Operations and Supply Chain Management 9th edition
9th Edition
ISBN: 9781119320975
Author: Roberta S. Russell, Bernard W. Taylor III
Publisher: WILEY
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Textbook Question
Chapter 5, Problem 12P
Annie Campbell is a nurse on the evening shift from 10:00 P.M. to 6:00 A.M. at Community Hospital. She is responsible for 15 patients in her area. She averages two calls from each of her patients every evening (Poisson distributed), and she must spend an average of 10 minutes (negative exponential distribution) with each patient who calls. Nurse Smith has indicated to her shift supervisor that although she has not kept records she believes her patients must wait about 10 minutes on average for her to respond and she has requested that her supervisor assign a second nurse to her area. The supervisor believes 10 minutes is too long to wait, but she does not want her nurses to be idle more than 40% of the time. Determine what the supervisor should do.
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The time from when a patient is discharged from North Shore Hospital to the time the discharged patient’s bed is ready to be assigned to a new patient is referred to as the bed assignment turnaround time. If the bed turnaround time is excessive, it can cause problems with patient flow and delay medical procedures throughout the hospital. This can cause long waiting times for physicians and patients thus creating customer dissatisfaction. The admissions RN has assigned a patient care associate to measure the bed turnaround time for a randomly selected bed each morning., afternoon, and evening for 30 days. Following are the bed turnaround time sample observations:
Day
Day
Bed Turnaround Times (min)
1
1
127
135
167
144
151
2
2
140
155
122
135
119
3
3
112
128
97
118
131
4
4
223
135
154
187
150
5
5
181
155
160
172
166
6
6
103
158
145
124
149
7
7
146
135
167
150
178
8
8
104
122
115
137
129
9
9
136
158
137
148
156
10
10
145
163
106
139
170
11
11
84
146
125
98…
The time from when a patient is discharged from NorthShore Hospital to the time the discharged patient’s bed isready to be assigned to a new patient is referred to as thebed assignment turnaround time. If the bed turnaroundtime is excessive, it can cause problems with patient flowand delay medical procedures throughout the hospital. Thiscan cause long waiting times for physicians and patientsthus creating customer dissatisfaction. The admissions RNhas assigned a patient care associate to measure the bedturnaround time for a randomly selected bed each morning,afternoon, and evening for 30 days. Following are the bedturnaround time sample observations:a. Develop an x-chart to be used in conjunction with anR-chart using 3 limits to monitor the bed turnaroundtimes and indicate if the process is in control usingthese charts.b. Is the hospital capable of consistently achieving bedturnaround times of 120 minutes 15 minutes withoutimproving the process?
Consider doctor’s office: Physician’s have 30 min appointment slots starting at 8 AM to 6 PM Physicians spend 90 min (1.5 hrs.) each day on electronic medical records and 30 min on claims processing/questions related to medical insurance Typically, physicians have 75 percent appointments booked in advance, which leads to frequent cancellations. One out of 6 patients do not show up Even though appointment slots are 30 min, physicians spend on average 23 minutes with patient. Out of those 23 min, say 5 min could be done by nurse How much of physician’s work is value added
Chapter 5 Solutions
Operations and Supply Chain Management 9th edition
Ch. 5 - Uber and the Sharing Economy First there was...Ch. 5 - Uber and the Sharing Economy First there was...Ch. 5 - Uber and the Sharing Economy First there was...Ch. 5 - Prob. 2.1ASCCh. 5 - Prob. 2.2ASCCh. 5 - Prob. 2.3ASCCh. 5 - Prob. 3.1ASCCh. 5 - Prob. 3.2ASCCh. 5 - Prob. 1QCh. 5 - Prob. 2Q
Ch. 5 - Prob. 3QCh. 5 - Prob. 4QCh. 5 - Prob. 5QCh. 5 - Prob. 6QCh. 5 - Prob. 7QCh. 5 - Prob. 8QCh. 5 - Prob. 9QCh. 5 - Prob. 11QCh. 5 - Prob. 12QCh. 5 - Prob. 13QCh. 5 - Prob. 14QCh. 5 - Prob. 15QCh. 5 - Prob. 16QCh. 5 - Prob. 17QCh. 5 - Prob. 19QCh. 5 - Prob. 20QCh. 5 - Under what conditions will the single-channel,...Ch. 5 - Prob. 22QCh. 5 - Prob. 1PCh. 5 - Prob. 2PCh. 5 - Prob. 3PCh. 5 - Prob. 4PCh. 5 - Prob. 5PCh. 5 - Prob. 6PCh. 5 - Prob. 7PCh. 5 - Prob. 8PCh. 5 - Prob. 9PCh. 5 - Prob. 10PCh. 5 - Prob. 11PCh. 5 - Annie Campbell is a nurse on the evening shift...Ch. 5 - Prob. 13PCh. 5 - Prob. 14PCh. 5 - Prob. 15PCh. 5 - Prob. 16PCh. 5 - Prob. 17PCh. 5 - Prob. 18PCh. 5 - Prob. 19PCh. 5 - Prob. 20PCh. 5 - Prob. 21PCh. 5 - Prob. 22PCh. 5 - Drivers who come to get their licenses at the...Ch. 5 - Prob. 24PCh. 5 - Prob. 25PCh. 5 - Prob. 26PCh. 5 - The Waterfall Buffet in the lower level of the...Ch. 5 - Prob. 28PCh. 5 - Prob. 29PCh. 5 - Prob. 30PCh. 5 - Prob. 31PCh. 5 - The Baytown Post Office has four stations for...Ch. 5 - Prob. 33PCh. 5 - Prob. 34PCh. 5 - Prob. 35PCh. 5 - Prob. 36PCh. 5 - Prob. 37PCh. 5 - Prob. 38PCh. 5 - Prob. 39PCh. 5 - Prob. 40PCh. 5 - Prob. 41PCh. 5 - Prob. 42PCh. 5 - Prob. 43PCh. 5 - Prob. 44PCh. 5 - Prob. 45PCh. 5 - Prob. 46PCh. 5 - Prob. 47PCh. 5 - After reviewing your report above, Tech has...Ch. 5 - Prob. 49PCh. 5 - Prob. 50PCh. 5 - Prob. 1.1CPCh. 5 - Prob. 1.2CPCh. 5 - Prob. 2.1CPCh. 5 - Prob. 2.2CPCh. 5 - Prob. 3.1CPCh. 5 - Prob. 4.1CP
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