BREE 420 Lecture Notes - Lecture 7: London Health Sciences Centre, Childrens Hospital, Operations Management
25 May 2018
School
Department
Course
Professor
MGCR 472 – Operations Management
Case: Paediatric Orthopaedic Clinic at the Children's Hospital of Western Ontario
*Please note that these are complement notes to the slides.
• Long wait times experienced by young patients, aggravating children's distress
• On average, patients spending roughly 2 hours in the clinic
• Staff also over-extended, yet ineffective utiliaztion of staff
• Budgetary pressures to reduce cost of service mounting
• Issues: Process Analysis, Variability in activity times, itneractions amongst processes,
efficiency in managing resources to needs
• Immediate issue
The Clinic
• Jointly managed by the Children's Hospital of W O and the Division of Surgery, both a part
of the London Health sciences Centre
• The clinic operated from 8:30 am to 1pm and accepted only patients with prior
appointments.
• On atypical day, 80 patients pass through the clinic; 40 per cent are new patients and 60
per cent are follow-up patients.
• The follow-up patients can be further categorized into patients who require X-ray and
those who do not.
Analysis of the case: Step 1
Step 1: Finding the ctivity utilization at every step in the process
What is the utilization for the:
• Nurses at the Front desk
• Technicians at the radiology department
• Surgeon in the examination room
Where is the bottleneck in the process? What are the capacity constraints at the clinic?
• To find the bottleneck, you have to find the utilization of the 3 types of workers.
• Use Utilization = Flowrate/Capacity of the system
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Document Summary
Case: paediatric orthopaedic clinic at the children"s hospital of western ontario. *please note that these are complement notes to the slides. Long wait times experienced by young patients, aggravating children"s distress: on average, patients spending roughly 2 hours in the clinic. Staff also over-extended, yet ineffective utiliaztion of staff: budgetary pressures to reduce cost of service mounting. Issues: process analysis, variability in activity times, itneractions amongst processes, efficiency in managing resources to needs. Step 1: finding the ctivity utilization at every step in the process. What is the utilization for the: nurses at the front desk, technicians at the radiology department. What are the capacity constraints at the clinic: to find the bottleneck, you have to find the utilization of the 3 types of workers, use utilization = flowrate/capacity of the system. Total number of patient = flow rate = 80 patients/day (40% new, 60% follow-up patients): new patients: 80 x.
