Banyan State University Medical Clinic
Banyon State University (BSU) operates a walk-in medical clinic to meet the acute medical needs of its 13,000 students, 1,200 faculty and staff members, and covered relatives. The clinic is staffed by one doctor and one nurse and operates 8 hours a day, 5 days a week. The doctor and nurse do not take a lunch break, but rather use gaps between patient arrivals to eat lunch and take other short breaks. Because patients often do not arrive right when the clinic opens and because they must visit with a nurse before seeing the doctor, the doctor’s official start time is 45 minutes after the clinic opens. Patients arriving at the clinic are served on a first-come first-served basis.
As part of a new total quality management (TQM) initiative, BSU conducted an in-depth 40month study of its current operations. A key component of the study was a survey, distributed to all students, faculty, and staff. The purpose of the study was to identify and prioritize areas most in need of improvement. An impressive 44% of the surveys were returned and deemed usable. Follow-up analysis indicated that the respondents to the survey were representative of the population served by the clinic. After the results were tabulated, it was determined that the walk-in medical clinic was located at the bottom of the rankings, indicating a great deal of dissatisfaction with the clinic.
Preliminary analysis of the respondents’ comments indicated that people were reasonably satisfied with the treatment they received at the clinic but were very dissatisfied with the amount of time they had to wait to see a care giver. To gain additional insight into the problem, a team of students was asked to study the problem as part of a course project. In addition to determining the general issues, they were asked to determine the desirability of a new, computerized patient record system (CPRS) to aid in reducing waiting times. The student team initially collected data on the pattern of arrivals at the clinic and the various services times (discussed in more detail later). The team determined that on a typical day, inter-arrival times were uniformly distributed between 6 and 20 minutes. After arriving at the clinic, patients complete a form that requests background information and the reason for the visit. The staff collects these forms and retrieve the patients’ records from the basement. The team determined that the time to retrieve patient records follows a normal distribution with a mean of 4 minutes and a standard deviation of 0.75 minute. Retrieved patient records are placed in a pile from the clinic’s nurse in the order that the patients arrived at the clinic.
When the nurse finishes with the current patient, the file of the next patient is selected and the patient is directed to the nurse’s station. Here the nurse further documents the problem and takes some standard measurements such as temperature and blood pressure. ...
Christina Doughty created an EHR training and implementation plan for her practice. Key aspects of the plan include purchasing an EHR system that is intuitive, customizable, and supports mobile use. Training will be provided to clinical staff, physicians, and non-clinical staff in classes covering EHR basics, navigation, and job-specific functions. Classes will be led by trained super-users over several sessions, with completion required by November 21 and refresher courses offered afterward. The goal is to improve patient care and reduce costs through successful EHR adoption.
Running Head Quality Improvement Project1QUALITY IMPROVEMEN.docxtoltonkendal
Running Head: Quality Improvement Project 1
QUALITY IMPROVEMENT PROJECT 7
Quality Improvement Project
Jerome Phillips
Kaplan University
HS460
Professor Sexton-Tosh
September 22, 2017
The topic on continuous quality improvement for my final project that I selected is Patient Administration. There are many health care sectors that are involved with patient administration.
Some of those heath care sectors consist of:
1. Hospital Management Firms
2. Health Maintenance Organizations
3. Health Information Technology
4. Long Term Care Facilities
5. Public Health
6. Healthcare Network
While CQI implementation is slowing down in some health care sectors after the impact of early adopters may have worn off, other sectors of health care, such as public health (see Chapter 16) and nursing (see Chapter 17), are embracing and expanding CQI concepts and methods. (Sollecito 70)
There are many disciplines involved with patient administration.
1. Public Health
2. Physical Therapy
3. Pharmacy
4. Nursing
This process is real. Patient Administration is an area that Continuous Quality Improvement can make a difference in how patient’s view the healthcare they receive. Healthcare will always be needed, because not many are willing to try the alternative of not getting healthcare.
References:
Sollecito, William A. McLaughlin and Kaluzny's Continuous Quality Improvement In Health Care, 4th Edition. Jones & Bartlett Learning, 20110929. VitalBook file.
As an individual, you have our own wants needs and desires you want to pursue and achieve. Even though you are an individual, you are simultaneously also part of a larger society. Being part of a larger society includes the understanding that our society also has needs it must achieve and maintain if it is going to operate in an orderly manner that is beneficial to the greatest majority of society.
For this assignment, you will write a 1-2 page essay that identifies the key social issues contributing to the need for Criminal Justice practitioners. In your paper, identify and define three key social issues. Also, discuss how the issues impact your role as a criminal justice professional. Provide 2-3 illustrative examples to support your position.
Format your paper with an introductory paragraph, an explanation of the three key social issues, and then a concluding paragraph.
View the Unit 2 Assignment Checklist
NOTE: This assignment will require outside research (at least two outside resources). You may consult the Kaplan Online Library, the internet, the textbook and other course material, and any other outside resources in supporting your task.
Keep in mind that college students are expected to have strong writing skills, and you should put forth your best writing effort for this assignment. You may not be at a point where you have strong writing skills, but you will have every opportunity to develop them as you continue through your program of study. Be sure to use the resources available to you t ...
This document summarizes a student project using Flexsim and ProModel simulations to analyze patient flow through a healthcare facility. The student ran multiple scenarios in the simulations, varying exam room numbers, nurse staffing levels, and patient arrival rates. The best scenario involved an arrival rate of 20-30 minutes, an 8-nurse pool, and multiple exam room locations. However, further work is needed to distinguish between new and established patients. Overall, the simulations aimed to reduce wait times and improve resource utilization.
1) The Child Protection Center (CPC) evaluated children who may have been abused and aimed to reduce patient wait times which were perceived to be due to staff shortages.
2) A discrete event simulation model was developed to analyze current patient flow and identify bottlenecks. It found the sexual abuse exam room and medical assistants were causing most delays.
3) The best scenario found was adding 0.6 full-time equivalent medical assistant in the afternoon and changing the exam room configuration to one exam room and two sexual abuse exam rooms. This significantly reduced total patient wait times.
A Lean Six Sigma Case Study
If you want to prosper for a year, grow rice. If you want to prosper for a decade, plant trees. If
you want to prosper for a century, grow people -- a wise old farmer reflecting back on a life
of toil in the soil
PROJECT DESCRIPTION
The following Lean Six Sigma case study will reflect a real-life healthcare problem with
Continuous Improvement and Lean Six Sigma Tools to show how some of the tools are put into
place in the real world. The object of this project is your appropriate use of Lean Six Sigma
tools and the data provided. Project completion is required to pass the course. Project
assignments are assessed on a Complete/Incomplete basis. Each Phase of the DMAIC process in
the Project has an assignment. Assignments must be submitted to the instructor by the end of the
week corresponding to the DMAIC Phase. The exception is the week 8 or Control phase
assignment which needs to be submitted early in the last week of the course to allow grading.
The Instructor will determine if the student has submitted a Project assignment that is Complete.
If the assignment is Incomplete, there will be interaction between the Instructor and student until
the assignment is Complete. All project assignments must be assessed as Complete for the
student to pass the course. An Incomplete project will result in a Failing grade for the course.
Student Case Study
Case Study:
Process Improvement –
Reduction in Wait Time for
Patients in a Doctor Office
Executive Summary
Dr. Deasley is a popular Doctor in Tampa, Florida specializing in primary care. He spends a great deal of
time with each of his patients, typically, 45 minutes to one (1) hour. As a result, there are many other
patients waiting in the waiting room who become impatient at the long wait time. The Doctor has hours
every day except Wednesdays. He has Hospital Clinic on Wednesdays and does not have office hours.
Dr. Deasley’s office hours are 7:30 AM to 5:30 PM (patients can be scheduled up until 5:30 PM) on
Tuesdays and Thursdays and 9:30 AM to 7:30 PM (patients can be scheduled up until 7:30 PM) on
Mondays and Fridays. He does Hospital Rounds from 6:00 AM to 8:00 AM. He conducts patient call
backs between patients, during his lunch hour and after office hours. We triage the calls so he gets back
to more seriously sick patients first. However, sometimes he doesn’t call back non-emergencies until the
next AM. Dr. Deasley is becomes overbooked because he likes to have 10 patients scheduled per day.
However, due to time constraints he frequently needs to rebook patients he is unable to see due to time
constraints.
Dr. Deasley’s patients and staff love him for his patience and attention. But, several long term patients
have left his practice because of this issue. This has resulted in a decrease in revenue for the office. In
addition, his office is experiencing a rather high rate of staff turnover. S ...
Key Performance Indicator Assignment Capstone Written Case ConcepTatianaMajor22
Key Performance Indicator Assignment: Capstone Written Case Conceptualization (20 points) (The client selected should be a high school student. I did my intern at a high school) The student will select a client from their internship site and complete an 8-page (minimum) case conceptualization report detailing the following ten competencies,
1. Assessment Skills: Includes a summary of the DSM-5 diagnosis, biopsychosocial assessment, mental status exam, substance use, risk assessment, and any other assessment instruments used.
2. Intervention & Conceptualization Skills: Includes a summary of how the assessment informs treatment, treatment plan, goals, and interventions used. Incorporates any relevant cultural, racial, ethical, and legal (if applicable) issues related to the case, and reflects the intern’s personal theory of counseling.
3. Writing Skills and Document Organization: Paper clearly and succinctly communicates clinical impressions. Paper is organized, with appropriate grammar, spelling, and APA Style.
4. Use of Supervision: Includes a summary of how supervision impacted clinical decision making and case conceptualization.
5. Knowledge & Application of Site-Specific Information: Includes a description of how the site’s clinical services and structure affect the assessment, treatment, and conceptualization of the selected case. Any relevant policies, regulatory processes, and program evaluation measures associated with service delivery are included.
6. Professional Counseling Competencies: Includes a description of how the case was conceptualized from the professional counseling framework compared to other mental health professions (e.g., counseling promotes clients' optimal human development, wellness, and mental health through prevention, education, and advocacy activities, including advocacy for those with mental health issues.)
7. Personal Attributes & Self-Understanding: Includes a summary of 1. intern’s reactions, awareness of own emotional response, and effective countertransference management related to the client case, and 2. awareness of intern’s impact on client (i.e., intern’s race, gender, religion) and client’s transference responses.
