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
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.