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Food-Service-Manual-for-Health-Care-Institutions

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Control Function and Financial Management<br />

Analyzing labor costs is necessary to determine total cost per meal and total cost per<br />

patient day. In addition, analyzing labor costs identifies operational areas that need improvement.<br />

The efficiency of labor use can be evaluated more precisely by calculating productivity<br />

statistics each month and by comparing them with those <strong>for</strong> past months or with statistics from<br />

other institutions.<br />

Productivity can be defined as the relationship of the amount of resources used to the<br />

amount of products or services produced, or the relationship between inputs and outputs.<br />

Productivity can be simply calculated by dividing the amount of input by the amount of output.<br />

For example, dividing the number of labor hours worked (input) by the number of meals<br />

served (output) provides a meaningful indicator of productivity in the food service department.<br />

Overall, productivity is a valuable index of the department’s efficiency and per<strong>for</strong>mance.<br />

Productivity statistics include the following types of data:<br />

• The number of patient trays served per patient day<br />

• The number of labor minutes per patient meal<br />

• The number of labor minutes per nonpatient meal equivalent<br />

• The amount of revenue produced per full-time-equivalent employee assigned to nonpatient<br />

meal service<br />

• The number of customer transactions per<strong>for</strong>med per each full-time-equivalent employee<br />

assigned to nonpatient meal service<br />

• The total number of food service employee work hours per patient day<br />

• The total number of food service employee work minutes per unit of service<br />

Changes in productivity statistics may indicate the need to change operating procedures or<br />

staffing levels. When such indicators are calculated on a regular monthly basis and analyzed<br />

promptly, the director can make appropriate changes be<strong>for</strong>e the department’s long-term financial<br />

goals are negatively affected.<br />

Monthly Supply Costs<br />

To some extent, expenses can be controlled <strong>for</strong> such nonfood supplies as dishware, glassware,<br />

service ware, kitchen utensils, disposable paper products, cleaning compounds and equipment,<br />

printed <strong>for</strong>ms and other office supplies, and small equipment. Procedures <strong>for</strong> purchasing, requisitioning,<br />

maintaining inventory, and controlling stock <strong>for</strong> such supplies are the same as <strong>for</strong><br />

food supplies. The costs involved and the quantities used are also determined by calculating<br />

beginning inventory, monthly purchases, and closing inventory. Records may also be kept and<br />

in<strong>for</strong>mation reported by the type of commodity, such as paper and cleaning supplies.<br />

Monthly Per<strong>for</strong>mance Report and Other Control Reports<br />

The kinds of other control reports that need to be maintained in the food service department<br />

vary from institution to institution. Some examples include monthly per<strong>for</strong>mance reports,<br />

budget variance reports, quality control reports, productivity reports, and in-service education<br />

and orientation reports. Only the monthly per<strong>for</strong>mance report will be discussed in this chapter.<br />

After all the individual cost categories have been determined <strong>for</strong> the month, it is helpful <strong>for</strong><br />

the food service director to prepare a summary <strong>for</strong>m that includes all of the important operational<br />

data <strong>for</strong> the department. The food service per<strong>for</strong>mance report shown in Exhibit 11.6 is<br />

an example of a comprehensive and useful monthly summary. It provides a means <strong>for</strong> comparing<br />

current costs against budget targets from one month to the next. If cost allocations have<br />

been made properly, the true costs of patient and nonpatient meals will be indicated.<br />

Variances in month-to-month costs and revenues should be carefully analyzed by the food<br />

service director. Differences that cannot be explained by similar changes in patient census or<br />

nonpatient meal counts should be carefully reviewed. Some differences can be controlled, while<br />

others cannot be. For example, if fewer patient meals were served with no change in labor<br />

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