posted by DaisyJ on .
The Qwik Serve Clinic always has three M.D.s and eight R.N.s working at its 24-hour clinic, which serves customers with minor emergencies and ailments. The clinic has hired an efficiency expert to examine its operations and make suggestions for reducing costs. For some of the medical procedures done at the clinic, experienced nurses can perform the medical tasks approximately as well as the physicians can, as long as the nurses are supervised by MD's. Since MD's are more highly trained than nurses, the marginal product of MD is higher than the marginal product of RN's. The manager of the clinic is confused by the efficiency consultant's report because the report recommends using more RN's and fewer MD's to lower the cost of providing a given level of medical services. Under what circumstnces would it be economically efficient for this clinic to use more RN's and fewer MD's (given MPmd>MPrn)?
I am wondering what supervised means. If there is an MD on each shift, it seems to me that each shift would require an MD (if to supervise if nothing else). So making nurses do more of the work, how is that saving the clinic money, the MD is being paid. The billing cost to the customer might be lowered, but it baffles me how total clinic costs can be reduced with this if the Nurse has to be supervised. Perhaps accountants have a different meaning of supervised that is my understanding.
See my post below to Matty64.