Assuming thatthecompositesarehomogeneousandcontinuouson macrostructure, arepresentativevolume element (RVU) including a stitch repeat andresin was taken tosetupanalysismodel.
But even by this suboptimal RVU-based measure, there are a number of well-done studies that all show that productivity declines, sometimes substantially.
Most hospitals, including public companies like HCA Holdings, Inc (NYSE:HCA) track productivity by borrowing from the RVU system that Medicare uses to set reimbursement rates.