8. Interpersonal Competencies: Includes a summary of how the intern’s interactions with supervisor, interdisciplinary team, and site colleagues informed the case. Describe how the use of Generated: 10/22/2021 Page 7 of 23 empathy, compassion, and respect for client’s autonomy were evident in the client’s treatment.
9. Student’s Strengths: Identify and describe at least three of the intern’s personal strengths that enhanced the client’s treatment.
10. Student’s Areas for Development: Identify and describe at least three of the intern’s areas for development that would further enhance the client’s treatment. This paper must be written in APA Style
Due date 11/13/21
Please see attached “final capstone correct” I have started the paper but I need help completing the rest. I have in ...
The document summarizes a study conducted by students at Boston University to analyze patient flow and improve efficiency at the Boston Medical Center (BMC) Infectious Disease clinic. The study observed 91 patients in the front of house areas and 38 patients in back of house clinic areas, tracking task times. It found variation in time patients spent with doctors. Recommendations included reducing this variation, shifting tasks to less specialized workers, shifting patient demand to less busy times, and continuing to collect clinic data. The overall goal was to improve volume, safety, satisfaction and reduce costs at the clinic.
Analytics in Healthcare - Using queuing theory to improve patient flowSawad thotathil
This document outlines a quality improvement project to optimize resource deployment and reduce wait times in a hospital phlebotomy department. Through queuing analysis, it was determined that 4 phlebotomists were needed to meet a goal of less than 5 minute wait times. Three PDSA cycles were conducted: 1) redeploying staff but failing to improve metrics, 2) linking individual and team performance to goals which reduced variability, and 3) adjusting staffing slightly. This new process allowed the hospital to avoid hiring additional staff and save $80,000 annually in the US healthcare system.
Christina Doughty created an EHR training and implementation plan for her practice. Key aspects of the plan include purchasing an EHR system that is intuitive, customizable, and supports mobile use. Training will be provided to clinical staff, physicians, and non-clinical staff in classes covering EHR basics, navigation, and job-specific functions. Classes will be led by trained super-users over several sessions, with completion required by November 21 and refresher courses offered afterward. The goal is to improve patient care and reduce costs through successful EHR adoption.
Running Head Quality Improvement Project1QUALITY IMPROVEMEN.docxtoltonkendal
Running Head: Quality Improvement Project 1
QUALITY IMPROVEMENT PROJECT 7
Quality Improvement Project
Jerome Phillips
Kaplan University
HS460
Professor Sexton-Tosh
September 22, 2017
The topic on continuous quality improvement for my final project that I selected is Patient Administration. There are many health care sectors that are involved with patient administration.
Some of those heath care sectors consist of:
1. Hospital Management Firms
2. Health Maintenance Organizations
3. Health Information Technology
4. Long Term Care Facilities
5. Public Health
6. Healthcare Network
While CQI implementation is slowing down in some health care sectors after the impact of early adopters may have worn off, other sectors of health care, such as public health (see Chapter 16) and nursing (see Chapter 17), are embracing and expanding CQI concepts and methods. (Sollecito 70)
There are many disciplines involved with patient administration.
1. Public Health
2. Physical Therapy
3. Pharmacy
4. Nursing
This process is real. Patient Administration is an area that Continuous Quality Improvement can make a difference in how patient’s view the healthcare they receive. Healthcare will always be needed, because not many are willing to try the alternative of not getting healthcare.
References:
Sollecito, William A. McLaughlin and Kaluzny's Continuous Quality Improvement In Health Care, 4th Edition. Jones & Bartlett Learning, 20110929. VitalBook file.
As an individual, you have our own wants needs and desires you want to pursue and achieve. Even though you are an individual, you are simultaneously also part of a larger society. Being part of a larger society includes the understanding that our society also has needs it must achieve and maintain if it is going to operate in an orderly manner that is beneficial to the greatest majority of society.
For this assignment, you will write a 1-2 page essay that identifies the key social issues contributing to the need for Criminal Justice practitioners. In your paper, identify and define three key social issues. Also, discuss how the issues impact your role as a criminal justice professional. Provide 2-3 illustrative examples to support your position.
Format your paper with an introductory paragraph, an explanation of the three key social issues, and then a concluding paragraph.
View the Unit 2 Assignment Checklist
NOTE: This assignment will require outside research (at least two outside resources). You may consult the Kaplan Online Library, the internet, the textbook and other course material, and any other outside resources in supporting your task.
Keep in mind that college students are expected to have strong writing skills, and you should put forth your best writing effort for this assignment. You may not be at a point where you have strong writing skills, but you will have every opportunity to develop them as you continue through your program of study. Be sure to use the resources available to you t ...
This document summarizes a student project using Flexsim and ProModel simulations to analyze patient flow through a healthcare facility. The student ran multiple scenarios in the simulations, varying exam room numbers, nurse staffing levels, and patient arrival rates. The best scenario involved an arrival rate of 20-30 minutes, an 8-nurse pool, and multiple exam room locations. However, further work is needed to distinguish between new and established patients. Overall, the simulations aimed to reduce wait times and improve resource utilization.
1) The Child Protection Center (CPC) evaluated children who may have been abused and aimed to reduce patient wait times which were perceived to be due to staff shortages.
2) A discrete event simulation model was developed to analyze current patient flow and identify bottlenecks. It found the sexual abuse exam room and medical assistants were causing most delays.
3) The best scenario found was adding 0.6 full-time equivalent medical assistant in the afternoon and changing the exam room configuration to one exam room and two sexual abuse exam rooms. This significantly reduced total patient wait times.
A Lean Six Sigma Case Study
If you want to prosper for a year, grow rice. If you want to prosper for a decade, plant trees. If
you want to prosper for a century, grow people -- a wise old farmer reflecting back on a life
of toil in the soil
PROJECT DESCRIPTION
The following Lean Six Sigma case study will reflect a real-life healthcare problem with
Continuous Improvement and Lean Six Sigma Tools to show how some of the tools are put into
place in the real world. The object of this project is your appropriate use of Lean Six Sigma
tools and the data provided. Project completion is required to pass the course. Project
assignments are assessed on a Complete/Incomplete basis. Each Phase of the DMAIC process in
the Project has an assignment. Assignments must be submitted to the instructor by the end of the
week corresponding to the DMAIC Phase. The exception is the week 8 or Control phase
assignment which needs to be submitted early in the last week of the course to allow grading.
The Instructor will determine if the student has submitted a Project assignment that is Complete.
If the assignment is Incomplete, there will be interaction between the Instructor and student until
the assignment is Complete. All project assignments must be assessed as Complete for the
student to pass the course. An Incomplete project will result in a Failing grade for the course.
Student Case Study
Case Study:
Process Improvement –
Reduction in Wait Time for
Patients in a Doctor Office
Executive Summary
Dr. Deasley is a popular Doctor in Tampa, Florida specializing in primary care. He spends a great deal of
time with each of his patients, typically, 45 minutes to one (1) hour. As a result, there are many other
patients waiting in the waiting room who become impatient at the long wait time. The Doctor has hours
every day except Wednesdays. He has Hospital Clinic on Wednesdays and does not have office hours.
Dr. Deasley’s office hours are 7:30 AM to 5:30 PM (patients can be scheduled up until 5:30 PM) on
Tuesdays and Thursdays and 9:30 AM to 7:30 PM (patients can be scheduled up until 7:30 PM) on
Mondays and Fridays. He does Hospital Rounds from 6:00 AM to 8:00 AM. He conducts patient call
backs between patients, during his lunch hour and after office hours. We triage the calls so he gets back
to more seriously sick patients first. However, sometimes he doesn’t call back non-emergencies until the
next AM. Dr. Deasley is becomes overbooked because he likes to have 10 patients scheduled per day.
However, due to time constraints he frequently needs to rebook patients he is unable to see due to time
constraints.
Dr. Deasley’s patients and staff love him for his patience and attention. But, several long term patients
have left his practice because of this issue. This has resulted in a decrease in revenue for the office. In
addition, his office is experiencing a rather high rate of staff turnover. S ...
Key Performance Indicator Assignment Capstone Written Case ConcepTatianaMajor22
Key Performance Indicator Assignment: Capstone Written Case Conceptualization (20 points) (The client selected should be a high school student. I did my intern at a high school) The student will select a client from their internship site and complete an 8-page (minimum) case conceptualization report detailing the following ten competencies,
1. Assessment Skills: Includes a summary of the DSM-5 diagnosis, biopsychosocial assessment, mental status exam, substance use, risk assessment, and any other assessment instruments used.
2. Intervention & Conceptualization Skills: Includes a summary of how the assessment informs treatment, treatment plan, goals, and interventions used. Incorporates any relevant cultural, racial, ethical, and legal (if applicable) issues related to the case, and reflects the intern’s personal theory of counseling.
3. Writing Skills and Document Organization: Paper clearly and succinctly communicates clinical impressions. Paper is organized, with appropriate grammar, spelling, and APA Style.
4. Use of Supervision: Includes a summary of how supervision impacted clinical decision making and case conceptualization.
5. Knowledge & Application of Site-Specific Information: Includes a description of how the site’s clinical services and structure affect the assessment, treatment, and conceptualization of the selected case. Any relevant policies, regulatory processes, and program evaluation measures associated with service delivery are included.
6. Professional Counseling Competencies: Includes a description of how the case was conceptualized from the professional counseling framework compared to other mental health professions (e.g., counseling promotes clients' optimal human development, wellness, and mental health through prevention, education, and advocacy activities, including advocacy for those with mental health issues.)
7. Personal Attributes & Self-Understanding: Includes a summary of 1. intern’s reactions, awareness of own emotional response, and effective countertransference management related to the client case, and 2. awareness of intern’s impact on client (i.e., intern’s race, gender, religion) and client’s transference responses.
8. Interpersonal Competencies: Includes a summary of how the intern’s interactions with supervisor, interdisciplinary team, and site colleagues informed the case. Describe how the use of Generated: 10/22/2021 Page 7 of 23 empathy, compassion, and respect for client’s autonomy were evident in the client’s treatment.
9. Student’s Strengths: Identify and describe at least three of the intern’s personal strengths that enhanced the client’s treatment.
