Question
Clinic-centric: Dr. Connors is concerned about the drop-off in patients who complete intake but fail to show up for surgery. She is planning several initiatives
Clinic-centric: Dr. Connors is concerned about the drop-off in patients who complete intake but fail to show up for surgery. She is planning several initiatives that could help reduce the drop-off in patient volume between intake and actual surgery by half. She would like to know the effect this would have on patient volume and capacity utilization. Table 2 shows the new patient volumes if she is successful in her initiatives.
Table 2
| Task |
|
Activity |
| Patient Volume |
1 | Initial patient call | 14345 |
2 | Mail paperwork | 11189 |
3 | Call to remind | 11189 |
4 | 40% reschedule call | 4476 |
5 | Check in at clinic | 8056 |
6 | Intake | 8056 |
7 | Remind call | 8056 |
8 | 40% reschedule call | 3222 |
9 | check in at clinic | 6670 |
10 | Prep for surgery | 6670 |
11 | Surgery, Cleanup, Record* | 6670 |
12 | Bandage, walk to waiting | 6670 |
13 | Room cleaning | 6670 |
14 | PSR checks patient out | 6670 |
15 | First (next-day) follow-up | 6670 |
16 | Tues-Sat room clean (80%) | 5336 |
17 | Sunday room clean (20%)* | 1334 |
18 | 3-week follow-up | 5269 |
19 | 3-week room clean | 5269 |
***THE EXAMPLE BELOW SHOWS DIFFERENT VALUES FOR PATIENT VOLUME THAN THE TABLE ABOVE. IT CAN BE USED AS A REFERENCE FOR THIS QUESTION.
- Dr. Connors calculates the utilization with the increased patient volumes for staff and rooms using the available time per worker shown below.
Available time per worker
Staff: 5days*48weeks*8hrs*60mins
Surgeon: 5days*48weeks*7hrs*60mins
Rooms: 5days*48weeks*9hrs*60mins
Calculate the utilization for PSR and complete Table 3 below:
Table 3
| Receptionist | PSR | Technician | Staff Surgeon | Cleaner | Intake | Examining | Surgical |
Total Time Required | 29452 | 353290 | 208893 | 119960 | 51825 | 161120 | 140667 | 253460 |
Available Workers | 1 | 4 | 3 | 1 | 1 | 2 | 2 | 3 |
Available time per worker | 115200 |
| 115200 | 100800 | 115200 | 129600 | 129600 | 129600 |
Total Available Time | 115200 |
| 345600 | 100800 | 115200 | 259200 | 259200 | 388800 |
Utilization | 25.57% |
| 60.44% | 119.01% | 44.99% | 62.16% | 54.27% | 65.19% |
- Dr. Connors is considering expanding the clinic hours of operation (staff and facilities) to six days a week and adding two extra hours each day, but surgeons will continue to only work 7 hours/day, 5 days a week. Complete Table 4 to reflect the expanded timings.
Table 4
| Receptionist | PSR | Technician | Staff Surgeon | Cleaner | Intake | Examining | Surgical |
Time Required | 29452 |
| 208893 | 119960 | 51825 | 161120 | 140667 | 253460 |
Available Workers | 1 | 4 | 3 | 1 | 1 | 2 | 2 | 3 |
Available time per worker |
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Total Available Time |
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Utilization |
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- In your opinion, should Dr. Connors expand clinic hours as described. Support your answer with the values in Table 4.
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