1. The time from when a patient is discharged from North Shore Hospital to the time the discharged patient's bed is ready to be assigned to a new patient is referred to as the bed assignment turnaround time. If the bed turnaround time is excessive, it can cause problems with patient flow and delay medical procedures throughout the hospital. This can cause long waiting times for physicians and patients thus creating customer dissatisfaction. The admissions RN has assigned a patient care associate to measure the bed turnaround time for a randomly selected bed each morning., afternoon, and evening for 30 days. Following are the bed turnaround time sample observations:

Day	Bed Turnaround Times (min)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30	127 140 112 223 181 103 146 104 136 145 84 169 216 190 148 157 142 166 177 98 133 212 180 88 95 156 144 184 138 150	135 155 128 135 155 158 135 122 158 163 146 152 124 178 205 151 102 178 211 91 160 131 165 126 156 202 157 171 142 99	167 122 97 154 160 145 167 115 137 106 125 208 163 103 144 126 95 159 204 158 152 138 134 108 138 177 165 106 155 148	144 135 118 187 172 124 150 137 148 139 98 200 172 169 167 144 122 161 189 128 143 167 186 92 126 187 144 172 156 102	151 119 131 150 166 149 178 129 156 170 112 178 168 145 152 167 99 139 208 92 115 138 145 89 113 201 156 176 162 108

1. Develop an X-chart to be used in conjunction with an R-chart using 3-sigma limit to monitor the bed turnaround time and indicate if the process is in control using these charts.
2. Is the hospital capable of consistently achieving bed turnaround times of 180 minutes 20 minutes without improving the process?