Homework Sourse62 Pre and post examination processing of patients in an o
6.2 Pre - and post - examination processing of patients in an outpatient clinic involves various
tasks performed by clerks and nurses. A time study conducted by the decision support
department is shown in Table EX 6.2 .
a. Determine the observed time for the pre - post exam process.
b. Determine the normal time for the pre - post exam process.
c. Determine the standard time for the pre - post exam process, using the basic - moderate
allowance for the job.
d. Calculate the standard time for the exam process. Do you think the time spent in the
outpatient clinic, without including the exam time, is reasonable? If not, what
improvements would you recommend?
6.2 Pre - and post - examination processing of patients in an outpatient clinic involves various tasks performed by clerks and nurses. A time study conducted by the decision support department is shown in Table EX 6.2 . a. Determine the observed time for the pre - post exam process. b. Determine the normal time for the pre - post exam process. c. Determine the standard time for the pre - post exam process, using the basic - moderate allowance for the job. d. Calculate the standard time for the exam process. Do you think the time spent in the outpatient clinic, without including the exam time, is reasonable? If not, what improvements would you recommend?Solution
Mean time is adjusted with performance rating to get actual mean time when perf rating is 1
Observed l time = 112.0909
Hence std time = 113.3190909
The waiting time is not reasonable at all as a patient\'s time is wasted by more than 1 hour.
Wait for nurse, wait for exam room and wait for physician should be brought down to 0, to improve efficiency. When a patient registers himself the news should be conveyed to these 3 persons and they must be ready to accept within reasonable time.
| Observations (in Minutes) | ||||||||||||||
| Mean | Mean*perf ratin | |||||||||||||
| Activity | Preformance Rating | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 6 | |
| Registration | 1.15 | 3 | 6 | 4 | 8 | 4 | 5 | 4 | 6 | 4 | 6 | 4 | 4.909091 | 5.645454545 |
| Copayment | 0.95 | 7 | 9 | 11 | 8 | 12 | 9 | 6 | 11 | 9 | 12 | 10 | 9.454545 | 8.981818182 |
| Wait for nurse | 1 | 17 | 15 | 17 | 12 | 11 | 17 | 12 | 19 | 12 | 20 | 18 | 15.45455 | 15.45454545 |
| Vital signs | 0.96 | 9 | 8 | 11 | 12 | 9 | 8 | 10 | 12 | 8 | 12 | 11 | 10 | 9.6 |
| Wait for exam room | 1 | 12 | 15 | 12 | 14 | 21 | 18 | 11 | 16 | 9 | 14 | 18 | 14.54545 | 14.54545455 |
| Placement to exam room | 0.98 | 3 | 5 | 4 | 6 | 3 | 5 | 3 | 6 | 5 | 4 | 7 | 4.636364 | 4.543636364 |
| Wait for physician | 1 | 10 | 17 | 21 | 11 | 13 | 15 | 14 | 12 | 19 | 15 | 9 | 14.18182 | 14.18181818 |
| Examination | 1 | 18 | 15 | 19 | 22 | 18 | 12 | 19 | 21 | 16 | 21 | 17 | 18 | 18 |
| Test order entry | 1.02 | 4 | 7 | 3 | 5 | 4 | 11 | 9 | 12 | 11 | 14 | 9 | 8.090909 | 8.252727273 |
| Referral requests | 1.11 | 11 | 10 | 16 | 9 | 8 | 9 | 7 | 7 | 9 | 7 | 6 | 9 | 9.99 |
| Follow-up-appointments | 1.08 | 3 | 5 | 3 | 4 | 3 | 4 | 4 | 5 | 3 | 3 | 5 | 3.818182 | 4.123636364 |
| scheduling | ||||||||||||||
| 113.3190909 |