10. Student’s Areas for Development: Identify and describe at least three of the intern’s areas for development that would further enhance the client’s treatment. This paper must be written in APA Style
Due date 11/13/21
Please see attached “final capstone correct” I have started the paper but I need help completing the rest. I have in ...
The document summarizes a study conducted by students at Boston University to analyze patient flow and improve efficiency at the Boston Medical Center (BMC) Infectious Disease clinic. The study observed 91 patients in the front of house areas and 38 patients in back of house clinic areas, tracking task times. It found variation in time patients spent with doctors. Recommendations included reducing this variation, shifting tasks to less specialized workers, shifting patient demand to less busy times, and continuing to collect clinic data. The overall goal was to improve volume, safety, satisfaction and reduce costs at the clinic.
Analytics in Healthcare - Using queuing theory to improve patient flowSawad thotathil
This document outlines a quality improvement project to optimize resource deployment and reduce wait times in a hospital phlebotomy department. Through queuing analysis, it was determined that 4 phlebotomists were needed to meet a goal of less than 5 minute wait times. Three PDSA cycles were conducted: 1) redeploying staff but failing to improve metrics, 2) linking individual and team performance to goals which reduced variability, and 3) adjusting staffing slightly. This new process allowed the hospital to avoid hiring additional staff and save $80,000 annually in the US healthcare system.
The document provides an overview of an "Electronic Medical Regulation System" project. It includes sections on the introduction, objectives, modules, features, feasibility analysis, need and significance, system model, methodology, and required facilities and bibliography. The main goal is to build a management tool to easily track patient, staff, treatment, and billing information to analyze reports. It aims to reduce time compared to a manual system by accurately maintaining inpatient and outpatient records.
Hospital Management Record System ProposalBishal Bista
This document is a project proposal for developing a Hospital Record Management System. It includes an abstract describing the need to automate a hospital's current manual paper-based system. It outlines the proposed system which will manage patient information, room availability, staff schedules, and patient invoices. It also includes sections on the existing system limitations, proposed system objectives, system requirements and specifications, a literature review on electronic records management, design and implementation considerations, and future enhancements. The overall goal is to develop a computerized system to replace the hospital's inefficient manual processes and improve operations.
This document summarizes a project to improve patient flow at a busy Emergency Department. The objective was to investigate delays in treatment and evaluate a newly adopted "split-flow" model. Data analysis revealed staffing issues and key factors. Simulation models of the current and split-flow EDs were created to identify bottlenecks and potential solutions. Adding specific resources allowed the goal to be achieved with reasonable resource utilization.
2012 Improving waiting time in vaccination room .docxeugeniadean34240
2012
Improving waiting time
in vaccination room
using Lean Six Sigma
methodology
Dr/ Mohamed Adel El Faiomy
Dr/ Ayatullah Amr Muhamad Shabana
S A U D I M I N I S T R Y O F H E A L T H
S E N A Y A P R I M A R Y H E A L T H C A R E C E N T E R
background information
Background information
ELsenayea primary healthcare centre is one of the
largest primary healthcare centers in Khamis region in
KSA it provides preventive, curative and health
promotion services to more than 29000 population,
due its large catchment area it serves more than 300
customer per day so the waiting time is very important
to calculate and to improve
1-Define phase
▲▲▲ A) Identify the project
To select the most appropriate project we review the data on
potential project against specific criteria & after evaluation of
these projects we decided to work on the problem of
prolonged waiting time in vaccination room because it meet
the criteria of selecting a project as follow:
Chronicity of the problem as it is a persistent problem
Significant because it has a favorable outcome
It is of manageable size as it can be completed in less
than six months
Improve the level of competition
It has potential impact on
☻Retaining customer
☻Attracting new customer
☻Reducing the cost of poor quality
☻Enhancing employee & customer satisfaction.
▲▲▲ B) Prepare problem statment & goals
►The problem
Waiting time before entering vaccination room is too long
(average 25.4 minute) between 21
st
of March to 21
st
of
April 2012 which lead to external customer dissatisfaction
and internal customer pressure.
►The goal is to reduce average waiting time in the
vaccination room to meet customer expectations which is
10 minutes.
PROJECT TEAM CHARTER
1- Problem statement
Waiting time before entering the vaccination room is too
long (average 25.4 minute) between 21
st
of March to 21
st
of April 2012 which lead to external customer
dissatisfaction and internal customer pressure.
2-bussiness case
About 30 children are vaccinated daily. The delay in
vaccination negatively affects the customers satisfaction,
organizational reputation in the catchment area of the
PHCC, disciplinary actions from higher authorities in
response to customer complaints and puts more pressure
on internal customers .
3-Goal statement
to reduce average waiting time in the vaccination room to
meet customer expectations which is 10 minutes.
4-Project scope
The process starts by the parent ordering his child’s family
health record & end by the child entering the vaccination
room.
5- Select team
Sponsor (PHCC director)
Green belt [Quality professional Dr Mohamed Adel Elfaiomy]
Green belt [Quality professional dr Ayatullah Amr Shabana]
Team member [medical supervisor]
" " [general practitioner]
" " [head of nu.
Staffing Decision-Making Using Simulation ModelingAlexander Kolker
The use of Management Engineering methodology for
staffing decision-making.
• Part 1 - Quality and Cost: Outpatient Flu Clinic.
• Part 2 - Quality and Cost : Optimal PACU Nursing
Staffing.
• Summary of Fundamental Management Engineering
Carlayne E. Jackson developed a quality management plan and initiated a task force to oversee quality improvement activities at UT Medicine. Some initiatives implemented include FISH training for staff, clinic inspections, and mystery caller programs. Challenges include serving an indigent population with low expectations, poor access and inefficiencies. Anticipated next steps are developing medical director and quality improvement programs, improving access and utilization, and continuing staff engagement through updates and feedback. Learnings include that change works best from bottom-up with leadership setting vision and allowing stakeholders flexibility in strategies.
This document discusses the implementation of a tablet-based automated clinic system at AIIMS to address clinicians' needs and improve efficiency. It notes that doctors previously spent little time with each patient to get their history, examine them, and record notes. The new system allows doctors to view patient schedules and records, access prior labs and images, and record visit notes, photos, and prescribed treatments within 60 seconds using a tablet. It describes the multi-step process, from patients booking appointments to doctors reviewing records and assigning follow-ups. An initial trial period resulted in improved doctor compliance rates. The system provides computerized patient records accessible anywhere on the hospital network.
MAN6501: Operations Management
1
MAN6501: Operations Management
Problem Set 1: Process Analysis and Improvement
Instructions:
1. The case contains all of the necessary data to complete the assignment. If you
believe critical data is missing, make an assumption. Any assumptions you make
should be reasonable and consistent with other case data.
2. As a general rule, if you have a question about the “correct” interpretation of
some aspect of the case or the assignment, you should just state your assumption
and continue to work. In fact, these statements of logic will be used in the
evaluation of your submission.
MedNOW Clinic case
The MedNOW clinic provides convenient healthcare services for a wide range of non-emergency
medical issues. The clinic is located in Cambridge in close vicinity to a large hospital and serving
a population with diverse ethnic backgrounds. Patients can walk-in or call in advance to schedule
an appointment. The clinic operates 7AM to 7 PM on weekdays, with extended opening hours
during the weekend. The clinic can do basic x-rays including chest x-ray and extremity x-rays
(such as ankle, foot, arm and leg) and also provides lab services. On average 20 patients arrive at
the clinic per hour, including walk-ins and appointments.
Registration – The registration desk is continuously staffed with one person. They call the
patient from the waiting room and create a patient record. The patient is then told to go back to
the waiting room. The registration process takes on average one minute.
Triage – The triage nurse calls the patients from the waiting room. They create a patient chart
and register the check-in time. During triage the nurse determines the priority of patients'
treatments based on the severity of their condition. The triage is staffed with one registered nurse
(RN) and the average time for triage is about 2 minutes. On average, 10% of the patients require
medical care that is not available at the clinic and need to be sent to a hospital in the vicinity of
the clinic. The other patients are told to go back to the waiting room and wait for the doctor call.
Examination – The clinic has four examination rooms and four MDs available at all time. An
assistant calls the patients into the examination rooms and help the patient prepare for the
examination. The examination time is highly dependent on the medical condition. Based on
historical records the clinic has determined the following distribution for examination time:
MAN6501: Operations Management
2
Probability 0.4 0.4 0.2
Time 2 minutes 8 minutes 10 minutes
In 50% of cases the MD completes the diagnosis, writes a prescription and the patient is ready to
discharge. The other 50% of patients require some form of diagnostic and are sent to the medical
diagnostic lab.
Medical Diagnostics – There are three areas of medical diagnostic testing each with its own staff.
Analysis ...
Planning clinical supplies has become more complex due to increased trial numbers, reduced timelines, recruitment challenges, and globalization. Forecasting and simulation tools help sponsors determine initial supply needs, optimize supply chain strategies, and ensure supplies remain sufficient. An interactive response technology system automates supply management and provides real-time data to forecasting dashboards. These dashboards allow exploring scenarios to prevent issues like stockouts and optimize efficiency. Regularly checking forecasts enables proactive management of clinical supplies.
Week 4 Examples CollapseTop of FormTotal views 17 (Your v.docxmelbruce90096
Week 4 Examples
Collapse
Top of Form
Total views: 17 (Your views: 1)
EXAMPLE 1
Managing Resources
Designed as an overflow unit, 8th NT was staffed with float pool registered nurses and nurse technicians, and was opened Monday through Thursday by clinical nursing supervisors based on patient volumes and the need for additional beds. Because this unit was not considered a “permanent” floor, the budget for this first year will take the zero-based approach. Sullivan (2013) defines the zero-based budget as one that creates a basis for comparison for upcoming years, and its advantage is that every expense is justifiable. The actual unit had already been used as a staging unit while two inpatient units (8th Oncology and 7th Medical) in the South Tower were renovated. Therefore, major electronic components, the nurse call system and the tube system, were in place when the decision was made to open the unit as a permanent 15 bed inpatient med-surg floor, so no renovation or retrofitting was necessary.
