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Assignment #1 This assignment uses the Clear Eyes case study setting and data. Please make sure that you use only the data given in this assignment. For convenience, the data in Exhibit 2 of the case is reproduced in Assignment_1_Current_State.xls. The spreadsheet also shows the capacities and utilizations of various resources before any initiatives.

Assignment #1

This assignment uses the Clear Eyes case study setting and data. Please make sure that you use only the data given in this assignment. For convenience, the data in Exhibit 2 of the case is reproduced in Assignment_1_Current_State.xls.

The spreadsheet also shows the capacities and utilizations of various resources before any initiatives.

1. Patient-centric: On the day of their surgery, each patient goes through several activities as shown in Table 1. The number of parallel stations shown are based on the fraction of available capacity dedicated to that activity. The times shown are those currently used by the clinic and should be used to answer this question.

a.      Complete Table 1 with the cycle time and flow rate for each activity. Calculate the cycle time in (decimal) minutes for the entire process. Explain your reasoning. (3 points)

Table 1

Activity

Description

Time (mins)

Number of Stations

Cycle Time

(in minutes as a decimal)

Activity Flow Rate

 9

check in at clinic

2

0.4

 

 

10

Prep for surgery

10

1

 

 

11

Surgery, Cleanup, Record*

20

1

 

 

12

Bandage, walk to waiting

5

0.48

 

 

 

Waiting time

30

unlimited

 

 

14

PSR checks patient out

4

0.24

 

 

 

 

b.      Calculate the flow time in (decimal) minutes experienced by each patient. Show your calculations. (1 points)

 

 

 

2. 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

 

a.   Dr. Connors calculates the utilization with the increased patient volumes for staff and rooms using the available time per worker shown below. (1 point)

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

 

212912

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%

 

61.61%

119.01%

44.99%

62.16%

54.27%

65.19%

 

b.   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. (4 points)

Table 4

 

Receptionist

PSR

Technician

Staff Surgeon

Cleaner

Intake

Examining

Surgical

Time Required

29452

 

208902

119960

51825

161120

140667

253460

Available Workers

1

4

3

1

1

2

2

3

Available time per worker

 

 

 

 

 

 

 

 

Total Available Time

 

 

 

 

 

 

 

 

Utilization

 

 

 

 

 

 

 

 

 

 

c.    In your opinion, should Dr. Connors expand clinic hours as described. Support your answer with the values in Table 4. (1 point)

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