# Essay about Paediatric Orthopaedic Clinic

1597 Words Sep 30th, 2014 7 Pages
Paediatric Orthopaedic Clinic
Case report:

Paediatric Orthopaedic Clinic

Discussion questions :

1- What is capacity utilization at every step in the process? What is the direct resource utilization?

Using the data provided in the case, we are able to compile all data necessary to compute the capacity utilization at the clinic.

Activity | # of Staff | Available time | Activity time | Number of Patients | Time needed | Utilization10 |

| | /Staff | Total | N | F | N | F | N | F | Total | |

1.Front Desk | | | | | | | | | | | |

a. Registration | 3 | 180 | 540 | 5 | 5 | 32 | 48 | 160 | 240 | 400 | 74 % |

b. Verification | 3 | 255 | 765 | 9 | 4 | 32 | 48 | 288 | 192 | 480 | 63 % |

How can variability be controlled?

a) In the Front Desk Process; the variability of a patient being a new patient or a follow-up patient effects the capacity slightly. Each patient essential follows the same process excepts for the time that it takes for the nurse to determine if a follow-up patients needs to be sent for new x-rays but for new patients they automatically go regardless. This actually ends up affecting the Radiology capacity. The fact that 85 percent of the follow-up patients were sent for new x-rays and 15 percent did not, really affects the Radiology capacity. Furthermore, the variability of the different type of x-ray for each person (which results in time taken to re adjust the machine for the next person with a different type of x-ray) and the variability of a person that needing an emergency x-ray ( which in turn makes the regular new/follow-up patients wait) also affect the capacity for the Radiology process. The Hand off & Direct Patients process doesn’t have any variability’s; the process is same for every type of patient. The variability in the Exam process, that affects the capacity, is the variety of patients that may need to alterations or cast removals would have to be seen by the cast technician which would keep the capacity lower for this process.

b) Variability can’t be controlled in the way that the clinic is setup right now; there is no way for us to influence/predict the treatment for every new

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