Appendix D: Examples of Complete Functional Tree Structure151
Start
Pre-Admission Project (UM)
Insurance Authorization
Call insurance
Go through automatic
menu
Did call
disconnect?
Request/obtain
authorization from
insurance agent
Does ins. agent
verify benefit?
No
PFS
Staff
PFS Sta
PFS Sta
Who Where How Long Freq.Remarks
To go
through
automatic
menu &
wait
for Agent
20 Min./Pt
1 Min./PtPre-reg
Pre-reg
PFS
Staff
Pre-reg
Pre-reg 3 Min./Pt
30 Min./Pt
Call phys. office
and other depts.
Obtain referral
No
Yes
Yes
Obtain auth.
End
Total Estimate Required time for bundled/grouped Patients (5 Pt. Per group) 54 Minutes
Figure D.11 Current-state process map for insurance authorization.
152Appendix D: Examples of Complete Functional Tree Structure
Who Where
Remarks
Call insurance
Go through automatic
menu
Request/obtain
insurance verification
from insurance agent
or web
End
Set up payment
arrangement
(15 Min)
Did call
disconnect?
Does ins. agent
have referral?
Obtain benefits
Complete
AHCCCS
forms
Pre-Admission Project (UM)
Insurance Verification
Start
No
Yes
PFS
Staff
PFS
Staff
PFS
Staff
Pre-reg
Pre-reg
Pre-reg
1 Min./Pt.
20 Min./Pt
3 Min./Pt
To go
through
automatic
menu &
wait for
Agent
Is Pt. self pay?
Yes
Apply for
AHCCCS?
Did AHCCCS
approve the
case?
No
Yes
No
Yes
PFS
Staff
Yes
Pre-reg
3 Min./Pt
Total estimate required time for bundled/grouped patients (5 Pt. per group)
27
Minutes
No
Freq.
Cancel the
case
No
How Long
Figure D.12 Current-state process map for insurance verication.
Appendix D: Examples of Complete Functional Tree Structure153
Who
Where
How Long
Remarks
Call Patients
PFS Staff (1)
Obtain demographic
info.
Is there an
answering
machine?
Is Pt.
home?
Did Pt. Call?
Print paperwork and
labels (2)
Set aside the Pt. File for
re-call.
Leave a
message
Assemble Pt.
information and create
a jacket (3)
Pre-Admission Project (UM)
Phone Registration
End
Start
Pre-Reg
Office (1)
10 Min./Pt.
No
Including
in the
above
time.
PFS
Staff
Pre-Reg
Office (2)
1 Min./Pt
PFS
Staff
Pre-Reg
Office (3)
1 Min./Pt
Yes
Yes
Total estimate required time/per patient 12 Min.
Freq.
PFS
Staff
No
No
Yes
Figure D.13 Current-state process map for phone registration.
154Appendix D: Examples of Complete Functional Tree Structure
Estimated Required FTE for Pre-Admission Redesign
U M Review Req. Stang
Description Hour
sF
TE Calc.
No. of Op. Days/Yr 255.7
Total Minutes 138,341.4
Required Hours 2,305.7
20% of hrs assign to non-licensed sta 461.1
Licensed Sta Hrs. 1,844.6
Required FTE (Licensed Sta
)1
.00
Req. FTE (Non-Licensed Sta
)0
.25
Pre-Registration Req. Stang
Description Hour
sF
TE Calc.
No. of Op. Days/Yr 255.7
Daily Sorting Req. Hrs. 2.0
Insurance
Authorization 12.6
Verification 6.3
Phone Registration 10.0
Total Hrs/Day 30.9
Total Req. Hrs/Yea
r7
,901.6
Required FTE 4.27
Pre-Admission Testing Req. Stang
Description Hour
sF
TE Calc.
No. of Op. Days/Yr 255.7
Pre-Admission Initial Step
Sec./Te ch daily Req. Hrs
.6
.4
Walk-Ins
RN daily Req. Hrs. 9.6
Sec./Te ch daily Req. Hrs. 5.2
Phone Interview
RN daily Req. Hrs. 10.2
Sec./Te ch daily Req. Hrs
.3
.7
Compile/Analyze Pt. Info.
Sec./Te ch daily Req. Hrs
.2
.5
Total RN Req Hrs/Yea
r5
,058.0
Total Sec./Tech. Req Hrs/Yea
r4
,541.5
Req. RN FTE. 2.73
Req. Sec./Te ch FTE. 2.45
Total Req. RN 3.73
Req. Sec./Te ch & Other 6.97
Figure D.14 Example full-time equivalent calculation.
Appendix D: Examples of Complete Functional Tree Structure155
UM Review
Pre-Admission Testing
FTS
Pre-Registration
Sample
Pre-Admission
Testing
Pre-Admission
(Initial Steps)
Walk-Ins
Phone
Interview
Daily Req Hrs
9.6 RN Hrs
(576 Min.)
5.15 Tech/Sec. Hrs
(309 Min.)
RN = 2.73 FTE Sec./Tech = 2.45 FTE RN = 1 FTE Sec. = 0.25 FTE
Daily Req Hrs
10.18 RN Hrs
(610.8 Min.)
3.68 Tech/Sec. Hrs
(220.8 Min.)
Daily Req Hrs
Review Procedure
for Appropriateness
& Collecting
Order 2.3 Hrs
(140 Min.)
Daily Req Hrs
3.58 Hrs
(215 Min.)
Daily Req Hrs
3.1 Hrs
(186 Min.)
Daily Req Time
2 Hrs
(120 Min.)
Sorting Phone Reg.
Daily Req Hrs
Authorization &
Verication
1.35 Hrs
(81 Min.)
70 Pts grouped
in 5
Daily Req Hrs
10 Hrs
(50 Pts, 12 Min.
each)
Insurance
Pre-Op Review
of Surgery
Admits
Monitor OR
Ancillary Admits
Direct ED
Admits
Daily Req Hrs
2.5 Tech/Sec. Hrs
(150 Min.)
Compile/Analyze
Pt. Information
Daily Req Hrs
6.43 T
ech/Sec. Hrs
(385.8 Min.)
PFS Reps = 4.27 FTE
Figure D.15 Final functional tree structure diagram of the pre-admis-
sion testing function.

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