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1
[MM5004 - OPERATION
MANAGEMENT]
1
SYNDICATE 9
2
School of Business and Management
SYNDICATE CASE ANALYSIS
RADIATION TREATMENT MACHINE
PLANNING AT CANCER CARE ONTARIO
SYNDICATE 9 [MM5004 - OPERATION
MANAGEMENT]
2
29121274,
Julyestra
Vidha
Thaashaar
29121208,
Arief
Waliyuddin
29121076,
Cita Yulia
29121248,
Topan
Ardiansyah
29121262,
Sendika
Panji
3
Today’s Agenda
BACKGROUND
INFORMATIONS
1
STRATEGY CAPACITY
MANAGEMENT
2
FORECAST
3
RECOMMENDATION
4
3
BACKGROUND
INFORMATIONS
4
01
Where are we?
https://dribbble.com/shots/5099460-Thinking-Man
5
CANCER CARE ONTARIO
5
TASK
- Manages Contract for Services with
Hospital and Providers
- Develop and Deploys Information System
- Establishes Clinical Guidelines and
Standard
- Track Performance Target for
Improvement Treatment and Access to
care for cancer and chronic kidney
disease
FACILITY
- Treatment Room (House a single linear
Accelerator)
- Empty Room (Allocated Future
Expansion, but not being used)
- Swing Room (Empty Room used for
Equipment Replacement)
RTCIS ( RADIATION TREATMENT CAPITAL INVESTMENT STRATEGY) is Outlined recommendations for capital
investment in Radiation Treatment Machines to meet the demand in Ontario
6
WHY RTCIS??
6
S SOLUTION
RTCIS Allocation strategy for
16 Cancer Center , Make
forecasting to grab the needs
of treatment.
OBJECTIVES
To Ensure that the system
has sufficient capacity for
those who would benefit from
radiation treatment.
PROBLEM
Insufficient Capacity :
- Patient who should
received might not
receive it or not received
it in timely manner
- High personal cost for
travel to Ontario for
some patient
- Some patients may be
required substitute to
other treatment
- Waiting Time increase
7
CURRENT CAPACITY FOR RADIATION
TREATMENT IN ONTARIO
7
Year Linacs Cancer Center City
2000 65 2 Kingston dan Ottawa
2011 95 9 Grand River, Peel dan Durham, Newmarket, Barrie, Niagara dan
Algoma, Kingston & Ottawa
2012 100 9 Grand River, Peel dan Durham, Newmarket, Barrie, Niagara dan
Algoma, Kingston, Peterborough, and so on.
Current
in 2013
103 16 Grand River, Peel dan Durham, Newmarket, Barrie, Niagara dan
Algoma, Kingston, Ottawa, Peterborough, and so on.
LINACS
for radiation
therapy
Used to :
● Curative Treatment for Cancer
● Alleviate Symptoms
● Extend Life
● Improve Quality of Life
Using For Tumour, is :
Gamma Rays, X-ray
Beams or Radioactive
Compounds
STRATEGY
CAPACITY
MANAGEMENT
8
02
▸ Accurate and timely projections related to capacity planning are critical
to the treatment of cancer patients.
▸ A linacs increase from 65 to 95 in 2010 until 2011.
▸ Capital Investment Strategies developed by CCO and accepted by the
Ontario Ministry of Health and Long-Term Care (MOHLTC).
▸ The first strategy resulted in new facilities in Grand River, Peel and
Durham.
▸ The second strategy resulted in the construction of new facilities in
Newmarket, Barrie, Niagara and Algoma, and redevelopment of the
existing centres in Kingston and Ottawa.
▸ CCO facilities :
4-6 month for Installation
Swing Room Treatment Room
Empty Room
LINACS (IDEALLY, 1 PERMANENT ROOM HAVE 2 UNIT)
Discussion
Can you
FORECASTING
DEMAND OF
these?
▸ From the data we can conclude that percent
cancer case treatments will arise to 42% in
2020, and for the long term cancer case
treatments will achieve the 48% usage in 2031.
