808.02
1755.61
22.36
42.85
663.34
92.87
32.75
97.45
8.80
3655.50 Total
SINGLE BUNDLED PRICING
Salary cost 33,768,593.85
Taxes and benefit(23%) 7,766,776.59
OH Costs 13,378,306.40
Cost per Patient 54,913,676.84
Mark up (20%) 10,982,735.37
Total Revenue 65,896,412.20
Total Natural Birth Maternity
4,790.00
Ward Patients
Price per Patient 13,757.08

THREE LEVEL BUNDLED PRICING


Level 1 Level 2 Level 3
Salary cost 6,460.93 7,715.11 12,921.76
Taxes and benefit(23%) 1,292.19 1,543.02 2,584.35
OH Costs 2,716.18 2,722.35 3,655.50
Cost per Patient 10,469.30 11,980.48 19,161.61
Mark up (20%) 2,093.86 2,396.10 3,832.32
Total Revenue 12,563.16 14,376.58 22,993.94

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