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The Reem Clinic Abu Dhabi (RCAD) is a clinic located at the Reem Island of the A

ID: 371094 • Letter: T

Question

The Reem Clinic Abu Dhabi (RCAD) is a clinic located at the Reem Island of the Abu Dhabi to address various complex care requirements of the population. Having a unique Heart and Vascular Institute, it particularly specializes in the implantation and management of artificial pumps, as well as heart transplantation. Recently, the RCAD has also started receiving patients from the neighboring countries. The RCAD has three main challenges and potential opportunities to improve their current process and financial situation. The RCAD hired an Abu Dhabi-based management- consulting firm, called Mc ISYE, to get consultation on their following challenges a. The clinic currently has one operating room (OR). However, since the clinic has dramatically more demand than capacity, the management team of the RCAD contemplates investing in a second OR The data collected by the Mc ISYE consulting firm reveal that:

Explanation / Answer

Ans : Availability of the OR per surgeon = 12/3 = 4 hours = 240 min.

Time for cleaning + preparing = 10+20 min. = 30 min.

Time for the surgeon = 10+60+20 = 90 min per procedure.

He will be able to do 2 cases per shift. The cases done per day = 2x3 = 6

(2) Effeciency of the equipment = cases done per day / capability of OR to do the cases = 6/12 = 50%

(3) The demand is equal to highest efficiency of the OR The takt time is the time needed to finish a unit

Takt time = 1 hour / 1 patient = 1 hr.

To accomplish the patient service rate equal to maximum efficiency, there should be

(a) Prior information to the cleaning crew, so that the cleaning time can be eliminated.

(b) Preparation to be done outside the OR prior to the start of transplant, saving 10 min.

The target manpower should be sufficient to accomplish task a and b, Probably it can be done by the existing staff. The available number of surgeons can complete four cases per shift of four hours if no time is elapsed in between the cases, and the existing OR can fulfill the purpose.

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