▸ This condition will be passed by addition of new
equipment and construction of a new cancer
treatment center.
▸ In the 16 cancer center, the available swing
room is 10 rooms and empty room is 6 rooms.
▸ And, for the fulfill this availability rooms in the
cancer center we must do the forecast
placement strategy the coming equipment.
9
03
Discussion
Can you
FORECASTING
DEMAND OF
these?
10
03
▸ The data above is equipments total have
available year by year in the 16 cancer center.
Discussion
Can you
FORECASTING
DEMAND OF
these?
11
03
▸ The data above is forecasting cancer case that can get
the radiation treatment year by year, using the simple
linear regression models proven with the chart on this
left slide.
▸ this forecast (the pink sells) is calculated by forecasting
linear equation based on data forecast at 2013-2017.
Discussion
Can you
FORECASTING
DEMAND OF
these?
12
03
▸ The data above is LINACS equipments need that getting by the
forecast cancer case year-by-year will be treatment, if we
assume each equipment will treatment 426 patients per year.
▸ the equipments need is total forecast cancer case per year
divided by 426.
Recommendation
based on
FORECASTING
DEMAND
13
04
▸ based on RTCIS advice, the additional radiation equipments in
the cancer center is:
Year Additional
Equipments
Locations
2013 4 LINACS 1 LINACS in Cancer center 6
and 3 LINACS in Cancer center
15
2014 3 LINACS Each Cancer center in 4, 13, 14
get 1 LINACS
2015 5 LINACS Each Cancer center in 4, 5, 7, 9,
12 get 1 LINACS
2016 2 LINACS Each Cancer center in 7 and 10
get 1 LINACS
2017 2 LINACS Each Cancer center in 2 and 8
get 1 LINACS
Recommendation
based on
FORECASTING
DEMAND
14
04
▸ In the term of the distribution of additional LINACS from the
slide before, several of Cancer center doesn’t meet the
forecast need of treatment units, because there’s no
availability room (swing or empty room).
▸ So, for example, the Cancer care 13 is need an additional
LINACS but doesn’t have an available room, we can put the
portable LINACS unit to here.
15
15
Let’s Discuss the Results!
16
Any
Question
s
16
17
17

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Linacs radiation treatment machine, syndicate 9 (1)

  • 2. 2 School of Business and Management SYNDICATE CASE ANALYSIS RADIATION TREATMENT MACHINE PLANNING AT CANCER CARE ONTARIO SYNDICATE 9 [MM5004 - OPERATION MANAGEMENT] 2 29121274, Julyestra Vidha Thaashaar 29121208, Arief Waliyuddin 29121076, Cita Yulia 29121248, Topan Ardiansyah 29121262, Sendika Panji
  • 5. 5 CANCER CARE ONTARIO 5 TASK - Manages Contract for Services with Hospital and Providers - Develop and Deploys Information System - Establishes Clinical Guidelines and Standard - Track Performance Target for Improvement Treatment and Access to care for cancer and chronic kidney disease FACILITY - Treatment Room (House a single linear Accelerator) - Empty Room (Allocated Future Expansion, but not being used) - Swing Room (Empty Room used for Equipment Replacement) RTCIS ( RADIATION TREATMENT CAPITAL INVESTMENT STRATEGY) is Outlined recommendations for capital investment in Radiation Treatment Machines to meet the demand in Ontario
  • 6. 6 WHY RTCIS?? 6 S SOLUTION RTCIS Allocation strategy for 16 Cancer Center , Make forecasting to grab the needs of treatment. OBJECTIVES To Ensure that the system has sufficient capacity for those who would benefit from radiation treatment. PROBLEM Insufficient Capacity : - Patient who should received might not receive it or not received it in timely manner - High personal cost for travel to Ontario for some patient - Some patients may be required substitute to other treatment - Waiting Time increase