Equipment and Supplies:
15 new Hill Room beds and mattresses were ordered for this unit at the cost of $185,652. . Additional equipment (i.e. suction set ups, O2 flow meters, IV poles) was ordered and cost is estimated at $45,000. Because the unit has housed patients on a PRN basis, it has been fully stocked with patient care supplies including items such as IV start kits, jelco’s, dressing change supplies, IV tubing, fluids etc. The supply costs YTD for this unit have been $17, 614.
Personnel:
This unit is currently staffed with float pool staff (RN’s and NT II). As float staff, they are paid an accelerated rate of pay. Fiscal year to date since the opening of the unit on January 14, 2014, the unit has spent $98,600.00 in total salaries. YTD Patient days for this unit have been 278.
In mid April, the decision was made to open the unit with a full complement of staff and transition the unit from an overflow unit to a fully staffed medical-surgical Unit. Lexington Medical Center is licensed for 414 beds. With the opening of the 8th North Tower, the facility will be utilizing 413 beds. There are 30 rooms available on 8th NT, and the assumption is that as the county grows and DHEC re-evaluates the needs, the hospital will eventually be given the certificate of need to fill those additional rooms that for now will continue to serve as classrooms for competencies, CPR, ACLS classes etc.
The following is an outline for the approved FTE budget for this unit. (* entry level wage information is used for the staff and the midpoint salary range for the Nurse Manager. These figures do not include any differentials – shift, weekend, certification, degree, etc.)
Role
FTE
Estimated Budget
Nurse Manager
1.0
88,088.00
Clinical Coordinators
2.7
113,55.52
Care Manager
1.0
42,057.60
Clinical Mentor
1.0
42,057.60
Registered Nurses
6.5
260,395.20
NT II
3.6
65,819.50
Clearly, the projected budget for opening the floor permanently is far more costly than the.
College Writing II Synthesis Essay Assignment Summer Semester 2017.docxclarebernice
College Writing II Synthesis Essay Assignment Summer Semester 2017
Directions:
For this assignment you will be writing a synthesis essay. A synthesis is a combination of two or more summaries and sources. In a synthesis essay you will have three paragraphs, an introduction, a synthesis and a conclusion.
In the introduction you will give background information about your topic. You will also include a thesis statement at the end of the introduction paragraph. The thesis statement should describe the goal of your synthesis. (informative or argumentative)
The second paragraph is the synthesis. You will combine two summaries of two different articles on the same topic. You will follow all summary guidelines for these two paragraphs. The synthesis will most likely either argue or inform the reader about the topic.
The conclusion paragraph should summarize the points of your essay and restate the general ideas.
For this essay you will read two research articles on a similar topic to the previous critical review essay as you can use this research in your inquiry paper. You will summarize both articles in two paragraphs and combine the paragraphs for your synthesis. In the synthesis you must include the main ideas of the articles and the author, title, and general idea in the first sentences.
This essay will be three pages long and the first draft and peer review are due June 15. You must turn them in hardcopy in class so you can do a peer review.
Running head: THESIS DRAFT 1
THESIS DRAFT 3Thesis Draft
Katelyn B. Rhodes
D40375299
DeVry University
Point-of-Care Testing (PoCT) has dramatically taken over the field of clinical laboratory testing since it’s introduction approximately 45 years ago. The technologies utilized in PoCT have been refined to deliver accurate and expedient test results and will become even more sensitive and accurate in order to dominate the field of clinical laboratory testing. Furthermore, there will be a dramatic increase in the volume of clinical testing performed outside of the laboratory. New and emerging PoCT technologies utilize sophisticated molecular techniques such as polymerase chain reaction to aid in the treatment of major health problems worldwide, such as sexually transmitted infections (John & Price, 2014).
Historic Timeline
In the early-to-mid 1990’s, bench top analyzers entered the clinical laboratory scene. These analyzers were much smaller than the conventional analyzers being used, and utilized touch-screen PCs for ease of use. For this reason, they were able to be used closer to the patient’s bedside or outside of the laboratory environment. However, at this point in time, laboratory testing results were stored within the device and would have to then be sent to the main central laboratory for analysis.
Technology in the mid-to-late 1990’s permitted analyzers to be much smaller so that they may be easily carried to the patient’s location. Computers also became more ...
Improvement & Transformation TTO project Final Report Out Jan 16Nick Holding
The document summarizes process improvement efforts to reduce turnaround times for patient discharge medications (TTOs) and discharge summaries at a hospital. Key findings include:
- TTO lead times were reduced by 67% (3 hours) through testing various changes over two kaizen events.
- One ward saw patient discharge delays reduced by an average of 10 hours per day.
- Changes could release up to 300 hours of bed time per day across inpatient units.
- Areas of focus included ordering, picking, delivering, and producing TTOs and discharge summaries more efficiently.
This document discusses improving nurse scheduling in operating rooms using Lean principles to optimize costs. It begins by introducing Lean and Six Sigma approaches to rethinking care delivery processes and nurse scheduling. The document then covers the Define, Measure, Analyze, Improve, and Control (DMAIC) framework as applied to three components of scheduling: the scheduling process, scheduling practices, and scheduling technology. Gaps are identified in the current manual and paper-based scheduling system through data collection and analysis. Recommended improvements include implementing an automated AI-based scheduling system to optimize staffing and reduce overtime costs. The goal is to establish more efficient and sustainable scheduling processes, practices and technologies.
The TQM team at ESKCC health center clinic analyzed patient complaint data and the patient review process to identify areas for improvement. A Pareto chart showed that the top complaint was related to quality of service. A control chart for waiting time found it exceeded limits. A fishbone diagram identified causes for long wait times. The team mapped the patient flow process and found it added complexity. Recommendations included streamlining registration, prioritizing high-risk patients, and improving communication.
The Alexandria Hospital is a small public hospital found in the Midwestern part of Singapore. The hospital that was established as a British Military Hospital in 1938 and after serving for thirty-three years was handed to the Singapore government by the British administration and renamed to Alexandria Hospital.
The hospital has undertaken many initiatives to upgrade its major facilities to serve the patients better. It began rethink how to enhance patient services via the exploitation of technology.
The decision was to implement the Clinical Digital Dashboard (CDD) and the Clinical Connection Suite (CCS).
Although they were pressured from the Health Minister challenge to form a health care center that provides continuous focus on patients, But the main objectives of implementing these system were to include all patient's issues in one database to improve the hospital operation and delivering a seamless, safe, and patient centric health care...
Administrative InformationDate AssignedSaturday, March 30, 2.docxcoubroughcosta
This document provides administrative information and instructions for a homework assignment. It is divided into two parts. Part 1 involves transforming patient data from 1st normal form to 3rd normal form. Students are provided sample data and dependencies to complete this task. Part 2 involves answering questions about verifying systems at two different companies. Students can earn up to 8 extra credit points by answering additional questions. The document outlines grading criteria and submission requirements.
This document proposes a queueing prioritization algorithm for patient arrivals at the Dana-Farber Cancer Institute's lab services. Currently, lab services experiences challenges with varying patient arrival patterns and volumes, leading to long wait times for on-time patients and missed appointments for late patients. The proposal recommends building an Arena simulation model using one week of historical patient arrival data to analyze different queueing strategies. It suggests prioritizing patients based on how late they arrive, with lower priorities for later patients. Designating some nurses and phlebotomists to treat late patients could minimize impact on on-time patients. The model will evaluate strategies based on key metrics like wait and treatment times to determine the best approach for handling late arrivals
The document summarizes the current issues with a university student health services primary care clinic. It analyzes the current scheduling system and capacity issues, finding that clinicians were not fully utilized. It then proposes assigning clinicians to teams and improving resource allocation to reduce average patient wait times and increase the rate at which patients see their preferred clinician. Key measures of success are identified as average wait time and the rate of patients seeing their preferred clinician. Recommendations include constructing clinician teams based on hourly patient demand and providing amenities to occupy patients during waits.
Analyze MVPIThe motives, values, and preferences inventory (MV.docxikirkton
Analyze MVPI
The motives, values, and preferences inventory (MVPI) is used to identify the motives and values most important to an individual. Understanding the personal values of the individuals who make up a team can be useful in understanding the team dynamics and help a manager build and sustain teamwork within the organization.
Refer to the 10 core values (listed below) evaluated on the MVPI.
Rank order the traits according to the value you assign to them, with 1 being the trait you value the most in a team member and 10 being the trait you value the least.
Explain the rationale for your ranking. Give an example of each trait drawn from your experience or observations.
MVPI Values
Recognition:
Desire for attention, approval, and praise
Power:
Desire for success, accomplishment, status, competition, and control
Hedonism:
Desire for fun, pleasure, and recreation
Altruism:
Concern about the welfare of others and contribution to a better society
Affiliation:
Desire for enjoyment of social interaction
Tradition:
Concern for established values of conduct
Security:
Desire for certainty, order, and predictability in employment and finance
Science:
quest for knowledge, research, technology, and data
Aesthetics:
need for self-expression, concern over look, feel, and design of work products
Commerce:
interest in money, profits, investment, and business opportunities
.
Analyze and interpret the following quotation The confrontation of.docxikirkton
Analyze and interpret the following quotation: “The confrontation of Western civilization with other peoples whose values were often dramatically opposed to the West’s…suggests that by the dawn of the twentieth century, the tradition and sense of centeredness that had defined indigenous cultures for hundreds, even thousands, of years was either threatened or in the process of being destroyed. Worldwide, non-Western cultures suddenly found that they were defined as outposts of new colonial empires developed by Europeans, resulting in the weakening of traditional cultural practices, political leadership, and social systems that had been in place for centuries.” (Sayre, 2013, pp. 410-411).
In the later nineteenth and early twentieth century, what would this “loss of centeredness” of culture have meant for a given cultural group? Select from among the non-Western cultural groups noted in the text (Native American, Chinese, Indian, Japanese, or African) and research the impact of Western or European cultures on that group.
What was the selected non-Western culture like prior to the late nineteenth century? How did it change as a result of European expansion? How is this change representative of what Sayre calls a “loss of centeredness?” Be sure to use specific examples and details.
Submit your findings in a 4-page essay in APA format.
.
