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LABOR MANAGEMENT/PRODUCTIVITY
No Cost Impact Analysis
In order to assist our efforts to quantify the impact a Productivity Improvement initiative may have at your organization, please complete the data request as accurately and completely as possible.
"Iron sharpens iron, so one man sharpens another." Proverbs 27:17
Additional Information
PILLAR TWO:
Salary Costs **
Benefit Costs **
Agency/ Contract Labor Costs **
Medicare Case Mix Index
Total Case Mix Index
Total Discharges *
Total Adjusted Discharges *
Total Patient Days *
Total Adjusted Patient Days *
Total Operating Expense
Total Operating Revenue
Full-Time Employee Equivalents
Total Licensed Beds
Total Staffed Beds
Impact Analysis Data Request
Please fill in all fields
Last Complete
Fiscal Year
Current Year To Date
Name of Organization:
Contact Name:
Phone:
Email:
Time Period Represented in "Current Year To Date":
* Excluding newborns.
** Excluding employed physicians.
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BY PILLAR OF SERVICE
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Physician Economics
