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    CH 24

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    mimibarasa06
    This document analyzes the process flow and resource utilization of a clinic. It calculates wait times, service times, and utilization rates for different roles and resources. The analysis finds that physician rooms have over 100% utilization, identifying them as the bottleneck. Recommendations to improve throughput include installing touchscreen registration, changing pharmacy customers' process, decreasing medical assistants, converting a vital room to a physician room, and reducing registration times through online/mail options.

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    CH 24

    Uploaded by

    mimibarasa06
    41 views3 pages
    This document analyzes the process flow and resource utilization of a clinic. It calculates wait times, service times, and utilization rates for different roles and resources. The analysis finds that physician rooms have over 100% utilization, identifying them as the bottleneck. Recommendations to improve throughput include installing touchscreen registration, changing pharmacy customers' process, decreasing medical assistants, converting a vital room to a physician room, and reducing registration times through online/mail options.

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    kul

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    Ch 24

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    This document analyzes the process flow and resource utilization of a clinic. It calculates wait times, service times, and utilization rates for different roles and resources. The analysis finds that physician rooms have over 100% utilization, identifying them as the bottleneck. Recommendations to improve throughput include installing touchscreen registration, changing pharmacy customers' process, decreasing medical assistants, converting a vital room to a physician room, and reducing registration times through online/mail options.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    41 views3 pages

    CH 24

    Uploaded by

    mimibarasa06
    This document analyzes the process flow and resource utilization of a clinic. It calculates wait times, service times, and utilization rates for different roles and resources. The analysis finds that physician rooms have over 100% utilization, identifying them as the bottleneck. Recommendations to improve throughput include installing touchscreen registration, changing pharmacy customers' process, decreasing medical assistants, converting a vital room to a physician room, and reducing registration times through online/mail options.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    1.

    Draw a process flow diagram for each type of patient


    New Patients
    Old Patients
    Pharmacy only
    Patients

    Security Waiting
    Line
    (10)

    Registration
    Waiting Line
    (24)

    Securi
    ty
    (2)

    New
    Patients
    ?

    Registration New
    Patient
    (22)
    Registration Old
    Patient (7)

    Vital Waiting
    Line
    (15)

    Vital Sign
    Taken
    (6)

    Pharmacy
    Only

    Refill Only?

    Pharmacy
    Waiting Line
    (13)

    Pharmacy
    Process

    Patient
    Coordinator
    Visit
    (7)

    Coordinator
    Waiting

    Provider
    Visit
    (20)

    Prescriptio
    n?

    Record Waiting
    Line
    (10)

    2. Calculate the capacity and utilization of each resource and idenfy bottlenecks

    Provider Waiting
    Line
    (15)

    Record
    Complete
    ?

    Utilization formula =

    Arrivals x Service Time


    Number of Service x Available Hours x 60 min

    Rata-rata pasien = 150 pasien per hari dengan 30 pasien langsung ke bagian farmasi
    Amount

    Petient
    Arrived
    150

    Service
    Time
    (min)
    2

    Available
    Time
    (hr/day)
    11

    Security

    Registration
    Clerks
    Medical
    Assistants
    Physicians

    150

    120

    120

    20

    Coordinators

    120

    7.5

    Pharmacy Staf

    90

    11

    7.5

    ROOMS
    Vitals

    120

    120

    37

    EMPLOYEES

    Physicians

    Utilizat
    ion
    0.45454
    5
    0.83333
    3
    0.24489
    8
    0.63492
    1
    0.62222
    2
    0.73333
    3
    0.57142
    9
    1,32142
    9

    Utilizati
    on
    (%)
    45,45
    83,33
    24,49
    63,49
    62,22
    73,33

    57,14
    132,14

    The room for physicians is a bottleneck statistically showing over 100% utilization. This means that the rooms are actually used beyond the stated
    available time, patients wait elsewhere or something else is not captured in the statistics presented actual utilization cannot be over 100%.
    3. Calculate the wait time and time in service for both new and returning patients with appointments and those visiting the pharmacy.
    Wait time for a new and returning patient : 10 minutes for security, 24 minutes for registration, 15 minutes for vitals, 25 minutes for physicians, 25
    minutes for coordinators, and 50% chance of a 13 minute wait for the pharmacy for a total of 100.5 minutes

    Service Time for a new patient : 2 minutes for security, 22 minutes for registration, 6 minutes for vitals, 20 minutes for physicians, 7 minutes for
    coordinators, and 50% chance of a 11 minute service for the pharmacy for total of 62.5 minutes
    Service Time for a returning patient : 2 minutes for security, 7 minutes for registration, 6 minutes for vitals, 20 minutes for physicians, 7 minutes for
    coordinators, and 50% chance of a 11 minutes service for the pharmacy for a total 47.5 minutes
    Wait Time for a pharmacy customer: 10 minutes for security, 24 minutes for registration and a 13 minute wait for the pharmacy for a total of 47
    minutes
    Service Time for a pharmacy customer: 2 minutes for security, 7 minutes for registration, and 11 minutes service for the pharmacy for a total 20
    minutes

    4. What are your recommendations for improvement?


    Possible answers include:
    Install touch screen registration as presented in the chapter.
    Change the process so that Pharmacy customers do not have to register.
    Currently the medical assistants have less than 30% utilization so decrease their number.
    Change one of the vital rooms into a physician room and have patients wait in the waiting room until physicians are ready to see them.
    Have physicians start later since they often do not see the first patient until 9:30.
    Find ways to reduce the registration time such as having new patients preregister on-line or by mail.
    Look for fail safes to make sure processes operate correctly, such as color coding X-rays to ensure their delivery on time.

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