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2012 Improving waiting time in vaccination room .docxeugeniadean34240
2012
Improving waiting time
in vaccination room
using Lean Six Sigma
methodology
Dr/ Mohamed Adel El Faiomy
Dr/ Ayatullah Amr Muhamad Shabana
S A U D I M I N I S T R Y O F H E A L T H
S E N A Y A P R I M A R Y H E A L T H C A R E C E N T E R
background information
Background information
ELsenayea primary healthcare centre is one of the
largest primary healthcare centers in Khamis region in
KSA it provides preventive, curative and health
promotion services to more than 29000 population,
due its large catchment area it serves more than 300
customer per day so the waiting time is very important
to calculate and to improve
1-Define phase
▲▲▲ A) Identify the project
To select the most appropriate project we review the data on
potential project against specific criteria & after evaluation of
these projects we decided to work on the problem of
prolonged waiting time in vaccination room because it meet
the criteria of selecting a project as follow:
Chronicity of the problem as it is a persistent problem
Significant because it has a favorable outcome
It is of manageable size as it can be completed in less
than six months
Improve the level of competition
It has potential impact on
☻Retaining customer
☻Attracting new customer
☻Reducing the cost of poor quality
☻Enhancing employee & customer satisfaction.
▲▲▲ B) Prepare problem statment & goals
►The problem
Waiting time before entering vaccination room is too long
(average 25.4 minute) between 21
st
of March to 21
st
of
April 2012 which lead to external customer dissatisfaction
and internal customer pressure.
►The goal is to reduce average waiting time in the
vaccination room to meet customer expectations which is
10 minutes.
PROJECT TEAM CHARTER
1- Problem statement
Waiting time before entering the vaccination room is too
long (average 25.4 minute) between 21
st
of March to 21
st
of April 2012 which lead to external customer
dissatisfaction and internal customer pressure.
2-bussiness case
About 30 children are vaccinated daily. The delay in
vaccination negatively affects the customers satisfaction,
organizational reputation in the catchment area of the
PHCC, disciplinary actions from higher authorities in
response to customer complaints and puts more pressure
on internal customers .
3-Goal statement
to reduce average waiting time in the vaccination room to
meet customer expectations which is 10 minutes.
4-Project scope
The process starts by the parent ordering his child’s family
health record & end by the child entering the vaccination
room.
5- Select team
Sponsor (PHCC director)
Green belt [Quality professional Dr Mohamed Adel Elfaiomy]
Green belt [Quality professional dr Ayatullah Amr Shabana]
Team member [medical supervisor]
" " [general practitioner]
" " [head of nu.
Staffing Decision-Making Using Simulation ModelingAlexander Kolker
The use of Management Engineering methodology for
staffing decision-making.
• Part 1 - Quality and Cost: Outpatient Flu Clinic.
• Part 2 - Quality and Cost : Optimal PACU Nursing
Staffing.
• Summary of Fundamental Management Engineering
Carlayne E. Jackson developed a quality management plan and initiated a task force to oversee quality improvement activities at UT Medicine. Some initiatives implemented include FISH training for staff, clinic inspections, and mystery caller programs. Challenges include serving an indigent population with low expectations, poor access and inefficiencies. Anticipated next steps are developing medical director and quality improvement programs, improving access and utilization, and continuing staff engagement through updates and feedback. Learnings include that change works best from bottom-up with leadership setting vision and allowing stakeholders flexibility in strategies.
This document discusses the implementation of a tablet-based automated clinic system at AIIMS to address clinicians' needs and improve efficiency. It notes that doctors previously spent little time with each patient to get their history, examine them, and record notes. The new system allows doctors to view patient schedules and records, access prior labs and images, and record visit notes, photos, and prescribed treatments within 60 seconds using a tablet. It describes the multi-step process, from patients booking appointments to doctors reviewing records and assigning follow-ups. An initial trial period resulted in improved doctor compliance rates. The system provides computerized patient records accessible anywhere on the hospital network.
MAN6501: Operations Management
1
MAN6501: Operations Management
Problem Set 1: Process Analysis and Improvement
Instructions:
1. The case contains all of the necessary data to complete the assignment. If you
believe critical data is missing, make an assumption. Any assumptions you make
should be reasonable and consistent with other case data.
2. As a general rule, if you have a question about the “correct” interpretation of
some aspect of the case or the assignment, you should just state your assumption
and continue to work. In fact, these statements of logic will be used in the
evaluation of your submission.
MedNOW Clinic case
The MedNOW clinic provides convenient healthcare services for a wide range of non-emergency
medical issues. The clinic is located in Cambridge in close vicinity to a large hospital and serving
a population with diverse ethnic backgrounds. Patients can walk-in or call in advance to schedule
an appointment. The clinic operates 7AM to 7 PM on weekdays, with extended opening hours
during the weekend. The clinic can do basic x-rays including chest x-ray and extremity x-rays
(such as ankle, foot, arm and leg) and also provides lab services. On average 20 patients arrive at
the clinic per hour, including walk-ins and appointments.
Registration – The registration desk is continuously staffed with one person. They call the
patient from the waiting room and create a patient record. The patient is then told to go back to
the waiting room. The registration process takes on average one minute.
Triage – The triage nurse calls the patients from the waiting room. They create a patient chart
and register the check-in time. During triage the nurse determines the priority of patients'
treatments based on the severity of their condition. The triage is staffed with one registered nurse
(RN) and the average time for triage is about 2 minutes. On average, 10% of the patients require
medical care that is not available at the clinic and need to be sent to a hospital in the vicinity of
the clinic. The other patients are told to go back to the waiting room and wait for the doctor call.
Examination – The clinic has four examination rooms and four MDs available at all time. An
assistant calls the patients into the examination rooms and help the patient prepare for the
examination. The examination time is highly dependent on the medical condition. Based on
historical records the clinic has determined the following distribution for examination time:
MAN6501: Operations Management
2
Probability 0.4 0.4 0.2
Time 2 minutes 8 minutes 10 minutes
In 50% of cases the MD completes the diagnosis, writes a prescription and the patient is ready to
discharge. The other 50% of patients require some form of diagnostic and are sent to the medical
diagnostic lab.
Medical Diagnostics – There are three areas of medical diagnostic testing each with its own staff.
Analysis ...
Planning clinical supplies has become more complex due to increased trial numbers, reduced timelines, recruitment challenges, and globalization. Forecasting and simulation tools help sponsors determine initial supply needs, optimize supply chain strategies, and ensure supplies remain sufficient. An interactive response technology system automates supply management and provides real-time data to forecasting dashboards. These dashboards allow exploring scenarios to prevent issues like stockouts and optimize efficiency. Regularly checking forecasts enables proactive management of clinical supplies.
Week 4 Examples CollapseTop of FormTotal views 17 (Your v.docxmelbruce90096
Week 4 Examples
Collapse
Top of Form
Total views: 17 (Your views: 1)
EXAMPLE 1
Managing Resources
Designed as an overflow unit, 8th NT was staffed with float pool registered nurses and nurse technicians, and was opened Monday through Thursday by clinical nursing supervisors based on patient volumes and the need for additional beds. Because this unit was not considered a “permanent” floor, the budget for this first year will take the zero-based approach. Sullivan (2013) defines the zero-based budget as one that creates a basis for comparison for upcoming years, and its advantage is that every expense is justifiable. The actual unit had already been used as a staging unit while two inpatient units (8th Oncology and 7th Medical) in the South Tower were renovated. Therefore, major electronic components, the nurse call system and the tube system, were in place when the decision was made to open the unit as a permanent 15 bed inpatient med-surg floor, so no renovation or retrofitting was necessary.
Equipment and Supplies:
15 new Hill Room beds and mattresses were ordered for this unit at the cost of $185,652. . Additional equipment (i.e. suction set ups, O2 flow meters, IV poles) was ordered and cost is estimated at $45,000. Because the unit has housed patients on a PRN basis, it has been fully stocked with patient care supplies including items such as IV start kits, jelco’s, dressing change supplies, IV tubing, fluids etc. The supply costs YTD for this unit have been $17, 614.
Personnel:
This unit is currently staffed with float pool staff (RN’s and NT II). As float staff, they are paid an accelerated rate of pay. Fiscal year to date since the opening of the unit on January 14, 2014, the unit has spent $98,600.00 in total salaries. YTD Patient days for this unit have been 278.
In mid April, the decision was made to open the unit with a full complement of staff and transition the unit from an overflow unit to a fully staffed medical-surgical Unit. Lexington Medical Center is licensed for 414 beds. With the opening of the 8th North Tower, the facility will be utilizing 413 beds. There are 30 rooms available on 8th NT, and the assumption is that as the county grows and DHEC re-evaluates the needs, the hospital will eventually be given the certificate of need to fill those additional rooms that for now will continue to serve as classrooms for competencies, CPR, ACLS classes etc.
The following is an outline for the approved FTE budget for this unit. (* entry level wage information is used for the staff and the midpoint salary range for the Nurse Manager. These figures do not include any differentials – shift, weekend, certification, degree, etc.)
Role
FTE
Estimated Budget
Nurse Manager
1.0
88,088.00
Clinical Coordinators
2.7
113,55.52
Care Manager
1.0
42,057.60
Clinical Mentor
1.0
42,057.60
Registered Nurses
6.5
260,395.20
NT II
3.6
65,819.50
Clearly, the projected budget for opening the floor permanently is far more costly than the.
College Writing II Synthesis Essay Assignment Summer Semester 2017.docxclarebernice
College Writing II Synthesis Essay Assignment Summer Semester 2017
Directions:
For this assignment you will be writing a synthesis essay. A synthesis is a combination of two or more summaries and sources. In a synthesis essay you will have three paragraphs, an introduction, a synthesis and a conclusion.
In the introduction you will give background information about your topic. You will also include a thesis statement at the end of the introduction paragraph. The thesis statement should describe the goal of your synthesis. (informative or argumentative)
The second paragraph is the synthesis. You will combine two summaries of two different articles on the same topic. You will follow all summary guidelines for these two paragraphs. The synthesis will most likely either argue or inform the reader about the topic.
The conclusion paragraph should summarize the points of your essay and restate the general ideas.
For this essay you will read two research articles on a similar topic to the previous critical review essay as you can use this research in your inquiry paper. You will summarize both articles in two paragraphs and combine the paragraphs for your synthesis. In the synthesis you must include the main ideas of the articles and the author, title, and general idea in the first sentences.
