The single aspect OM approach disregarded health care provider requirements, time constraints and delays in patient care, patient needs and satisfaction, and the integration of follow-on care requirements. The results of the experimentation and case study by Vos, Groothuis, & Merode, (2007) addressed the need to maximize floor space for patients based on a study of arrival and wait times, but failed to address deviations in wait times, and more importantly, deviations in care provider delays. Additionally, the study didn’t address patient post care, time, or appointment follow-up requirements which largely affect the patients time in the facility, as well as the volume of patients in the facility at a given time. In essence, the study was a narrowly designed, one way in, single-aspect approach to a multi-faceted, multiple outcome problem. The method of evaluation was a single case study design, which limited the outcome because the variables of the…