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
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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