This essay will be three pages long and the first draft and peer review are due June 15. You must turn them in hardcopy in class so you can do a peer review.
Running head: THESIS DRAFT 1
THESIS DRAFT 3Thesis Draft
Katelyn B. Rhodes
D40375299
DeVry University
Point-of-Care Testing (PoCT) has dramatically taken over the field of clinical laboratory testing since it’s introduction approximately 45 years ago. The technologies utilized in PoCT have been refined to deliver accurate and expedient test results and will become even more sensitive and accurate in order to dominate the field of clinical laboratory testing. Furthermore, there will be a dramatic increase in the volume of clinical testing performed outside of the laboratory. New and emerging PoCT technologies utilize sophisticated molecular techniques such as polymerase chain reaction to aid in the treatment of major health problems worldwide, such as sexually transmitted infections (John & Price, 2014).
Historic Timeline
In the early-to-mid 1990’s, bench top analyzers entered the clinical laboratory scene. These analyzers were much smaller than the conventional analyzers being used, and utilized touch-screen PCs for ease of use. For this reason, they were able to be used closer to the patient’s bedside or outside of the laboratory environment. However, at this point in time, laboratory testing results were stored within the device and would have to then be sent to the main central laboratory for analysis.
Technology in the mid-to-late 1990’s permitted analyzers to be much smaller so that they may be easily carried to the patient’s location. Computers also became more ...
Improvement & Transformation TTO project Final Report Out Jan 16Nick Holding
The document summarizes process improvement efforts to reduce turnaround times for patient discharge medications (TTOs) and discharge summaries at a hospital. Key findings include:
- TTO lead times were reduced by 67% (3 hours) through testing various changes over two kaizen events.
- One ward saw patient discharge delays reduced by an average of 10 hours per day.
- Changes could release up to 300 hours of bed time per day across inpatient units.
- Areas of focus included ordering, picking, delivering, and producing TTOs and discharge summaries more efficiently.
This document discusses improving nurse scheduling in operating rooms using Lean principles to optimize costs. It begins by introducing Lean and Six Sigma approaches to rethinking care delivery processes and nurse scheduling. The document then covers the Define, Measure, Analyze, Improve, and Control (DMAIC) framework as applied to three components of scheduling: the scheduling process, scheduling practices, and scheduling technology. Gaps are identified in the current manual and paper-based scheduling system through data collection and analysis. Recommended improvements include implementing an automated AI-based scheduling system to optimize staffing and reduce overtime costs. The goal is to establish more efficient and sustainable scheduling processes, practices and technologies.
The TQM team at ESKCC health center clinic analyzed patient complaint data and the patient review process to identify areas for improvement. A Pareto chart showed that the top complaint was related to quality of service. A control chart for waiting time found it exceeded limits. A fishbone diagram identified causes for long wait times. The team mapped the patient flow process and found it added complexity. Recommendations included streamlining registration, prioritizing high-risk patients, and improving communication.
The Alexandria Hospital is a small public hospital found in the Midwestern part of Singapore. The hospital that was established as a British Military Hospital in 1938 and after serving for thirty-three years was handed to the Singapore government by the British administration and renamed to Alexandria Hospital.
The hospital has undertaken many initiatives to upgrade its major facilities to serve the patients better. It began rethink how to enhance patient services via the exploitation of technology.
The decision was to implement the Clinical Digital Dashboard (CDD) and the Clinical Connection Suite (CCS).
Although they were pressured from the Health Minister challenge to form a health care center that provides continuous focus on patients, But the main objectives of implementing these system were to include all patient's issues in one database to improve the hospital operation and delivering a seamless, safe, and patient centric health care...
Administrative InformationDate AssignedSaturday, March 30, 2.docxcoubroughcosta
This document provides administrative information and instructions for a homework assignment. It is divided into two parts. Part 1 involves transforming patient data from 1st normal form to 3rd normal form. Students are provided sample data and dependencies to complete this task. Part 2 involves answering questions about verifying systems at two different companies. Students can earn up to 8 extra credit points by answering additional questions. The document outlines grading criteria and submission requirements.
This document proposes a queueing prioritization algorithm for patient arrivals at the Dana-Farber Cancer Institute's lab services. Currently, lab services experiences challenges with varying patient arrival patterns and volumes, leading to long wait times for on-time patients and missed appointments for late patients. The proposal recommends building an Arena simulation model using one week of historical patient arrival data to analyze different queueing strategies. It suggests prioritizing patients based on how late they arrive, with lower priorities for later patients. Designating some nurses and phlebotomists to treat late patients could minimize impact on on-time patients. The model will evaluate strategies based on key metrics like wait and treatment times to determine the best approach for handling late arrivals
The document summarizes the current issues with a university student health services primary care clinic. It analyzes the current scheduling system and capacity issues, finding that clinicians were not fully utilized. It then proposes assigning clinicians to teams and improving resource allocation to reduce average patient wait times and increase the rate at which patients see their preferred clinician. Key measures of success are identified as average wait time and the rate of patients seeing their preferred clinician. Recommendations include constructing clinician teams based on hourly patient demand and providing amenities to occupy patients during waits.
Similar to Banyan State University Medical ClinicBanyon State University .docx (20)
Analyze MVPIThe motives, values, and preferences inventory (MV.docxikirkton
Analyze MVPI
The motives, values, and preferences inventory (MVPI) is used to identify the motives and values most important to an individual. Understanding the personal values of the individuals who make up a team can be useful in understanding the team dynamics and help a manager build and sustain teamwork within the organization.
Refer to the 10 core values (listed below) evaluated on the MVPI.
Rank order the traits according to the value you assign to them, with 1 being the trait you value the most in a team member and 10 being the trait you value the least.
Explain the rationale for your ranking. Give an example of each trait drawn from your experience or observations.
MVPI Values
Recognition:
Desire for attention, approval, and praise
Power:
Desire for success, accomplishment, status, competition, and control
Hedonism:
Desire for fun, pleasure, and recreation
Altruism:
Concern about the welfare of others and contribution to a better society
Affiliation:
Desire for enjoyment of social interaction
Tradition:
Concern for established values of conduct
Security:
Desire for certainty, order, and predictability in employment and finance
Science:
quest for knowledge, research, technology, and data
Aesthetics:
need for self-expression, concern over look, feel, and design of work products
Commerce:
interest in money, profits, investment, and business opportunities
.
Analyze and interpret the following quotation The confrontation of.docxikirkton
Analyze and interpret the following quotation: “The confrontation of Western civilization with other peoples whose values were often dramatically opposed to the West’s…suggests that by the dawn of the twentieth century, the tradition and sense of centeredness that had defined indigenous cultures for hundreds, even thousands, of years was either threatened or in the process of being destroyed. Worldwide, non-Western cultures suddenly found that they were defined as outposts of new colonial empires developed by Europeans, resulting in the weakening of traditional cultural practices, political leadership, and social systems that had been in place for centuries.” (Sayre, 2013, pp. 410-411).
In the later nineteenth and early twentieth century, what would this “loss of centeredness” of culture have meant for a given cultural group? Select from among the non-Western cultural groups noted in the text (Native American, Chinese, Indian, Japanese, or African) and research the impact of Western or European cultures on that group.
What was the selected non-Western culture like prior to the late nineteenth century? How did it change as a result of European expansion? How is this change representative of what Sayre calls a “loss of centeredness?” Be sure to use specific examples and details.
Submit your findings in a 4-page essay in APA format.
.
Analyze and prepare a critique of the following situationMary h.docxikirkton
Analyze and prepare a critique of the following situation:
Mary has worked for Bob for two years. About 6 months ago, Bob asked Mary out to dinner. They had a good time together and agreed that they had some real interests in common outside of work. The pair dated for two months. Mary initially liked Bob, but he was beginning to get annoying. He called her all the time, was very pushy about her seeing him, and wanted to control all aspects of her life; both at work and at home. Mary decided to call it off. When she told Bob that she did not want to see him personally anymore, he went crazy on her. He told her she would be sorry and that he would see to it that she regretted it. Bob began to make life miserable for Mary at work. She suddenly started to get poor performance evaluations after two years of exemplary reviews. Even the managers above Bob were beginning to make comments about her poor attitude. Mary decided it was time to act. She was worried she would be fired, all because Bob wanted her to continue to date him. She loved her job and knew she did quality work. She made an appointment with the HR manager.
Using the Civil Rights Acts of 1964 and 1991, discuss the type of sexual harassment Mary thinks she is experiencing. What are the obligations of the HR manager once Mary reports this? Discuss the likelihood that Bob would be found guilty of sexually harassing Mary. If the HR manager investigates and finds Mary is telling the truth, what should s/he do to handle the situation so that the company is not found complicit by the EEOC if further complaint is made? If found in Mary's favor, what options does the HR manager have to remedy the situation?
.
Analyze the anthropological film Jero A Balinese Trance Seance made.docxikirkton
The document provides guidance for analyzing the anthropological film "Jero: A Balinese Trance Seance" by discussing key concepts to explore such as cultural relativism and visual imperialism. Students are instructed to choose two or three concepts from readings and lectures to analyze how the film presents culture and ethnicity. They should consider the filmmakers' approach and construction of the presented culture, who Jero is and her significance, what was learned, and any ethical implications. Students are asked to evaluate if the filmmakers employed cultural relativism or privileged their own culture. They should also discuss how anthropology's shift may have impacted the filmmakers' approach and if it could have been more effective.
analyze and synthesize the financial reports of an organization of t.docxikirkton
The document outlines a project requiring students to analyze the financial reports of a chosen organization, synthesize their findings in a PowerPoint presentation with detailed notes, and provide exhibits of the analyzed financial reports. The PowerPoint must include an organization overview, analysis of financial statements, cash flow, stock performance, cost of capital or required return on investment, book and common stock value, and discuss appropriate organizational development options from a management risk and return perspective.
Analyze financial statements using financial ratios.• .docxikirkton
Analyze financial statements using financial ratios.
•
Analyze and evaluate cash flows over time.
•
Use technology and information resources to research issues in financial management.
•
Write clearly and concisely about financial management using proper writing mechanics.
