2. Financial Operations Review - Confidential 2
Background
General Medical and Surgical Hospital
Founded in 1949, located in Miami Beach
Also a teaching hospital
Ranked #12 in Florida
Project Manager: Emily Forcke
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Project Goals
On this project we focused on the main cafeteria in 3
key areas:
Staffing to Demand – right type and amount of staff, on the
right areas, at the right times
Station Throughput – reducing delay and queue times at the
each station including cashiers
Increase Customer Satisfaction – quality service improvement
and reduce overall costs of the cafeteria
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Opportunity Statement
“Current perceptions of the cafeteria are not up to the
expectations. Customer satisfaction, turnaround time
for food retrieval, payment of meals, and overall
environment are in need of improvement”
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Throughput at Each Station
Sample
Size
Time in Line
Waiting for
Food & cashier
time
Total
Salad Bar 9 20 sec 1.5 min 2 min
Deli 47 3.5 min 3.5 min 7 min
Hot Foods 36 3 min 1 min 4 min
Cashiers 227 50 sec 25 sec 1min 15 sec
Observations Conducted:
• 10/19 10/20, 10/21, 10/22
• 11/9, 11/11
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Facility Planning
Poor overall layout in the seating area
Table sizes from 3 up to 6 people
Gathered and analyzed data from customers using
seats and tables
Find overall utilization of seats in order to maximize
space
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Seating Area Table Utilization
Overall Utilization of Seats: 57%
4 person table: 53%
5 person table: 48%
6 person table: 75%
67%
40%
57%
0%
10%
20%
30%
40%
50%
60%
70%
1 2 3 1 2 3 4 1 2 3 4 1 2 3 4 5 6
3 Seats 4 Seats 5 Seats 6 Seats
Frequency of # of Customers per Table by Table Size
N = 12 N = 97 N = 28 N = 19
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Seating Area Analysis
23%
39%
20%
10%
3% 3%
1%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
1 2 3 4 5 6 7
Customers per table
Frequency of Customers per Table
N = 163, over 3 days
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Quality Control
Critical to quality and critical to customers
Menus and specials published inside the cafeteria do
not match the ones outside and online
Long, hard to read and no price specification
Come up with a new menu design in order to improve
overall quality
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Quality Control
Left Center Right
Employee Super Value Meal
Chicken Pot Pie
w/ Rice
Chipotle Lime Tilapia
w/ Mixed Veggies
BBQ Ribs
w/ Corn on the Cobb
Meal $5.59
(after discount)
Chicken $4.09
Rice $2.00
Meal $6.09
Tilapia $4.09
Veggies $2.00
Meal $6.09
Ribs $4.09
Corn on the Cobb $2.00
Specials Located at “Hot Foods” Station to the left of the Deli Line
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Cashier Staff Analysis
Performed time studies at cashier stations
Gather data regarding transactions duration based
on three payment methods
• Cash
• Credit Card
• Employee’s Badge
Counted amount of costumers per payment method
Determine the optimal number of cashiers needed per
fifteen minute intervals during peak lunch hours
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Cashier Staff Analysis
33 sec
29 sec
13 sec
0.00
0.05
0.10
0.15
0.20
0.25
0.30
0.35
CASH CREDIT CARD BADGE
Average time at Cashier
seconds
N = 126, over 2 days
39 employees32 employees
13 visitor
30 employees
12 visitor
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Cashier Staff Analysis
A customer spends an average of 25 seconds at the cashier or
0.42 min
August 2015
Hour of Day Time Increment
15min
Avg. Total
customers
Avg. Cust. Per Increment
Per day
Demand of work
Time
(min)
Cashiers Needed
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Population Analysis
121
216
297
0
50
100
150
200
250
300
350
Visitor Office Employee Nurse/Physician
Count on population
N =634, over 2 days
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Spaghetti Map
What is it?
Method that uses a continuous
line to trace the path of a
particular object or person
throughout a process.
Purpose
To expose inefficient process
layouts, unnecessary travel
distance between process steps
and overall process waste
deligrill
Nurse Example
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General Recommendations
Re-locate salad/soup stations to centralized location to
maximize self-service
Change set up and table sizes to maximize utilization of
capacity
Distribute schedule for office employees, nurses and
physicians per half hour intervals during peak lunch hours
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Recommendations – per Station
Cashiers
• Implement plastic bag holders at the end of cashier line
• Implement results obtained in the cashier analysis
Grill
• Eliminate cups for fries at burgers station since a container is used for
the same purpose
• Sell chicken tenders by weight and not by units.
Deli
• Provide cross training through staffing
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Recommendations Implemented
Sample food plates were provided to reduce congestion
in every station
Signs were improved along the cafeteria (font size,
location)
• Electronic Signs
– 42” electronic signs have been purchased
– Content of each sign finalized with Marketing
• Existing signs
– Create consistent design that is easy to follow
Re-locate trays – trays at each station
Including “Payroll Deduct” enrollment form with
Orientation package
Recommendation: Including “Payroll Deduct” enrollment form with Orientation package.
Also, encourage current workers to change to payroll deduction.
Recommendation: Over 2 days we counted and analyzed the amount of people who went through the cashier and we categorized them as visitor, office employees or nurse and physician. Most of the customers at the cafeteria are employees. We highly recommend to distribute lunch schedule of offices and nurses from 12-1:30 in periods of 30min, so we don’t have congestion on the food lines and cashier.
This is a table distribution that we got with the help of Emily and the project management team. As we can see the very peak moments are from 12pm-12:30pm
Since most of the customers at the cafeteria are office employees and nurses