  • 7. 7 CURRENT CAPACITY FOR RADIATION TREATMENT IN ONTARIO 7 Year Linacs Cancer Center City 2000 65 2 Kingston dan Ottawa 2011 95 9 Grand River, Peel dan Durham, Newmarket, Barrie, Niagara dan Algoma, Kingston & Ottawa 2012 100 9 Grand River, Peel dan Durham, Newmarket, Barrie, Niagara dan Algoma, Kingston, Peterborough, and so on. Current in 2013 103 16 Grand River, Peel dan Durham, Newmarket, Barrie, Niagara dan Algoma, Kingston, Ottawa, Peterborough, and so on. LINACS for radiation therapy Used to : ● Curative Treatment for Cancer ● Alleviate Symptoms ● Extend Life ● Improve Quality of Life Using For Tumour, is : Gamma Rays, X-ray Beams or Radioactive Compounds
  • 8. STRATEGY CAPACITY MANAGEMENT 8 02 ▸ Accurate and timely projections related to capacity planning are critical to the treatment of cancer patients. ▸ A linacs increase from 65 to 95 in 2010 until 2011. ▸ Capital Investment Strategies developed by CCO and accepted by the Ontario Ministry of Health and Long-Term Care (MOHLTC). ▸ The first strategy resulted in new facilities in Grand River, Peel and Durham. ▸ The second strategy resulted in the construction of new facilities in Newmarket, Barrie, Niagara and Algoma, and redevelopment of the existing centres in Kingston and Ottawa. ▸ CCO facilities : 4-6 month for Installation Swing Room Treatment Room Empty Room LINACS (IDEALLY, 1 PERMANENT ROOM HAVE 2 UNIT)
  • 9. Discussion Can you FORECASTING DEMAND OF these? ▸ From the data we can conclude that percent cancer case treatments will arise to 42% in 2020, and for the long term cancer case treatments will achieve the 48% usage in 2031. ▸ This condition will be passed by addition of new equipment and construction of a new cancer treatment center. ▸ In the 16 cancer center, the available swing room is 10 rooms and empty room is 6 rooms. ▸ And, for the fulfill this availability rooms in the cancer center we must do the forecast placement strategy the coming equipment. 9 03
  • 10. Discussion Can you FORECASTING DEMAND OF these? 10 03 ▸ The data above is equipments total have available year by year in the 16 cancer center.
  • 11. Discussion Can you FORECASTING DEMAND OF these? 11 03 ▸ The data above is forecasting cancer case that can get the radiation treatment year by year, using the simple linear regression models proven with the chart on this left slide. ▸ this forecast (the pink sells) is calculated by forecasting linear equation based on data forecast at 2013-2017.
  • 12. Discussion Can you FORECASTING DEMAND OF these? 12 03 ▸ The data above is LINACS equipments need that getting by the forecast cancer case year-by-year will be treatment, if we assume each equipment will treatment 426 patients per year. ▸ the equipments need is total forecast cancer case per year divided by 426.
  • 13. Recommendation based on FORECASTING DEMAND 13 04 ▸ based on RTCIS advice, the additional radiation equipments in the cancer center is: Year Additional Equipments Locations 2013 4 LINACS 1 LINACS in Cancer center 6 and 3 LINACS in Cancer center 15 2014 3 LINACS Each Cancer center in 4, 13, 14 get 1 LINACS 2015 5 LINACS Each Cancer center in 4, 5, 7, 9, 12 get 1 LINACS 2016 2 LINACS Each Cancer center in 7 and 10 get 1 LINACS 2017 2 LINACS Each Cancer center in 2 and 8 get 1 LINACS
  • 14. Recommendation based on FORECASTING DEMAND 14 04 ▸ In the term of the distribution of additional LINACS from the slide before, several of Cancer center doesn’t meet the forecast need of treatment units, because there’s no availability room (swing or empty room). ▸ So, for example, the Cancer care 13 is need an additional LINACS but doesn’t have an available room, we can put the portable LINACS unit to here.
  • 17. 17 17