### The throughput in patients per hour of each stage in process

Assignment Help Operation Management
##### Reference no: EM131148881

Marion Health Clinic sees patients on a walk?in basis only. On average, 10 patients per hour enter the clinic. All patients register at the registration window with a registration clerk (RC), which takes 3 minutes. After registration, but before being seen by a nurse practitioner (NP), the registration records clerk (RRC) pulls the patient's records from the records room, which takes 6 minutes. At his or her turn, each patient then sees a NP, who checks weight, temperature, and blood pressure. This work activity takes 5 minutes. The NP determines if the patient must see a doctor (MD) or can be handled by a Physician's Assistant (PA). There is one MD, one PA, one NP, one RRC, one BC, and one RC in the system at the current time.

The NP sends 40 percent of the patients to the PA and 60 percent to the MD. The PA takes on average 6 minutes per patient whereas the MD takes 15 minutes. After the patient sees the PA and/or MD, the patient pays the bill or processes insurance information with the billing clerk (BC), which takes 5 minutes per patient. Then the patient exits the process.

a. Draw a process flow diagram, label everything, and place the times and percentages given in the problem on the diagram.

b. What is the throughput in patients per hour of each stage in the process?

c. What are the labor utilization rates for the MD, NP, PA, BC, RRC, and RC? Are these values appropriate? If not, how might you redesign the process? Where is the bottleneck?

d. The PA often discovers the patient should see a MD so the patient is sent to the MD after seeing the PA 50% of the time. How does this change affect your answers to the questions above?

#### Clients goal is to maximize projected return on investments

A brokerage firm has been tasked with investing \$500,000 for a new client. The client has asked that the broker select promising stocks and bonds for investment, subject to th

#### What is the critical path for this network

Hamilton County Parks is planning to develop a new park and recreational area on a re- cently purchased 100-acre tract. Project development activities include clearing play- g

#### Quality characteristic has design specification

A quality characteristic has a design specification (in inches) of 0.200 +- 0.020. If the actual process value of the quality characteristic exceeds 0.200 by the tolerance of

#### Account status-order confirmations and stock quotes

The service center for a brokerage company provides three functions to callers: account status, order confirmations, and stock quotes. The reliability was measured for each of

#### Determine the estimated loss if quality characteristic

Suppose that the specifications for a part (in inches) are 6.00 +- 0.15, and that the Taguchi loss function is estimated to be L(x) = 6.500 (x - T)^2. Determine the estimated

#### What is the maximum authorized router inventory

Lou's Bakery has established that JIT should be used for chocolate chips due to the high probability of the kitchen heat melting the chips. The average demand is 130 cups of c

#### Calculate profit in the short run by using the price

Calculate profit in the short run by using the price and output levels you generated in part 5. Optional: You may want to compare this to what profit would have been in Assi

#### Standard deviation and probability distribution are constant

The process is in a state of statistical control means that assignable or special causes of variation have been removed; characteristic parameters like the mean, standard devi