6.2 Pre - and post - examination processing of patients in an outpatient clinic
ID: 3432371 • Letter: 6
Question
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?
TABLE EX 6.2
Observations (in Minutes)
1 2 3 4 5 6 7 8 9 10 11
ACTIVITY
Performance Rating
Registration 1.15 3 6 4 8 4 5 4 6 4 6 4
Co payment 0.95 7 9 11 8 12 9 6 11 9 12 10
Wait for nurse 1.00 17 15 17 12 11 17 12 19 12 20 18
Vital signs 0.96 9 8 11 12 9 8 10 12 8 12 11
Wait for exam room 1.00 12 15 12 14 21 18 11 16 9 14 18
Placement to exam room 0.98 3 5 4 6 3 5 3 6 5 4 7
Wait for physician 1.00 10 17 21 11 13 15 14 12 19 15 9
Examination 1.00 18 15 19 22 18 12 19 21 16 21 17
Test order entry 1.02 4 7 3 5 4 11 9 12 11 14 9
Referral requests 1.11 11 10 16 9 8 9 7 7 9 7 6
Follow - up appointment 1.08 3 5 3 4 3 4 4 5 3 3 5
Scheduling
Explanation / Answer
a) observed time = 112.0909
b) std time = 113.319
The time is not reasonable. Everywhere it seems to be waiting. If waiting time is reduced customers can be happier.
Improvement in services to be needed to keep the waiting time at every stage to a bare minimum
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 112.0909 113.3190909Related Questions
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