This project requires that you conduct a financial analysis of two, comparable organizations. You
may select any organizations that produce publicly available financial statements employing IFRS
or U.S. GAAP (both companies must follow the same GAAP). Let your professor know which two
companies you plan to study before the end of Week 2, as your selection must be approved. The
professor reserves the right to limit the number of students comparing the same two
organizations.
Assignment:
1. Carefully review the annual reports for both organizations. Comment on what approach
each company has taken in reporting to its shareholders.
(This requirement is purposely
broad to give you the freedom to talk about anything that comes under the broad title of
“reporting to shareholders”).
2. Prepare a ratio analysis for both companies including a trend analysis for three years.
Comment on the significance of the ratios for each company (do they indicate that things
are all right, do they suggest that problems exist, or is it likely that problems will occur in
the future?). Comment specifically on the similarities and differences among the ratios
calculated for both companies and comparison to any benchmark.
3.
Prepare an analysis of the cash flow statements for both companies.
4. List and discuss the importance of the two most significant accounting policies adopted
by the two organizations (you should select the same two policies for both organizations).
Explain the options selected by both companies and comment on any differences that
you see. Explain what other policies the organizations could have selected and state why
you think they selected one policy over another.
5. Provide the URL’s for each company’s Annual Report.
Your assignment should adhere to these guidelines:
•
Write in a logical, well-organized conventional business style. Use Times New Roman
font size 12 or similar, double space, and leave ample white space per page.
•
All references must follow JWMI style guide and works must be cited appropriately.
Check with your professor for any additional instructions on citations.
•
On the first page or in a header, include the title of the assignment, the student’s name,
the professor’s name, the course title, and the date. Reference pages are not included in
the assignment page length.
•
Faculty members have discretion to penalize for assignments that do not follow these
guidelines. Check with your individual professor if you feel the assignment r
much longer or shorter treatment than recommended.
The two companies are: Walm.
Analyze and prepare a critique of the following situationMary has.docxikirkton
Analyze and prepare a critique of the following situation:
Mary has worked for Bob for two years. About 6 months ago, Bob asked Mary out to dinner. They had a good time together and agreed that they had some real interests in common outside of work. The pair dated for two months. Mary initially liked Bob, but he was beginning to get annoying. He called her all the time, was very pushy about her seeing him, and wanted to control all aspects of her life; both at work and at home. Mary decided to call it off. When she told Bob that she did not want to see him personally anymore, he went crazy on her. He told her she would be sorry and that he would see to it that she regretted it. Bob began to make life miserable for Mary at work. She suddenly started to get poor performance evaluations after two years of exemplary reviews. Even the managers above Bob were beginning to make comments about her poor attitude. Mary decided it was time to act. She was worried she would be fired, all because Bob wanted her to continue to date him. She loved her job and knew she did quality work. She made an appointment with the HR manager.
Using the Civil Rights Acts of 1964 and 1991, discuss the type of sexual harassment Mary thinks she is experiencing. What are the obligations of the HR manager once Mary reports this? Discuss the likelihood that Bob would be found guilty of sexually harassing Mary. If the HR manager investigates and finds Mary is telling the truth, what should s/he do to handle the situation so that the company is not found complicit by the EEOC if further complaint is made? If found in Mary's favor, what options does the HR manager have to remedy the situation?
Site references in APA format
.
Analyze Alternative Exchange Rate RegimesThere are several argum.docxikirkton
Analyze Alternative Exchange Rate Regimes
There are several arguments for and against the alternative exchange rate regimes. Prepare a 2- to 4-page paper presenting both sides of the argument. In your paper:
List and explain the advantages of the flexible exchange rate regime.
Criticize the flexible exchange rate regime from the viewpoint of the proponents of the fixed exchange rate regime.
Refute the above criticism from the viewpoint of the proponents of the flexible exchange rate regime.
Discuss the impact the increased volatility in interest and foreign exchange rates has on global institutions.
Assignment 3 Grading Criteria
Maximum Points
Listed and explained the advantages of the flexible exchange rate regime.
24
Criticized the flexible exchange rate regime from the viewpoint of the proponents of the fixed exchange rate regime.
24
Refuted the above criticism from the viewpoint of the proponents of the flexible exchange rate regime.
20
Discussed the impact the increased volatility in interest and foreign exchange rates has on global institutions.
20
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources; displayed accurate spelling, grammar, and punctuation.
12
Total:
100
.
Analyze and evaluate the different leadership theories and behavior .docxikirkton
Analyze and evaluate the different leadership theories and behavior approaches, including the Tuckman four stages of group development model.
Evaluate the importance of the internal environmental factors that include the cultural, language, political, and technological differences.
Apply the necessary steps to overcome the identified challenges with the different sources of power that must be taken into account.
Deliverable Length:
4-5 Body Pages
.
Analytical essay report about polio 1ِ- An introductory paragraph .docxikirkton
Analytical essay report about polio
1ِ- An introductory paragraph
2 - A background paragraph that includes factual and historical information about polio
3 - three body paragraph that explain the epidemic and illustrate its significance
4- A concluding paragraph
5- An end of text reference page with reference for all source referred to as you wrote your report
.
Analysis Essay 1DUE Feb 23, 2014 1155 PMGrade DetailsGrade.docxikirkton
Analysis Essay 1
DUE: Feb 23, 2014 11:55 PM
Grade Details
Grade
N/A
Gradebook Comments
None
Assignment Details
Open Date
Feb 3, 2014 12:05 AM
Graded?
Yes
Points Possible
100.0
Resubmissions Allowed?
No
Attachments checked for originality?
Yes
.
AnalogíasComplete the analogies. Follow the model.Modelomuer.docxikirkton
Este documento presenta dos analogías incompletas que deben completarse siguiendo el modelo dado. También presenta una conversación incompleta que debe completarse haciendo los cambios necesarios, omitiendo las palabras "cambiar" y "edad".
ANA Buenos días, señor González. ¿Cómo (1) (2) SR. GONZÁLEZ .docxikirkton
Ana se encuentra con el Sr. González y le presenta a Antonio. El Sr. González le da la bienvenida a Antonio y le pregunta de dónde es, a lo que Antonio responde que viene de México. Ana y Antonio se despiden del Sr. González.
Analyze symbolism in Jane Eyre from a Feminist point of view. Exa.docxikirkton
Analyze symbolism in Jane Eyre from a Feminist point of view.
Examples:
patriarchy
oppressed women
silence from women
4 pages paper
MLA format
Please include original source citations (Jane Eyre book)
Include in text citations from 3 specific secondary sources (sources attached)
.
An important part of research is finding sources that can be trusted.docxikirkton
An important part of research is finding sources that can be trusted.
(1) Comment on why you think it is important to scrutinize your sources to find out if they are credible or not? This can apply to our personal life as well as our academic and business life?
Can you think of an example, in every day life, where it was very important for you to trust your source? Or if not, what are some general areas of life
where you think it is especially important to trust information?
.
An incomplete Punnett square There are three possible phenotypes fo.docxikirkton
An incomplete Punnett square: There are three possible phenotypes for wing color in the species of Moon moth. Some of these moths have a red wings, others have yellow wings and some have orange wings. What type of inheritance is illustrated by the species of moth? What are the genotypes that coincide with the three phenotypes given? In a cross between two orange winged moths that produced 100 offspring how many of the offspring will be a yellow? ALSO DRAW OUT PUNNETT SQUARE!!
.
An expanded version of the accounting equation could be A + .docxikirkton
An expanded version of the accounting equation could be:
A + Rev = L + OE - Exp
A - L = Paid-in Capital - Rev - Exp
A = L + Paid-in Capital + Beginning Retained Earnings + Rev - Exp
A = L + Paid-in Capital - Rev + Exp
In the seller's records, the sale of merchandise on account would:
Increase assets and increase expenses.
Increase assets and decrease liabilities.
Increase assets and increase paid-in capital.
Increase assets and decrease revenues.
In the buyer's records, the purchase of merchandise on account would:
Increase assets and increase expenses.
Increase assets and increase liabilities.
Increase liabilities and increase paid-in capital.
Have no effect on total assets.
A debit entry will:
Decrease an asset account.
Increase a liability account.
Increase paid-in capital.
Increase an expense account.
A credit entry will:
Increase an asset account.
Increase a liability account.
Decrease paid-in capital.
Increase an expense account.
A credit entry to an account will:
Always decrease the account balance.
Always increase the account balance.
Increase the balance of a revenue account.
Increase the balance of an expense account.
A debit entry to an account will:
Always decrease the account balance.
Always increase the account balance.
Increase the balance of a revenue account.
Increase the balance of an expense account.
Sage, Inc. has 20 employees who each earn $100 per day and are paid every Friday. The end of the accounting period is on a Wednesday. How much wages should the firm accrue at the end of the period?
$2,000.
$1,000.
$0.
$6,000.
Which of the following is not one of the 5 questions of transaction analysis?
What's going on?
Which accounts are affected?
Is this an accrual?
Does the balance sheet balance?
Does my analysis make sense?
The effect of an adjustment is:
To correct an entry that was not in balance.
To increase the accuracy of the financial statements.
To record transactions not previously recorded.
To close the books.
A journal entry recording an accrual:
Results in a better matching of revenues and expenses.
Will involve a debit or credit to cash.
Will affect balance sheet accounts only.
Will most likely include a debit to a liability account
Wisdom Co. has a note payable to its bank. An adjustment is likely to be required on Wisdom's books at the end of every month that the loan is outstanding to record the:
Amount of interest paid during the month.
Amount of total interest to be paid when the note is paid off.
Amount of principal payable at the maturity date of the note.
Accrued interest expense for the month.
The accounting concept/principle being applied when an adjustment is made is usually:
matching revenue and expense.
consistency.
original cost.
materia.
An Evolving IndustryHow are the Internet and other technologies cu.docxikirkton
An Evolving Industry
How are the Internet and other technologies currently affecting the ways in which movies are produced, distributed, and exhibited? Are the changes having an impact on the quality or depth of the films? Provide specific examples as you explain your point of view.
Your initial post should be at least 150 words in length. Support your claims with examples from required material(s) and/or other scholarly resources, and properly cite any references
.
An essay addressing the definition or resemblance concerning categor.docxikirkton
An essay addressing the definition or resemblance concerning categorical placement or criteria-match reasoning. The Term is Inner Peace. This is going to be a rough draft only. APA format
3-5 pages;
3-5 scholarly sources. I would like to address inner peace as the state of living in harmoney with the enviroment, restrained from war and living peacefully. I woud like to tie into figures like Mandela and Ghandi as examples of people that have attained it.
.
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
Gender and Mental Health - Counselling and Family Therapy Applications and In...PsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptx
Banyan State University Medical ClinicBanyon State University .docx
1. Banyan State University Medical Clinic
Banyon State University (BSU) operates a walk-in medical
clinic to meet the acute medical needs of its 13,000 students,
1,200 faculty and staff members, and covered relatives. The
clinic is staffed by one doctor and one nurse and operates 8
hours a day, 5 days a week. The doctor and nurse do not take a
lunch break, but rather use gaps between patient arrivals to eat
lunch and take other short breaks. Because patients often do
not arrive right when the clinic opens and because they must
visit with a nurse before seeing the doctor, the doctor’s official
start time is 45 minutes after the clinic opens. Patients arriving
at the clinic are served on a first-come first-served basis.
As part of a new total quality management (TQM) initiative,
BSU conducted an in-depth 40month study of its current
operations. A key component of the study was a survey,
distributed to all students, faculty, and staff. The purpose of
the study was to identify and prioritize areas most in need of
improvement. An impressive 44% of the surveys were returned
and deemed usable. Follow-up analysis indicated that the
respondents to the survey were representative of the population
served by the clinic. After the results were tabulated, it was
determined that the walk-in medical clinic was located at the
bottom of the rankings, indicating a great deal of dissatisfaction
with the clinic.
Preliminary analysis of the respondents’ comments indicated
that people were reasonably satisfied with the treatment they
received at the clinic but were very dissatisfied with the amount
of time they had to wait to see a care giver. To gain additional
insight into the problem, a team of students was asked to study
the problem as part of a course project. In addition to
determining the general issues, they were asked to determine
2. the desirability of a new, computerized patient record system
(CPRS) to aid in reducing waiting times. The student team
initially collected data on the pattern of arrivals at the clinic
and the various services times (discussed in more detail later).
The team determined that on a typical day, inter-arrival times
were uniformly distributed between 6 and 20 minutes. After
arriving at the clinic, patients complete a form that requests
background information and the reason for the visit. The staff
collects these forms and retrieve the patients’ records from the
basement. The team determined that the time to retrieve patient
records follows a normal distribution with a mean of 4 minutes
and a standard deviation of 0.75 minute. Retrieved patient
records are placed in a pile from the clinic’s nurse in the order
that the patients arrived at the clinic.
When the nurse finishes with the current patient, the file of the
next patient is selected and the patient is directed to the nurse’s
station. Here the nurse further documents the problem and
takes some standard measurements such as temperature and
blood pressure. Then the nurse places the patient’s file at the
bottom of a stack of files for the doctor. When the doctor
finishes with a patient, the file on the top of the stack is
selected and the next patient is called to the examining room.
The team determined that the processing times of the nurse
closely approximate a normal distribution with an average of 10
minutes and standard deviation of 2.3 minutes. Likewise, it was
determined that the time required for the doctor to examine and
treat the patients also closely approximates a normal
distribution with a mean of 17 minutes and a standard deviation
of 3.4 minutes.
Simulate an 8 hour day (i.e., 480 minutes). Calculate the
following summary results:
Number of Patients
Average Time in the System
Average Waiting Time
3. Next, extend your simulation model to include the alternative of
using computerize records. Using computerized records simply
means that there would be no time (i.e., zero time) associated
with retrieving patient records. In other words, the patient
could be seen by the nurse immediately (if the nurse is
available) or as soon as the nurse is finished with the previous
patient. To incorporate the computerized record system on the
same spreadsheet you will simply use the same columns that
generated inter-arrival times, nurse service time, and doctor
service time. In other words, you will simply change the logic
in appropriate formulas to correctly represent the situation
where there is no time associated with the retrieval of records.
This means simulating the time the nurse’s exam begins, the
time the doctor’s exam begins, the time the patient is finished,
the time in the system, and the total waiting time. For this
(computerized records) alternative, calculate the same results
(i.e., number of patients, average time in the system, and
average waiting time) for comparison purposes with the current
system.
This first simulation (of both the current system and the
computerized system) represents replication #1. After you have
recorded the results (number of patients, average time in the
system, and average waiting time, run 9 more replications and
calculate the results.
Present a summary table of the results for the 10 replications
(i.e. the equivalent of two weeks of operation) and use this
summary table as the basis for the rest of your work.
Your deliverable for this project will be two items: a memo to
the president of Banyan State University (Thomas Kourpias)
from your team with a copy to Dr. Marsha Williams, VP
University Health Services. Your memo should contain the
following four components: introduction, analysis,
4. recommendations/conclusions, and limitations. Your memo
should be accompanied by your Excel spreadsheet with the
simulation model. Keep in mind that you will be evaluated on
the basis of the content of the spreadsheet as well as of its
design/layout, professionalism, and. Be sure to organize your
spreadsheet so that the data inputs and the results are located at
the beginning of the spreadsheet to facilitate use and
understanding by the reader (the president and the VP of Health
Services. The accuracy of your analysis (as evidenced by the
supporting simulation model) will carry a significant weight in
the project grade.
Your presentation should cover the same topics but your
explanation will be more elaborate, particularly with respect to
how the simulation was designed and how the results can be
interpreted. In other words, you should “walk the listener
through the simulation process” during your presentation. This
means you will need to open your spreadsheet during your
presentation. The presentation should be clear and focused and
should include information about how the simulation model can
be used if any of the parameters change. Most importantly,
however, will be the conclusions you draw or the
recommendations you make. These conclusions should be
logical and justified by the simulation results. If appropriate,
after referring to the spreadsheet itself, you can incorporate
“screen shots” of particular portions of the spreadsheet in your
presentation to facilitate your presentation/explanation.
Your presentation will be limited to a minimum of 7 minutes
and a maximum of 10 minutes. Variations from this time frame
will incur deductions. Do not start your presentation until the
instructor tells you to start. Presentation times have been
assigned randomly, and you do not have to be present for the
rest of the teams’ presentations. Your time slot is cast is
concrete, so be sure to arrive in sufficient time for your
scheduled time slot. Late arrivals will be docked in terms of
5. grade and in terms of time. There will only be a one-minute
transition time between team presentations so be sure to have
everything ready ahead of time. It is strongly recommended
that you show up to the class room earlier in the day to save
your presentation and excel files on the computer to assure that
everything will be ready at the time your presentation is
scheduled to begin.
These presentations will be evaluated on the basis of
professionalism of the presenter (i.e., dress appropriately, speak
clearly, avoid “hmmmmms”, etc.), slide content (appearance,
readability, transitions, color, etc.), adherence to the time line,
message (appropriate background, explanation of methodology,
explanation of results, conclusions and recommendations,
limitations/concerns, etc.).
Project submissions will be comprised of the following: the
memo to the president, the Excel spreadsheet model, and
PowerPoint slides. The memo and the PowerPoint slides are to
be submitted as hard copy and electronic copy. The Excel
spreadsheet should only be submitted electronically. If your
presentation is scheduled for Monday, Dec. 15, your hard copies
and electronic copies are due to me no later than 10 AM
Monday morning. If your presentation is scheduled for
Wednesday, Dec. 17, your hard copies and electronic copies are
due to me no later than noon on Tuesday, Dec. 16. Late
submissions will be penalized.
Red Lion Scarves
6. Red Lion Scarves will open several new production facilities
during the coming year. Each new production facility is
designed to have one quality inspector who checks the knitting
of the wool scarves before they are shipped to retailers. The
arrival of hand-knot wool scarves to the quality inspection
department is variables over the 24-hour workday (three 8-hour
shifts).
For the quality inspection department being studied, the scarf
interarrival times are assumed to be uniformly distributed
between 0 and 5 minutes. This means that any number of
minutes in this time range is equally like to occur.
Another probabilistic input in the Red Lion Scarves simulation
model is service time, which is the time it takes a quality
inspector to check a scarf. Past data from similar quality
inspection departments indicate that a normal probability
distribution with a mean of 2 minutes and a standard deviation
of 0.5 minutes will be appropriate to describe the service
(inspection) times for Red Lion Scarves.
A concern is that during busy periods, the shipment of scarves
to retailers may be delayed as they wait to be inspected. This
concern prompted Red Lion Scarves to undertake a study of the
flow of scarves into the quality inspection department as a
waiting line (queuing) problem. Red Lion Scarves’ vice
president wants to determine whether one quality inspector per
shift at each facility will be sufficient. Red Lion Scarves
established service guidelines stating that the average delay
waiting for quality inspection should be no more than one
minute. Note: in this problem, each scarf is a “customer” since
the customer is the item receiving the “service” of being
inspected.
7. Sheet1Red Lion Scarves SimulationInter-arrival Times
(Uniform Distribution)Smallest Value0Largest Value5Service
Times (Normal Distribution)Mean2Standard
Deviation0.5SimulationInter-arrivalArrivalServiceWaiting
Service CompletionTime Customer No.TimeTimeStart
TimeTimeTimeTimeIn System
Sheet1Red Lion Scarves Simulation
Solution
Operating CharacteristicsInter-arrival Times (Uniform
Distribution)Number Waiting =552Smallest Value0Prob of
Waiting =61%Largest Value5Max Wait Time (min)
=8.45Utilization of Inspector =54%Service Times (Normal
Distribution)No. Waiting > 1 Min379Mean2Prob of Waiting > 1
min =42%Standard Deviation0.5SimulationCustomerInter-
arrivalArrivalServiceWaiting Service CompletionTime
No.TimeTimeStart TimeTimeTimeTimeIn
System10.73660510940.73660510940.736605109401.73652212
662.47312723611.736522126624.55272977155.2893348815.289
33488102.26641794417.5557528252.266417944134.921875878
10.21121075910.21121075902.284660343912.49587110282.284
660343941.220471565111.431682324112.49587110281.064188
77872.051980657814.54785176063.116169436550.3582454397